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Effectiveness of Four Rotary Retreatment Instruments During Root Canal Retreatment

Year 2015, Volume: 18 Issue: 1, 25 - 36, 11.02.2015

Hakan Gokturk , Ali Cagin Yucel Aziz Sisman

https://doi.org/10.7126/cdj.58140.5000039374
Cited By: 2

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

Endodontics; Nickel; Titanium; Retreatment

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.
  • Marques da Silva B, Baratto-Filho F, Leonardi DP, Henrique Borges A, Volpato L, Branco Barletta F. Effectiveness of ProTaper, D-RaCe, and Mtwo retreatment files with and without supplementary instruments in the removal of root canal filling material. Int Endod J 2012;45:927-32.
  • Rödig T, Hausdörfer T, Konietschke F, Dullin C, Hahn W, Hülsmann M. Efficacy of D-RaCe and ProTaper Universal Retreatment NiTi instruments and hand files in removing gutta-percha from curved root canals - a micro-computed tomography study. Int Endod J 2012;45:580-9.
  • Bramante CM, Fidelis NS, Assumpção TS, Bernardineli N, Garcia RB, Bramante AS, de Moraes IG. Heat release, time required, and cleaning ability of MTwo R and ProTaper universal retreatment systems in the removal of filling material. J Endod 2010;36:1870-3.
  • Takahashi CM, Cunha RS, de Martin AS, Fontana CE, Silveira CF, da Silveira Bueno CE. In vitro evaluation of the effectiveness of ProTaper universal rotary retreatment system for gutta-percha removal with or without a solvent. J Endod 2009;35:1580-3.
  • Fenoul G, Meless GD, Pérez F. The efficacy of R-Endo rotary NiTi and stainless-steel hand instruments to remove gutta-percha and Resilon. Int Endod J 2010;43:135-41.
  • Marfisi K, Mercade M, Plotino G, Duran-Sindreu F, Bueno R, Roig M. Efficacy of three different rotary files to remove gutta-percha and Resilon from root canals. Int Endod J 2010;43:1022-8.
  • Chu CH, Lo EC, Cheung GS. Outcome of root canal treatment using Thermafil and cold lateral condensation filling techniques. Int Endod J 2005;38:179-85.
  • Somma F, Cammarota G, Plotino G, Grande NM, Pameijer CH. The effectiveness of manual and mechanical instrumentation for the retreatment of three different root canal filling materials. J Endod 2008;34:466-9.
  • Hülsmann M, Drebenstedt S, Holscher C. Shaping and filling root canals during root canal re-treatment. Endodontic Topics 2011;19:74–124.
  • Dall'Agnol C, Hartmann MS, Barletta FB. Computed tomography assessment of the efficiency of different techniques for removal of root canal filling material. Braz Dent J 2008;19:306-12.
  • Gu LS, Ling JQ, Wei X, Huang XY. Efficacy of ProTaper Universal rotary retreatment system for gutta-percha removal from root canals. Int Endod J 2008;41:288-95.
  • Tasdemir T, Er K, Yildirim T, Celik D. Efficacy of three rotary NiTi instruments in removing gutta-percha from root canals. Int Endod J 2008;41:191–6.
  • Schirrmeister JF, Hermanns P, Meyer KM, Goetz F, Hellwig E. Detectability of residual Epiphany and gutta-percha after root canal retreatment using a dental operating microscope and radiographs--an ex vivo study. Int Endod J 2006;39:558-65.
  • Saad AY, Al-Hadlaq SM, Al-Katheeri NH. Efficacy of two rotary NiTi instruments in the removal of Gutta-Percha during root canal retreatment. J Endod 2007;33:38-41.
  • Giuliani V, Cocchetti R, Pagavino G. Efficacy of ProTaper universal retreatment files in removing filling materials during root canal retreatment. J Endod 2008;34:1381-4.
  • Aydin B, Köse T, Calişkan MK. Effectiveness of HERO 642 versus Hedström files for removing gutta-percha fillings in curved root canals: an ex vivo study. Int Endod J 2009;42:1050-6.
  • Kfir A, Tsesis I, Yakirevich E, Matalon S, Abramovitz I. The efficacy of five techniques for removing root filling material: microscopic versus radiographic evaluation. Int Endod J 2012;45:35-41.
  • Zuolo ML, Imura N, Ferreira MO. Endodontic retreatment of thermafil or lateral condensation obturations in post space prepared teeth. J Endod 1994;20:9-12.
  • de Carvalho Maciel AC, Zaccaro Scelza MF. Efficacy of automated versus hand instrumentation during root canal retreatment: an ex vivo study. Int Endod J 2006;39:779-84.
  • Unal GC, Kaya BU, Taç AG, Keçeci AD. A comparison of the efficacy of conventional and new retreatment instruments to remove gutta-percha in curved root canals: an ex vivo study. Int Endod J 2009;42:344–50.
  • Masiero AV, Barletta FB. Effectiveness of different techniques for removing gutta-percha during retreatment. Int Endod J 2005;38:2-7.
  • Schirrmeister JF, Wrbas KT, Schneider FH, Altenburger MJ, Hellwig E. Effectiveness of a hand file and three nickel-titanium rotary instruments for removing gutta-percha in curved root canals during retreatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101:542-7.
  • Schirrmeister JF, Wrbas KT, Meyer KM, Altenburger MJ, Hellwig E. Efficacy of different rotary instruments for gutta-percha removal in root canal retreatment. J Endod 2006;32:469-72.
  • Zmener O, Pameijer CH, Banegas G. Retreatment efficacy of hand versus automated instrumentation in oval-shaped root canals: an ex vivo study. Int Endod J 2006;39:521-6.
  • Hammad M, Qualtrough A, Silikas N. Three-dimensional evaluation of effectiveness of hand and rotary instrumentation for retreatment of canals filled with different materials. J Endod 2008;34:1370–3.
  • Só MV, Saran C, Magro ML, Vier-Pelisser FV, Munhoz M. Efficacy of ProTaper retreatment system in root canals filled with gutta-percha and two endodontic sealers. J Endod 2008;34:1223-5.
  • Hülsmann M, Bluhm V. Efficacy, cleaning ability and safety of different rotary NiTi instruments in root canal retreatment. Int Endod J 2004;37:468–76.
  • Barrieshi-Nusair KM. Gutta-percha retreatment: effectiveness of nickel-titanium rotary instruments versus stainless steel hand files. J Endod 2002;28:454-6.
  • Seltzer S, Naidorf IJ. Flare-ups in endodontics. I. Etiological factors. J Endod 1985;11:472– 8.
  • Huang X, Ling J, Wei X, Gu L. Quantitative evaluation of debris extruded apically by using ProTaper Universal Tulsa rotary system in endodontic retreatment. J Endod 2007;33:1102-5.
  • Imura N, Kato AS, Hata GI, Uemura M, Toda T, Weine F. A comparison of the relative efficacies of four hand and rotary instrumentation techniques during endodontic retreatment. Int Endod J 2000;33:361-6.
  • Betti LV, Bramante CM. Quantec SC rotary instruments versus hand files for gutta-percha removal in root canal retreatment. Int Endod J 2001;34:514-9.
  • Daugherty DW, Gound TG, Comer TL. Comparison of fracture rate, deformation and efficiency between rotary endodontic instruments driven at 150 rpm and 350 rpm. J Endod 2001;27:93–5.
  • Haikel Y, Serfaty R, Bateman G, Senger B, Allemann C. Dynamic and cyclic fatigue of engine-driven rotary nickel-titanium endodontic instruments. J Endod 1999;25:434-40.
  • Bryant ST, Dummer PM, Pitoni C, Bourba M, Moghal S. Shaping ability of .04 and .06 taper ProFile rotary nickel-titanium instruments in simulated root canals. Int Endod J 1999;32:155-64.

Official Publication of Cumhuriyet University Faculty of Dentistry

Year 2015, Volume: 18 Issue: 1, 25 - 36, 11.02.2015

Hakan Gokturk , Ali Cagin Yucel Aziz Sisman

https://doi.org/10.7126/cdj.58140.5000039374
Cited By: 2

Abstract

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.
  • Marques da Silva B, Baratto-Filho F, Leonardi DP, Henrique Borges A, Volpato L, Branco Barletta F. Effectiveness of ProTaper, D-RaCe, and Mtwo retreatment files with and without supplementary instruments in the removal of root canal filling material. Int Endod J 2012;45:927-32.
  • Rödig T, Hausdörfer T, Konietschke F, Dullin C, Hahn W, Hülsmann M. Efficacy of D-RaCe and ProTaper Universal Retreatment NiTi instruments and hand files in removing gutta-percha from curved root canals - a micro-computed tomography study. Int Endod J 2012;45:580-9.
  • Bramante CM, Fidelis NS, Assumpção TS, Bernardineli N, Garcia RB, Bramante AS, de Moraes IG. Heat release, time required, and cleaning ability of MTwo R and ProTaper universal retreatment systems in the removal of filling material. J Endod 2010;36:1870-3.
  • Takahashi CM, Cunha RS, de Martin AS, Fontana CE, Silveira CF, da Silveira Bueno CE. In vitro evaluation of the effectiveness of ProTaper universal rotary retreatment system for gutta-percha removal with or without a solvent. J Endod 2009;35:1580-3.
  • Fenoul G, Meless GD, Pérez F. The efficacy of R-Endo rotary NiTi and stainless-steel hand instruments to remove gutta-percha and Resilon. Int Endod J 2010;43:135-41.
  • Marfisi K, Mercade M, Plotino G, Duran-Sindreu F, Bueno R, Roig M. Efficacy of three different rotary files to remove gutta-percha and Resilon from root canals. Int Endod J 2010;43:1022-8.
  • Chu CH, Lo EC, Cheung GS. Outcome of root canal treatment using Thermafil and cold lateral condensation filling techniques. Int Endod J 2005;38:179-85.
  • Somma F, Cammarota G, Plotino G, Grande NM, Pameijer CH. The effectiveness of manual and mechanical instrumentation for the retreatment of three different root canal filling materials. J Endod 2008;34:466-9.
  • Hülsmann M, Drebenstedt S, Holscher C. Shaping and filling root canals during root canal re-treatment. Endodontic Topics 2011;19:74–124.
  • Dall'Agnol C, Hartmann MS, Barletta FB. Computed tomography assessment of the efficiency of different techniques for removal of root canal filling material. Braz Dent J 2008;19:306-12.
  • Gu LS, Ling JQ, Wei X, Huang XY. Efficacy of ProTaper Universal rotary retreatment system for gutta-percha removal from root canals. Int Endod J 2008;41:288-95.
  • Tasdemir T, Er K, Yildirim T, Celik D. Efficacy of three rotary NiTi instruments in removing gutta-percha from root canals. Int Endod J 2008;41:191–6.
  • Schirrmeister JF, Hermanns P, Meyer KM, Goetz F, Hellwig E. Detectability of residual Epiphany and gutta-percha after root canal retreatment using a dental operating microscope and radiographs--an ex vivo study. Int Endod J 2006;39:558-65.
  • Saad AY, Al-Hadlaq SM, Al-Katheeri NH. Efficacy of two rotary NiTi instruments in the removal of Gutta-Percha during root canal retreatment. J Endod 2007;33:38-41.
  • Giuliani V, Cocchetti R, Pagavino G. Efficacy of ProTaper universal retreatment files in removing filling materials during root canal retreatment. J Endod 2008;34:1381-4.
  • Aydin B, Köse T, Calişkan MK. Effectiveness of HERO 642 versus Hedström files for removing gutta-percha fillings in curved root canals: an ex vivo study. Int Endod J 2009;42:1050-6.
  • Kfir A, Tsesis I, Yakirevich E, Matalon S, Abramovitz I. The efficacy of five techniques for removing root filling material: microscopic versus radiographic evaluation. Int Endod J 2012;45:35-41.
  • Zuolo ML, Imura N, Ferreira MO. Endodontic retreatment of thermafil or lateral condensation obturations in post space prepared teeth. J Endod 1994;20:9-12.
  • de Carvalho Maciel AC, Zaccaro Scelza MF. Efficacy of automated versus hand instrumentation during root canal retreatment: an ex vivo study. Int Endod J 2006;39:779-84.
  • Unal GC, Kaya BU, Taç AG, Keçeci AD. A comparison of the efficacy of conventional and new retreatment instruments to remove gutta-percha in curved root canals: an ex vivo study. Int Endod J 2009;42:344–50.
  • Masiero AV, Barletta FB. Effectiveness of different techniques for removing gutta-percha during retreatment. Int Endod J 2005;38:2-7.
  • Schirrmeister JF, Wrbas KT, Schneider FH, Altenburger MJ, Hellwig E. Effectiveness of a hand file and three nickel-titanium rotary instruments for removing gutta-percha in curved root canals during retreatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101:542-7.
  • Schirrmeister JF, Wrbas KT, Meyer KM, Altenburger MJ, Hellwig E. Efficacy of different rotary instruments for gutta-percha removal in root canal retreatment. J Endod 2006;32:469-72.
  • Zmener O, Pameijer CH, Banegas G. Retreatment efficacy of hand versus automated instrumentation in oval-shaped root canals: an ex vivo study. Int Endod J 2006;39:521-6.
  • Hammad M, Qualtrough A, Silikas N. Three-dimensional evaluation of effectiveness of hand and rotary instrumentation for retreatment of canals filled with different materials. J Endod 2008;34:1370–3.
  • Só MV, Saran C, Magro ML, Vier-Pelisser FV, Munhoz M. Efficacy of ProTaper retreatment system in root canals filled with gutta-percha and two endodontic sealers. J Endod 2008;34:1223-5.
  • Hülsmann M, Bluhm V. Efficacy, cleaning ability and safety of different rotary NiTi instruments in root canal retreatment. Int Endod J 2004;37:468–76.
  • Barrieshi-Nusair KM. Gutta-percha retreatment: effectiveness of nickel-titanium rotary instruments versus stainless steel hand files. J Endod 2002;28:454-6.
  • Seltzer S, Naidorf IJ. Flare-ups in endodontics. I. Etiological factors. J Endod 1985;11:472– 8.
  • Huang X, Ling J, Wei X, Gu L. Quantitative evaluation of debris extruded apically by using ProTaper Universal Tulsa rotary system in endodontic retreatment. J Endod 2007;33:1102-5.
  • Imura N, Kato AS, Hata GI, Uemura M, Toda T, Weine F. A comparison of the relative efficacies of four hand and rotary instrumentation techniques during endodontic retreatment. Int Endod J 2000;33:361-6.
  • Betti LV, Bramante CM. Quantec SC rotary instruments versus hand files for gutta-percha removal in root canal retreatment. Int Endod J 2001;34:514-9.
  • Daugherty DW, Gound TG, Comer TL. Comparison of fracture rate, deformation and efficiency between rotary endodontic instruments driven at 150 rpm and 350 rpm. J Endod 2001;27:93–5.
  • Haikel Y, Serfaty R, Bateman G, Senger B, Allemann C. Dynamic and cyclic fatigue of engine-driven rotary nickel-titanium endodontic instruments. J Endod 1999;25:434-40.
  • Bryant ST, Dummer PM, Pitoni C, Bourba M, Moghal S. Shaping ability of .04 and .06 taper ProFile rotary nickel-titanium instruments in simulated root canals. Int Endod J 1999;32:155-64.
There are 43 citations in total.

Details

Primary Language English
Journal Section Original Research Articles
Authors

Hakan Gokturk

Ali Cagin Yucel

Aziz Sisman

Publication Date February 11, 2015
Submission Date June 30, 2014
Published in Issue Year 2015Volume: 18 Issue: 1

Cite

EndNote Gokturk H, Yucel AC, Sisman A (February 1, 2015) Effectiveness of Four Rotary Retreatment Instruments During Root Canal Retreatment. Cumhuriyet Dental Journal 18 1 25–36.

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Efficacy of vibration motion in comparison to reciprocation motion in retreatment of root canals obturated with lateral compaction technique: an in vitro study
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https://doi.org/10.1007/s41894-023-00127-y

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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