Apical Extrusion of Debris Using Self-Adjusting File, Reciprocating Single-file, and 2 Rotary Instrumentation Systems

Koçak, Sibel; Koçak, Mustafa Murat; Sağlam, Baran Can; Türker, Sevinç Aktemur; Sağsen, Burak; Er, Orhan

doi:10.1016/j.joen.2013.06.013

Cited by 152 publications

(180 citation statements)

References 19 publications

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“…This study showed that all irrigation systems tested were associated with apically extruded debris in primary molar root canals. In consistent with previous studies, 12,21,23 the results of this study showed that all irrigation techniques were associated with apically extruded debris. Similar to Karatas.…”

Section: Discussionsupporting

confidence: 93%

“…However, in vivo conditions exhibiting the presence of periapical tissue were not simulated in our study since in vivo simulations using materials to close the apical foramen may lead to the absorption of the irrigant and debris which may lead to different results. 29 As described in previous studies, 12,21,29 to avoid the possible crystallization of NaOCI and an intense affiliation with debris, we used bidistilled water as irrigant instead of NaOCI. This study showed that all irrigation systems tested were associated with apically extruded debris in primary molar root canals.…”

Section: Discussionmentioning

confidence: 99%

“…As an important clinical factor during pedodontic patients treatment, and also because of its use of single-file with continuous irrigation, SAF can clinically reduce treatment time in primary teeth. Although several studies have examined the irrigation systems in permanent teeth regarding apical extrusion, 12,[21][22][23][24] to our knowledge, to date there is no study which is conducted in primary teeth. The anatomical variations show more importance and difference in primary teeth than permanent teeth, 7 since as physiological or pathological resorption begins and extends into the primary roots, resulting in additional anatomical communications with the periapical tissues that cause easily extrusion of intracanal content and irrigants to periapical tissue.…”

Section: Introductionmentioning

confidence: 99%

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The effect of four irrigation techniques on the amount of apically extruded debris in pulpectomy of primary teeth

Buldur¹,

Kapdan²

2018

Yeditepe J Dent

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SUMMARY Aim:The aim of this in vitro study was to compare the amount of apically extruded debris of primary molar root canals during pulpectomy using four irrigation techniques. Materials and Methods: Root canals of eighty primary second molar teeth were instrumented using ProTaper Next rotary system and randomly divided into 4 experimental groups (n=20): group I -EndoVac, group II-manual dynamic agitation (MDA), group III-Self Adjusting File (SAF), and group IV-conventional needle irrigation (CNI). Bidistilled water was used as irrigant and the apically extruded debris was collected and dried in preweighed Eppendof tubes. Data were analyzed statistically using the ANOVA and the Bonferroni post hoc t-test (p=0.05). Results: EndoVac and SAF extruded significantly less debris than did MDA and CNI (p<0.05), while no statistically significant difference was found between EndoVac and SAF (p>0.05). Conclusions: Within the limitations, all irrigation systems extruded debris. EndoVac and SAF extruded less debris compared with MDA and CNI.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The effect of four irrigation techniques on the amount of apically extruded debris in pulpectomy of primary teeth

Buldur¹,

Kapdan²

2018

Yeditepe J Dent

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“…In this in vitro study, apically extruded irrigant and debris values were greater than in previous studies. 7,8,18 This discrepancy may be attributed to the total amount as well as the type of irrigant used, since much more irrigant volume was used when compared to other studies, and NaOCl was used instead of distilled water. In this study, the method used for debris collection was that used by Myers and Montgomery (1991).…”

Section: Discussionmentioning

confidence: 95%

Apical Extrusion of Debris and Irrigant using Novel Preparation Systems

Uzunoğlu¹,

Görduysus²

2014

The Journal of Contemporary Dental Practice

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Aim:The aim of this in vitro study was to assess the amount of apically extruded debris and irrigant using Reciproc vs self-adjusting file (SAF) and to investigate the effect, if any, of gravitational force via mandibular and maxillary positioning of the teeth. Materials and methods:Forty human mandibular premolars were randomly assigned to four groups of 10 teeth each. The root canals were instrumented according to the manufacturers' instructions using the Reciproc and SAF. Sodium hypochlorite was used as the irrigant. The apically extruded debris was collected in pre-weighted glass vials using the Myers and Montgomery method, and teeth were placed in vials both in downward and upward positions. After drying, the mean weight of debris was assessed with a microbalance and statistically analyzed using two-way ANOVA with Bonferroni correction.Results: All instrumentation techniques and positions caused measurable apical extrusion of debris. A significant difference was observed according to position and instrument used (p < 0.05). The Reciproc extruded significantly more debris than SAF and vial downward position extruded significantly more debris than upward position (p < 0.05). Conclusion:Under the conditions of this study, all systems caused apical debris extrusion, especially in the downward position.Clinical significance: According to results of this study, the SAF was associated with less debris extrusion compared to the Reciproc in both mandibular and maxillary positions.

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“…In a recent study, reciprocating single-file systems extruded fewer bacteria apically than a conventional multi-file rotary system (22). Moreover, other studies showed no differences between rotary and reciprocating movements regarding debris extrusion (23,24).…”

Section: Discussionmentioning

confidence: 95%

Postoperative Pain after Foraminal Instrumentation with a Reciprocating System and Different Irrigating Solutions

et al. 2015

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The aim of the present study was to evaluate and compare postoperative pain after foraminal instrumentation using 5.25% sodium hypochlorite (NaOCl) or 2% chlorhexidine (CHX) gel irrigation protocol in nonvital single-rooted teeth after reciprocating instrumentation. Sixty-two volunteers presenting a single root canal diagnosed with asymptomatic necrosis and apical periodontitis were randomized into 2 experimental groups regarding the irrigation protocol (ie, 5.25% NaOCl and 2% CHX gel groups). Endodontic treatment was performed in a single session under reciprocating instrumentation with foraminal instrumentation. Volunteers were instructed to record pain intensity. Scores from 1 to 4 were attributed to each kind of pain after 24, 48, and 72 h. Kolmogorov-Smirnov and Student´s t tests were used to determine significant differences at p<0.05. On average, the percentage of patients that had no or mild pain after 24, 48 or 72 h was 77.4%, 88.7% and 95.1%, respectively. No statistically significant age difference was found between the groups (p>0.05, Student´s t test). Postoperative pain showed no statistically significant difference at any observation period when using 5.25% NaOCl or 2% CHX gel (p>0.05). Moreover, no significant difference was observed in the mean number of analgesic tablets used between the groups (p>0.05). In conclusion, the use of 5.25% NaOCl or 2% CHX gel resulted in the same postoperative pain. Therefore, it can be inferred that irrigant choice has no relation with short-term follow up regarding postoperative pain. P o s t o p e r a t i v e P a i n a f t e r Foraminal Instrumentation with a R e c i p r o c a t i n g S y s t e m a n d Different Irrigating Solutions

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Apical Extrusion of Debris Using Self-Adjusting File, Reciprocating Single-file, and 2 Rotary Instrumentation Systems

Cited by 152 publications

References 19 publications

The effect of four irrigation techniques on the amount of apically extruded debris in pulpectomy of primary teeth

The effect of four irrigation techniques on the amount of apically extruded debris in pulpectomy of primary teeth

Apical Extrusion of Debris and Irrigant using Novel Preparation Systems

Postoperative Pain after Foraminal Instrumentation with a Reciprocating System and Different Irrigating Solutions

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