An in vitro evaluation to quantify extruded debris during filing with three different systems: An original research study

Parag Balkrishna Nehete; Neha Belsare; Deepak Sharma; Ashish Diwakar Meshram; Vaibhav Ravindra Wani; Kunal Shah

doi:10.53730/ijhs.v6nS2.7978

Authors

Parag Balkrishna Nehete
dr_paragnehete@rediffmail.com
Associate Professor, Department of Conservative Dentistry and Endodontics, MGV’s KBH Dental College and Hospital, Nasik, India
Neha Belsare Associate Professor, Department of Prosthodontics, MGV’s KBH Dental College and Hospital, Nasik, India
Deepak Sharma Associate Professor, Department of Conservative Dentistry and Endodontics, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Navi Mumbai, India
Ashish Diwakar Meshram Senior Lecturer, Department of Prosthodontics, MGV’s KBH Dental College and Hospital, Nasik, India
Vaibhav Ravindra Wani Professor and Head, Department of Pedodontics, Dr. R.R. Kambe Dental College and Hospital, Akola, India
Kunal Shah Professor, Department of Orthodontics, Rishiraj Dental College, Bhopal, India

Keywords:

extrusion, debris, protaper next files

Abstract

Aim: This study was planned to quantitatively estimate the amount of pushed off debris during instrumentation with three commercial files. Materials & Methods: Maxillary central incisors were chosen by simple random sampling. Only freshly extracted teeth were entertained for sampling procedure. For the ease of study and grouping, all samples were further divided into three study groups. This was solely based on available latest and economical NiTi files. Consequently in group I, canal cleaning and shaping was performed ProTaper Next system files. Authors attempted this in given recommended sequential manner as directed by manufacturer. In group II, Twisted File Adaptive adaptive files were engaged for canal procedures in the recommended sequence. In group III, Reciproc R25 file system was checked for the similar factors. Results: Statistical analysis was done using statistical software ‘Statistical Package for the Social Sciences (SPSS)’. The recorded data was subjected to suitable statistical tests to obtain p values and mean. P ≤ 0.05 was considered as statistically significant. Mean values of pushed out debris was 0.00047 grams, 0.00058 grams and 0.00050 grams in group I, II and III respectively.

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References

Kaushal D, Reddy SG, Biswas KP, Dixit A, Chowdhry R, Chug A. Apical extrusion of debris with root canal instrumentation in primary teeth: A systematic review. J Indian Soc Pedod Prev Dent. 2022 Jan-Mar;40(1):9-18.

Hassan E, Sharaan M, Ragab M. Cleaning Efficacy and Debris Extrusion using XP-Endo Finisher and XP-Endo Finisher R as Supplementary Files during Retreatment: An in Vitro Study. Eur Endod J. 2022 Mar;7(1):40-46.

Ahmad MZ, Sadaf D, MacBain MM, Merdad KA. Effect of mode of rotation on apical extrusion of debris with four different single-file endodontic instrumentation systems: Systematic review and meta-analysis. Aust Endod J. 2022 Apr;48(1):202-218.

Tanalp J. A critical analysis of research methods and experimental models to study apical extrusion of debris and irrigants. Int Endod J. 2022 Mar;55 Suppl 1:153-177.

Kharouf N, Pedullà E, Nehme W, Akarma K, Mercey A, Gros CI, Haikel Y, Mancino D. Apically Extruded Debris in Curved Root Canals Using a New Reciprocating Single-File Shaping System. J Endod. 2022 Jan;48(1):117-122.

Singh AK, Chavan SC, Shah A, Parida R, Kansar N, Poojary S. Assessment of Apical Extrusion of Debris during Root Canal Preparation with Different Ni-Ti File Systems: An In Vitro Study. J Contemp Dent Pract. 2021 Apr 1;22(4):349-352.

Al Omari T, El-Farraj H, Arıcan B, Atav Ateş A. Apical debris extrusion of full-sequenced rotary systems in narrow ribbon-shaped canals. Aust Endod J. 2021 Jun 14.

da Silva EJNL, de Moura SG, de Lima CO, Barbosa AFA, Misael WF, Lacerda MFLS, Sassone LM. Shaping ability and apical debris extrusion after root canal preparation with rotary or reciprocating instruments: a micro-CT study. Restor Dent Endod. 2021 Feb 25;46(2):e16.

Bürklein S, Donnermeyer D, Hentschel TJ, Schäfer E. Shaping Ability and Debris Extrusion of New Rotary Nickel-Titanium Root Canal Instruments. Materials (Basel). 2021 Feb 24;14(5):1063.

Solda C, Padoim K, Rigo L, Silva Sousa YTC, Hartmann MSM. Assessment of Apical Extrusion using Rotary and Reciprocating Systems during Root Canal Retreatment. J Contemp Dent Pract. 2020 Mar 1;21(3):238-241.

Kucukyilmaz E, Savas S, Saygili G, Uysal B. Evaluation of Apically Extruded Debris and Irrigant Produced by Different Nickel-Titanium Instrument Systems in Primary Teeth. J Contemp Dent Pract. 2015 Nov 1;16(11):864-8.

Soi S, Yadav S, Sharma S, Sharma M. In Vitro Comparison of Apically Extruded Debris during Root Canal Preparation of Mandibular Premolars with Manual and Rotary Instruments. J Dent Res Dent Clin Dent Prospects. 2015 Summer;9(3):131-7.

Koçak MM, Çiçek E, Koçak S, Sağlam BC, Furuncuoğlu F. Comparison of ProTaper Next and HyFlex instruments on apical debris extrusion in curved canals. Int Endod J. 2016 Oct;49(10):996-1000.

Gunes B, Yeter KY. The effect of cervical preflaring on the apical debris extrusion of single or multiple rotary Ni-Ti files. Niger J Clin Pract. 2020 Apr;23(4):510-514.

Elashiry MM, Saber SE, Elashry SH. Apical extrusion of debris after canal shaping with three single-file systems. Niger J Clin Pract. 2020 Jan;23(1):79-83.

Nevares G, Xavier F, Gominho L, Cavalcanti F, Cassimiro M, Romeiro K, Alvares P, Queiroz G, Sobral AP, Gerbi M, Silveira M, Albuquerque D. Apical Extrusion of Debris Produced during Continuous Rotating and Reciprocating Motion. Scientific World Journal. 2015;2015:267264.

Arruda-Vasconcelos R, Barbosa-Ribeiro M, Louzada LM, Mantovani GD, Gomes BP. Apically Extruded Debris Using Passive Ultrasonic Irrigation Associated with Different Root Canal Irrigants. Braz Dent J. 2019 Jul 22;30(4):363-367.

Koçak S, Koçak MM, Sağlam BC, Türker SA, Sağsen B, Er Ö. Apical extrusion of debris using self-adjusting file, reciprocating single-file, and 2 rotary instrumentation systems. J Endod. 2013 Oct;39(10):1278-80.

Tanalp J, Güngör T. Apical extrusion of debris: a literature review of an inherent occurrence during root canal treatment. Int Endod J. 2014 Mar;47(3):211-21.

Topçuoğlu G, Topçuoğlu HS, Akpek F. Evaluation of apically extruded debris during root canal preparation in primary molar teeth using three different rotary systems and hand files. Int J Paediatr Dent. 2016 Sep;26(5):357-63.

Boijink D, Costa DD, Hoppe CB, Kopper PMP, Grecca FS. Apically Extruded Debris in Curved Root Canals Using the WaveOne Gold Reciprocating and Twisted File Adaptive Systems. J Endod. 2018 Aug;44(8):1289-1292.

De-Deus GA, Nogueira Leal Silva EJ, Moreira EJ, de Almeida Neves A, Belladonna FG, Tameirão M. Assessment of apically extruded debris produced by the self-adjusting file system. J Endod. 2014 Apr;40(4):526-9.

Dincer AN, Guneser MB, Arslan D. Apical extrusion of debris during root canal preparation using a novel nickel-titanium file system: WaveOne gold. J Conserv Dent. 2017 Sep-Oct;20(5):322-325.

Saavedra F, Tinoco JM, De-Deus G, Tinoco EM, Fidel RAS, Sassone LM. Apical extrusion of bacteria when using reciprocating single-file and rotary multi file instrumentation systems. Int Endod J 2014;47:560-566.

Doğanay E, Arslan H, Alsancak M, Çapar ID, Karataş E, GündüzHA. Comparison of apically extruded debris after root canal instrumentation using Reciproc instruments with various kinematics. Int Endod J 2016;49:307-310.

Arslan H, Karatas E, Kırıcı DÖ. Alsancak M, Çapar ID. Quantitative evaluation of apically extruded debris with Twisted File Adaptive instruments in straight root canals: reciprocation with different angles, adaptive motion and continuous rotation. Int Endod J 2016;49:382-385.