EVALUATION OF APICAL DEBRIS EXTRUSION OF THREE NI-TI ROTARY FILE SYSTEMS: AN IN VITRO STUDY
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Keywords
Ni-Ti rotary file system, Apical debris extrusion
Abstract
Background: The advent of nickel-titanium (Ni-Ti) instruments has revolutionized root canal treatment, offering enhanced flexibility and strength. Despite these advantages, there remains a risk of instrument fracture and debris extrusion, which can compromise treatment outcomes.
Objective: To evaluate and compare the amount of apically extruded debris among Protaper Next, XP-3D EndoShaper, and WaveOne file systems.
Study Design: Experimental study: Quasi-randomized controlled trial.
Setting: Department of Operative Dentistry, University of Lahore. Department of Operative Dentistry, Dental College HITEC-IMS, Taxila. Department of Operative Dentistry, Islamabad Medical and Dental College, Islamabad
Study Duration: Eight months following synopsis approval.
Materials and Methods: Sample Size: 60 samples (20 in each group). Groups:
- Group A: Protaper Next
- Group B: XP-3D EndoShaper
- Group C: WaveOne Ni-Ti rotary file system
Procedure: Samples were assessed for apical debris extrusion. Data were analyzed using SPSS version 23 with Paired sample T-test and ANOVA. A p-value of ≤0.05 was considered significant.
Results: XP-3D EndoShaper demonstrated significantly lower debris extrusion (0.0028±0.002SD) compared to Protaper next (0.007945±0.0001SD) and WaveOne (0.0048±0.0008SD) (P=0.000).
Conclusion: All Ni-Ti rotary systems evaluated were safe for use, but the XP-3D EndoShaper exhibited the lowest level of debris extrusion, suggesting its superior performance in minimizing post-operative complications.
References
2. Zanza A, D’Angelo M, Reda R, Gambarini G, Testarelli L, Di Nardo D. An update on nickel-titanium rotary instruments in endodontics: mechanical characteristics, testing and future perspective—an overview. Bioengineering. 2021;8(12):218.
3. Harrington GW, Natkin E. Midtreatment flare-ups. Dent Clin North Am. 1992;36(2):409–23.
4. Estrela C, Holland R, Estrela CR de A, Alencar AHG, Sousa-Neto MD, Pécora JD. Characterization of successful root canal treatment. Braz Dent J. 2014;25(1):3–11.
5. Kaushal D, Reddy SG, Biswas KP, Dixit A, Chowdhry R, Chug A. Apical extrusion of debris with root canal instrumentation in primary teeth: A systematic review. J Indian Soc Pedod Prev Dent. 2022;40(1):9–18.
6. Barnes JJ, Blum IR. Contemporary cleaning of the root canal system. Prim Dent J. 2020;9(4):24–30.
7. Pansheriya E, Goel M, Gupta KD, Ahuja R, Kaur RD, Garg V. Comparative Evaluation of Apical Transportation and Canal Centric Ability in Apical Region of Newer nickel-titanium File Systems Using cone-beam computed tomography on Extracted Molars: An: In Vitro: Study. Contemp Clin Dent. 2018;9(Suppl 2):S215–20.
8. Myers GL, Montgomery S. A comparison of weights of debris extruded apically by conventional filing and Canal Master techniques. J Endod. 1991;17(6):275–9.
9. Saberi AE, Ebrahimipour S, Saberi M. Apical debris extrusion with conventional rotary and reciprocating instruments. Iran Endod J. 2020;15(1):38.
10. Çırakoglu NY, Özbay Y. Apically extruded debris associated with ProTaper Next, ProTaper Gold and TruNatomy systems: An in vitro study. J Dent Res Dent Clin Dent Prospects. 2021;15(1):30.
11. Eliasz W, Czarnecka B, Surdacka A. Apical Extrusion of Debris during Root Canal Preparation with ProTaper Next, WaveOne Gold and Twisted Files. Materials 2021, 14, 6254. s Note: MDPI stays neutral with regard to jurisdictional claims in published …; 2021.
12. Koçak MM, Çiçek E, Koçak S, Sağlam BC, Furuncuoğlu F. Comparison of ProTaper Next and HyFlex instruments on apical debris extrusion in curved canals. Int Endod J. 2016;49(10):996–1000.
13. Rajnekar R, Mankar N. Comparative Evaluation of Apical Debris Extrusion during Root Canal Preparation using Three Different Rotary File Systems: A Study Protocol. J Pharm Res Int. 2021;33(60B):3863–8.
14. Alrahhal M, Tunç F. Comparison of four different file systems in terms of transportation in S-shaped canals and apically extruded debris. J Oral Sci. 2024;15–24.
15. AlOmari T, Mustafa R, Al-Fodeh R, El-Farraj H, Khaled W, Jamleh A. Debris extrusion using Reciproc Blue and XP Endo Shaper systems in root canal retreatment. Int J Dent. 2021;2021(1):6697587.
16. Simdar N, Bashardoust N, Jahangir M. Comparison of the cleaning efficacy of XP-endo shaper and Mtwo rotary files in oval-shaped canals. Dent Res J (Isfahan). 2021;18.
17. Alfadley A, Alrajhi A, Alissa H, Alzeghaibi F, Hamadah L, Alfouzan K, et al. Shaping ability of XP endo shaper file in curved root canal models. Int J Dent. 2020;2020(1):4687045.
18. Gummadi A, Panchajanya S, Ashwathnarayana S, Santhosh L, Jaykumar T, Shetty A. Apical extrusion of debris following the use of single-file rotary/reciprocating systems, combined with syringe or ultrasonically-facilitated canal irrigation. J Conserv Dent. 2019;22(4):351–5.
19. Uzun I, Güler B, Özyürek T, Tunc T. Apical extrusion of debris using reciprocating files and rotary instrumentation systems. Niger J Clin Pract. 2016;19(1):71–5.
20. Uslu G, Özyürek T, Yılmaz K, Gündoğar M, Plotino G. Apically extruded debris during root canal instrumentation with Reciproc Blue, HyFlex EDM, and XP-endo Shaper nickel-titanium files. J Endod. 2018;44(5):856–9.
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Amna Riaz
Assistant Professor, FCPS Operative Dentistry and Endodontics, Dental College Hitec-IMS, Taxila, Pakistan
Kiran Saba
Assistant Professor, FCPS Operative Dentistry and Endodontics, IMDC, Bara Kahu, Pakistan
Ayousha Iqbal
Assistant Professor, M. Phil Dental Materials, HBS Medical and Dental College, Islamabad,Pakistan
Sana Jalil Hassan
Assistant Professor, FCPS Operative Dentistry and Endodontics, Margalla Institute of Health Sciences, Rawalpindi, Pakistan
Beenish Qureshi
Professor, FCPS Operative Dentistry and Endodontics, Dental College Hitec-IMS, Taxila, Pakistan
Hufsa Siddiqui
Demonstrator, Paediatric Dentistry, Dental College Hitec-IMS, Taxila, Pakistan