scholarly journals Apical Extrusion of Debris During Root Canal Preparation With Different Brands of ProTaper System

2021 ◽  
Vol 6 (4) ◽  
pp. 18-22
Author(s):  
H Shahraki ebrahimi ◽  
A Motameni Tabatabaie ◽  
S Bakhshi Moqaddam Firouz Abad ◽  
Y Fereydonnia ◽  
◽  
...  
2017 ◽  
Vol 74 (3) ◽  
pp. 221
Author(s):  
Odilma Mariana Gonçalves Furtado ◽  
Caroline Felipe Magalhães Girelli ◽  
Viviane Ferreira Guimarães Xavier ◽  
Mariane Floriano Lopes Santos Lacerda ◽  
Renato Girelli Coelho ◽  
...  

Objective: the purpose of this literature review was to evaluate apical debris extrusion after root canal preparation with Protaper Universal and Protaper Next Rotary systems. Material and Methods: the question that supported the collection of scientific evidence for the present study was: Which rotary system presents the best performance regarding the apical extrusion of debris: Protaper Universal or Protaper Next? From the online search databases, a bibliographic research was carried out covering original research studies, using as descriptors: Apical extrusion debris, Protaper Universal and Protaper Next. Articles had to meet the following inclusion criteria: should have been published in the English language from 2014 to 2017 and should compare both mentioned rotary files systems regarding apical extrusion of debris in the same study. Ninety-six articles were found after research and six were included for this integrative review. Results: six studies remained included after the inclusion criteria analysis. Of these, 50% were published in 2016, 16.6% in 2015 and and 33% in 2014. Weight establishment of the extruded material was the methodology used in all studies to evaluate the performance of the files By analyzing the amount of apically extruded material, it was found that the Protaper Universal system extruded more quantity than the Protaper Next system. Conclusion: it was concluded that, although there is no system capable of performing the instrumentation without promoting apical extrusion, the Protaper Next rotary files system presented better performance when compared to the Protaper Universal files system, regarding the apical debris extrusion.


2019 ◽  
Vol 3 (12) ◽  
pp. 139-143
Author(s):  
Hanumanthu Kumari ◽  
S Datta Prasad ◽  
C Sunil kumar ◽  
N Vamsee Krishna ◽  
S Sunil kumar ◽  
...  

Materials ◽  
2021 ◽  
Vol 14 (21) ◽  
pp. 6254
Author(s):  
Wojciech Eliasz ◽  
Beata Czarnecka ◽  
Anna Surdacka

(1) Background: Apical extrusion of debris is an example of a complication that may arise during root canal treatment, and it has been proven to be an unavoidable occurrence during endodontic treatment by numerous authors. Even though it may not hinder the long-term outcome of treatment, it may lead directly to increased levels of postoperative pain and, therefore, lower levels of patient acceptance and satisfaction. The aim of the study was to assess the weight of apically extruded debris during root canal preparation with instruments that use different movement kinematics (rotary, reciprocating, and adaptive motion); (2) Methods: The study was performed using the Myers and Montgomery model. Sixty human premolar teeth were inserted into preweighed Eppendorf tubes and randomly classified into three groups. After manual glide-path preparation, teeth in each group were instrumented to working length set 1 mm short of the anatomical apex using the standard sequence provided by the manufacturers (for Group 1: ProTaper Next X1 & X2; for Group 2: WaveOne Gold Primary, for Group 3: Twisted Files SM1-SM3). Root canals were irrigated with 1 mL of 0.9% NaCl solution between each file insertion. The tubes with collected debris were stored in an incubator at 70 °C for 5 days in order to evaporate the liquid component. Measurement of the weight of extruded debris was performed by subtracting the preinstrumentation from the postinstrumentation weight of the tubes. The results were analyzed with Kruskal–Wallis ANOVA, with significance level set at 0.05; (3) Results: The weight of extruded debris was 0.337 mg (SD = 0.148) for Group 1, 0.305 mg (SD = 0.201) for Group 2, and 0.348 mg (SD = 0.135) for Group 3. (4) Conclusions: Engine-driven root canal preparation with the use of instruments ProTaper Next, WaveOne Gold and Twisted Files that use different movement kinematics (rotary, reciprocating, and adaptive motion) was associated with apical extrusion of debris to a similar extent.


2011 ◽  
Vol 5 (3) ◽  
pp. 168-172 ◽  
Author(s):  
Ajay Chhabra ◽  
Tanvir S. Teja ◽  
Varun Jindal ◽  
Meenu G. Singla ◽  
Karan Warring

ABSTRACT The most important objective of successful root canal treatment is thorough biomechanical preparation of root canal. Elimination of infected pulp and dentine, adequate root canal preparation and three dimensional obturation constitute the basic principle of root canal treatment. Ideally, the filling material along with sealer should be confined to the root canal without extending to periapical tissue or other neighboring structures. Endodontic filling material and sealer, beyond the apical foramen may give rise to clinical manifestations as a result of the toxicity of the product. When the extruded material is either close to or in intimate contact with nerve structures, anesthesia, hypoaesthia, paraesthasia, or dysaesthesia may occur. The purpose of this paper is to discuss few cases of apical extrusion of sealer during obturation and its effects on periapical tissue and the success of treatment.


2020 ◽  
Vol 6 (2) ◽  
pp. 16-21
Author(s):  
Mohd Salman Akhtar ◽  
Ankit Agarwal ◽  
Mohammed Ayaz Malick ◽  
Sheeba Khan ◽  
Sachin Yadav ◽  
...  

Introduction: The key step during the root canal treatment is the biomechanical preparation of the infected root canals. This preparation may result in pushing the apical debris through the apical foramen into the periapical space leading to initiation of immunological response by the host leading to postoperative pain and discomfort. Therefore the aim of the study was to compare the apical debris extrusion during root canal preparation using Hand k file, Revo S, Protaper Next and Wave One file system.    Materials and Method: Sixty extracted human mandibular premolars with single canal were selected and randomly divided into four groups (n = 15) for instrumentation with four different files. Group 1: Hand k file, Group 2: Revo S file, Group 3: ProTaper Next, and Group 4: WaveOne single reciprocating file. Debris extruding during instrumentation were collected into pre-weighed Eppendorf tubes. These tubes were then stored in an incubator at 70°C for 5 days and were then weighed to obtain the final weight, with the extruded debris. Weight of extruded debris was calculated by subtracting the initial weight from the final weight. Statistical analysis was performed using one-way analysis of variance and post hoc Tukey’s test. Result: For intergroup comparison, significant differences were found for the debris extruded. Instrumentation with hand K files resulted in significantly more debris extrusion apically as compared to other three NiTi groups. Maximum debris extrusion was seen by Hand K file, followed by group 2(Revo S), then group 4(Wave One) and least by group 3(Protaper Next). However, there was no significant difference in debris extrusion amongst groups prepared with either NiTi rotary or reciprocating file systems. Conclusion: The Pro Taper Next resulted in least debris extrusion when compared to Hand k file, reciprocating Wave One and rotary Revo S. However there was not a significant difference between all the NiTi rotary and reciprocating file system. Keywords: Apical extrusion debris; Hand k file, instrumentation; ProTaper Next, RevoS and WaveOne.


2021 ◽  
Vol 15 (1) ◽  
pp. 30-34
Author(s):  
Neslihan Yılmaz Çırakoglu ◽  
Yağız Özbay

Background. This research aimed to investigate and compare the amount of apically extruded debris after root canal preparation using ProTaper Next, ProTaper Gold, and TruNatomy systems. Methods. Forty-five extracted mandibular premolar teeth with single canals with similar lengths were used. The root canals were prepared using ProTaper Next (Dentsply Maillefer, Ballaigues, Switzerland), ProTaper Gold (Dentsply Maillefer, Ballaigues, Switzerland), or TruNatomy (Dentsply Maillefer, Ballaigues, Switzerland) files. Apically extruded debris during preparation was gathered into preweighed Eppendorf tubes. Then the Eppendorf tubes were incubated at 70°C for five days. The Eppendorf tubes were weighed again to determine their final weight plus the extruded debris. Results. The TRN system resulted in significantly less debris extrusion than the PTN system (P<0.05). There was no significant difference between the PTN and PTG groups and between the PTG and TRN groups (P>0.05). Conclusion. All the instrumentation systems caused apical extrusion of debris. However, the TRN system resulted in significantly less debris extrusion than the other systems.


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