Efficiency of ProTaper Universal Retreatment, Reciproc Blue and XP-endo Shaper in the removal of a bioceramic-based root canal filling
Year 2023,
Volume: 57 Issue: 3, 159 - 164, 28.09.2023
Elif Çiftçioğlu
,
Rezan Sungur Güzel
,
Gözde Akbal Dinçer
,
Güneş Karakaya
,
Enver Sedat Küçükay
Abstract
Purpose: This in vitro study aimed to assess the performance of ProTaper Universal Retreatment (PTUR), Reciproc Blue (RB), and XP-endo Shaper (XPS) system in the removal of bioceramic root canal filling.
Materials and Methods: Forty-five human single-rooted mandibular premolars were prepared up to 30/.04 and filled with Endosequence BC sealer and BC points before being assigned into three groups (n=15). The root canal fillings were removed until reaching predetermined working length (WL) with PTUR in group 1, RB in group 2, and XPS in group 3. During the removal of the filling material, apically extruded debris was collected in preweighed Eppendorf tubes, and operation time was recorded with a digital chronometer. Reaching the WL and maintaining apical patency were evaluated separately. The data were statistically analyzed using Kruskal Wallis and Mann Whitney U tests.
Results: The mean amount of extruded debris was highest in the PTUR group, although all instruments caused apical extrusion of debris. The mean time for reaching WL was longest for RB and shortest for XPS, with significant differences among the groups (p<0.05). Although the difference was not significant (p=0.799), in the PTUR group the WL was reached in 93.3% of the samples, which was higher than other groups (86.7%).
Conclusion: All tested systems caused a certain amount of debris extrusion. XPS was associated with less extrusion while regaining more rapid access to the periapical area than PTUR and RB.
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Year 2023,
Volume: 57 Issue: 3, 159 - 164, 28.09.2023
Elif Çiftçioğlu
,
Rezan Sungur Güzel
,
Gözde Akbal Dinçer
,
Güneş Karakaya
,
Enver Sedat Küçükay
References
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- Stabholz A, Friedman S. Endodontic retreatment—case selection and technique. Part 2: treatment planning for retreatment. J Endod 1988;14:607-14. google scholar
- Huang X, Ling J, Wei X, Gu L. Quantitative evaluation of debris extruded apically by using ProTaper Universal Tulsa rotary system in endodontic retreatment. J Endod 2007;33:1102-5. google scholar
- Siqueira Jr JF, Röças IN, Favieri A, Machado AG, Gahyva SM, Oliveira JC, et al. Incidence of postoperative pain after intracanal procedures based on an antimicrobial strategy. J Endod 2002;28:457-60. google scholar
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- Hülsmann M, Bluhm V. Efficacy, cleaning ability and safety of different rotary NiTi instruments in root canal retreatment. Int Endod J 2004;37:468-76. google scholar
- Schirrmeister JF, Wrbas K-T, Meyer KM, Altenburger MJ, Hellwig E. Efficacy of different rotary instruments for gutta-percha removal in root canal retreatment. J Endod 2006;32:469-72. google scholar
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- AlOmari T, Al-Fodeh R, Mustafa 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 2021:6697587. google scholar
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- Silva EJNL, Sa L, Belladonna FG, Neves AA, Accorsi-Mendonça T, Vieira VT, et al. Reciprocating versus rotary systems for root filling removal: assessment of the apically extruded material. J Endod 2014;40:2077-80. google scholar
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- Silva EJNL, Vieira VTL, Belladonna FG, de Siqueira Zuolo A, dos Santos Antunes H, Cavalcante DM, et al. Cyclic and torsional fatigue resistance of XP-endo Shaper and TRUShape instruments. J Endod 2018;44:168-72. google scholar
- Azim AA, Wang HH, Tarrosh M, Azim KA, Piasecki L. Comparison between single-file rotary systems: Part 1—Efficiency, effectiveness, and adverse effects in endodontic retreatment. J Endod 2018;44:1720-4. google scholar
- Oltra E, Cox TC, LaCourse MR, Johnson JD, Paranjpe A. Retreatability of two endodontic sealers, EndoSequence BC Sealer and AH Plus: a micro-computed tomographic comparison. Restor Dent Endod 2017;42:19-26. google scholar
- Madhuri GV, Varri S, Bolla N, Mandava P, Akkala LS, Shaik J. Comparison of bond strength of different endodontic sealers to root dentin: An in vitro push-out test. J Conserv Dent 2016;19:461. google scholar
- Najafzadeh R, Fazlyab M, Esnaashari E. Comparison of bioceramic and epoxy resin sealers in terms of marginal adaptation and tubular penetration depth with different obturation techniques in premolar teeth: A scanning electron microscope and confocal laser scanning microscopy study. J Family Med Prim Care 2022; 11:1794-7. google scholar
- Schneider SW. A comparison of canal preparations in straight and curved root canals. Oral Surg Oral Med Oral Pathol Oral Radiol 1971;32:271-5. google scholar
- Myers GL, Montgomery S. A comparison of weights of debris extruded apically by conventional filing and Canal Master techniques. J Endod 1991;17:275-9. google scholar
- Kaşıkçı Bilgi I, Köseler İ, Güneri P, Hülsmann M, Çalışkan M. Efficiency and apical extrusion of debris: a comparative ex vivo study of four retreatment techniques in severely curved root canals. Int Endod J 2017;50:910-8. google scholar
- Borges ÂH, Pereira TM, Porto AN, de Araujo Estrela CR, Pedro FLM, Aranha AMF, et al. The influence of cervical preflaring on the amount of apically extruded debris after root canal preparation using different instrumentation systems. J Endod 2016;42:465-9. google scholar
- Dincer A, Er O, Canakci B. Evaluation of apically extruded debris during root canal retreatment with several NiTi systems. Int Endod J 2015;48:1194-8. google scholar
- 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;44:856-9. google scholar
- Azim AA, Piasecki L, da Silva Neto UX, Cruz ATG, Azim KA. XP Shaper, a novel adaptive core rotary instrument: micro-computed tomographic analysis of its shaping abilities. J Endod 2017;43:1532-8. google scholar
- Hess D, Solomon E, Spears R, He J. Retreatability of a bioceramic root canal sealing material. J Endod 2011;37:1547-9. google scholar
- Arias A, Azabal M, Hidalgo JJ, Jose C. Relationship between postendodontic pain, tooth diagnostic factors, and apical patency. J Endod 2009;35:189-92. google scholar
- Özyürek T, Demiryürek EÖ. Efficacy of different nickel-titanium instruments in removing gutta-percha during root canal retreatment. J Endod 2016;42:646-9. google scholar
- Alves FR, Paiva PL, Marceliano-Alves MF, Cabreira LJ, Lima KC, Siqueira Jr JF, et al. Bacteria and hard tissue debris extrusion and intracanal bacterial reduction promoted by XP-endo Shaper and Reciproc instruments. J Endod 2018;44:1173-8. google scholar
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- Tanalp J, Güngör T. Apical extrusion of debris: a literature review of an inherent occurrence during root canal treatment. Int Endod J 2014;47:211-21. google scholar
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