Restorative Dentistry and Endodontics

The Korean Academy of Conservative Dentistry (대한치과보존학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of the endodontic access cavity on apical debris extrusion during root canal preparation using different single-file systems

  • Tufenkci, Pelin (Department of Endodontics, Faculty of Dentistry, Hatay Mustafa Kemal University) ;
  • Yilmaz, Koray (Department of Endodontics, Faculty of Dentistry, Hatay Mustafa Kemal University) ;
  • Adiguzel, Mehmet (Department of Endodontics, Faculty of Dentistry, Hatay Mustafa Kemal University)
  • Received : 2019.10.01
  • Accepted : 2020.01.08
  • Published : 2020.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study was conducted to evaluate the effects of traditional and contracted endodontic cavity (TEC and CEC) preparation with the use of Reciproc Blue (RPC B) and One Curve (OC) single-file systems on the amount of apical debris extrusion in mandibular first molar root canals. Materials and Methods: Eighty extracted mandibular first molar teeth were randomly assigned to 4 groups (n = 20) according to the endodontic access cavity shape and the single file system used for root canal preparation (reciprocating motion with the RCP B and rotary motion with the OC): TEC-RPC B, TEC-OC, CEC-RPC B, and CEC-OC. The apically extruded debris during preparation was collected in Eppendorf tubes. The amount of extruded debris was quantified by subtracting the weight of the empty tubes from the weight of the Eppendorf tubes containing the debris. Data were analyzed using 1-way analysis of variance with the Tukey post hoc test. The level of significance was set at p < 0.05. Results: The CEC-RPC B group showed more apical debris extrusion than the TEC-OC and CEC-OC groups (p < 0.05). There were no statistically significant differences in the amount of apical debris extrusion among the TEC-OC, CEC-OC, and TEC-RPC B groups. Conclusions: RPC B caused more apical debris extrusion in the CEC groups than did the OC single-file system. Therefore, it is suggested that the RPC B file should be used carefully in teeth with a CEC.

Keywords

References

  1. Seltzer S, Naidorf IJ. Flare-ups in endodontics: I. Etiological factors. J Endod 1985;11:472-478. https://doi.org/10.1016/S0099-2399(85)80220-X
  2. 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;28:457-460. https://doi.org/10.1097/00004770-200206000-00010
  3. Tinaz AC, Alacam T, Uzun O, Maden M, Kayaoglu G. The effect of disruption of apical constriction on periapical extrusion. J Endod 2005;31:533-535. https://doi.org/10.1097/01.don.0000152294.35507.35
  4. Tanalp J, Kaptan F, Sert S, Kayahan B, Bayirl G. Quantitative evaluation of the amount of apically extruded debris using 3 different rotary instrumentation systems. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101:250-257. https://doi.org/10.1016/j.tripleo.2005.03.002
  5. Patel S, Rhodes J. A practical guide to endodontic access cavity preparation in molar teeth. Br Dent J 2007;203:133-140. https://doi.org/10.1038/bdj.2007.682
  6. Christie WH, Thompson GK. The importance of endodontic access in locating maxillary and mandibular molar canals. J Can Dent Assoc 1994;60:527-532.
  7. Clark D, Khademi J. Modern endodontic access and dentin conservation, part 1. Dent Today 2009;28:86-90.
  8. Clark D, Khademi J. Modern molar endodontic access and directed dentin conservation. Dent Clin North Am 2010;54:249-273. https://doi.org/10.1016/j.cden.2010.01.001
  9. Clark D, Khademi JA. Case studies in modern molar endodontic access and directed dentin conservation. Dent Clin North Am 2010;54:275-289. https://doi.org/10.1016/j.cden.2010.01.003
  10. Zelic K, Vukicevic A, Jovicic G, Aleksandrovic S, Filipovic N, Djuric M. Mechanical weakening of devitalized teeth: three-dimensional Finite Element Analysis and prediction of tooth fracture. Int Endod J 2015;48:850-863. https://doi.org/10.1111/iej.12381
  11. 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. https://doi.org/10.1016/j.joen.2016.10.039
  12. Gundogar M, Ozyurek T. Cyclic fatigue resistance of OneShape, HyFlex EDM, WaveOne Gold, and Reciproc Blue nickel-titanium instruments. J Endod 2017;43:1192-1196. https://doi.org/10.1016/j.joen.2017.03.009
  13. 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;39:1278-1280. https://doi.org/10.1016/j.joen.2013.06.013
  14. 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;46:1125-1130. https://doi.org/10.1111/iej.12104
  15. Schneider SW. A comparison of canal preparations in straight and curved root canals. Oral Surg Oral Med Oral Pathol 1971;32:271-275. https://doi.org/10.1016/0030-4220(71)90230-1
  16. Schafer E, Diez C, Hoppe W, Tepel J. Roentgenographic investigation of frequency and degree of canal curvatures in human permanent teeth. J Endod 2002;28:211-216. https://doi.org/10.1097/00004770-200203000-00017
  17. Ingle JI. Endodontic cavity preparation. In: Ingle J, Tamber J, editors. Endodontics, 3rd ed. Philadelphia, PA: Lea & Febiger; 1985. p102-67.
  18. Krishan R, Paque F, Ossareh A, Kishen A, Dao T, Friedman S. Impacts of conservative endodontic cavity on root canal instrumentation efficacy and resistance to fracture assessed in incisors, premolars, and molars. J Endod 2014;40:1160-1166. https://doi.org/10.1016/j.joen.2013.12.012
  19. 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. https://doi.org/10.1111/iej.12161
  20. Ruiz-Hubard EE, Gutmann JL, Wagner MJ. A quantitative assessment of canal debris forced periapically during root canal instrumentation using two different techniques. J Endod 1987;13:554-558. https://doi.org/10.1016/S0099-2399(87)80004-3
  21. 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. https://doi.org/10.1111/iej.12137
  22. 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. https://doi.org/10.1111/iej.12369
  23. Boveda C, Kishen A. Contracted endodontic cavities: the foundation for less invasive alternatives in the management of apical periodontitis. Endod Topics 2015;33:169-186. https://doi.org/10.1111/etp.12088
  24. Wilcox LR, Walton RE, Case WB. Molar access: shape and outline according to orifice locations. J Endod 1989;15:315-318. https://doi.org/10.1016/S0099-2399(89)80054-8
  25. Rover G, Belladonna FG, Bortoluzzi EA, De-Deus G, Silva EJNL, Teixeira CS. Influence of access cavity design on root canal detection, instrumentation efficacy, and fracture resistance assessed in maxillary molars. J Endod 2017;43:1657-1662. https://doi.org/10.1016/j.joen.2017.05.006
  26. Topcuoglu HS, Ustun Y, Akpek F, Akti A, Topcuoglu G. Effect of coronal flaring on apical extrusion of debris during root canal instrumentation using single-file systems. Int Endod J 2016;49:884-889. https://doi.org/10.1111/iej.12520
  27. 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. https://doi.org/10.1007/s00784-014-1267-5
  28. Marchesan MA, Lloyd A, Clement DJ, McFarland JD, Friedman S. Impacts of contracted endodontic cavities on primary root canal curvature parameters in mandibular molars. J Endod 2018;44:1558-1562. https://doi.org/10.1016/j.joen.2018.07.008
  29. Zhao D, Shen Y, Peng B, Haapasalo M. Root canal preparation of mandibular molars with 3 nickel-titanium rotary instruments: a micro-computed tomographic study. J Endod 2014;40:1860-1864. https://doi.org/10.1016/j.joen.2014.06.023
  30. 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 2007;33:1102-1105. https://doi.org/10.1016/j.joen.2007.05.019
  31. Hulsmann M, Hahn W. Complications during root canal irrigation--literature review and case reports. Int Endod J 2000;33:186-193. https://doi.org/10.1046/j.1365-2591.2000.00303.x

Cited by

  1. Apical debris extrusion of single-file systems in curved canals vol.33, pp.3, 2021, https://doi.org/10.4103/endo.endo_105_21
  2. Extrusion of debris with and without intentional foraminal enlargement - A systematic review and meta‐analysis vol.47, pp.3, 2020, https://doi.org/10.1111/aej.12539