Impacts of different Nickel–Titanium rotary and reciprocating root canal preparation systems on the amount of apically extruded debris

Abduljalil, Mohamad; Andac, Gizem; Basmacı, Fatma

doi:10.1111/aej.12734

Cited by 5 publications

(5 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Apical extrusion of debris is an inherent side effect during the process of root canal preparation. All the instrumentation techniques were found to be associated with apical debris extrusion in this study, which aligns with previous investigations [ 20 – 22 ]. The quantity of extruded debris is subject to variation depending on the design and kinematics of the instrument [ 5 , 6 ].…”

Section: Discussionsupporting

confidence: 92%

Evaluating In Vitro Performance of a Novel Stainless Steel Rotary System (Gentlefile) Based on Debris Extrusion and Instrumentation Time

Nouroloyouni,

Safavi Hir,

Farhang

et al. 2023

BioMed Research International

View full text Add to dashboard Cite

The new Gentlefile (GF) system, made of stainless steel and developed by MedicNRG in Kibbutz Afikim, Israel, claims to have advantages over traditional nickel-titanium files. However, research has shown that nickel-titanium files are mechanically superior due to their increased flexibility, cutting efficiency, and ability to maintain canal anatomy with less risk of procedural errors. This study compared the amount of debris extrusion and the time required for root canal instrumentation using GF versus the nickel-titanium ProTaper Universal (PTU) system and a manual step-back (MSB) stainless steel technique. This in vitro experimental study utilized 66 extracted human single-canal mandibular premolars with mature apices and root curvature of less than 10 degrees. The teeth were randomly divided into three groups ( n = 22 ) and standardized for working length before being placed in preweighed vials. Group 1 was instrumented with PTU, Group 2 with GF, and Group 3 with the MSB technique. Extruded debris was collected in the vials, dried in an incubator, and weighed using the same scale. The change in weight indicates the debris amount. Instrumentation time was recorded using a stopwatch. The normal distribution of data was assessed using the Kolmogorov-Smirnov test. The groups were then compared regarding the amount of extruded debris and instrumentation time using the Kruskal-Wallis test and one-way ANOVA, followed by the Games-Howell test, respectively ( alpha = 0.05 ). No significant difference in apical debris extrusion was found among the three groups ( P > 0.05 ). However, a significant difference in instrumentation time was detected between the groups ( P < 0.05 ). MSB instrumentation took significantly longer than both the PTU ( P = 0.001 ) and GF ( P = 0.001 ) systems. The GF system did not demonstrate reduced apical debris extrusion or faster instrumentation time compared to PTU. MSB had the longest instrumentation time compared to the other techniques.

show abstract

Section: Discussionsupporting

confidence: 92%

Evaluating In Vitro Performance of a Novel Stainless Steel Rotary System (Gentlefile) Based on Debris Extrusion and Instrumentation Time

Nouroloyouni,

Safavi Hir,

Farhang

et al. 2023

BioMed Research International

View full text Add to dashboard Cite

show abstract

“…However, upon examining the literature, no study was found that compared the rotary file systems (TRN, PTUltimate, and VDW.R) used in this study together. In addition, studies involving root canal preparation with rotary files have reported that apical extrusion of debris cannot be prevented (16,18,23). The occurrence of debris extrusion in all samples of the three file systems tested in our study is in line with other studies.…”

Section: Discussionsupporting

confidence: 91%

“…The amount of debris extruded apically is influenced by many factors, such as the size, taper, design, crosssectional shape, and kinematics of the instrument used in chemomechanical preparation (23). Numerous studies exist regarding the apical extrusion of debris by rotary files used in chemomechanical preparation (16,18,23). However, upon examining the literature, no study was found that compared the rotary file systems (TRN, PTUltimate, and VDW.R) used in this study together.…”

Section: Discussionmentioning

confidence: 95%

“…The prevention of debris extrusion is crucial to reducing the incidence of this complication (22). The amount of debris extruded apically is influenced by many factors, such as the size, taper, design, crosssectional shape, and kinematics of the instrument used in chemomechanical preparation (23). Numerous studies exist regarding the apical extrusion of debris by rotary files used in chemomechanical preparation (16,18,23).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of ProTaper Ultimate, TruNatomy, and Rotate rotary files in apical debris extrusion

Eskibağlar,

Yeniçeri Özata,

Timis

2023

Int Dent Res

View full text Add to dashboard Cite

Aim: The aim of this study is to evaluate the amount of debris extruded apically by the primary shaping files of three rotary file systems manufactured with different alloy technologies [TruNatomy (TRN), ProTaper Ultimate (PTUltimate), and VDW.Rotate (VDW.R) files]. Methodology: Thirty lower premolar teeth with moderate curvature (10-20°) were randomly divided into three equal groups (n=10) according to three rotary file systems [TRN (26.04v), PTUltimate (25.08v), and VDW.R (25.06v)]. The debris extruded apically was collected in Eppendorf tubes of known weights. After preparation, the tubes were placed in an incubator at 70°C for five days to evaporate the distilled water. The tubes filled with debris were then weighed again, and the net weight of the extruded debris was calculated in grams (g) by subtracting the initial weight from the final weight. The data were analyzed using one-way ANOVA test. Results: There was no significant difference in the amount of debris extruded apically by the three shaping files (p > 0.05). The highest amount of debris extruded apically was 0.9534 g for PTUltimate. VDW.R extruded the minimum amount of debris apically, with 0.1833 g. Conclusion: All rotary files have caused apical debris extrusion. Even though there was no significant difference among the files, the VDW.R file extruded less debris compared to other file systems. How to cite this article: Eskibağlar M, Yeniçeri Özata M, Timis Ll. Comparison of ProTaper Ultimate, TruNatomy, and Rotate rotary files in apical debris extrusion. Int Dent Res 2023;13(S1):26-31. https://doi.org/10.5577/idr.2023.vol13.s1.4 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

show abstract

“…All instrumentation techniques result in debris extrusion (24,25), possibly one of the main causes of postoperative pain (26). TN has been reported to produce relatively small amounts of apically extruded debris (25,27), and recent systematic reviews showed that both UI and CH reduced postoperative pain (6, 7). However, the results of this study suggested that the intensity of post-instrumentation pain in the MP group did not differ from those of the CP group at any assessed time points.…”

Section: Discussionmentioning

confidence: 99%

Postoperative pain of minimally invasive root canal treatment:a randomized clinical trial

Kim,

Choi,

Kang

et al. 2024

Odontology

View full text Add to dashboard Cite

BackgroundThis randomized clinical trial compared postoperative pain between a minimally invasive (MP) and conventional root canal treatment protocol (CP). MethodsA total of 170 mature permanent teeth (either with vital or necrotic pulp), were randomly assigned into two groups. In the CP group, ProTaper Gold (Dentsply Sirona, Ballaigues, Switzerland) and a continuous wave of condensation technique were used, whereas, in the MP group, TruNatomy (Dentsply Sirona), ultrasonic-assisted irrigation (UI), calcium hydroxide (CH), and a sealer-based obturation technique were used. Patients recorded preoperative and postoperative pain using a 0-10 numerical rating scale (NRS) at 4 h, 1, 2, 3, 4, 5, 6, and 7 days after instrumentation and 1 day after canal obturation, respectively. ResultsThere were no signi cant differences in pain intensity at any time points assessed between the two groups (p > 0.05). The occurrence of moderate/intense pain after instrumentation was signi cantly associated with preoperative periapical index (PAI) (p = 0.017) and NRS scores (p< 0.001). Preoperative pulp status (p = 0.009) and NRS score (p = 0.006) were identi ed as signi cant factors in the occurrence of moderate/intense pain after obturation. ConclusionsInstrumentation unequivocally reduced pain severity for both groups. The post-endodontic pain associated with the use of MP, combined with UI, CH, and calcium-silicate cement, did not differ from that of CP. Preoperative pain score, PAI, and preoperative pulp status were determined to be prognostic factors for postoperative pain.

show abstract

Impacts of different Nickel–Titanium rotary and reciprocating root canal preparation systems on the amount of apically extruded debris

Cited by 5 publications

References 36 publications

Evaluating In Vitro Performance of a Novel Stainless Steel Rotary System (Gentlefile) Based on Debris Extrusion and Instrumentation Time

Evaluating In Vitro Performance of a Novel Stainless Steel Rotary System (Gentlefile) Based on Debris Extrusion and Instrumentation Time

Comparison of ProTaper Ultimate, TruNatomy, and Rotate rotary files in apical debris extrusion

Postoperative pain of minimally invasive root canal treatment:a randomized clinical trial

Contact Info

Product

Resources

About