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CC BY-NC-ND 4.0 · Eur J Dent 2021; 15(01): 020-026
DOI: 10.1055/s-0040-1714175
Original Article

Apically Extruded Debris following Programmed Over Instrumentation of Curved Canals with Three Nickel Titanium Rotary Instruments

Salwa Daoud Yammine 
1   Department of Restorative/Esthetic Dentistry and Endodontics, Faculty of Dental Medicine, Lebanese University, Campus Rafic Hariri, Hadath, Beirut, Lebanon
,
Edgard Antoine Jabbour 
1   Department of Restorative/Esthetic Dentistry and Endodontics, Faculty of Dental Medicine, Lebanese University, Campus Rafic Hariri, Hadath, Beirut, Lebanon
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Abstract

Objectives This in vitro study aimed to compare the amount of mixed and dried debris extruded with three endodontic NiTi (nickel–titanium) systems at three levels beyond the major apical foramen. The null hypothesis is that there would be no differences between the different rotary systems in terms of apically extruded debris.

Materials and Methods  Forty-eight roots of human extracted molars with 20 to 40-degrees curvature were divided randomly into three groups (n = 16) instrumented with ProTaper Next, BT RaCe, and WaveOne Gold, respectively. Instrumentation was performed at the major foramen and over instrumented 0.5 mm, 1.0 mm and 1.5 mm beyond. Irrigation was performed with sodium hypochlorite. Apically extruded debris was collected.

Results Comparison of mixed extruded debris (solution/debris)and dried debris according to group and level of instrumentation showed that WaveOne Gold at the foramen and ProTaper Next beyond the foramen (p < 0.0001) resulted in significantly less extruded debris than other files and within the four levels using repeated measures analysis of variance (p < 0.0001b).

Conclusions All systems exhibit extruded debris during instrumentation but in different amounts.

Keywords

apical debris extrusion - curved root canals - over instrumentation - reciprocating system - continuous rotation


Publication History

Article published online:
26 August 2020

© 2020. European Journal of Dentistry. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Elmsallati EA, Wadachi R, Suda H. Extrusion of debris after use of rotary nickel-titanium files with different pitch: a pilot study. Aust Endod J 2009; 35 (02) 65-69
    CrossrefPubMedGoogle Scholar
  • 2 Amaral AP, Limongi PBOC, Fontana CE, Martin AS, Bueno CEDS, Pinheiro SL. Debris apically extruded by two reciprocating systems: a comparative quantitative study. Eur J Dent 2019; 13 (04) 625-628
    Article in Thieme ConnectPubMedGoogle Scholar
  • 3 Uzunoglu E, Turker SA. Impact of different file systems on the amount of apically extruded debris during endodontic retreatment. Eur J Dent 2016; 10 (02) 210-214
    Article in Thieme ConnectPubMedGoogle Scholar
  • 4 Altunbas D, Kutuk B, Kustarci A. Shaping ability of reciprocating single-file and full-sequence rotary instrumentation systems in simulated curved canals. Eur J Dent 2015; 9 (03) 346-351
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Kustarci A, Akdemir N, Siso SH, Altunbas D. Apical extrusion of intracanal debris using two engine driven and step-back instrumentation techniques: an in-vitro study. Eur J Dent 2008; 2 (04) 233-239
    Article in Thieme ConnectPubMedGoogle Scholar
  • 6 Frota MM, Bernardes RA, Vivan RR, Vivacqua-Gomes N, Duarte MAH, Vasconcelos BC. Debris extrusion and foraminal deformation produced by reciprocating instruments made of thermally treated NiTi wires. J Appl Oral Sci 2018; 26: e20170215
    CrossrefPubMedGoogle Scholar
  • 7 González Sánchez JA, Duran-Sindreu F, de Noé S, Mercadé M, Roig M. Centring ability and apical transportation after overinstrumentation with ProTaper Universal and ProFile Vortex instruments. Int Endod J 2012; 45 (06) 542-551
    CrossrefPubMedGoogle Scholar
  • 8 Yammine S, Jabbour E, Nahas P, Majzoub Z. Foramen changes following over instrumentation of curved canals with three engine-driven instruments: an in vitro study. Iran Endod J 2017; 12 (04) 454-461
    PubMedGoogle Scholar
  • 9 Ozsu D, Karatas E, Arslan H, Topcu MC. Quantitative evaluation of apically extruded debris during root canal instrumentation with ProTaper Universal, ProTaper Next, WaveOne, and self-adjusting file systems. Eur J Dent 2014; 8 (04) 504-508
    Article in Thieme ConnectPubMedGoogle Scholar
  • 10 Delai D, Boijink D, Hoppe CB, Grecca AS, Kopper PM. Apically extruded debris in filling removal of curved canals using 3 NiTi systems and hand files. Braz Dent J 2018; 29 (01) 54-59
    CrossrefPubMedGoogle Scholar
  • 11 Bürklein S, Mathey D, Schäfer E. Shaping ability of ProTaper NEXT and BT-RaCe nickel-titanium instruments in severely curved root canals. Int Endod J 2015; 48 (08) 774-781
    CrossrefPubMedGoogle Scholar
  • 12 Elemam RFCJ, Vaz M, Viriato N, Pereira MdLFL, Azevedo Á. In vitro evaluation of root canal transportation after use of BT-Race files. Rev Port Estomatol Med Dent Cir Maxilofac 2016; 57 (02) 87-93
    Google Scholar
  • 13 Krokidis A, Bonfanti C, Cerutti A, Barabanti N, Zinelis S, Panopoulos P. Comparative analysis of SAF, Protaper Next and BT-Race in eliminating Enterococcus faecalis from long oval canals: an ex vivo study. Aust Endod J 2017; 43 (03) 110-114
    CrossrefPubMedGoogle Scholar
  • 14 Webber J. Shaping canals with confidence: WaveOne GOLD single-file reciprocating system. Roots 2015; 1: 34-40
    Google Scholar
  • 15 Caviedes-Bucheli J, Muñoz HR, Azuero-Holguín MM, Ulate E. Neuropeptides in dental pulp: the silent protagonists. J Endod 2008; 34 (07) 773-788
    CrossrefPubMedGoogle Scholar
  • 16 Capar ID, Arslan H, Akcay M, Ertas H. An in vitro comparison of apically extruded debris and instrumentation times with ProTaper Universal, ProTaper Next, Twisted File Adaptive, and HyFlex instruments. J Endod 2014; 40 (10) 1638-1641
    CrossrefPubMedGoogle Scholar
  • 17 Gutmann JL. Apical termination of root canal procedures— ambiguity or disambiguation? Evidence-Based Endod 2016. Doi: https://doi.org/10.1186/s41121-016-0004-8
  • 18 Vivekanandhan P, Subbiya A, Mitthra S, Karthick A. Comparison of apical debris extrusion of two rotary systems and one reciprocating system. J Conserv Dent 2016; 19 (03) 245-249
    CrossrefPubMedGoogle Scholar
  • 19 Schneider SW. A comparison of canal preparations in straight and curved root canals. Oral Surg Oral Med Oral Pathol 1971; 32 (02) 271-275
    CrossrefPubMedGoogle Scholar
  • 20 Yammine S, Jabbour E, Diemer F, Majzoub Z. Canal straightening following overinstrumentation with three nickel-titanium rotary instruments. J Int Soc Prev Community Dent 2018; 8 (03) 245-251
    CrossrefPubMedGoogle Scholar
  • 21 Surakanti JR, Venkata RC, Vemisetty HK, Dandolu RK, Jaya NK, Thota S. Comparative evaluation of apically extruded debris during root canal preparation using ProTaper™, Hyflex™ and Waveone™ rotary systems. J Conserv Dent 2014; 17 (02) 129-132
    CrossrefPubMedGoogle Scholar
  • 22 Dioguardi M, Gioia GD, Illuzzi G, Laneve E, Cocco A, Troiano G. Endodontic irrigants: different methods to improve efficacy and related problems. Eur J Dent 2018; 12 (03) 459-466
    Article in Thieme ConnectPubMedGoogle Scholar
  • 23 Tabassum S, Khan FR. Failure of endodontic treatment: the usual suspects. Eur J Dent 2016; 10 (01) 144-147
    Article in Thieme ConnectPubMedGoogle Scholar
  • 24 Myers GL, Montgomery S. A comparison of weights of debris extruded apically by conventional filing and Canal Master techniques. J Endod 1991; 17 (06) 275-279
    CrossrefPubMedGoogle Scholar
  • 25 Caviedes-Bucheli J, Castellanos F, Vasquez N. Ulate E, Munoz HR. The influence of two reciprocating single-file and two rotary-file systems on the apical extrusion of debris and its biological relationship with symptomatic apical periodontitis. A systematic review and meta-analysis. Int Endod J 2016; 49 (03) 255-270
    CrossrefPubMedGoogle Scholar
  • 26 Bürklein S, Benten S, Schäfer E. Quantitative evaluation of apically extruded debris with different single-file systems: Reciproc, F360 and OneShape versus Mtwo. Int Endod J 2014; 47 (05) 405-409
    CrossrefPubMedGoogle Scholar
  • 27 Tanalp J, Güngör T. Apical extrusion of debris: a literature review of an inherent occurrence during root canal treatment. Int Endod J 2014; 47 (03) 211-221
    CrossrefPubMedGoogle Scholar
  • 28 Nevares G, Xavier F, Gominho L. et al. Apical extrusion of debris produced during continuous rotating and reciprocating motion. ScientificWorldJournal 2015; 2015: 267264
    CrossrefPubMedGoogle Scholar
  • 29 Nevares G, Romeiro K, Albuquerque D. et al. Evaluation of apically extruded debris during root canal retreatment using ProTaper Next and Reciproc in severely curved canals. Iran Endod J 2017; 12 (03) 323-328
    PubMedGoogle Scholar
  • 30 Delvarani A, Mohammadzadeh Akhlaghi N, Aminirad R, Tour Savadkouhi S, Vahdati SA. In vitro comparison of apical debris extrusion using rotary and reciprocating systems in severely curved root canals. Iran Endod J 2017; 12 (01) 34-37
    PubMedGoogle Scholar
  • 31 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; 20 (05) 322-325
    CrossrefPubMedGoogle Scholar
  • 32 De-Deus G, Brandão MC, Barino B, Di Giorgi K, Fidel RA, Luna AS. Assessment of apically extruded debris produced by the single-file ProTaper F2 technique under reciprocating movement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 110 (03) 390-394
    CrossrefPubMedGoogle Scholar
  • 33 Western JS, Dicksit DD. Apical extrusion of debris in four different endodontic instrumentation systems: A meta-analysis. J Conserv Dent 2017; 20 (01) 30-36
    CrossrefPubMedGoogle Scholar
  • 34 Karataş E, Arslan H, Kırıcı DO, 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 (04) 382-385
    CrossrefPubMedGoogle Scholar
  • 35 Zhang C, Liu J, Liu L. The influence of ProTaper and WaveOne on apically extruded debris: a systematic review and meta-analysis. J Conserv Dent 2018; 21 (05) 474-480
    CrossrefPubMedGoogle Scholar
  • 36 Bürklein S, Schäfer E. Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. J Endod 2012; 38 (06) 850-852
    CrossrefPubMedGoogle Scholar