BibTex RIS Cite

Comparison of protaper and mtwo retreatment systems for working time in the removal of resin-based root canal obturation materials during retreatment

Year 2013, Volume: 3 Issue: 1, 41 - 47, 30.01.2014

Abstract

Objective: The aim of this study is to evaluate the working time of ProTaper and Mtwo retreatment systems for removal of three different resin-based filling materials during simulated retreatment. 

Methods: 160 extracted maxillary anterior teeth were enlarged using two different rotary systems; ProTaper and Mtwo. The teeth were randomly divided into 8 groups of 20 specimens each. Six groups were filled with 3 different resin-based obturation materials, two groups were filled with an eugenol-based paste as control groups. In groups instrumented by ProTaper files, ProTaper Retreatment files, in groups instrumented by Mtwo files, Mtwo retreatment files were used for removal of root canal fillings. Time for reaching the working length (T1), time for re-preparation (T2) and total time for retreatment (Tt) were measured with a chronometer. 

Results: Retreatment working time was evaluated for the systems used for preparation of the root canals. There was statistically significant differences between the ProTaper and Mtwo groups. T1, T2 and Tt were significantly higer in Mtwo groups when compared to ProTaper groups. There was statistically significant differences between the groups according to the obturation techniques. Teeth obturated with gutta-percha and AH Plus have shorter working time when compared to all the other obturation techniques. 

Conclusions: T1,T2 and Tt of the teeth instrumentated with Mtwo were higher than the teeth instrumentated with ProTaper irrespective of the root filling material used. According to the results of our research, ProTaper Retreatment files were faster in removing root filling material from the root canal than Mtwo Retreatment files.


Key words: ProTaper, Mtwo, resilon, epiphany, retreatment time

References

  • Schilder H. Cleaning and shaping the root canal system. Dent Clin North Am. 1974; 18(2): 269-96
  • Stabholz A, Friedman S. Endodontic Retreatment-Case Selection and Technique. Part 2. Treatment Planning for Retreatment. J Endodon. 1988; 14: 607-614.
  • Imura N, Kato AS, Hata GI, Uemura M, Toda T, Weine F. A comparison of the relative efficacies of four hand and rotary instrumentation techniques during endodontic retreatment. Int Endod J. 2000; 33(4):361-366.
  • Schirrmeister JF, Wrbas KT, Schneider FH, Altenburger MJ, Hellwig E. Effectiveness of a hand file and three nickel-titanium rotary instruments for removing gutta-percha in curved root canals during retreatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endo. 2006; 101(4):542-547.
  • Barnett F, Trope M. Resilon: A novel material to replace gutta percha. Compend. Contin. Educ. Dent. (Suppl). 2004; 1: 16-19.
  • Resende LM, Rached-Junior FJA, Versiani MA, Souzagabriel AE, Miranda CES, Silva-Sousa YTC, Souza Neto MD. A comparative study of physicochemical properties of AH Plus, Epiphany and Epiphany SE root canal selaers. Int Endod J. 2009; 42: 785-793.
  • Takahashi CM, Cunha RS, de Martin AS, Fontana CE, Silveira CF, da Silveira Bueno CE. In vitro evaluation of the effectiveness of ProTaper universal rotary retreatment system for gutta-percha removal with or without a solvent. J Endod. 2009 ; 35(11):1580-1583.
  • Özçopur B, Arı H, Güneş B. Kök kanal tedavisinin yenilenmesinde dört tekniğin etkinliğinin karşılaştırılması. SÜ Dişhek Fak Derg. 2009; 18: 122-1
  • Pirani C, Pelliccioni GA, Marchionni S, Montebugnoli L, Piana G, Prati C. Effectiveness of three different retreatment techniques in canals filled with compacted gutta-percha or Thermafil: a scanning electron microscope study. J Endod. 2009; 35(10):1433-1440.
  • Betti LV, Bramante CM, de Moraes IG, Bernardineli N, Garcia RB. Efficacy of Profile .04 taper series 29 in removing filling materials during root canal retreatment--an in vitro study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 108(6):e46-50.
  • Sağsen B, Üstün Y, Er Ö. Iki farklı kök kanal dolgu materyalinde üç farklı Ni-Ti döner sistem ve el eğesi kullanılarak yapılan retreatment işleminin etkinliğinin değerlendirilmisi. Türkiye Klinikleri J Dental Sci. 2009; 15(2): 73-80.
  • Ünal GC, Kaya BU, Taç AG, Keçeci AD. A comparison of the efficacy of conventional and new retreatment instruments to remove guttapercha in curved root canals: an ex vivo study. Int Endod J. 2009; 42(4):344-350.
  • Paik S, Sechrist C, Torabinejad M. Levels of evidence for the outcome of endodontic retreatment. J Endod. 2004; 30(11):745-750.
  • Barrieshi-Nusair KM. Gutta-percha retreatment: Effectiveness of nickel titanium rotary instruments versus stainless steel hand files. J Endod. 2002; 28: 454-456.
  • Hashem AAR, Ghoneim AG, Lufty RA, Fouda MY. The effect of different irrigating solutions on bond strength of two root canal filling systems. J. Endod. 2009; 35: 537-540.
  • Nagaş E, Altundaşar E, Serper A. The effect of master point taper on bond strength and apical sealing ability of different root canal sealers. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod, 2009; 107: e61-e64.
  • Fransen JN, He J, Glickman GN, Rios A, Shulman JD, Honeyman A. Comparative assessment of ActiV GP/glass ionomer sealer, Resilon/ Epiphany, and gutta-percha/AH Plus obturation: A bacterial leakage study. J. Endo. 2008; 34: 725-772.
  • Babb BR, Loushine RJ, Bryan TE, Ames JM, Causey MS, Kim J, Kim YK, Weller RN, Pahley DH, Tay FR. Bonding of self-adhesive (self-etching) root canal sealers to radicular dentin. J. Endod. 2009; 35: 578-582.
  • Donadio M, Jiang J, He J, Wang Y. Cytotoxicity evaluation of Activ GP and Resilon sealers in vitro. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 2009; 107: e74-e78.
  • Donadio M, Jiang J, Safavi KE, Zhu Q. Cytotoxicity evaluation of Activ GP and Resilon cones in vitro. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 2008; 107: e76-e79.
  • Slutzky-Goldberg I, Slutzky H, Solomonov M, Moshonov J, Weiss E, Matalon S. Antibacterial properties of four endodontic sealers. J. Endod. 2008; 34: 735-738.
  • Teixeria FB, Teixeria EC, Thompson J, Leinfelder KF, Trope M. Dentinal bonding reaches the root canal system. J Esthet Restor Dent. 2004; 16: 348-354.
  • Üngör M, Onay EO, Oruçoğlu H. Push-out bond strengths: the Epiphany-Resilon endodontic obturation system compared with different pairings of Epiphany, Resilon, AH Plus and gutta-percha. Int Endod J. 2006; 39: 643-647.
  • De-Deus G, Di Giorki K, Fidel S, Fidel RA, Paciornick S. Push-out bond strength of Resilon/Epiphany and Resilon/Epiphany self-etch to root dentin. J Endod. 2010; 35: 1048-1050.
  • Betti LV, Bramante CM. Quantec SC rotary instruments versus hand files for gutta-percha removal in root canal retreatment. Int Endod J. 2001; 34(7):514-519.
  • Bharathi G, Chacko Y, Lakshminarayanan L. An in-vitro analysis of gutta-percha removal using three different techniques. Endodontology. 2002; 14: 41-45.
  • Bramante CM, Betti LV. Efficacy of Quantec rotary instruments for gutta-percha removal. Int Endod J. 2000; 33(5):463-467.
  • Royzenblat A, Goodell GG. Comparison of removal times of Thermafil plastic obturators using ProFile rotary instruments at different rotational speeds in moderately curved canals. J Endod. 2007; 33(3):256-258.
  • Sae-Lim V, Rajamanickam I, Lim BK, Lee HL. Effectiveness of ProFile .04 taper rotary instruments in endodontic retreatment. J Endod. 2000; 26(2):100-104.
  • Somma F, Cammarota G, Plotino G, Grande NM, Pameijer CH. The effectiveness of manual and mechanical instrumentation for the retreatment of three different root canal filling materials. J Endod. 2008; 34(4):466-469.
  • Cunha RS, De Martin AS, Barros PP, da Silva FM, de Castilho Jacinto R, da Silveira Bueno CE. In vitro evaluation of the cleansing working time and analysis of the amount of gutta-percha or Resilon remnants in the root canal walls after instrumentation for endodontic retreatment. J Endod. 2007; 33(12):1426-1428.

Protaper ve Mtwo retreatment sistemlerinin rezin esaslı kök kanal dolgu materyallerinin retreatment süreleri yönünden karşılaştırmalı olarak incelenmesi

Year 2013, Volume: 3 Issue: 1, 41 - 47, 30.01.2014

Abstract

Amaç: Bu çalışmada retreatment amacıyla kullanılan Ni-Ti esaslı döner sistemlerin (ProTaper Retreatment, Mtwo R) kök kanallarından rezin esaslı kanal dolgu materyallerinin sökülme sürelerinde bir etkisinin olup olmayacağının incelenmesi amaçlanmıştır. 

Yöntem: Çalışmamızda 160 adet çekilmiş maksiller anterior diş kullanılmıştır. Bu dişler ProTaper ve Mtwo döner sistemleri ile genişletilmiştir. Daha sonra dişler rastgele sekiz gruba ayrılmıştır (n=20). Grup 1 ve 5 Resilon-Epiphany kök kanal dolum sistemi, Grup 2 ve 6 güta-perka ve Epiphany, Grup 3 ve 7 güta-perka ve AH Plus, Grup 4 ve 8 ise, kontrol grubu olarak, güta-perka ve öjenol esaslı kanal dolgu patı Pulp Canal Sealer ile dolduruldu. ProTaper ile genişletilen dişlerin kök kanal sökümleri ProTaper Retreatment eğeleri, Mtwo ile genişletilen dişlerin sökümleri ise Mtwo Retreatment eğeleri ile yapıldı. Çalışma boyuna ulaşmak için geçen süre (T1), tekrar şekillendirme için geçen süre (T2) ve retreatment için geçen toplam süre (Tt) kronometre ile ölçüldü.

Bulgular: Retreatment çalışma süreleri, kök kanallarının başlangıç şekillendirmesinde kullanılan iki döner sisteme göre değerlendirildi. T1 süreleri arasında istatistiksel olarak anlamlı farklılık bulunmaktadır. Mtwo kullanılan dişlerde T1, T2 ve Tt süreleri, ProTaper kullanılan dişlerden anlamlı şekilde uzundur. Dolum şekline göre T1, T2 ve Tt süreleri arasında istatistiksel olarak anlamlı farklılık bulunmaktadır. Dolum şekli Güta-perka+AH Plus olan dişlerin çalışma süreleri, diğer tekniklerle doldurulan dişlerden anlamlı düzeyde kısadır. Mtwo ile şekillendirilen dişlerin T1, T2 ve Tt süreleri, dolum ve retreatment tekniklerinden bağımsız olarak, ProTaper ile şekillendirilen dişlerden uzun bulundu.

Sonuç: Araştırmamızın sonuçlarına göre, ProTaper Retreatment eğelerinin Mtwo Retreatment eğelerine kıyasla, kanal dolum materyallerini kök kanallarından daha çabuk uzaklaştırdıkları sonucuna varılmıştır.


Anahtar Kelimeler : ProTaper, Mtwo, rezin, epiphany, retreatment zamanı

References

  • Schilder H. Cleaning and shaping the root canal system. Dent Clin North Am. 1974; 18(2): 269-96
  • Stabholz A, Friedman S. Endodontic Retreatment-Case Selection and Technique. Part 2. Treatment Planning for Retreatment. J Endodon. 1988; 14: 607-614.
  • Imura N, Kato AS, Hata GI, Uemura M, Toda T, Weine F. A comparison of the relative efficacies of four hand and rotary instrumentation techniques during endodontic retreatment. Int Endod J. 2000; 33(4):361-366.
  • Schirrmeister JF, Wrbas KT, Schneider FH, Altenburger MJ, Hellwig E. Effectiveness of a hand file and three nickel-titanium rotary instruments for removing gutta-percha in curved root canals during retreatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endo. 2006; 101(4):542-547.
  • Barnett F, Trope M. Resilon: A novel material to replace gutta percha. Compend. Contin. Educ. Dent. (Suppl). 2004; 1: 16-19.
  • Resende LM, Rached-Junior FJA, Versiani MA, Souzagabriel AE, Miranda CES, Silva-Sousa YTC, Souza Neto MD. A comparative study of physicochemical properties of AH Plus, Epiphany and Epiphany SE root canal selaers. Int Endod J. 2009; 42: 785-793.
  • Takahashi CM, Cunha RS, de Martin AS, Fontana CE, Silveira CF, da Silveira Bueno CE. In vitro evaluation of the effectiveness of ProTaper universal rotary retreatment system for gutta-percha removal with or without a solvent. J Endod. 2009 ; 35(11):1580-1583.
  • Özçopur B, Arı H, Güneş B. Kök kanal tedavisinin yenilenmesinde dört tekniğin etkinliğinin karşılaştırılması. SÜ Dişhek Fak Derg. 2009; 18: 122-1
  • Pirani C, Pelliccioni GA, Marchionni S, Montebugnoli L, Piana G, Prati C. Effectiveness of three different retreatment techniques in canals filled with compacted gutta-percha or Thermafil: a scanning electron microscope study. J Endod. 2009; 35(10):1433-1440.
  • Betti LV, Bramante CM, de Moraes IG, Bernardineli N, Garcia RB. Efficacy of Profile .04 taper series 29 in removing filling materials during root canal retreatment--an in vitro study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 108(6):e46-50.
  • Sağsen B, Üstün Y, Er Ö. Iki farklı kök kanal dolgu materyalinde üç farklı Ni-Ti döner sistem ve el eğesi kullanılarak yapılan retreatment işleminin etkinliğinin değerlendirilmisi. Türkiye Klinikleri J Dental Sci. 2009; 15(2): 73-80.
  • Ünal GC, Kaya BU, Taç AG, Keçeci AD. A comparison of the efficacy of conventional and new retreatment instruments to remove guttapercha in curved root canals: an ex vivo study. Int Endod J. 2009; 42(4):344-350.
  • Paik S, Sechrist C, Torabinejad M. Levels of evidence for the outcome of endodontic retreatment. J Endod. 2004; 30(11):745-750.
  • Barrieshi-Nusair KM. Gutta-percha retreatment: Effectiveness of nickel titanium rotary instruments versus stainless steel hand files. J Endod. 2002; 28: 454-456.
  • Hashem AAR, Ghoneim AG, Lufty RA, Fouda MY. The effect of different irrigating solutions on bond strength of two root canal filling systems. J. Endod. 2009; 35: 537-540.
  • Nagaş E, Altundaşar E, Serper A. The effect of master point taper on bond strength and apical sealing ability of different root canal sealers. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod, 2009; 107: e61-e64.
  • Fransen JN, He J, Glickman GN, Rios A, Shulman JD, Honeyman A. Comparative assessment of ActiV GP/glass ionomer sealer, Resilon/ Epiphany, and gutta-percha/AH Plus obturation: A bacterial leakage study. J. Endo. 2008; 34: 725-772.
  • Babb BR, Loushine RJ, Bryan TE, Ames JM, Causey MS, Kim J, Kim YK, Weller RN, Pahley DH, Tay FR. Bonding of self-adhesive (self-etching) root canal sealers to radicular dentin. J. Endod. 2009; 35: 578-582.
  • Donadio M, Jiang J, He J, Wang Y. Cytotoxicity evaluation of Activ GP and Resilon sealers in vitro. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 2009; 107: e74-e78.
  • Donadio M, Jiang J, Safavi KE, Zhu Q. Cytotoxicity evaluation of Activ GP and Resilon cones in vitro. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 2008; 107: e76-e79.
  • Slutzky-Goldberg I, Slutzky H, Solomonov M, Moshonov J, Weiss E, Matalon S. Antibacterial properties of four endodontic sealers. J. Endod. 2008; 34: 735-738.
  • Teixeria FB, Teixeria EC, Thompson J, Leinfelder KF, Trope M. Dentinal bonding reaches the root canal system. J Esthet Restor Dent. 2004; 16: 348-354.
  • Üngör M, Onay EO, Oruçoğlu H. Push-out bond strengths: the Epiphany-Resilon endodontic obturation system compared with different pairings of Epiphany, Resilon, AH Plus and gutta-percha. Int Endod J. 2006; 39: 643-647.
  • De-Deus G, Di Giorki K, Fidel S, Fidel RA, Paciornick S. Push-out bond strength of Resilon/Epiphany and Resilon/Epiphany self-etch to root dentin. J Endod. 2010; 35: 1048-1050.
  • Betti LV, Bramante CM. Quantec SC rotary instruments versus hand files for gutta-percha removal in root canal retreatment. Int Endod J. 2001; 34(7):514-519.
  • Bharathi G, Chacko Y, Lakshminarayanan L. An in-vitro analysis of gutta-percha removal using three different techniques. Endodontology. 2002; 14: 41-45.
  • Bramante CM, Betti LV. Efficacy of Quantec rotary instruments for gutta-percha removal. Int Endod J. 2000; 33(5):463-467.
  • Royzenblat A, Goodell GG. Comparison of removal times of Thermafil plastic obturators using ProFile rotary instruments at different rotational speeds in moderately curved canals. J Endod. 2007; 33(3):256-258.
  • Sae-Lim V, Rajamanickam I, Lim BK, Lee HL. Effectiveness of ProFile .04 taper rotary instruments in endodontic retreatment. J Endod. 2000; 26(2):100-104.
  • Somma F, Cammarota G, Plotino G, Grande NM, Pameijer CH. The effectiveness of manual and mechanical instrumentation for the retreatment of three different root canal filling materials. J Endod. 2008; 34(4):466-469.
  • Cunha RS, De Martin AS, Barros PP, da Silva FM, de Castilho Jacinto R, da Silveira Bueno CE. In vitro evaluation of the cleansing working time and analysis of the amount of gutta-percha or Resilon remnants in the root canal walls after instrumentation for endodontic retreatment. J Endod. 2007; 33(12):1426-1428.
There are 31 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Emre İriboz

Hesna Sazak Öveçoğlu This is me

Publication Date January 30, 2014
Submission Date January 30, 2014
Published in Issue Year 2013 Volume: 3 Issue: 1

Cite

APA İriboz, E., & Sazak Öveçoğlu, H. (2014). Protaper ve Mtwo retreatment sistemlerinin rezin esaslı kök kanal dolgu materyallerinin retreatment süreleri yönünden karşılaştırmalı olarak incelenmesi. Clinical and Experimental Health Sciences, 3(1), 41-47. https://doi.org/10.5455/musbed.20130227094833
AMA İriboz E, Sazak Öveçoğlu H. Protaper ve Mtwo retreatment sistemlerinin rezin esaslı kök kanal dolgu materyallerinin retreatment süreleri yönünden karşılaştırmalı olarak incelenmesi. Clinical and Experimental Health Sciences. February 2014;3(1):41-47. doi:10.5455/musbed.20130227094833
Chicago İriboz, Emre, and Hesna Sazak Öveçoğlu. “Protaper Ve Mtwo Retreatment Sistemlerinin Rezin Esaslı kök Kanal Dolgu Materyallerinin Retreatment süreleri yönünden karşılaştırmalı Olarak Incelenmesi”. Clinical and Experimental Health Sciences 3, no. 1 (February 2014): 41-47. https://doi.org/10.5455/musbed.20130227094833.
EndNote İriboz E, Sazak Öveçoğlu H (February 1, 2014) Protaper ve Mtwo retreatment sistemlerinin rezin esaslı kök kanal dolgu materyallerinin retreatment süreleri yönünden karşılaştırmalı olarak incelenmesi. Clinical and Experimental Health Sciences 3 1 41–47.
IEEE E. İriboz and H. Sazak Öveçoğlu, “Protaper ve Mtwo retreatment sistemlerinin rezin esaslı kök kanal dolgu materyallerinin retreatment süreleri yönünden karşılaştırmalı olarak incelenmesi”, Clinical and Experimental Health Sciences, vol. 3, no. 1, pp. 41–47, 2014, doi: 10.5455/musbed.20130227094833.
ISNAD İriboz, Emre - Sazak Öveçoğlu, Hesna. “Protaper Ve Mtwo Retreatment Sistemlerinin Rezin Esaslı kök Kanal Dolgu Materyallerinin Retreatment süreleri yönünden karşılaştırmalı Olarak Incelenmesi”. Clinical and Experimental Health Sciences 3/1 (February 2014), 41-47. https://doi.org/10.5455/musbed.20130227094833.
JAMA İriboz E, Sazak Öveçoğlu H. Protaper ve Mtwo retreatment sistemlerinin rezin esaslı kök kanal dolgu materyallerinin retreatment süreleri yönünden karşılaştırmalı olarak incelenmesi. Clinical and Experimental Health Sciences. 2014;3:41–47.
MLA İriboz, Emre and Hesna Sazak Öveçoğlu. “Protaper Ve Mtwo Retreatment Sistemlerinin Rezin Esaslı kök Kanal Dolgu Materyallerinin Retreatment süreleri yönünden karşılaştırmalı Olarak Incelenmesi”. Clinical and Experimental Health Sciences, vol. 3, no. 1, 2014, pp. 41-47, doi:10.5455/musbed.20130227094833.
Vancouver İriboz E, Sazak Öveçoğlu H. Protaper ve Mtwo retreatment sistemlerinin rezin esaslı kök kanal dolgu materyallerinin retreatment süreleri yönünden karşılaştırmalı olarak incelenmesi. Clinical and Experimental Health Sciences. 2014;3(1):41-7.

14639   14640