Do Continuous Rotating Endodontic Instruments Extrude Fewer Apical Debris Than Reciprocating Instruments in Non-Surgical Endodontic Retreatments? A Systematic Review
Background: All endodontic treatment techniques are associated with the extrusion of debris into periradicular tissues through the apex. The extrusion of apical debris can lead to delayed healing or even therapy failure. It is possible to reduce the extrusion into periapical tissues through various...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-02-01
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| Series: | Applied Sciences |
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| Online Access: | https://www.mdpi.com/2076-3417/14/4/1621 |
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| author | Francesco Puleio Francesco Giordano Ugo Bellezza David Rizzo Valentina Coppini Roberto Lo Giudice |
| author_facet | Francesco Puleio Francesco Giordano Ugo Bellezza David Rizzo Valentina Coppini Roberto Lo Giudice |
| author_sort | Francesco Puleio |
| collection | DOAJ |
| description | Background: All endodontic treatment techniques are associated with the extrusion of debris into periradicular tissues through the apex. The extrusion of apical debris can lead to delayed healing or even therapy failure. It is possible to reduce the extrusion into periapical tissues through various approaches. The objective of this systematic review is to evaluate whether, in cases of non-surgical endodontic retreatment, reciprocating instruments cause greater extrusion of debris compared to instruments with continuous rotation. Methods: A search was conducted on PubMed, Ovid MEDLINE, and the Web of Science. The inclusion criterion was in vitro studies comparing apical extrusion in endodontically treated elements using continuously rotating and reciprocating files. Results: The search on scientific databases yielded 164 results, out of which only 16 were eligible for evaluation after screening. Conclusions: The authors of the research included in this review do not agree on the results obtained. Based on the articles analyzed in this systematic review, it remains unclear whether continuous rotation or reciprocating movement of the endodontic instrument can lead to significant differences in apical debris extrusion; it is not possible to provide a clear clinical recommendation regarding the choice of instrument movement for endodontic procedures. |
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| format | Article |
| id | doaj.art-919e551be1e64970aa3084e87e11c6d7 |
| institution | Directory Open Access Journal |
| issn | 2076-3417 |
| language | English |
| last_indexed | 2024-03-07T22:43:40Z |
| publishDate | 2024-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Applied Sciences |
| spelling | doaj.art-919e551be1e64970aa3084e87e11c6d72024-02-23T15:06:35ZengMDPI AGApplied Sciences2076-34172024-02-01144162110.3390/app14041621Do Continuous Rotating Endodontic Instruments Extrude Fewer Apical Debris Than Reciprocating Instruments in Non-Surgical Endodontic Retreatments? A Systematic ReviewFrancesco Puleio0Francesco Giordano1Ugo Bellezza2David Rizzo3Valentina Coppini4Roberto Lo Giudice5Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, 98100 Messina, ItalyDepartment of Medicine, Surgery and Dentistry “Schola Medica Salernitana”, University of Salerno, Baronissi, 84081 Salerno, ItalyDepartment of Dentistry, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, ItalyIndependent Researcher, 98124 Messina, ItalyPostgraduate School of Orthodontics, University of Ferrara, 44100 Ferrara, ItalyDepartment of Human Pathology of Adults and Developmental Age, Messina University, 98100 Messina, ItalyBackground: All endodontic treatment techniques are associated with the extrusion of debris into periradicular tissues through the apex. The extrusion of apical debris can lead to delayed healing or even therapy failure. It is possible to reduce the extrusion into periapical tissues through various approaches. The objective of this systematic review is to evaluate whether, in cases of non-surgical endodontic retreatment, reciprocating instruments cause greater extrusion of debris compared to instruments with continuous rotation. Methods: A search was conducted on PubMed, Ovid MEDLINE, and the Web of Science. The inclusion criterion was in vitro studies comparing apical extrusion in endodontically treated elements using continuously rotating and reciprocating files. Results: The search on scientific databases yielded 164 results, out of which only 16 were eligible for evaluation after screening. Conclusions: The authors of the research included in this review do not agree on the results obtained. Based on the articles analyzed in this systematic review, it remains unclear whether continuous rotation or reciprocating movement of the endodontic instrument can lead to significant differences in apical debris extrusion; it is not possible to provide a clear clinical recommendation regarding the choice of instrument movement for endodontic procedures.https://www.mdpi.com/2076-3417/14/4/1621non-surgical endodontic retreatmentroot canal preparationapical debris extrusionrotary file(s)reciprocating file(s)systematic review |
| spellingShingle | Francesco Puleio Francesco Giordano Ugo Bellezza David Rizzo Valentina Coppini Roberto Lo Giudice Do Continuous Rotating Endodontic Instruments Extrude Fewer Apical Debris Than Reciprocating Instruments in Non-Surgical Endodontic Retreatments? A Systematic Review Applied Sciences non-surgical endodontic retreatment root canal preparation apical debris extrusion rotary file(s) reciprocating file(s) systematic review |
| title | Do Continuous Rotating Endodontic Instruments Extrude Fewer Apical Debris Than Reciprocating Instruments in Non-Surgical Endodontic Retreatments? A Systematic Review |
| title_full | Do Continuous Rotating Endodontic Instruments Extrude Fewer Apical Debris Than Reciprocating Instruments in Non-Surgical Endodontic Retreatments? A Systematic Review |
| title_fullStr | Do Continuous Rotating Endodontic Instruments Extrude Fewer Apical Debris Than Reciprocating Instruments in Non-Surgical Endodontic Retreatments? A Systematic Review |
| title_full_unstemmed | Do Continuous Rotating Endodontic Instruments Extrude Fewer Apical Debris Than Reciprocating Instruments in Non-Surgical Endodontic Retreatments? A Systematic Review |
| title_short | Do Continuous Rotating Endodontic Instruments Extrude Fewer Apical Debris Than Reciprocating Instruments in Non-Surgical Endodontic Retreatments? A Systematic Review |
| title_sort | do continuous rotating endodontic instruments extrude fewer apical debris than reciprocating instruments in non surgical endodontic retreatments a systematic review |
| topic | non-surgical endodontic retreatment root canal preparation apical debris extrusion rotary file(s) reciprocating file(s) systematic review |
| url | https://www.mdpi.com/2076-3417/14/4/1621 |
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