Research Article
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Year 2025, Volume: 3 Issue: 3, 69 - 73, 31.12.2025
https://doi.org/10.62243/edr.1802697

Abstract

Project Number

1919B012221712

References

  • Tanalp, J., & Güngör, T. (2014). Apical extrusion of debris: A literature review of an inherent occurrence during root canal treatment. International Endodontic Journal, 47(3), 211–221.
  • Siqueira, J. F., Jr. (2003). Microbial causes of endodontic flare-ups. International Endodontic Journal, 36(7), 453–463.
  • Salem Milani, A., Froughreyhani, M., Taghiloo, H., Nouroloyouni, A., & Asghari Jafarabadi, M. (2022). The effect of antibiotic use on endodontic post-operative pain and flare-up rate: A systematic review with meta-analysis. Evidence-Based Dentistry, 23(1), 12–21.
  • Nouroloyouni, A., Lotfi, M., Shahi, S., Rahimi, S., Noorolouny, S., & Salem Milani, A. (2023). Postoperative pain after endodontic treatment of mandibular molars with two different instrumentation techniques: A randomized clinical trial. Dental Research Journal (Isfahan), 20, 83.
  • Uslu, G., Özyürek, T., Yılmaz, K., Gündoğar, M., & Plotino, G. (2018). Apically extruded debris during root canal instrumentation with Reciproc Blue, HyFlex EDM, and XP-endo Shaper nickel–titanium files. Journal of Endodontics, 44(5), 856–859.
  • Boijink, D., Costa, D. D., Hoppe, C. B., Kopper, P. M. P., & Grecca, F. S. (2018). Apically extruded debris in curved root canals using the WaveOne Gold reciprocating and Twisted File Adaptive systems. Journal of Endodontics, 44(8), 1289–1292.
  • Amaral, A. P., Limongi, P., Fontana, C. E., de Martin, A. S., da Silveira Bueno, C. E., & Pinheiro, S. L. (2019). Debris apically extruded by two reciprocating systems: A comparative quantitative study. European Journal of Dentistry, 13(4), 625–628.
  • Keskin, C., Sivas Yilmaz, Ö., & Inan, U. (2020). Apically extruded debris produced during glide path preparation using R-Pilot, WaveOne Gold Glider, and ProGlider in curved root canals. Australian Endodontic Journal, 46(3), 439–444.
  • Yammine, S. D., & Jabbour, E. A. (2021). Apically extruded debris following programmed over-instrumentation of curved canals with three nickel–titanium rotary instruments. European Journal of Dentistry, 15(1), 20–26.
  • Tinaz, A. C., Alacam, T., Uzun, O., Maden, M., & Kayaoglu, G. (2005). The effect of disruption of apical constriction on periapical extrusion. Journal of Endodontics, 31(7), 533–535.
  • Seltzer, S., & Naidorf, I. J. (1985). Flare-ups in endodontics: I. Etiological factors. Journal of Endodontics, 11(11), 472–478.
  • Siqueira, J. F., Jr., & Rôças, I. N. (2005). Eradication of endodontic infection by instrumentation and irrigation solutions. Endodontic Topics, 10(1), 77–102.
  • Hülsmann, M., Peters, O. A., & Dummer, P. M. H. (2005). Mechanical preparation of root canals: Shaping goals, techniques and means. Endodontic Topics, 10(1), 30–76.
  • Mohammadi, Z., Shalavi, S., Yaripour, S., Kinoshita, J. I., Manabe, A., Kobayashi, M., et al. (2019). Smear layer removing ability of root canal irrigation solutions: A review. Journal of Contemporary Dental Practice, 20(4), 395–402.
  • Martins, R., Bahia, M. G., & Buono, V. T. L. (2002). Surface analysis of ProFile instruments by scanning electron microscopy and X-ray energy dispersive spectroscopy: A preliminary study. International Endodontic Journal, 35(10), 848–853.
  • Alapati, S. B., Brantley, W. A., Svec, T. A., Powers, J. M., Nusstein, J. M., & Daehn, G. S. (2005). SEM observations of nickel–titanium rotary endodontic instruments that fractured during clinical use. Journal of Endodontics, 31(1), 40–43.
  • Saghiri, M. A., Karamifar, K., Mehrvazfar, P., Asgar, K., et al. (2012). The efficacy of foam cleaners in removing debris from two endodontic instruments. Quintessence International, 43(9), 811–817.
  • Myers, G. L., & Montgomery, S. (1991). A comparison of weights of debris extruded apically by conventional filing and Canal Master techniques. Journal of Endodontics, 17(6), 275–279.
  • Nouroloyouni, A., Shahi, S., Salem Milani, A., Noorolouny, S., Farhang, R., & Yousefi Azar, A. (2023). In vitro apical extrusion of debris and instrumentation time following root canal instrumentation with Reciproc and Reciproc Blue instruments and a novel stainless steel rotary system (Gentlefile) versus manual instrumentation. Journal of Dental Research, Dental Clinics, Dental Prospects, 17(3), 136–141.
  • Silva, E. J., Carapiá, M. F., Lopes, R. M., Belladonna, F. G., Senna, P. M., Souza, E. M., et al. (2016). Comparison of apically extruded debris after large apical preparations by full-sequence rotary and single-file reciprocating systems. International Endodontic Journal, 49(7), 700–705.
  • Buldur, B., Hascizmeci, C., Aksoy, S., Aydin, M. N., & Guvendi, O. N. (2018). Apical extrusion of debris in primary molar root canals using mechanical and manual systems. European Journal of Paediatric Dentistry, 19(1), 16–20.
  • Ezugwu, O., Luddin, N., Ab Rahman, N., & Alam, M. K. (2021). Effect of cleaning protocols on endodontic file cutting efficiency. Applied Sciences, 11(4), 1–12.
  • Hamdy, T. M., Alkabani, Y. M., Ismail, A. G., & Galal, M. M. (2023). Impact of endodontic irrigants on surface roughness of various nickel–titanium rotary endodontic instruments. BMC Oral Health, 23, 517.
  • Parirokh, M., Jalali, S., Haghdoost, A. A., & Abbott, P. V. (2012). Comparison of the effect of various irrigants on apically extruded debris after root canal preparation. Journal of Endodontics, 38(2), 196–199.
  • Al-Omari, M. A., & Dummer, P. M. H. (1995). Canal blockage and debris extrusion with eight preparation techniques. Journal of Endodontics, 21(3), 154–158.
  • Bürklein, S., & Schäfer, E. (2012). Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. Journal of Endodontics, 38(6), 850–852.
  • Sharma, R., Kumar, V., Logani, A., Chawla, A., Sharma, S., & Koli, B. (2020). Effect of gravity on periapical extrusion of irrigating solution with different irrigation protocols in immature anterior teeth. European Endodontic Journal, 5(2), 150–154.
  • Haïkel, Y., Serfaty, R., Wilson, P., Speisser, J. M., & Allemann, C. (1998). Cutting efficiency of nickel–titanium endodontic instruments and the effect of Epochlorite treatment. Journal of Endodontics, 24(11), 736–739.
  • Rahimi, S., Janani, M., Lotfi, M., Shahi, S., Aghbali, A., Vahid Pakdel, M., et al. (2014). A review of antibacterial agents in endodontic treatment. Iranian Endodontic Journal, 9(3), 161–168.

Different Techniques for Removing Debris From Endodontic Files

Year 2025, Volume: 3 Issue: 3, 69 - 73, 31.12.2025
https://doi.org/10.62243/edr.1802697

Abstract

Aim The aim of the present study was to assess the efficacy of chemical and mechanical techniques for removing debris from files during root canal treatment.
Material and method This study was approved by the ethics committee of Biruni University (2023/80-10). Fourty extracted human single-rooted teeth were used. For determining apical debris extrusion, a model similar to Myers and Montgomery was used during the mechanical preparation. The teeth were randomly divided into four groups as three experimental and one control (n=10). The experimental groups for removal of debris from files during the preparation were: Sodium hypochlorite (NaOCl) impregnated sponge, saline impregnated sponge and dry sponge. The mechanical preparation was performed with step-back technique by using K-files apically and coronally to size 30 and 60, respectively. The teeth were irrigated with 2.5 ml distillated water on each file change and finally removed from the Eppendorf tube. Then, all the tubes were incubated at 105 °C for 12 hours to allow the evaporation of moisture before weighing the dry debris. The debris that was extruded apically was collected in preweighted tubes and compared by an electronic balance. Kolmogorov-Smirnov and ANOVA tests were used for statistical analysis.
Results Control group was found significantly higher than other groups regarding the extrusion of apical debris (p<0.001). There were no significant difference between the other groups (p>0.05).
Conclusion Control group was associated with more debris extrusion in comparison with the other methods. Therefore, one of the other three methods can be preferred as debris removal technique.

Ethical Statement

The study protocol was approved by the Biruni University Ethics Committee (No: 2023/80-10)

Supporting Institution

This Project was supported and funded by The Scientific and Technological Research Council of Turkey (TUBITAK) 2209-A research programme.

Project Number

1919B012221712

References

  • Tanalp, J., & Güngör, T. (2014). Apical extrusion of debris: A literature review of an inherent occurrence during root canal treatment. International Endodontic Journal, 47(3), 211–221.
  • Siqueira, J. F., Jr. (2003). Microbial causes of endodontic flare-ups. International Endodontic Journal, 36(7), 453–463.
  • Salem Milani, A., Froughreyhani, M., Taghiloo, H., Nouroloyouni, A., & Asghari Jafarabadi, M. (2022). The effect of antibiotic use on endodontic post-operative pain and flare-up rate: A systematic review with meta-analysis. Evidence-Based Dentistry, 23(1), 12–21.
  • Nouroloyouni, A., Lotfi, M., Shahi, S., Rahimi, S., Noorolouny, S., & Salem Milani, A. (2023). Postoperative pain after endodontic treatment of mandibular molars with two different instrumentation techniques: A randomized clinical trial. Dental Research Journal (Isfahan), 20, 83.
  • Uslu, G., Özyürek, T., Yılmaz, K., Gündoğar, M., & Plotino, G. (2018). Apically extruded debris during root canal instrumentation with Reciproc Blue, HyFlex EDM, and XP-endo Shaper nickel–titanium files. Journal of Endodontics, 44(5), 856–859.
  • Boijink, D., Costa, D. D., Hoppe, C. B., Kopper, P. M. P., & Grecca, F. S. (2018). Apically extruded debris in curved root canals using the WaveOne Gold reciprocating and Twisted File Adaptive systems. Journal of Endodontics, 44(8), 1289–1292.
  • Amaral, A. P., Limongi, P., Fontana, C. E., de Martin, A. S., da Silveira Bueno, C. E., & Pinheiro, S. L. (2019). Debris apically extruded by two reciprocating systems: A comparative quantitative study. European Journal of Dentistry, 13(4), 625–628.
  • Keskin, C., Sivas Yilmaz, Ö., & Inan, U. (2020). Apically extruded debris produced during glide path preparation using R-Pilot, WaveOne Gold Glider, and ProGlider in curved root canals. Australian Endodontic Journal, 46(3), 439–444.
  • Yammine, S. D., & Jabbour, E. A. (2021). Apically extruded debris following programmed over-instrumentation of curved canals with three nickel–titanium rotary instruments. European Journal of Dentistry, 15(1), 20–26.
  • Tinaz, A. C., Alacam, T., Uzun, O., Maden, M., & Kayaoglu, G. (2005). The effect of disruption of apical constriction on periapical extrusion. Journal of Endodontics, 31(7), 533–535.
  • Seltzer, S., & Naidorf, I. J. (1985). Flare-ups in endodontics: I. Etiological factors. Journal of Endodontics, 11(11), 472–478.
  • Siqueira, J. F., Jr., & Rôças, I. N. (2005). Eradication of endodontic infection by instrumentation and irrigation solutions. Endodontic Topics, 10(1), 77–102.
  • Hülsmann, M., Peters, O. A., & Dummer, P. M. H. (2005). Mechanical preparation of root canals: Shaping goals, techniques and means. Endodontic Topics, 10(1), 30–76.
  • Mohammadi, Z., Shalavi, S., Yaripour, S., Kinoshita, J. I., Manabe, A., Kobayashi, M., et al. (2019). Smear layer removing ability of root canal irrigation solutions: A review. Journal of Contemporary Dental Practice, 20(4), 395–402.
  • Martins, R., Bahia, M. G., & Buono, V. T. L. (2002). Surface analysis of ProFile instruments by scanning electron microscopy and X-ray energy dispersive spectroscopy: A preliminary study. International Endodontic Journal, 35(10), 848–853.
  • Alapati, S. B., Brantley, W. A., Svec, T. A., Powers, J. M., Nusstein, J. M., & Daehn, G. S. (2005). SEM observations of nickel–titanium rotary endodontic instruments that fractured during clinical use. Journal of Endodontics, 31(1), 40–43.
  • Saghiri, M. A., Karamifar, K., Mehrvazfar, P., Asgar, K., et al. (2012). The efficacy of foam cleaners in removing debris from two endodontic instruments. Quintessence International, 43(9), 811–817.
  • Myers, G. L., & Montgomery, S. (1991). A comparison of weights of debris extruded apically by conventional filing and Canal Master techniques. Journal of Endodontics, 17(6), 275–279.
  • Nouroloyouni, A., Shahi, S., Salem Milani, A., Noorolouny, S., Farhang, R., & Yousefi Azar, A. (2023). In vitro apical extrusion of debris and instrumentation time following root canal instrumentation with Reciproc and Reciproc Blue instruments and a novel stainless steel rotary system (Gentlefile) versus manual instrumentation. Journal of Dental Research, Dental Clinics, Dental Prospects, 17(3), 136–141.
  • Silva, E. J., Carapiá, M. F., Lopes, R. M., Belladonna, F. G., Senna, P. M., Souza, E. M., et al. (2016). Comparison of apically extruded debris after large apical preparations by full-sequence rotary and single-file reciprocating systems. International Endodontic Journal, 49(7), 700–705.
  • Buldur, B., Hascizmeci, C., Aksoy, S., Aydin, M. N., & Guvendi, O. N. (2018). Apical extrusion of debris in primary molar root canals using mechanical and manual systems. European Journal of Paediatric Dentistry, 19(1), 16–20.
  • Ezugwu, O., Luddin, N., Ab Rahman, N., & Alam, M. K. (2021). Effect of cleaning protocols on endodontic file cutting efficiency. Applied Sciences, 11(4), 1–12.
  • Hamdy, T. M., Alkabani, Y. M., Ismail, A. G., & Galal, M. M. (2023). Impact of endodontic irrigants on surface roughness of various nickel–titanium rotary endodontic instruments. BMC Oral Health, 23, 517.
  • Parirokh, M., Jalali, S., Haghdoost, A. A., & Abbott, P. V. (2012). Comparison of the effect of various irrigants on apically extruded debris after root canal preparation. Journal of Endodontics, 38(2), 196–199.
  • Al-Omari, M. A., & Dummer, P. M. H. (1995). Canal blockage and debris extrusion with eight preparation techniques. Journal of Endodontics, 21(3), 154–158.
  • Bürklein, S., & Schäfer, E. (2012). Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. Journal of Endodontics, 38(6), 850–852.
  • Sharma, R., Kumar, V., Logani, A., Chawla, A., Sharma, S., & Koli, B. (2020). Effect of gravity on periapical extrusion of irrigating solution with different irrigation protocols in immature anterior teeth. European Endodontic Journal, 5(2), 150–154.
  • Haïkel, Y., Serfaty, R., Wilson, P., Speisser, J. M., & Allemann, C. (1998). Cutting efficiency of nickel–titanium endodontic instruments and the effect of Epochlorite treatment. Journal of Endodontics, 24(11), 736–739.
  • Rahimi, S., Janani, M., Lotfi, M., Shahi, S., Aghbali, A., Vahid Pakdel, M., et al. (2014). A review of antibacterial agents in endodontic treatment. Iranian Endodontic Journal, 9(3), 161–168.
There are 29 citations in total.

Details

Primary Language English
Subjects Endodontics
Journal Section Research Article
Authors

Başak Mina Çelik Akdaş 0009-0002-3248-9165

Elif Işın Su Perk 0009-0006-7479-5565

Tuna Kaplan 0000-0003-0554-4341

Project Number 1919B012221712
Submission Date October 13, 2025
Acceptance Date November 15, 2025
Publication Date December 31, 2025
Published in Issue Year 2025 Volume: 3 Issue: 3

Cite

Vancouver Çelik Akdaş BM, Perk EIS, Kaplan T. Different Techniques for Removing Debris From Endodontic Files. EDR. 2025;3(3):69-73.