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Research Article
Impact of root canal curvature and instrument type on the amount of extruded debris during retreatment
Burcu Serefoglu, Gözde Kandemir Demirci, Seniha Miçooğulları Kurt, İlknur Kaşıkçı Bilgi, Mehmet Kemal Çalışkan
Restor Dent Endod 2021;46(1):e5.   Published online December 17, 2020
DOI: https://doi.org/10.5395/rde.2021.46.e5
AbstractAbstract PDFPubReaderePub
Objectives

The aim of the current study was to assess whether the amount of extruded debris differs for straight and severely curved root canals during retreatment using H-files, R-Endo, Reciproc and ProTaper Universal Retreatment (PTU-R) files. Additionally, the area of residual filling material was evaluated.

Materials and Methods

Severely curved (n = 104) and straight (n = 104) root canals of maxillary molar teeth were prepared with WaveOne Primary file and obturated with gutta-percha and AH Plus sealer. Root canal filling materials were removed with one of the preparation techniques: group 1: H-file; group 2: R-Endo; group 3: Reciproc; group 4: PTU-R (n = 26). The amount of extruded material and the area of the residual filling material was measured. The data were analyzed with 2-way analysis of variance (ANOVA) and 1-way ANOVA at the 0.05 significance level.

Results

Except for Reciproc group (p > 0.05), PTU-R, R-Endo, and H-file systems extruded significantly more debris in severely curved canals (p < 0.05). Each file system caused more residual filling material in severely curved canals than in straight ones (p < 0.05).

Conclusions

All instruments used in this study caused apical debris extrusion. Root canal curvature had an effect on extruded debris, except for Reciproc system. Clinicians should be aware that the difficult morphology of the severely curved root canals is a factor increasing the amount of extruded debris during the retreatment procedure.

Citations

Citations to this article as recorded by  
  • Do Continuous Rotating Endodontic Instruments Extrude Fewer Apical Debris Than Reciprocating Instruments in Non-Surgical Endodontic Retreatments? A Systematic Review
    Francesco Puleio, Francesco Giordano, Ugo Bellezza, David Rizzo, Valentina Coppini, Roberto Lo Giudice
    Applied Sciences.2024; 14(4): 1621.     CrossRef
  • Intracanal removal and apical extrusion of filling material after retreatment using rotary or reciprocating instruments: A new approach using human cadavers
    Thamyres M. Monteiro, Victor O. Cortes‐Cid, Marilia F. V. Marceliano‐Alves, Andrea F. Campello, Luan F. Bastos, Ricardo T. Lopes, José F. Siqueira, Flávio R. F. Alves
    International Endodontic Journal.2024; 57(1): 100.     CrossRef
  • Comparative analysis of methods for measuring root canal curvature based on periapical radiography: A laboratory study
    Rafael Chies Hartmann, Eduardo Silva Ferraz, Theodoro Weissheimer, Jose Antônio Poli de Figueiredo, Giampiero Rossi‐Fedele, Maximiliano Schünke Gomes
    International Endodontic Journal.2024; 57(12): 1848.     CrossRef
  • Evaluation of apically extruded debris during root canal filling material removal in teeth with external apical root resorption: a comparison of different obturation techniques
    Büşra Melike Çağlar, İsmail Uzun
    BMC Oral Health.2024;[Epub]     CrossRef
  • Evaluation of apically extruded debris using protaper universal, protaper next, one curve, Xp shaper, and edge file: An in vitro study
    Murtada Qadir Muhaibes, Shatha Abdulkareem Alwakeel
    Saudi Endodontic Journal.2024; 14(1): 31.     CrossRef
  • A quantitative comparison of apically extruded debris during root canal preparation using NiTi full-sequence rotary and single-file rotary systems: An in vitro study
    Pallavi Goel, R. Vikram, R. Anithakumari, M. S. Adarsha, M. E. Sudhanva
    Endodontology.2024; 36(3): 235.     CrossRef
  • In vitro evaluation of filling material removal and apical debris extrusion after retreatment using Reciproc blue, Hyflex EDM and ProTaper retreatment files
    Passent Abdelnaby, Mohamed Ibrahim, Rania ElBackly
    BMC Oral Health.2023;[Epub]     CrossRef
  • A Comparative Study on the Shaping Ability and Cleaning Efficiency of Two Different Single-File Systems, Reciprocating Wave One Versus Continuous Rotation F360, Evaluated by Scanning Electron Microscope: An In Vitro Study
    Arunkumar Samudrala, Chandrakanth Majeti, Kommineni Harika Chowdary, Lakshmi Bhavani Potru, Anusha Yaragani, Yata Prashanth Kumar, Gagandeep K Sidhu, Navneet S Kathuria
    Cureus.2023;[Epub]     CrossRef
  • COMPARATIVE EVALUATION OF THE EFFECT OF DIFFERENT ROTARY INSTRUMENT SYSTEMS ON THE AMOUNT OF APICALLY EXTRUDED DEBRIS
    Recai ZAN, Bilge LENGER
    Cumhuriyet Dental Journal.2022; 25(2): 172.     CrossRef
  • A critical analysis of research methods and experimental models to study apical extrusion of debris and irrigants
    Jale Tanalp
    International Endodontic Journal.2022; 55(S1): 153.     CrossRef
  • Critical analysis of research methods and experimental models to study removal of root filling materials
    Mahdi A. Ajina, Pratik K. Shah, Bun San Chong
    International Endodontic Journal.2022; 55(S1): 119.     CrossRef
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  • 7 Web of Science
  • 11 Crossref
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Basic Research
Influence of root canal curvature on the screw-in effect of nickel-titanium rotary files in simulated resin root canal
Ji-Young Son, Jung-Hong Ha, Young-Kyung Kim
J Korean Acad Conserv Dent 2010;35(5):374-379.   Published online September 30, 2010
DOI: https://doi.org/10.5395/JKACD.2010.35.5.374
AbstractAbstract PDFPubReaderePub
Objectives

Nickel-titanium (Ni-Ti) rotary instruments have some unexpected disadvantages including the tendency to screw-in to the canal. The purpose of this study was to evaluate the influence of root canal curvatures on the screw-in effect of Ni-Ti rotary files.

Materials and Methods

A total of 80 simulated root canals in clear resin blocks were used in the study. Canals with curvature of 0, 10, 20 and 30 degrees were instrumented with ProTaper instruments SX, S1, S2 and a ProFile of #25/0.06 to 1.0-2.0 mm beyond the initial point of root curvature. The screw-in force was measured with a specially designed device while canal was instrumented with a ProFile of #30/0.06 at a constant speed of 300 rpm. The data were subjected to one-way ANOVA and Scheffe multiple range test for post-hoc test.

Results

Larger degree of canal curvature generated significantly lesser screw-in forces in all groups (p < 0.001).

Conclusions

More attention needs to be paid when using rotary instruments in canals with less curvature than canals with more curvatures to prevent or reduce any accidental overinstrumentation.

Citations

Citations to this article as recorded by  
  • Influence of different kinematics on stationary and dynamic torsional behavior of JIZAI nickel-titanium rotary instruments: An in vitro study
    Myint Thu, Arata Ebihara, Moe Sandar Kyaw, Satoshi Omori, Keiichiro Maki, Shunsuke Kimura, Hayate Unno, Takashi Okiji
    Journal of Dental Sciences.2023; 18(3): 1170.     CrossRef
  • Analysis of Torque and Force Induced by Rotary Nickel-Titanium Instruments during Root Canal Preparation: A Systematic Review
    Myint Thu, Arata Ebihara, Sherif Adel, Takashi Okiji
    Applied Sciences.2021; 11(7): 3079.     CrossRef
  • Mechanical and geometric features of endodontic instruments and its clinical effect
    Hyeon-Cheol Kim
    Journal of Korean Academy of Conservative Dentistry.2011; 36(1): 1.     CrossRef
  • 144 View
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  • 3 Crossref
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Original Articles
Change of working length in curved canals by various instrumentation techniques
Jeong-Im Jo, Myoung-Uk Jin, Young Kyung Kim, Sung Kyo Kim
J Korean Acad Conserv Dent 2006;31(1):30-35.   Published online January 31, 2006
DOI: https://doi.org/10.5395/JKACD.2006.31.1.030
AbstractAbstract PDFPubReaderePub

To evaluate the change of working length with various instrumentation techniques in curved canals, working length and canal curvature were determined before and after canal instrumentation in buccal or mesial canals of extracted human molars. Stainless steel K-files (MANI®, Matsutani Seisakusho Co. Takanezawa, Japan), nickel-titanium K-files (Naviflex NT™, Brassler, Savannah, USA), ProFile®, and ProTaper™ (Dentsply-Maillefer, Ballaigues, Switzerland) were used to prepare the canals with crown-down technique. In two hand instrumentation groups, coronal flaring was made with Gates Glidden burs. Apical canals were instrumented until apical diameter had attained a size of 30. Positional relation between the tooth apex and the #10 K-file tip was examined by using AutoCAD 2000 (Autodesk Corp., San Rafael. CA, USA) under a stereomicroscope before and after coronal flaring, and after apical instrumentation. Degree of canal curvature was also measured with Schneider's method in radiographs. Data of working length and canal curvature changes were statistically analyzed with one-way ANOVA and Tukey's studentized range test.

Working length and canal curvature were decreased significantly in each step in all instrumentation groups. Coronal flaring using Gates Glidden burs in hand instrument groups and whole canal instrumentation using stainless steel hand K-files caused significantly more working length change than in ProFile instrumentation group (p < 0.05).

The result of this study demonstrates that all of the above kinds of instrumentation in curved canals cause reduction of working length and canal curvature at each instrumentation steps, and hand instrumentation causes more working length change than ProFile.

Citations

Citations to this article as recorded by  
  • Does Root Canal Shaping Effect the Accuracy of Electronic Apex Locators in Curved and Straight Root Canals?
    Dide Tekinarslan, Damla Erkal, Esen Ercan, Simay Koc, Kürşat Er
    Clinical and Experimental Health Sciences.2024; 14(3): 727.     CrossRef
  • Comparative Study of Four Endodontic File Systems to Assess Changes in Working Length during Root Canal Instrumentation and the Effect of Canal Curvature on Working Length Change
    Michelle Tien, Hermawan Tjoa, Maggie Zhou, Paul V. Abbott
    Journal of Endodontics.2020; 46(1): 110.     CrossRef
  • Study of endodontic working length of Korean posterior teeth
    Jeong-Yeob Kim, Sang-Hoon Lee, Gwang-Hee Lee, Sang-Hyuk Park
    Journal of Korean Academy of Conservative Dentistry.2010; 35(6): 429.     CrossRef
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The change of canal configuration after instrumentation by several nickel-titanium files in the simulated canal with abrupt curvature
Jung-Jang Lim, Dong-Jun Kim, Yun-Chan Hwang, In-Nam Hwang, Won-Mann Oh
J Korean Acad Conserv Dent 2005;30(4):303-311.   Published online July 30, 2005
DOI: https://doi.org/10.5395/JKACD.2005.30.4.303
AbstractAbstract PDFPubReaderePub

The purpose of this study was to evaluate which type of Ni-Ti files are able to maintain canal configuration better in the simulated canal with abrupt curvature near it's apex.

Ninety six simulated root canals were made in epoxy resin and #15 finger spreader was used as root canal templates. The simulated root canals were made with radius of curvature of 1.5 mm, 3.0 mm, 4.0 mm, 6.0 mm respectively and the angle of curvature of all simulated canals were adjusted to 90 degree. The simulated canals were instrumented by ProFile, ProTaper, Hero 642, and K3 at a 300 rpm using crown-down pressureless technique. Pre-instrumented and post-instrumented images were taken by digital camera and were superimposed with Adobe Photoshop 6.0 program. Images were compared by image analysis program.

The changes of canal width at the inner and outer side of the canal curvature, canal transportation were measured at 9 measuring point with 1 mm interval. Statistical analysis among the types of Ni-Ti files was performed using Kruskal-Wallis test and Mann-Whitney U-test.

The result was that ProFile maintain original canal configuration better than other engine driven Ni-Ti files in the canals above 3.0 mm radius of curvature, and in the 1.5 mm radius of curvature, most of Ni-Ti flies were deformed or separated during instrumentation.

Citations

Citations to this article as recorded by  
  • A study on transportation of apical foramen after overinstrumentation by ProFile®, ProTaper™ and K3TMin simulated canals with different curvatures
    Hyun Yang, In-Seok Yang, Yun-Chann Hwang, In-Nam Hwang, Suk-Ja Yoon, Won-Jae Kim, Won-Mann Oh
    Journal of Korean Academy of Conservative Dentistry.2007; 32(2): 87.     CrossRef
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A comparative study on the canal configuration after shaping by ProFile, ProTaper™ and K-Flexofile in simulated canals with different angles of curvature
Bo-Kum Lee, Dong-Jun Kim, Yun-Chan Hwang, In-Nam Hwang, Won-Mann Oh
J Korean Acad Conserv Dent 2005;30(4):294-302.   Published online July 30, 2005
DOI: https://doi.org/10.5395/JKACD.2005.30.4.294
AbstractAbstract PDFPubReaderePub

The purpose of this study was to evaluate the canal configuration after shaping by ProFile, ProTaper and K-Flexofile in simulated resin canals with different angles of curvature.

Three types of instruments were used : ProFile, ProTaper, K-Flexofile. Simulated root canals, which were made of epoxy resin, were prepared by ProFile, ProTaper with rotary instrument using a crown-down pressureless technique, and hand instrumentation was performed by K-Flexofile using a step-back technique. All simulated canals were prepared up to size 25 file at end-point of preparation. Pre and post instrumentation images were recorded with Scanner. Assessment of canal shape was completed with Image Analysis program. Measurements were made at 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 mm from the apex. At each level, outer canal width, inner canal width, total canal width, and amount of transportation from original axis were recorded. Instrument deformation and fracture were recorded. Data were analyzed by means of one-way ANOVA analysis of variance and the Sheffe's test.

The result was that ProFile and ProTaper maintain original canal shape regardless of the increase of angle of curvature than K-Flexofile. ProFile show significantly less canal transportation and maintained original canal shape better than ProTaper.

Citations

Citations to this article as recorded by  
  • A study on transportation of apical foramen after overinstrumentation by ProFile®, ProTaper™ and K3TMin simulated canals with different curvatures
    Hyun Yang, In-Seok Yang, Yun-Chann Hwang, In-Nam Hwang, Suk-Ja Yoon, Won-Jae Kim, Won-Mann Oh
    Journal of Korean Academy of Conservative Dentistry.2007; 32(2): 87.     CrossRef
  • 192 View
  • 1 Download
  • 1 Crossref
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