Research Article
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Comparison of Apically Extruded Debris Associated with Different Nickel–Titanium Systems

Year 2019, Volume 22, Issue 2, 192 - 197, 31.05.2019
https://doi.org/10.7126/cumudj.507866

Abstract

ABSTRACT

Objective: The aim of this study is to evaluate the influence of different instrument systems on the amount of extruded debris.

Materials and methods: A total of 30 extracted mandibular molars with two separate canals and apical foramina in the mesial roots were selected. The root canals (n=10) were randomly assigned to the six groups of file systems as follows: ProTaper Next (PTN), WaveOne (WO), WaveOne Gold (WOG), One Shape (OS), Reciproc (R) and Reciproc Blue (RB). The extruded debris during the instrumentation was collected into Eppendorf tubes, which were weighed and then stored in an incubator at 70°C over a period of five days to evaporate the irrigant. After the incubation process, the Eppendorf tubes were weighed again. The difference between these two measurements, the first one before and the second one after the incubation process, was calculated. Data were statistically analyzed, and the significance level was set at p<0.05.

Results: R produced less debris compared to WO. R and PTN files produced significantly less debris compared to the OS files (p < 0.05). Extruded debris in RB and WO groups were not significantly different, while RB produced less debris than WOG and OS (p<0.05).

Conclusions: All instrumentation systems allowed for the apical extrusion of the debris.

Keywords: Apically extruded debris, Endodontics, Ni-Ti systems


 

ÖZ

Amaç: Bu çalışmanın amacı, farklı nikel titanyum eğe sistemlerini apikalden taşan debris miktarı açısından değerlendirmektir.

Gereç ve Yöntemler: Bu çalışmada mesial köklerinde iki ayrı kanal ve apikal foramene sahip toplam 30 adet mandibular molar diş seçildi. Kök kanalları (n = 10) aşağıdaki altı eğe sistemine göre rastgele ayrılmıştır: ProTaper Next (PTN), WaveOne (WO), WaveOne Gold (WOG), One Shape (OS), Reciproc (R) ve Reciproc Blue (RB). İnstrümantasyon sırasında ekstrüde edilmiş debrisler önceden boş ağırlıkları ölçülmüş eppendorf tüplerinde toplandı ve sonra irrigantı buharlaştırmak için beş günlük bir süre boyunca 70 ° C'de bir inkübatörde saklandı. İnkübasyon sürecinden sonra, eppendorf tüpleri tekrar tartıldı. Bu iki ölçüm arasındaki fark hesaplandı. Veriler istatistiksel olarak analiz edildi ve anlamlılık düzeyi p <0,05 olarak belirlendi.

Bulgular: R, WO ile karşılaştırıldığında daha az debris taşmasına sebep oldu. R ve PTN eğeleri, OS eğelere göre anlamlı derecede daha az debris taşımına sebep oldu (p <0,05). RB ve WO gruplarında apikalden taşan debris miktarı anlamlı ölçüde farklı değildi ancak RB WOG ve OS'den daha az debris taşmasına sebep oldu (p <0.05).

Sonuç: Bütün eğe sistemleri apikalden debris taşırmıştır.

Anahtar Kelimeler: Apikal taşma, Endodonti, Ni-Ti sistemleri

References

  • Peters OA. Current challenges and concepts in the preparation of root canal systems: a review. J Endod 2004;30:559-567.
  • 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;48:701-704.
  • 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;11:302-309.
  • Uzun I, Guler B, Ozyurek T, Tunc T. Apical extrusion of debris using reciprocating files and rotary instrumentation systems. Niger J Clin Pract 2016;19:71-75.
  • Seltzer S, Naidorf IJ. Flare-ups in endodontics: I. Etiological factors. J Endod 1985;11:472-478.
  • De-Deus G, Silva EJ, Vieira VT, Belladonna FG, Elias CN, Plotino G, Grande NM. Blue Thermomechanical Treatment Optimizes Fatigue Resistance and Flexibility of the Reciproc Files. J Endod 2017;43:462-466.
  • Van der Vyver PJ, Paleker F, Vorster M, de Wet FA. Root Canal Shaping Using Nickel Titanium, M-Wire, and Gold Wire: A Micro-computed Tomographic Comparative Study of One Shape, ProTaper Next, and WaveOne Gold Instruments in Maxillary First Molars. J Endod 2019;45:62-67.
  • Hieawy A, Haapasalo M, Zhou H, Wang ZJ, Shen Y. Phase Transformation Behavior and Resistance to Bending and Cyclic Fatigue of ProTaper Gold and ProTaper Universal Instruments. J Endod 2015;41:1134-1138.
  • Karatas E, Ersoy I, Gunduz HA, Uygun AD, Kol E, Cakici F. Influence of Instruments Used in Root Canal Preparation on Amount of Apically Extruded Debris. Artif Organs 2016;40:774-777.
  • 1Boijink 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;44:1289-1292
  • Dincer AN, Guneser MB, Arslan D. Apical extrusion of debris during root canal preparation using a novel nickel-titanium file system: WaveOne gold. J Conserv Dent 2017;20:322-325.
  • Uslu G, Ozyurek T, Yilmaz K, Gundogar 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;44:856-859.
  • Schneider SW. A comparison of canal preparations in straight and curved root canals. Oral Surg Oral Med Oral Pathol 1971;32:271-275.
  • Myers GL, Montgomery S. A comparison of weights of debris extruded apically by conventional filing and Canal Master techniques. J Endod 1991;17:275-279.
  • Tanalp J, Gungor T. Apical extrusion of debris: a literature review of an inherent occurrence during root canal treatment. Int Endod J 2014;47:211-221.
  • De-Deus G, Neves A, Silva EJ, Mendonca TA, Lourenco C, Calixto C, Lima EJ. Apically extruded dentin debris by reciprocating single-file and multi-file rotary system. Clin Oral Investig 2015;19:357-361.
  • Pawar AM, Pawar M, Kfir A, Thakur B, Mutha P, Banga KS. Effect of glide path preparation on apical extrusion of debris in root canals instrumented with three single-file systems: An ex vivo comparative study. J Conserv Dent 2017;20:110-114.
  • Burklein S, Benten S, Schafer E. Quantitative evaluation of apically extruded debris with different single-file systems: Reciproc, F360 and OneShape versus Mtwo. Int Endod J 2014;47:405-409.
  • Pawar AM, Pawar MG, Metzger Z, Kokate SR. The self-adjusting file instrumentation results in less debris extrusion apically when compared to WaveOne and ProTaper NEXT. J Conserv Dent 2015;18:89-93.
  • Cicek E, Akkocan O, Furuncuoglu F. Comparison of apically extruded debris associated with several nickel-titanium systems after determining working length by apex locator. J Conserv Dent 2016;19:68-71.
  • Verma M, Meena N, Kumari RA, Mallandur S, Vikram R, Gowda V. Comparison of apical debris extrusion during root canal preparation using instrumentation techniques with two operating principles: An in vitro study. J Conserv Dent 2017;20:96-99.
  • Topcuoglu HS, Zan R, Akpek F, Topcuoglu G, Ulusan O, Akti A, Duzgun S, Agirnasligil M. Apically extruded debris during root canal preparation using Vortex Blue, K3XF, ProTaper Next and Reciproc instruments. Int Endod J 2016;49:1183-1187.
  • Ozsu D, Karatas E, Arslan H, Topcu MC. Quantitative evaluation of apically extruded debris during root canal instrumentation with ProTaper Universal, ProTaper Next, WaveOne, and self-adjusting file systems. Eur J Dent 2014;8:504-508.
  • Leonardi LE, Atlas DM, Raiden G. Apical extrusion of debris by manual and mechanical instrumentation. Braz Dent J 2007;18:16-19.
  • Lu Y, Chen M, Qiao F, Wu L. Comparison of apical and coronal extrusions using reciprocating and rotary instrumentation systems. BMC Oral Health 2015;15:92.
  • Lu Y, Wang R, Zhang L, Li H, Zheng Q, Zhou X, Huang D. Apically extruded debris and irrigant with two N i‐T i systems and hand files when removing root fillings: a laboratory study. Int Endod J 2013;46:1125-1130.
  • Altundasar E, Nagas E, Uyanik 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:e31-e35.
  • Bürklein S, Schäfer E. Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. J Endod 2012;38:850-852.
  • Nevares G, Xavier F, Gominho L, Cavalcanti F, Cassimiro M, Romeiro K, Alvares P, Queiroz G, Sobral AP, Gerbi M. Apical extrusion of debris produced during continuous rotating and reciprocating motion. Sci World J 2015
  • Gunes B, Yesildal Yeter K. Effects of Different Glide Path Files on Apical Debris Extrusion in Curved Root Canals. J Endod 2018;44:1191-1194

Year 2019, Volume 22, Issue 2, 192 - 197, 31.05.2019
https://doi.org/10.7126/cumudj.507866

Abstract

References

  • Peters OA. Current challenges and concepts in the preparation of root canal systems: a review. J Endod 2004;30:559-567.
  • 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;48:701-704.
  • 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;11:302-309.
  • Uzun I, Guler B, Ozyurek T, Tunc T. Apical extrusion of debris using reciprocating files and rotary instrumentation systems. Niger J Clin Pract 2016;19:71-75.
  • Seltzer S, Naidorf IJ. Flare-ups in endodontics: I. Etiological factors. J Endod 1985;11:472-478.
  • De-Deus G, Silva EJ, Vieira VT, Belladonna FG, Elias CN, Plotino G, Grande NM. Blue Thermomechanical Treatment Optimizes Fatigue Resistance and Flexibility of the Reciproc Files. J Endod 2017;43:462-466.
  • Van der Vyver PJ, Paleker F, Vorster M, de Wet FA. Root Canal Shaping Using Nickel Titanium, M-Wire, and Gold Wire: A Micro-computed Tomographic Comparative Study of One Shape, ProTaper Next, and WaveOne Gold Instruments in Maxillary First Molars. J Endod 2019;45:62-67.
  • Hieawy A, Haapasalo M, Zhou H, Wang ZJ, Shen Y. Phase Transformation Behavior and Resistance to Bending and Cyclic Fatigue of ProTaper Gold and ProTaper Universal Instruments. J Endod 2015;41:1134-1138.
  • Karatas E, Ersoy I, Gunduz HA, Uygun AD, Kol E, Cakici F. Influence of Instruments Used in Root Canal Preparation on Amount of Apically Extruded Debris. Artif Organs 2016;40:774-777.
  • 1Boijink 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;44:1289-1292
  • Dincer AN, Guneser MB, Arslan D. Apical extrusion of debris during root canal preparation using a novel nickel-titanium file system: WaveOne gold. J Conserv Dent 2017;20:322-325.
  • Uslu G, Ozyurek T, Yilmaz K, Gundogar 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;44:856-859.
  • Schneider SW. A comparison of canal preparations in straight and curved root canals. Oral Surg Oral Med Oral Pathol 1971;32:271-275.
  • Myers GL, Montgomery S. A comparison of weights of debris extruded apically by conventional filing and Canal Master techniques. J Endod 1991;17:275-279.
  • Tanalp J, Gungor T. Apical extrusion of debris: a literature review of an inherent occurrence during root canal treatment. Int Endod J 2014;47:211-221.
  • De-Deus G, Neves A, Silva EJ, Mendonca TA, Lourenco C, Calixto C, Lima EJ. Apically extruded dentin debris by reciprocating single-file and multi-file rotary system. Clin Oral Investig 2015;19:357-361.
  • Pawar AM, Pawar M, Kfir A, Thakur B, Mutha P, Banga KS. Effect of glide path preparation on apical extrusion of debris in root canals instrumented with three single-file systems: An ex vivo comparative study. J Conserv Dent 2017;20:110-114.
  • Burklein S, Benten S, Schafer E. Quantitative evaluation of apically extruded debris with different single-file systems: Reciproc, F360 and OneShape versus Mtwo. Int Endod J 2014;47:405-409.
  • Pawar AM, Pawar MG, Metzger Z, Kokate SR. The self-adjusting file instrumentation results in less debris extrusion apically when compared to WaveOne and ProTaper NEXT. J Conserv Dent 2015;18:89-93.
  • Cicek E, Akkocan O, Furuncuoglu F. Comparison of apically extruded debris associated with several nickel-titanium systems after determining working length by apex locator. J Conserv Dent 2016;19:68-71.
  • Verma M, Meena N, Kumari RA, Mallandur S, Vikram R, Gowda V. Comparison of apical debris extrusion during root canal preparation using instrumentation techniques with two operating principles: An in vitro study. J Conserv Dent 2017;20:96-99.
  • Topcuoglu HS, Zan R, Akpek F, Topcuoglu G, Ulusan O, Akti A, Duzgun S, Agirnasligil M. Apically extruded debris during root canal preparation using Vortex Blue, K3XF, ProTaper Next and Reciproc instruments. Int Endod J 2016;49:1183-1187.
  • Ozsu D, Karatas E, Arslan H, Topcu MC. Quantitative evaluation of apically extruded debris during root canal instrumentation with ProTaper Universal, ProTaper Next, WaveOne, and self-adjusting file systems. Eur J Dent 2014;8:504-508.
  • Leonardi LE, Atlas DM, Raiden G. Apical extrusion of debris by manual and mechanical instrumentation. Braz Dent J 2007;18:16-19.
  • Lu Y, Chen M, Qiao F, Wu L. Comparison of apical and coronal extrusions using reciprocating and rotary instrumentation systems. BMC Oral Health 2015;15:92.
  • Lu Y, Wang R, Zhang L, Li H, Zheng Q, Zhou X, Huang D. Apically extruded debris and irrigant with two N i‐T i systems and hand files when removing root fillings: a laboratory study. Int Endod J 2013;46:1125-1130.
  • Altundasar E, Nagas E, Uyanik 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:e31-e35.
  • Bürklein S, Schäfer E. Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. J Endod 2012;38:850-852.
  • Nevares G, Xavier F, Gominho L, Cavalcanti F, Cassimiro M, Romeiro K, Alvares P, Queiroz G, Sobral AP, Gerbi M. Apical extrusion of debris produced during continuous rotating and reciprocating motion. Sci World J 2015
  • Gunes B, Yesildal Yeter K. Effects of Different Glide Path Files on Apical Debris Extrusion in Curved Root Canals. J Endod 2018;44:1191-1194

Details

Primary Language English
Subjects Health Care Sciences and Services
Journal Section Original Research Articles
Authors

Ahmet KELEŞ (Primary Author)
HACETTEPE ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ
0000-0002-7106-0006
Türkiye


Emel UZUNOĞLU ÖZYÜREK
HACETTEPE ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ
0000-0001-5032-9996


Serdar UYSAL
HACETTEPE ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ
0000-0001-9872-6587


Behram TUNCEL This is me
HACETTEPE ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ
0000-0003-4372-0991


Özgür UYANİK This is me
HACETTEPE ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ
0000-0003-3897-8314


Emre NAGAŞ
HACETTEPE ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ
0000-0003-0531-3850

Publication Date May 31, 2019
Application Date January 4, 2019
Acceptance Date March 27, 2019
Published in Issue Year 2019, Volume 22, Issue 2

Cite

EndNote %0 Cumhuriyet Dental Journal Comparison of Apically Extruded Debris Associated with Different Nickel–Titanium Systems %A Ahmet Keleş , Emel Uzunoğlu Özyürek , Serdar Uysal , Behram Tuncel , Özgür Uyanik , Emre Nagaş %T Comparison of Apically Extruded Debris Associated with Different Nickel–Titanium Systems %D 2019 %J Cumhuriyet Dental Journal %P 1302-5805-2146-2852 %V 22 %N 2 %R doi: 10.7126/cumudj.507866 %U 10.7126/cumudj.507866

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