Evaluation of apically extruded debris during removal of gutta-percha and ResilonTM using different instrumentation techniques

Background/Aim. Apical extrusion of material is considered as one of the very important factor for endodontic treatment success. Microorganisms, necrotic tissue, filling material and irrigants, which can be extruded apically during endodontic retreatment, may jeopardize the success of the therapy. T...

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Main Authors: Pešić Dragana, Melih Irena, Kolak Veljko, Nikitović Ana, Jakovljević Ankica
Format: Article
Language:English
Published: Military Health Department, Ministry of Defance, Serbia 2018-01-01
Series:Vojnosanitetski Pregled
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0042-8450/2018/0042-84501600321P.pdf
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author Pešić Dragana
Melih Irena
Kolak Veljko
Nikitović Ana
Jakovljević Ankica
author_facet Pešić Dragana
Melih Irena
Kolak Veljko
Nikitović Ana
Jakovljević Ankica
author_sort Pešić Dragana
collection DOAJ
description Background/Aim. Apical extrusion of material is considered as one of the very important factor for endodontic treatment success. Microorganisms, necrotic tissue, filling material and irrigants, which can be extruded apically during endodontic retreatment, may jeopardize the success of the therapy. The aim of this in vitro study was to quantitatively evaluate the amount of apically extruded debris during endodontic retreatment of teeth obturated with two different materials, using one hand and three rotary instrumentation techniques. Methods. Ninety-six extracted single-rooted teeth were endodontically treated and enlarged to size 40 using BioRaCe system, and then randomly divided into 8 groups of 12 specimens each. Half of the specimens were obturated with gutta-percha and AH Plus® sealer and another half with RealSeal SE system, using lateral condensation technique. Retreatment was performed using: Hedström files; ProFile rotary files; ProTaper Retreatment system and D-RaCe system. Apically extruded debris was collected in pre-weighed Eppendorf tubes and evaluated using an electronic microbalance. Data were analyzed statistically using t-test and analysis of variance. Results. In the AH Plus/gutta-percha group, all tested rotary instruments gave significantly less extruded debris compared with Hedström files (p < 0.05). In theRealSeal group, there was significant difference between DRaCe and Hedström instruments (p < 0.05). Conclusion. All retreatment techniques resulted in apical extrusion. DRaCe system produced significantly less extruded debris compared to hand files. No significant difference was found when comparing two instruments specially designed for retreatment: D-RaCe and ProTaper systems.
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spelling doaj.art-f184a025e65a48f988dd271d466352b82022-12-22T02:02:55ZengMilitary Health Department, Ministry of Defance, SerbiaVojnosanitetski Pregled0042-84502406-07202018-01-01751566110.2298/VSP160226321P0042-84501600321PEvaluation of apically extruded debris during removal of gutta-percha and ResilonTM using different instrumentation techniquesPešić Dragana0Melih Irena1Kolak Veljko2Nikitović Ana3Jakovljević Ankica4University Business Academy in Novi Sad, Faculty of Dentistry, PančevoUniversity Business Academy in Novi Sad, Faculty of Dentistry, PančevoUniversity Business Academy in Novi Sad, Faculty of Dentistry, PančevoUniversity Business Academy in Novi Sad, Faculty of Dentistry, PančevoUniversity Business Academy in Novi Sad, Faculty of Dentistry, PančevoBackground/Aim. Apical extrusion of material is considered as one of the very important factor for endodontic treatment success. Microorganisms, necrotic tissue, filling material and irrigants, which can be extruded apically during endodontic retreatment, may jeopardize the success of the therapy. The aim of this in vitro study was to quantitatively evaluate the amount of apically extruded debris during endodontic retreatment of teeth obturated with two different materials, using one hand and three rotary instrumentation techniques. Methods. Ninety-six extracted single-rooted teeth were endodontically treated and enlarged to size 40 using BioRaCe system, and then randomly divided into 8 groups of 12 specimens each. Half of the specimens were obturated with gutta-percha and AH Plus® sealer and another half with RealSeal SE system, using lateral condensation technique. Retreatment was performed using: Hedström files; ProFile rotary files; ProTaper Retreatment system and D-RaCe system. Apically extruded debris was collected in pre-weighed Eppendorf tubes and evaluated using an electronic microbalance. Data were analyzed statistically using t-test and analysis of variance. Results. In the AH Plus/gutta-percha group, all tested rotary instruments gave significantly less extruded debris compared with Hedström files (p < 0.05). In theRealSeal group, there was significant difference between DRaCe and Hedström instruments (p < 0.05). Conclusion. All retreatment techniques resulted in apical extrusion. DRaCe system produced significantly less extruded debris compared to hand files. No significant difference was found when comparing two instruments specially designed for retreatment: D-RaCe and ProTaper systems.http://www.doiserbia.nb.rs/img/doi/0042-8450/2018/0042-84501600321P.pdfroot canal filling materialsgutta-perchapit and fissure sealantdental instrumentsmethods
spellingShingle Pešić Dragana
Melih Irena
Kolak Veljko
Nikitović Ana
Jakovljević Ankica
Evaluation of apically extruded debris during removal of gutta-percha and ResilonTM using different instrumentation techniques
Vojnosanitetski Pregled
root canal filling materials
gutta-percha
pit and fissure sealant
dental instruments
methods
title Evaluation of apically extruded debris during removal of gutta-percha and ResilonTM using different instrumentation techniques
title_full Evaluation of apically extruded debris during removal of gutta-percha and ResilonTM using different instrumentation techniques
title_fullStr Evaluation of apically extruded debris during removal of gutta-percha and ResilonTM using different instrumentation techniques
title_full_unstemmed Evaluation of apically extruded debris during removal of gutta-percha and ResilonTM using different instrumentation techniques
title_short Evaluation of apically extruded debris during removal of gutta-percha and ResilonTM using different instrumentation techniques
title_sort evaluation of apically extruded debris during removal of gutta percha and resilontm using different instrumentation techniques
topic root canal filling materials
gutta-percha
pit and fissure sealant
dental instruments
methods
url http://www.doiserbia.nb.rs/img/doi/0042-8450/2018/0042-84501600321P.pdf
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