Comparative Evaluation of Apically Extruded Debris During Root Canal Preparation Using ProTaper™, Hyflex™ and Waveone™ Rotary Systems

Overview

Journal J Conserv Dent

Specialty Dentistry

Date 2014 Apr 30

PMID 24778507

Citations 20

Authors

Jayaprada Reddy Surakanti

Ravi Chandra Polavarapu Venkata

Hari Kumar Vemisetty

Ram Kiran Dandolu

Nagendra Krishna Muppalla Jaya

Shirisha Thota

Affiliations

Soon will be listed here.

Abstract

Background And Aims: Extrusion of any debris during endodontic treatment may potentially cause post-operative complications such as flare-ups. The purpose of this in vitro study was to assess the amount of apically extruded debris during the root canal preparation using rotary and reciprocating nickel-titanium instrumentation systems.

Materials And Methods: In this study, 60 human mandibular first premolars were randomly assigned to 3 groups (n = 20 teeth/group). The root canals were instrumented according to the manufacturers' instructions using the Reciprocating single-file system WaveOne™ (Dentsply Maillefer, Ballaigues, Switzerland) and full-sequence rotary Hyflex CM™ (Coltene Whaledent, Allstetten, Switzerland) and ProTaper™ (Dentsply Maillefer, Ballaigues, Switzerland) instruments. The canals were then irrigated using bidistilled water. The debris that was extruded apically was collected in preweighed eppendorf tubes and assessed with an electronic balance and compared.

Statistical Analysis Used: The debris extrusion was compared and statistically analyzed using analysis of variance and the post hoc Student-Newman-Keuls test.

Results: The WaveOne™ and ProTaper™ rotary instruments produced significantly more debris compared with Hyflex CM™ rotary instruments (P < 0.05).

Conclusions: Under the conditions of this study, all systems that were used resulted in extrusion of apical debris. Full-sequence rotary instrumentation was associated with less debris extrusion compared with the use of reciprocating single-file systems.

Citing Articles

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Metkari S, Sachdev S, Patil P, Ramugade M, Sapkale K, Banga K Cureus. 2025; 17(1):e77975.

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Evaluation of the Efficacy of Neo-endo, Hyflex Re-treatment File Systems and H-Files for Removing Gutta-Percha From Root Canal Treated Tooth by Using Stereomicroscope-An Study.

Karunakar P, Ranga Reddy M, Karteek B, Reddy C, Swetha C, Racha K J Pharm Bioallied Sci. 2024; 16(Suppl 2):S1695-S1699.

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Comparative Evaluation of Debris Extrusion, Remaining Dentin Thickness and Fracture Resistance of Endodontically Treated Teeth Using Rotary and Reciprocating Endodontic File Systems: An In Vitro Study.

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Comparison of single and multiple file rotary endodontic instruments for debris and irrigant extrusion: An study.

Mehra D, Sinha D, Singh S, Verma N, Rani P, Parvez B J Conserv Dent. 2023; 26(3):288-291.

PMID: 37398865 PMC: 10309133. DOI: 10.4103/jcd.jcd_62_23.

A Comparative Evaluation of the Apically Extruded Debris from Root Canals Prepared by R-Motion NiTi File System.

Al-Saffar F, Al-Gharrawi H Int J Dent. 2023; 2023:5731248.

PMID: 37152476 PMC: 10156454. DOI: 10.1155/2023/5731248.

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