Influence of Clinical Operative Technique on Debris Extrusion of Two Reciprocating Files

Ayfer Atav  Ates; Burçin  Arıcan; Luca  Testarelli; Gianluca  Gambarini; Alessio  Zanza; Marco  Seracchiani

Authors

Ayfer Atav Ates
Burçin Arıcan
Luca Testarelli
Gianluca Gambarini
Alessio Zanza
Marco Seracchiani

Keywords:

Endodontics, Root Canal Therapy, Root Canal Preparation

Abstract

Objective: To compare the influence of different clinical operative motions (pecking motion vs. MIMERACI) on apical debris extrusion using WaveOne Gold and EdgeOne Fire reciprocating files in the mesiobuccal canal of extracted molars. Material and Methods: Sixty mandibular molar teeth with curvature less than 20° were divided into 4 groups (n=15 each): G1A: WOG pecking Group; G1B: WOG MIMERACI Group; G2A: EOF pecking Group; and G2B: EOF MIMERACI Group. The produced debris was collected in the preweighed Eppendorf tubes and following the shaping procedures; they dried in the incubator for 5 days at 70^o C. The tubes were weighed again, and the final extruded debris was measured by subtracting the pre-instrumentation from post-instrumentation weight of tubes. The canal preparation time was calculated with a digital chronometer. The obtained data were analyzed using two-way ANOVA at a 0.05 level of significance. Results: MIMERACI method significantly decreased the amount of debris pushed out in both instruments (p<0.05). Neither instruments nor clinical motions created a statistical difference regarding the required time (p>0.05). Conclusion: All tested instruments pushed debris out apically at some level, but MIMERACI operative technique was associated with significantly less apical debris extrusion.

References

Betti L, Bramante C. Quantec SC rotary instruments versus hand files for gutta-percha removal in root canal retreatment. Int Endod Journal 2001; 34(7):514-9. https://doi.org/10.1046/j.1365-2591.2001.00424.x

Bürklein S, Schäfer E. Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. J Endod 2012; 38(6):850-2. https://doi.org/10.1016/j.joen.2012.02.017

Ruiz-Hubard EE, Gutmann JL, Wagner MJ. A quantitative assessment of canal debris forced periapically during root canal instrumentation using two different techniques. J Endod 1987; 13(12):554-8. https://doi.org/10.1016/S0099-2399(87)80004-3

Seltzer S, Naidorf IJ. Flare-ups in endodontics: I. Etiological factors. J Endod 1985; 11(11):472-8. https://doi.org/10.1016/S0099-2399(85)80220-X

Arslan H, Khalilov R, Doğanay E, Karatas E. The effect of various kinematics on postoperative pain after instrumentation: a prospective, randomized clinical study. J Appl Oral Sci 2016; 24(5):503-8. https://doi.org/10.1590/1678-775720160136

Borges ÁH, Pereira TM, Porto AN, de Araújo Estrela CR, Miranda Pedro FL, 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(3):465-9. https://doi.org/10.1016/j.joen.2015.10.010

Dentsply. Wave One Gold Brochure. 2015. Available from: https://www.dentsplysirona.com/content/dam/dentsply/pim/en_GB/Endodontics/Obturation/Paper_Points/WaveOne_Gold_Absorbent_Points/WaveOne%20GOLD%20Brochure%202015.pdf. [Accessed on March 18, 2020].

EdgeEndo, Edge One Fire Product Catalogue. 2019. Available from: https://www.edgeendo.com/wp-content/uploads/2019/01/Product-Catalog-January-2019.pdf. [Accessed on July 27, 2020].

Gambarini G, Galli M, Di Nardo D, Seracchiani M, Donfrancesco O, Testarelli L. Differences in cyclic fatigue lifespan between two different heat treated NiTi endodontic rotary instruments: WaveOne Gold vs EdgeOne Fire. J Clin Exp Dent 2019; 11(7):e609-e613. https://doi.org/10.4317/jced.55839

Gambarini G, Di Nardo D, Miccoli G, Guerra F, Di Giorgio R, Di Giorgio G, et al. The Influence of a new clinical motion for endodontic instruments on the incidence of postoperative pain. Clin Ter 2017; 168(1):e23-e27. https://doi.org/10.7417/CT.2017.1977

Alves FR, Paiva PL, Marceliano-Alves MF, Cabreira LJ, Lima KC, Siqueira JF Jr, et al. Bacteria and hard tissue debris extrusion and intracanal bacterial reduction promoted by XP-endo Shaper and Reciproc instruments. J Endod 2018; 44(7):1173-8. https://doi.org/10.1016/j.joen.2018.04.007

Frota MMA, Bernardes RA, Vivan RR, Vivacqua-Gomes N, Duarte MAH, Vasconcelos BC. Debris extrusion and foraminal deformation produced by reciprocating instruments made of thermally treated NiTi wires. J Appl Oral Sci 2018; 26:e20170215. https://doi.org/10.1590/1678-7757-2017-0215.

Topçuoğlu G, Topçuoğlu HS, Akpek F. Evaluation of apically extruded debris during root canal preparation in primary molar teeth using three different rotary systems and hand files. Int J Paediatr Dent 2016; 26(5):357-63. https://doi.org/10.1111/ipd.12208

Miller PD Jr. A classification of marginal tissue recession. Int J Perio Rest Dent 1985; 5(2):9-13.

Schneider SW. A comparison of canal preparations in straight and curved root canals. Oral Surg Oral Med Oral Pathol Oral Radiol 1971; 32(2):271-5. https://doi.org/10.1016/0030-4220(71)90230-1

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. https://doi.org/10.1016/S0099-2399(06)81866-2

Koçak S, Koçak MM, Sağlam BC, Türker SA, Sağsen B, Er Ö. Apical extrusion of debris using self-adjusting file, reciprocating single-file, and 2 rotary instrumentation systems. J Endod 2013; 39(10):1278-80. https://doi.org/10.1016/j.joen.2013.06.013

Bürklein S, Benten S, Schäfer E. Quantitative evaluation of apically extruded debris with different single-file systems: Reciproc, F360 and OneShape versus Mtwo. Int Endod J 2014; 47(5):405-9. https://doi.org/10.1111/iej.12161

Topçuoğlu HS, Zan R, Akpek F, Topçuoğlu G, Ulusan Ö, Aktı A, et al. Apically extruded debris during root canal preparation using Vortex Blue, K3 XF, ProTaper Next and Reciproc instruments. Int Endod J 2016; 49(12):1183-7. https://doi.org/10.1111/iej.12572

Boijink D, Costa DD, Hoppe CB, Kopper PMP, Grecca FS. Apically extruded debris in curved root canals using the WaveOne Gold reciprocating and Twisted File Adaptive systems. J Endod 2018; 44(8):1289-92. https://doi.org/10.1016/j.joen.2018.04.011

Silva EJ, Sá 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(12):2077-80. https://doi.org/10.1016/j.joen.2014.09.009

Caviedes-Bucheli J, Azuero-Holguin MM, Gutierrez-Sanchez L, Higuerey-Bermudez F, Pereira-Nava V, Lombana N, et al. The effect of three different rotary instrumentation systems on substance P and calcitonin gene-related peptide expression in human periodontal ligament. J Endod 2010; 36(12):1938-42. https://doi.org/10.1016/j.joen.2010.08.043

Caviedes-Bucheli J, Castellanos F, Vasquez N, Ulate E, Munoz HR. The influence of two reciprocating single-file and two rotary-file systems on the apical extrusion of debris and its biological relationship with symptomatic apical periodontitis. A systematic review and meta-analysis. Int Endod J 2016; 49(3):255-70. https://doi.org/10.1111/iej.12452

Koçak MM, Çiçek E, Koçak S, Sağlam BC, Yılmaz N. Apical extrusion of debris using ProTaper Universal and ProTaper Next rotary systems. Int Endod J 2015; 48(3):283-6. https://doi.org/10.1111/iej.12313

Sen OG, Bilgin B, Koçak S, Sağlam BC, Koçak MM. Evaluation of Apically Extruded Debris Using Continuous Rotation, Reciprocation, or Adaptive Motion. Braz Dent J 2018; 29(3):245-248. https://doi.org/10.1590/0103-6440201801967

Karataslioglu E, Arslan H, Er G, Avci E. Influence of canal curvature on the amount of apically extruded debris determined by using three-dimensional determination method. Aust Endod J 2019; 45(2):216-24. https://doi.org/10.1111/aej.12311

Altundasar E, Nagas E, Uyanik O, Serper A. Debris and irrigant extrusion potential of 2 rotary systems and irrigation needles. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011; 112(4):e31-e35. https://doi.org/10.1016/j.tripleo.2011.03.044

Tanalp J, Güngör T. Apical extrusion of debris: a literature review of an inherent occurrence during root canal treatment. Int Endod J 2014; 47(3):211-21. https://doi.org/10.1111/iej.12137

De-Deus GA, Nogueira Leal Silva EJ, Moreira EJ, de Almeida Neves A, Belladonna FG, Tameirão M. Assessment of apically extruded debris produced by the self-adjusting file system. J Endod 2014; 40(4):526-9. https://doi.org/10.1016/j.joen.2013.07.031

Mohorn HW, Dowson J, Blankenship JR. Odontic periapical pressure following vital pulp extirpation. Oral Surg Oral Med Oral Pathol 1971; 31(4):536-44. https://doi.org/10.1016/0030-4220(71)90350-1

Fairbourn DR, McWalter GM, Montgomery S. The effect of four preparation techniques on the amount of apically extruded debris. J Endod 1987; 13(3):102-8. https://doi.org/10.1016/S0099-2399(87)80174-7

Di Nardo D, Seracchiani M, Mazzoni A, Del Giudice A, Gambarini G, Testarelli L. Torque range, a new parameter to evaluate new and used instrument safety. Appl Sci 2020; 10(10):3418. https://doi.org/10.3390/app10103418

Gambarini G, Miccoli G, D'Angelo M, Seracchiani M, Obino FV, Reda R, et al. The relevance of operative torque and torsional resistance of nickel-titanium rotary instruments: A preliminary clinical investigation. Saudi Endod J 2020; 10(3):260-4. https://doi.org/10.4103/sej.sej_157_19