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RECIPROC VERSUS TWISTED FILE FOR ROOT CANAL FILLING REMOVAL: ASSESSMENT OF APICALLY EXTRUDED DEBRIS

Year 2016, Volume: 50 Issue: 2, 31 - 37, 01.04.2016

Demet Altunbaş Betül Kütük Mustafa Toyoğlu Gizem Kutlu Alper Kuştarcı Kürşat Er

https://doi.org/10.17096/jiufd.96734

Abstract

Purpose: The aim of this study was to evaluate the amount of apically extruded debris during endodontic retreatment with different file systems.

Materials and Methods: Sixty extracted human mandibular premolar teeth were used in this study. Root canals of the teeth were instrumented and filled before being randomly assigned to three groups. Guttapercha was removed using the Reciproc system, the Twisted File system (TF), and Hedström-files (H-file). Apically extruded debris was collected and dried in pre-weighed Eppendorf tubes. The amount of extruded debris was assessed with an electronic balance. Data were statistically analyzed using one-way ANOVA, Kruskal-Wallis, and Mann-Whitney U tests.

Results: The Reciproc and TF systems extruded significantly less debris than the H-file (p<0.05). However, no significant difference was found between the Reciproc and TF systems.

Conclusion: All tested file systems caused apical extrusion of debris. Both the rotary file (TF) and the reciprocating single-file (Reciproc) systems were associated with less apical extrusion compared with the H-file.

Keywords

Endodontics Retreatment; Root canal preparation; Apical debris; Endodontic file

References

  • Siqueira JF, Jr. Aetiology of root canal treatment failure: Why well-treated teeth can fail. Int Endod J 2001;34(1):1-10.
  • Friedman S, Stabholz A, Tamse A. Endodontic retreatment-case selection and technique. 3. Retreatment techniques. J Endod 1990;16(11):543-549.
  • Seltzer S, Naidorf IJ. Flare-ups in endodontics:I. Etiological factors. J Endod 1985;11(11):472-478.
  • Siqueira JF, Jr., Rocas IN, Favieri A, Machado AG, Gahyva SM, Oliveira JC, Abad EC. Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod 2002;28(6):457-460.
  • Burklein S, Schafer E. Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. J Endod 2012;38(6):850-852.
  • Capar ID, Arslan H, Akcay M, Ertas H. An in vitro comparison of apically extruded debris and instrumentation times with protaper universal, protaper next, twisted file adaptive, and hyflex instruments. J Endod 2014;40(10):1638-1641.
  • Er K, Sumer Z, Akpinar KE. Apical extrusion of intracanal bacteria following use of two engine-driven instrumentation techniques. Int Endod J 2005;38(12):871-876.
  • Kustarci A, Akpinar KE, Er K. Apical extrusion of intracanal debris and irrigant following use of various instrumentation techniques. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105(2):257-262.
  • Kustarci A, Akpinar KE, Sumer Z, Er K, Bek B. Apical extrusion of intracanal bacteria following use of various instrumentation techniques. Int Endod J 2008;41(12):1066-1071.
  • Kustarci A, Altunbas D, Akpınar KE. Comparative study of apically extruded debris using one manual and two rotary instrumentation techniques for endodontic retreatment. J Dent Sci 2012;7(2):1-6.
  • Hammad M, Qualtrough A, Silikas N. Threedimensional evaluation of effectiveness of hand and rotary instrumentation for retreatment of canals filled with different materials. J Endod 2008;34(11):1370-1373.
  • 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(5):469-472.
  • Simsek N, Ahmetoglu F, Keles A, Bulut ET, Er K. 3d analysis of d-race and self-adjusting file in removing filling materials from curved root canals instrumented and filled with different techniques. Scientific World Journal 2014;836513.
  • 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(3):191-196.
  • Akpinar KE, Altunbas D, Kustarci A. The efficacy of two rotary niti instruments and h-files to remove gutta-percha from root canals. Med Oral Patol Oral Cir Bucal 2012;17(3):e506-511.
  • Kosti E, Lambrianidis T, Economides N, Neofitou C. Ex vivo study of the efficacy of h-files and rotary ni-ti instruments to remove gutta-percha and four types of sealer. Int Endod J 2006;39(1):48-54.
  • 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(1):38-41.
  • 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(11):1022-1028.
  • Gambarini G, Rubini AG, Al Sudani D, Gergi R, Culla A, De Angelis F, Di Carlo S, Pompa G, Osta N, Testarelli L. Influence of different angles of reciprocation on the cyclic fatigue of nickel-titanium endodontic instruments. J Endod;38(10):1408-1411.
  • Zuolo AS, Mello JE, Jr., Cunha RS, Zuolo ML, Bueno CE. Efficacy of reciprocating and rotary techniques for removing filling material during root canal retreatment. Int Endod J 2013;46(10):947-953.
  • de Siqueira Zuolo A, Zuolo ML, da Silveira Bueno CE, Chu R, Cunha RS. Evaluation of the efficacy of trushape and reciproc file systems in the removal of root filling material: An ex vivo micro-computed tomographic study. J Endod 2016;42(2):315-319.
  • Rios Mde A, Villela AM, Cunha RS, Velasco RC, De Martin AS, Kato AS, Bueno CE. Efficacy of 2 reciprocating systems compared with a rotary retreatment system for gutta-percha removal. J Endod 2014;40(4):543-546.
  • Rodig T, Reicherts P, Konietschke F, Dullin C, Hahn W, Hulsmann M. Efficacy of reciprocating and rotary niti instruments for retreatment of curved root canals assessed by micro-ct. Int Endod J 2014;47(10):942-948.
  • Dincer AN, Er O, Canakci BC. Evaluation of apically extruded debris during root canal retreatment with several niti systems. Int Endod J 2015;48(12):1194-1198.
  • Lu Y, Wang R, Zhang L, Li HL, Zheng QH, Zhou XD, Huang DM. 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(12):1125-1130.
  • Silva EJ, Sa L, Belladonna FG, Neves AA, Accorsi-Mendonca T, Vieira VT, De-Deus G, Moreira EJ. Reciprocating versus rotary systems for root filling removal: Assessment of the apically extruded material. J Endod 2014;40(12):2077-2080.
  • Myers GL, Montgomery S. A comparison of weights of debris extruded apically by conventional filing and canal master techniques. J Endod 1991;17(6):275-279.
  • Peters OA, Laib A, Gohring TN, Barbakow F. Changes in root canal geometry after preparation assessed by high-resolution computed tomography. J Endod 2001;27(1):1-6.
  • Reddy SA, Hicks ML. Apical extrusion of debris using two hand and two rotary instrumentation techniques. J Endod 1998;24(3):180-183.
  • Ferraz CC, Gomes NV, Gomes BP, Zaia AA, Teixeira FB, Souza-Filho FJ. Apical extrusion of debris and irrigants using two hand and three engine-driven instrumentation techniques. Int Endod J 2001;34(5):354-358.
  • 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;33(9):1102-1105.
  • 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(7):701-704.
  • Hulsmann M, Bluhm V. Efficacy, cleaning ability and safety of different rotary niti instruments in root canal retreatment. Int Endod J 2004;37(7):468-476.
  • Ghivari SB, Kubasad GC, Chandak MG, Akarte N. Apical extrusion of debris and irrigant using hand and rotary systems: A comparative study. J Conserv Dent 2011;14(2):187-190.
  • 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(5):405-409.
  • 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(2):357-361.
  • Kocak S, Kocak MM, Saglam BC, Turker SA, Sagsen B, Er O. Apical extrusion of debris using self-adjusting file, reciprocating single-file, and 2 rotary instrumentation systems. J Endod 2013;39(10):1278-1280.
  • Kucukyilmaz E, Savas S, Saygili G, Uysal B. Assessment of apically extruded debris and irrigant produced by different nickel-titanium instrument systems. Braz Oral Res 2015;29:1-6.
  • Bonaccorso A, Cantatore G, Condorelli GG, Schafer E, Tripi TR. Shaping ability of four nickel-titanium rotary instruments in simulated s-shaped canals. J Endod 2009;35(6):883-886.
  • Hachmeister DR, Schindler WG, Walker WA, 3rd, Thomas DD. The sealing ability and retention characteristics of mineral trioxide aggregate in a model of apexification. J Endod 2002;28(5):386-390.
  • Mohorn HW, Dowson J, Blankenship JR. Odontic periapical pressure following vital pulp extirpation. Oral Surg Oral Med Oral Pathol 1971;31(4):536-544.

Year 2016, Volume: 50 Issue: 2, 31 - 37, 01.04.2016

Demet Altunbaş Betül Kütük Mustafa Toyoğlu Gizem Kutlu Alper Kuştarcı Kürşat Er

https://doi.org/10.17096/jiufd.96734

Abstract

References

  • Siqueira JF, Jr. Aetiology of root canal treatment failure: Why well-treated teeth can fail. Int Endod J 2001;34(1):1-10.
  • Friedman S, Stabholz A, Tamse A. Endodontic retreatment-case selection and technique. 3. Retreatment techniques. J Endod 1990;16(11):543-549.
  • Seltzer S, Naidorf IJ. Flare-ups in endodontics:I. Etiological factors. J Endod 1985;11(11):472-478.
  • Siqueira JF, Jr., Rocas IN, Favieri A, Machado AG, Gahyva SM, Oliveira JC, Abad EC. Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod 2002;28(6):457-460.
  • Burklein S, Schafer E. Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. J Endod 2012;38(6):850-852.
  • Capar ID, Arslan H, Akcay M, Ertas H. An in vitro comparison of apically extruded debris and instrumentation times with protaper universal, protaper next, twisted file adaptive, and hyflex instruments. J Endod 2014;40(10):1638-1641.
  • Er K, Sumer Z, Akpinar KE. Apical extrusion of intracanal bacteria following use of two engine-driven instrumentation techniques. Int Endod J 2005;38(12):871-876.
  • Kustarci A, Akpinar KE, Er K. Apical extrusion of intracanal debris and irrigant following use of various instrumentation techniques. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105(2):257-262.
  • Kustarci A, Akpinar KE, Sumer Z, Er K, Bek B. Apical extrusion of intracanal bacteria following use of various instrumentation techniques. Int Endod J 2008;41(12):1066-1071.
  • Kustarci A, Altunbas D, Akpınar KE. Comparative study of apically extruded debris using one manual and two rotary instrumentation techniques for endodontic retreatment. J Dent Sci 2012;7(2):1-6.
  • Hammad M, Qualtrough A, Silikas N. Threedimensional evaluation of effectiveness of hand and rotary instrumentation for retreatment of canals filled with different materials. J Endod 2008;34(11):1370-1373.
  • 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(5):469-472.
  • Simsek N, Ahmetoglu F, Keles A, Bulut ET, Er K. 3d analysis of d-race and self-adjusting file in removing filling materials from curved root canals instrumented and filled with different techniques. Scientific World Journal 2014;836513.
  • 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(3):191-196.
  • Akpinar KE, Altunbas D, Kustarci A. The efficacy of two rotary niti instruments and h-files to remove gutta-percha from root canals. Med Oral Patol Oral Cir Bucal 2012;17(3):e506-511.
  • Kosti E, Lambrianidis T, Economides N, Neofitou C. Ex vivo study of the efficacy of h-files and rotary ni-ti instruments to remove gutta-percha and four types of sealer. Int Endod J 2006;39(1):48-54.
  • 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(1):38-41.
  • 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(11):1022-1028.
  • Gambarini G, Rubini AG, Al Sudani D, Gergi R, Culla A, De Angelis F, Di Carlo S, Pompa G, Osta N, Testarelli L. Influence of different angles of reciprocation on the cyclic fatigue of nickel-titanium endodontic instruments. J Endod;38(10):1408-1411.
  • Zuolo AS, Mello JE, Jr., Cunha RS, Zuolo ML, Bueno CE. Efficacy of reciprocating and rotary techniques for removing filling material during root canal retreatment. Int Endod J 2013;46(10):947-953.
  • de Siqueira Zuolo A, Zuolo ML, da Silveira Bueno CE, Chu R, Cunha RS. Evaluation of the efficacy of trushape and reciproc file systems in the removal of root filling material: An ex vivo micro-computed tomographic study. J Endod 2016;42(2):315-319.
  • Rios Mde A, Villela AM, Cunha RS, Velasco RC, De Martin AS, Kato AS, Bueno CE. Efficacy of 2 reciprocating systems compared with a rotary retreatment system for gutta-percha removal. J Endod 2014;40(4):543-546.
  • Rodig T, Reicherts P, Konietschke F, Dullin C, Hahn W, Hulsmann M. Efficacy of reciprocating and rotary niti instruments for retreatment of curved root canals assessed by micro-ct. Int Endod J 2014;47(10):942-948.
  • Dincer AN, Er O, Canakci BC. Evaluation of apically extruded debris during root canal retreatment with several niti systems. Int Endod J 2015;48(12):1194-1198.
  • Lu Y, Wang R, Zhang L, Li HL, Zheng QH, Zhou XD, Huang DM. 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(12):1125-1130.
  • Silva EJ, Sa L, Belladonna FG, Neves AA, Accorsi-Mendonca T, Vieira VT, De-Deus G, Moreira EJ. Reciprocating versus rotary systems for root filling removal: Assessment of the apically extruded material. J Endod 2014;40(12):2077-2080.
  • Myers GL, Montgomery S. A comparison of weights of debris extruded apically by conventional filing and canal master techniques. J Endod 1991;17(6):275-279.
  • Peters OA, Laib A, Gohring TN, Barbakow F. Changes in root canal geometry after preparation assessed by high-resolution computed tomography. J Endod 2001;27(1):1-6.
  • Reddy SA, Hicks ML. Apical extrusion of debris using two hand and two rotary instrumentation techniques. J Endod 1998;24(3):180-183.
  • Ferraz CC, Gomes NV, Gomes BP, Zaia AA, Teixeira FB, Souza-Filho FJ. Apical extrusion of debris and irrigants using two hand and three engine-driven instrumentation techniques. Int Endod J 2001;34(5):354-358.
  • 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;33(9):1102-1105.
  • 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(7):701-704.
  • Hulsmann M, Bluhm V. Efficacy, cleaning ability and safety of different rotary niti instruments in root canal retreatment. Int Endod J 2004;37(7):468-476.
  • Ghivari SB, Kubasad GC, Chandak MG, Akarte N. Apical extrusion of debris and irrigant using hand and rotary systems: A comparative study. J Conserv Dent 2011;14(2):187-190.
  • 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(5):405-409.
  • 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(2):357-361.
  • Kocak S, Kocak MM, Saglam BC, Turker SA, Sagsen B, Er O. Apical extrusion of debris using self-adjusting file, reciprocating single-file, and 2 rotary instrumentation systems. J Endod 2013;39(10):1278-1280.
  • Kucukyilmaz E, Savas S, Saygili G, Uysal B. Assessment of apically extruded debris and irrigant produced by different nickel-titanium instrument systems. Braz Oral Res 2015;29:1-6.
  • Bonaccorso A, Cantatore G, Condorelli GG, Schafer E, Tripi TR. Shaping ability of four nickel-titanium rotary instruments in simulated s-shaped canals. J Endod 2009;35(6):883-886.
  • Hachmeister DR, Schindler WG, Walker WA, 3rd, Thomas DD. The sealing ability and retention characteristics of mineral trioxide aggregate in a model of apexification. J Endod 2002;28(5):386-390.
  • Mohorn HW, Dowson J, Blankenship JR. Odontic periapical pressure following vital pulp extirpation. Oral Surg Oral Med Oral Pathol 1971;31(4):536-544.
There are 41 citations in total.

Details

Journal Section Original Research Articles
Authors

Demet Altunbaş

Betül Kütük This is me

Mustafa Toyoğlu This is me

Gizem Kutlu This is me

Alper Kuştarcı

Kürşat Er

Publication Date April 1, 2016
Published in Issue Year 2016 Volume: 50 Issue: 2

Cite

APA Altunbaş, D., Kütük, B., Toyoğlu, M., Kutlu, G., et al. (2016). RECIPROC VERSUS TWISTED FILE FOR ROOT CANAL FILLING REMOVAL: ASSESSMENT OF APICALLY EXTRUDED DEBRIS. Journal of Istanbul University Faculty of Dentistry, 50(2), 31-37. https://doi.org/10.17096/jiufd.96734
AMA Altunbaş D, Kütük B, Toyoğlu M, Kutlu G, Kuştarcı A, Er K. RECIPROC VERSUS TWISTED FILE FOR ROOT CANAL FILLING REMOVAL: ASSESSMENT OF APICALLY EXTRUDED DEBRIS. J Istanbul Univ Fac Dent. April 2016;50(2):31-37. doi:10.17096/jiufd.96734
Chicago Altunbaş, Demet, Betül Kütük, Mustafa Toyoğlu, Gizem Kutlu, Alper Kuştarcı, and Kürşat Er. “RECIPROC VERSUS TWISTED FILE FOR ROOT CANAL FILLING REMOVAL: ASSESSMENT OF APICALLY EXTRUDED DEBRIS”. Journal of Istanbul University Faculty of Dentistry 50, no. 2 (April 2016): 31-37. https://doi.org/10.17096/jiufd.96734.
EndNote Altunbaş D, Kütük B, Toyoğlu M, Kutlu G, Kuştarcı A, Er K (April 1, 2016) RECIPROC VERSUS TWISTED FILE FOR ROOT CANAL FILLING REMOVAL: ASSESSMENT OF APICALLY EXTRUDED DEBRIS. Journal of Istanbul University Faculty of Dentistry 50 2 31–37.
IEEE D. Altunbaş, B. Kütük, M. Toyoğlu, G. Kutlu, A. Kuştarcı, and K. Er, “RECIPROC VERSUS TWISTED FILE FOR ROOT CANAL FILLING REMOVAL: ASSESSMENT OF APICALLY EXTRUDED DEBRIS”, J Istanbul Univ Fac Dent, vol. 50, no. 2, pp. 31–37, 2016, doi: 10.17096/jiufd.96734.
ISNAD Altunbaş, Demet et al. “RECIPROC VERSUS TWISTED FILE FOR ROOT CANAL FILLING REMOVAL: ASSESSMENT OF APICALLY EXTRUDED DEBRIS”. Journal of Istanbul University Faculty of Dentistry 50/2 (April 2016), 31-37. https://doi.org/10.17096/jiufd.96734.
JAMA Altunbaş D, Kütük B, Toyoğlu M, Kutlu G, Kuştarcı A, Er K. RECIPROC VERSUS TWISTED FILE FOR ROOT CANAL FILLING REMOVAL: ASSESSMENT OF APICALLY EXTRUDED DEBRIS. J Istanbul Univ Fac Dent. 2016;50:31–37.
MLA Altunbaş, Demet et al. “RECIPROC VERSUS TWISTED FILE FOR ROOT CANAL FILLING REMOVAL: ASSESSMENT OF APICALLY EXTRUDED DEBRIS”. Journal of Istanbul University Faculty of Dentistry, vol. 50, no. 2, 2016, pp. 31-37, doi:10.17096/jiufd.96734.
Vancouver Altunbaş D, Kütük B, Toyoğlu M, Kutlu G, Kuştarcı A, Er K. RECIPROC VERSUS TWISTED FILE FOR ROOT CANAL FILLING REMOVAL: ASSESSMENT OF APICALLY EXTRUDED DEBRIS. J Istanbul Univ Fac Dent. 2016;50(2):31-7.
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