Comparative evaluation of efficacy of different endodontic file systems for removal of gutta percha from root canals using CBCT: An in-vitro study

Sailee Kalyankar; Anupam Sharma; Aniket Jadhav; Rajlaxmi Patil; Nirmitee Gujarathi; Abhishek Shelke

doi:10.53730/ijhs.v6nS5.11395

Authors

Sailee Kalyankar Post Graduate student, Department of Conservative Dentistry and Endodontics, Bharati Vidyapeeth (Deemed to be University) Dental college and hospital, Pune
Anupam Sharma Professor and Head of the Department, Department of Conservative Dentistry and Endodontics, Bharati Vidyapeeth (Deemed to be University) Dental college and hospital, Pune
Aniket Jadhav Associate Professor, Department of Conservative Dentistry and Endodontics, Bharati Vidyapeeth (Deemed to be University) Dental college and hospital, Pune
Rajlaxmi Patil Assistant Professor, Department of Conservative Dentistry and Endodontics, Bharati Vidyapeeth (Deemed to be University) Dental college and hospital, Pune
Nirmitee Gujarathi Assistant Professor, Department of Conservative Dentistry and Endodontics, Bharati Vidyapeeth (Deemed to be University) Dental college and hospital, Pune
Abhishek Shelke Post Graduate student, Department of Conservative Dentistry and Endodontics, Bharati Vidyapeeth (Deemed to be University) Dental college and hospital, Pune

Keywords:

endodontic retreatment, gutta percha, rotary instrumentation, reciprocating files, cone-beam computed tomography

Abstract

Aim- To evaluate the removal of gutta percha by hand file system, rotary file system and reciprocating file system from root canals by using CBCT. Materials and Method: Root canals of 42 extracted human mandibular premolars were prepared using the ProTaper Universal rotary system and then obturated. Root filling quality was confirmed on CBCT images. Specimens were divided into 3 groups (n = 14) according to the system used for filling removal, group 1: H File, group 2: MTwo rotary retreatment file, and group 3: WaveOne file. Each specimen was sent for CBCT Analysis. Statistical Analysis Used: Evaluation of data was done statistically using One-way Analysis of Variance and Tukey’s post hoc test. Results: There was statistical difference in all the groups (P>0.05). All systems demonstrated presence of remnants of filling material. Mean reduction in the volume of GP after retreatment of Group I was 0.006mm³, Group II was 0.002mm³ Group III was 0.003mm^3.Conclusion: The system responsible for a better removal of root canal filling material was the MTwo Retreatment file system, followed by the WaveOne system and H File.

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