Effectiveness of Four Rotary Retreatment Instruments During Root Canal Retreatment
Abstract
Objective: The purpose of this in-vitro study was to investigate the residual root canal filling material after retreatment of root canals using stainless steel hand files, and four nickel-titanium retreatment instruments. Materials and methods: Seventy five extracted mandibular premolars were instrumented and filled. The samples were randomly divided into 5 groups (n=15) and retreated using Hedström files, Mtwo R, R-Endo, ProTaper Universal Retreatment, and D-RaCe systems. The roots were digitally radiographed, then grooved split longitudinally to investigate the area of remaining filling material. The time of retreatment and the instruments fracture were also recorded. Results: The Hedström files left less filling material than the rotary retreatment instruments but a significant difference was found only in the middle third (p< 0.01). The apical third had the most residual gutta-percha and sealer compared to the coronal and middle thirds. The retreatment time for the D-RaCe and ProTaper Universal Retreatment groups were significantly shorter than other groups (p< 0.01). Eight Mtwo R files, 2 ProTaper Universal Retreatment files and 1 R-Endo file were fractured. Conclusion: All groups left residual root canal filling material inside the root canal walls. Nickel-titanium rotary retreatment instruments were faster than Hedström files but had a higher risk of instruments fracture.
Keywords
References
- Friedman S, Stabholz A, Tamse A. Endodontic retreatment--case selection and technique. 3. Retreatment techniques. J Endod 1990;16:543-9.
- Friedman S, Stabholz A. Endodontic retreatment case selection and technique. Part 2: Treatment planning for retreatment. J Endod 1988;14:607–14.
- Wilcox LR, Krell KV, Madison S, Rittman B. Endodontic retreatment: evaluation of gutta-percha and sealer removal and canal reinstrumentation. J Endod 1987;13:453-7.
- Wilcox LR. Endodontic retreatment: ultrasonics and chloroform as the final step in reinstrumentation. J Endod 1989;15:125-8.
- Zakariasen KL, Brayton SM, Collinson DM. Efficient and effective root canal retreatment without chloroform. J Can Dent Assoc 1990;56:509-12.
- Teplitsky PE, Rayner D, Chin I, Markowsky R. Guttapercha removal utilizing GPX instrumentation. J Can Dent Assoc 1992;58:53-8.
- Hülsmann M, Stotz S. Efficacy, cleaning ability and safety of different devices for gutta-percha removal in root canal retreatment. Int Endod J 1997;30:227-33.
- Viducic D, Jukic S, Karlovic Z, Bozic Z, Miletic I, Anic I. Removal of gutta-perchafromrootcanalsusing an Nd:YAGlaser. Int Endod J 2003;36:670–3.
Details
Primary Language
English
Subjects
-
Journal Section
-
Publication Date
February 11, 2015
Submission Date
June 30, 2014
Acceptance Date
-
Published in Issue
Year 2015 Volume: 18 Number: 1
Cited By
Efficacy of vibration motion in comparison to reciprocation motion in retreatment of root canals obturated with lateral compaction technique: an in vitro study
Clinical Dentistry Reviewed
https://doi.org/10.1007/s41894-023-00127-yEffectiveness of H-files and Pro-Taper universal systems in removing Gutta-percha during endodontic retreatment: A comparative study
Journal of Taibah University Medical Sciences
https://doi.org/10.1016/j.jtumed.2024.04.002