Comparison of Apically Extruded Debris During Root Canal Instrumentation Using T-endo must, T-endo mis, and Reciproc Blue Files

Year 2023, , 79 - 83, 04.09.2023

Funda Fundaoğlu Küçükekenci

https://doi.org/10.17214/gaziaot.1143423

Abstract

OBJECTIVE: The aim of this study was to compare the effect of nickel-titanium file systems with different taper angles working with rotation and reciprocation motion on the amount of debris extruding apically.
MATERIALS AND METHOD: The study was performed using the Myers and Montgomery model. Forty-five human maxillary anterior teeth were inserted into preweighed Eppendorf tubes and randomly classified into three groups. After manual glide-path preparation, the teeth in each group were instrumented to the working length set 1 mm short of the anatomical apex using the standard sequence provided by the manufacturers: Group 1: Reciproc Blue (Easy In Smile, New Jersey, USA), Group 2: T-endo must (Dentac, İstanbul, Turkey),Group 3: T-endo mis (Dentac, İstanbul, Turkey). Root canals were irrigated with 10 mL 2.5% NaOCl, 17% EDTA, and distilled water between each file insertion. The tubes with collected debris were stored in an incubator at 70°C for 7 days. Measurement of the weight of extruded debris was performed by subtracting the pre-instrumentation from the post-instrumentation weight of the tubes. Data were analyzed using one-way ANOVA and Tukey’s Honest Significant Difference Test (α=0.05).
RESULTS: The weights of the apically extruded debris were 0.0094±0.0015 g in Group 1, 0.0075±0.0012 g in Group 2, and 0.0044±0.0010 g in Group 3, and the difference between all groups was statistically significant (p<0.05).
CONCLUSION: The amount of apically extruded debris is related to the taper angle of the file used and the kinematics of the file.

Keywords

apical foramen, endodontics, root canal preparation, root canal therapy

T-endo must, T-endo mis ve Reciproc Blue Kanal Eğeleri ile Kanal Şekillendirmesi Sırasında Apikalden Taşan Debris Miktarının Karşılaştırılması

Abstract

Amaç: Bu çalışmanın amacı, rotasyon ve resiprokasyon hareketi ile çalışan farklı koniklik açılarına sahip nikel titanium eğe sistemlerinin apikalden taşan debris miktarına etkisini karşılaştırmaktır.
Gereç ve Yöntem: Çalışma Myers ve Montgomery modeli kullanılarak yapıldı. Kırk beş insan üst kesici diş önceden tartılmış Eppendorf tüplerine yerleştirildi ve anatomik apeksten 1 mm kısa çalışma boyu olacak şekilde Grup 1: Reciproc Blue (Easy In Smile, New Jersey, ABD); Grup 2: T-endo must (Dentac, İstanbul, Türkiye), Grup 3: T-endo mis (Dentac, İstanbul, Türkiye) ile şekillendirildi. Kök kanalları 10 mL %2.5 NaOCl, %17 EDTA ve distile su ile irrige edildi. İçerisinde debris olan tüpler 7 gün boyunca 70 °C inkübatörde bekletildi. Tüplerin son ağırlığından ilk ağırlıkları çıkarılarak apikalden taşan debris miktarları elde edildi. Veriler, tek yönlü ANOVA ve Tukey çoklu karşılaştırma testi ile değerlendirildi (α=0,05).
Bulgular: Grup 1'de 0.0094±0.0015 g, Grup 2'de 0.007±0.0012 g ve Grup 3'te 0.0044±0.0010 g debris görüldü. Tüm gruplar arasındaki fark istatistiksel olarak anlamlı bulundu (p<0.05).
Sonuç: Apikalden taşan debris miktarı, kullanılan eğenin koniklik açısı ve eğenin kinematiği ile ilgilidir.

Keywords

apikal foramen, endodonti, kök kanalını hazırlama, kök kanal tedavisi

References

• Chércoles-Ruiz A, Sanchez-Torres A, Gay-Escoda C. Endodontics, endodontic retreatment, and apical surgery versus tooth extraction and implant placement: A systematic review. J Endod 2017;43:679-86.
• Peters OA. Current challenges and concepts in the preparation of root canal systems: a review. J Endod 2004;30:559-67.
• Seltzer S, Naidorf IJ. Flare-ups in endodontics: I. Etiological factors. J Endod 1985;11:472–8.
• Siqueira JF. Microbial causes of endodontic flare-ups. Int Endod J 2003;36:453–63.
• Ustun Y, Canakci BC, Dincer AN, Er O, Duzgun S. Evaluation of apically extruded debris associated with several Ni-Ti systems. Int Endod J 2015;48:701-4.
• Nayak G, Singh I, Shetty S, Dahiya S. Evaluation of apical extrusion of debris and irrigant using two new reciprocating and one continuous rotation single file systems. J Dent Tehran 2014;11:302-9.
• Uzun I, Guler B, Ozyurek T, Tunc T. Apical extrusion of debris using reciprocating files and rotary instrumentation systems. Niger J Clin Pract 2016;19:71-5.
• Gündoğar M, ÖzyürekT. Cyclic fatigue resistance of OneShape, HyFlex EDM, WaveOne Gold, and Reciproc Blue nickel-titanium instruments. J Endod 2017;43:1192–6.
• 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;44:1289-92.
• T-endo Must Brochure [Internet]. [cited 2022 July 12]. Available from: https://dentac.com/img/D/must-eng.pdf
• De-Deus G, Silva EJ, Vieira VT, Belladonna FG, Elias CN, Plotino G. et al. Blue Thermomechanical Treatment Optimizes Fatigue Resistance and Flexibility of the Reciproc Files. J Endod 2017;43:462-6.
• T-endo Mis Brochure[Internet].[cited 2022 July 12]. Available from: https://dentac.com/img/K/katalog.pdf
• Myers GL, Montgomery S. A comparison of weights of debris extruded apically by conventional filing and Canal Master techniques. J Endod 1991;17:275-9.
• Ruiz-Hubard EE, Gutmann JL, Wagner MJ. A quantitative assessment of canal debrisforced periapically during root canal instrumentation using two different techniques.J Endod 1987;13:554–8.
• Reddy SA, Hicks ML. Apical extrusion of debris using two hand and two rotary instrumentation techniques. J Endod 1998;24:180-3.
• Beeson TJ, Hartwell GR, Thornton JD, Gunsolley JC. Comparison of debris extruded apically in straight canals: conventional filing versus profile .04 Taper series 29. J Endod 1998;24:18-22.
• Uslu G, Özyürek T, Yılmaz K, Gündoğar M, Plotino G. Apically Extruded Debris during Root Canal Instrumentation with Reciproc Blue, HyFlex EDM, and XP-endo Shaper Nickel-titanium Files. J Endod 2018;44:856-9.
• Inan U, Keskin C, Sivas Yilmaz Ö. Cyclic fatigue of reciproc blue and reciproc instruments exposed to intracanal temperature in simulated severe apical curvature. Clin Oral Investig 2019;23:2077-82.
• Romeiro K, de Almeida A, Cassimiro M, Gominho L, Dantas E, Chagas N, et al. Reciproc and Reciproc Blue in the Removal of Bioceramic and Resin-Based Sealers in Retreatment Procedures. Clin Oral Investig 2020;24:405-16.
• Marinho E, Arslan H. The effect of blue thermal treatment on endodontic instruments and apical debris extrusion during retreatment procedures. Int Endod J 2019;52:1629-34.
• Çanakçi BC, Ustun Y, Er O, Genc Sen O, Sen OG. Evaluation of apically extruded debris from curved root canal filling removal using 5 nickel-titanium systems. J Endod 2016;42:1101-04.
• Djuric NP, Vyver PVD, Vorster M, Vally ZI. Comparison of apical debris extrusion using clockwise and counter-clockwise single-file reciprocation of rotary and reciprocating systems. Aust Endod J 2021;47:394-400.
• 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 metaanalysis. Int Endod J 2016;49:255-70.
• Tinoco JM, De-Deus G, Tinoco EM, Saavedra F, Fidel RAS, Sassone LM. Apical extrusion of bacteria when using reciprocating single-file and rotary multifile instrumentation systems. Int Endod J 2014;47:560-6.
• Arslan H, Doğanay E, Alsancak M, Çapar ID, Karataş E, Gündüz HA. Comparison of apically extruded debris after root canal instrumentation using Reciproc instruments with various kinematics. Int Endod J 2016;49:307-10.
• Burklein S, Schafer E. Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. J Endod 2012;38:850-2.
• Toyoglu M, Altunbas¸ D. Influence of different kinematics on apical extrusion of irrigantand debris during canal preparation using K3XF instruments. J Endod 2017;43:1565-8.
• 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;48:202-18.
• Sinha S, Singh K, Singh A, Priya S, Kumar A, Kawle S. Quantitative Evaluation of Apically Extruded Debris in Root Canals prepared by Single-file Reciprocating and Single File Rotary Instrumentation Systems: A Comparative In vitro Study. J Pharm Bioallied Sci 2021;13:1398-401.
• Eliasz W, Czarnecka B, Surdacka A. Apical Extrusion of Debris during Root Canal Preparation with ProTaperNext,WaveOne Gold and Twisted Files. Materials (Basel) 2021;14:6254.
• Onalan AC, Oztekin F. Comparison of the Amount of Debris Extruding from the Apical in Teeth Using Nickel Titanium File Systems with Different Taper Angles with Rotation Movement. HRU Int J Dent Oral Res 2022;2:34-40.
• Lambrianidis T, Tosounidou E, Tzoanopoulou M. The effect of maintaining apical patency on periapical extrusion. J Endod 2001;27:696-8.
• Abou-Rass M, Piccinino MV. The effectiveness of four clinical irrigation methods on the removal of root canal debris. Oral Surg Oral Med Oral Pathol 1982;54:323-8.
• Salzgeber RM, Brilliant JD. An in vivo evaluation of the penetration of an irrigating solution in root canals. J Endod 1977;3:394-8.
• Altundasar E, Nagas E, Uyanık O, Serper A. Debris and irrigant extrusion potential of 2 rotary systems and irrigation needles. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:31-5.
• Lu Y, Wang R, Zhang L, LiH L, ZhengQ H, ZhouX D et al. Apically extruded debris and irrigant with two Ni-Ti systems and hand files when removing root fillings: a laboratory study. Int Endod J 2013;46:1125-30.