Comparative Evaluation of Extrusion of Apical Debris and Irrigant using Three Different Rotary Systems with Conventional Irrigation Methods - An In vitro Study

Author:

Hora Baljeet Singh1,Singh Kundan Kumar2,Pawar Madhura3,Kumar Amit4,Arya Ashtha5,Oak Anjali6

Affiliation:

1. Department of Conservative and Endodontics, Rama Dental College, Kanpur, Uttar Pradesh, India

2. Department of Conservative Dentistry and Endodontics, Vananchal Dental College and Hospital, Garhwa, Jharkhand, India

3. Department of Pediatric and Preventive Dentistry, Dr. D Y Patil Dental College and Hospital, Dr. D Y Patil Vidyapeeth, Pune, Maharashtra, India

4. Department of Dentistry (Conservative Dentistry and Endodontics), All India Institute of Medical Sciences, Patna, Bihar, India

5. Department of Conservative Dentistry and Endodontics, SGT Dental College, Hospital and Research Institute, SGT University, Gurugram, Haryana, India

6. Department of Conservative Dentistry and Endodontics, College of Dental Science and Research Center, Ahmedabad, Gujarat, India

Abstract

ABSTRACT Aim: The present study aimed to compare and evaluate debris and irrigant extrusion from curved root canals using different rotary systems. Materials and Methods: 30 single-rooted mandibular canines were used in this study. The crown was decoronated, working length and initial apical diameter were established. A 1.5% agar gel model was used in this study. Samples were assigned randomly into 3 groups (n = 10 teeth per group). Protaper Next, OneShape, and Hanudent files were used according to the manufacturers’ instructions for canal instrumentation. Apically extruded debris and irrigant was were computed by deducting the initial weight of the test apparatus without a tooth from its weight after the biomechanical preparation. Comparative analysis of the amount of apically extruded debris and irrigant for each of the instruments and the experimental models was performed. Results: The statistically significant difference was found between the three experimental groups. (P < .05). Among all the groups least extrusion was observed in the Protaper Next group when used in combination with conventional irrigation. Conclusion: All the instruments produced apically extruded debris and irrigant, but the maximum was seen with OneShape among the experimental groups.

Publisher

Medknow

Subject

General Pharmacology, Toxicology and Pharmaceutics,General Biochemistry, Genetics and Molecular Biology,Bioengineering,General Pharmacology, Toxicology and Pharmaceutics,General Biochemistry, Genetics and Molecular Biology,Bioengineering

Reference8 articles.

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2. Effect of irrigation on the production of extruded material at the root apex during instrumentation;Vande Visse;J Endod,1975

3. Flare-ups in endodontics:I. Etiological factors;Seltzer;J Endod,1985

4. Apical extrusion of intracanal debris and irrigant following use of various instrumentation techniques;Kuştarci;Oral Surg Oral Med Oral Pathol Oral Radiol Endod,2008

5. Apical extrusion of intracanal bacteria following use of various instrumentation techniques;Kuştarci;Int Endod J,2008

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