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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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Comparison of apical extrusion of intracanal bacteria by various glide-path establishing systems: an in vitro study
Alberto Dagna, Rashid El Abed, Sameeha Hussain, Ibrahim H Abu-Tahun, Livia Visai, Federico Bertoglio, Floriana Bosco, Riccardo Beltrami, Claudio Poggio, Hyeon-Cheol Kim
Restor Dent Endod 2017;42(4):316-323.   Published online October 31, 2017
DOI: https://doi.org/10.5395/rde.2017.42.4.316
AbstractAbstract PDFPubReaderePub
Objectives

This study compared the amount of apically extruded bacteria during the glide-path preparation by using multi-file and single-file glide-path establishing nickel-titanium (NiTi) rotary systems.

Materials and Methods

Sixty mandibular first molar teeth were used to prepare the test apparatus. They were decoronated, blocked into glass vials, sterilized in ethylene oxide gas, infected with a pure culture of Enterococcus faecalis, randomly assigned to 5 experimental groups, and then prepared using manual stainless-steel files (group KF) and glide-path establishing NiTi rotary files (group PF with PathFiles, group GF with G-Files, group PG with ProGlider, and group OG with One G). At the end of canal preparation, 0.01 mL NaCl solution was taken from the experimental vials. The suspension was plated on brain heart infusion agar and colonies of bacteria were counted, and the results were given as number of colony-forming units (CFU).

Results

The manual instrumentation technique tested in group KF extruded the highest number of bacteria compared to the other 4 groups (p < 0.05). The 4 groups using rotary glide-path establishing instruments extruded similar amounts of bacteria.

Conclusions

All glide-path establishment instrument systems tested caused a measurable apical extrusion of bacteria. The manual glide-path preparation showed the highest number of bacteria extruded compared to the other NiTi glide-path establishing instruments.

Citations

Citations to this article as recorded by  
  • Glide Path in Endodontics: A Literature Review of Current Knowledge
    Vlad Mircea Lup, Giulia Malvicini, Carlo Gaeta, Simone Grandini, Gabriela Ciavoi
    Dentistry Journal.2024; 12(8): 257.     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
  • Effect of Multiple Glide Path Files on Apical Debris Extrusion in Severely Curved Mesial Roots of Mandibular Molars: An In Vitro Study
    Niranjan Desai, Ashish S Bhadane, Nishant K Vyavahare, Dipali Y Shah, Akash S Kale, Simran K Chaudhari
    Journal of Operative Dentistry & Endodontics.2024; 8(1): 1.     CrossRef
  • Evaluation of Pain Following the Use of Different Single-file Glide Path Systems: A Randomized Clinical Trial
    Zeliha Danaci, Kübra Yeşildal Yeter
    Journal of Endodontics.2024; 50(2): 120.     CrossRef
  • Impact of Different Glidepath Techniques on the Overall Performance of WaveOne Gold in an Artificial S-Shape Canal
    Vlad Mircea Lup, Olivia Andreea Marcu, Carlo Gaeta, Gabriela Ciavoi
    Dentistry Journal.2024; 12(6): 182.     CrossRef
  • Influence of different irrigant activation methods on apical debris extrusion and bacterial elimination from infected root canals
    KSadia Ada, Shibani Shetty, KB Jayalakshmi, PrasannaLatha Nadig, PG Manje Gowda, ArulK Selvan
    Journal of Conservative Dentistry.2023; 26(1): 31.     CrossRef
  • A Comparative Evaluation of the Apically Extruded Debris from Root Canals Prepared by R-Motion NiTi File System
    Farah B. Al-Saffar, Hikmet A. Al-Gharrawi, Luca Testarelli
    International Journal of Dentistry.2023; 2023: 1.     CrossRef
  • Effect of glide path files with different metallurgy on intracanal bacterial extrusion by HyFlex electrical discharge machining file
    Priyanka Soni, Pragya Kumar, Sonali Taneja, Anshi Jain
    Endodontology.2022; 34(3): 168.     CrossRef
  • Impact of kinematics on the efficiency and safety of an engine-driven file for glide path preparation in MB2 canals of maxillary molars
    Larissa B. B. Araújo, Pedro H. S. Calefi, Murilo P. Alcalde, Giulio Gavini, Rodrigo R. Vivan, Marco Antonio Hungaro Duarte
    Clinical Oral Investigations.2022; 27(3): 1153.     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
  • A Comparative Evaluation of Apically Extruded Debris using Three Rotary and One Reciprocating Instrumentation Ni-Ti Systems
    Maha Adnan Habeeb
    Journal of Orofacial Sciences.2022; 14(2): 93.     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
  • Evaluation of type of kinematics on glide path procedures and torsional fatigue resistance after preparation of moderately curved canals
    Murilo Priori Alcalde, Marco Antonio Hungaro Duarte, Pedro Henrique Souza Calefi, Victor de Moraes Cruz, Bruno Carvalho de Vasconcelos, Marcus Vinícius Reis Só, Rodrigo Ricci Vivan
    Brazilian Oral Research.2021;[Epub]     CrossRef
  • Analysis of a glide path creation necessity at the initial stages of endodontic treatment
    Z. S. Khabadze, Yu. A. Generalova
    Endodontics Today.2021; 19(1): 39.     CrossRef
  • Influence of glide path kinematics during endodontic treatment on the occurrence and intensity of intraoperative and postoperative pain: a systematic review of randomized clinical trials
    Thaís Christina Cunha, Felipe de Souza Matos, Luiz Renato Paranhos, Ítalo de Macedo Bernardino, Camilla Christian Gomes Moura
    BMC Oral Health.2020;[Epub]     CrossRef
  • Apically extruded debris produced during glide path preparation using R‐Pilot, WaveOne Gold Glider and ProGlider in curved root canals
    Cangül Keskin, Özlem Sivas Yilmaz, Uğur Inan
    Australian Endodontic Journal.2020; 46(3): 439.     CrossRef
  • Influence of Negotiation, Glide Path, and Preflaring Procedures on Root Canal Shaping—Terminology, Basic Concepts, and a Systematic Review
    Gianluca Plotino, Venkateshbabu Nagendrababu, Frederic Bukiet, Nicola M. Grande, Sajesh K. Veettil, Gustavo De-Deus, Hany Mohamed Aly Ahmed
    Journal of Endodontics.2020; 46(6): 707.     CrossRef
  • Mechanical Properties of Various Glide Path Preparation Nickel-titanium Rotary Instruments
    Joo-Yeong Lee, Sang Won Kwak, Jung-Hong Ha, Ibrahim H. Abu-Tahun, Hyeon-Cheol Kim
    Journal of Endodontics.2019; 45(2): 199.     CrossRef
  • Effective Establishment of Glide-Path to Reduce Torsional Stress during Nickel-Titanium Rotary Instrumentation
    Ibrahim H. Abu-Tahun, Sang Won Kwak, Jung-Hong Ha, Asgeir Sigurdsson, Mehmet Baybora Kayahan, Hyeon-Cheol Kim
    Materials.2019; 12(3): 493.     CrossRef
  • Postoperative pain after glide path preparation using manual, reciprocating and continuous rotary instruments: a randomized clinical trial
    C. Keskin, Ö. Sivas Yilmaz, U. Inan, Ö. Özdemir
    International Endodontic Journal.2019; 52(5): 579.     CrossRef
  • Intraoperative Pain During Glide Path Creation with the Use of a Rotary or Reciprocating System
    Pelin TUFENKCİ, Mehmet ADIGUZEL, Koray YILMAZ
    Cumhuriyet Dental Journal.2019; 22(1): 66.     CrossRef
  • Effects of Different Glide Path Files on Apical Debris Extrusion in Curved Root Canals
    Betul Gunes, Kubra Yesildal Yeter
    Journal of Endodontics.2018; 44(7): 1191.     CrossRef
  • 234 View
  • 1 Download
  • 22 Crossref
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