Quantitative Evaluation of Apically Extruded Debris Using TRUShape, TruNatomy, and WaveOne Gold in Curved Canals

Overview

Journal BDJ Open

Specialty Dentistry

Date 2022 May 20

PMID 35595771

Authors

Nehal Nabil Roshdy

Reham Hassan

Affiliations

Soon will be listed here.

Abstract

Objective: This study compared the quantity of extruded debris after instrumentation with TRUShape 3D Conforming files, TruNatomy files, and the WaveOne Gold reciprocating system.

Materials And Methods: Fifty-one mesiobuccal canals with severe curvatures (25-40°) were assigned to three equal groups according to the rotary system used for preparation, either TRUShape, TruNatomy, or WaveOne Gold files. The extruded debris was collected in pre-weighed glass vials. The data were statistically analyzed using a one-way ANOVA test and Tukey's post hoc test.

Results: The least extruded debris was obtained with the WaveOne Gold instruments compared to the TRUShape and TruNatomy files (p < 0.001).

Conclusions: Debris extrusion occurs independently of the motion or design of the instrument. The WaveOne Gold system outperformed TRUShape and TruNatomy files in this study.

Citing Articles

Comparative evaluation of the remaining dentin volume following instrumentation with rotary, reciprocating, and hand files during root canal treatment in primary molars: An study.

Eren I, Sezer B J Dent Sci. 2024; 19(4):2126-2134.

PMID: 39347077 PMC: 11437276. DOI: 10.1016/j.jds.2024.04.003.

Comparative Evaluation of Efficiency of Different Endodontic File Systems; Protaper Universal, MTWO, Protaper Next, Trunatomy, I-Race in Terms of Remaining Dentin Thickness: An CBCT Analysis.

Retnakaran A, Gaffoor F, Gopakumar R, Girish C, Sajeena N, Krishna N J Pharm Bioallied Sci. 2024; 16(Suppl 2):S1409-S1413.

PMID: 38882834 PMC: 11174237. DOI: 10.4103/jpbs.jpbs_697_23.

In vitro evaluation of filling material removal and apical debris extrusion after retreatment using Reciproc blue, Hyflex EDM and ProTaper retreatment files.

Abdelnaby P, Ibrahim M, ElBackly R BMC Oral Health. 2023; 23(1):902.

PMID: 37990209 PMC: 10664678. DOI: 10.1186/s12903-023-03579-7.

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.

Jaggi P, Mulay S, Tandale A, Jadhao R, Joshi P, Aras S Cureus. 2023; 15(7):e42290.

PMID: 37609092 PMC: 10441161. DOI: 10.7759/cureus.42290.

The Comparative Evaluation of Postoperative Pain After the Use of WaveOne Gold and TruNatomy Filing Systems in a Tooth With Irreversible Pulpitis: An Observational Study.

Bhojwani P, Paryani M, Mankar N, Reche A, Paul P, Nikhade P Cureus. 2022; 14(10):e30707.

PMID: 36457616 PMC: 9704861. DOI: 10.7759/cureus.30707.

References

Lu Y, Chen M, Qiao F, Wu L . Comparison of apical and coronal extrusions using reciprocating and rotary instrumentation systems. BMC Oral Health. 2015; 15:92. PMC: 4527245. DOI: 10.1186/s12903-015-0081-z. View

De-Deus G, Neves A, Silva E, Mendonca T, Lourenco C, Calixto C . Apically extruded dentin debris by reciprocating single-file and multi-file rotary system. Clin Oral Investig. 2014; 19(2):357-61. DOI: 10.1007/s00784-014-1267-5. View

Reddy S, Hicks M . Apical extrusion of debris using two hand and two rotary instrumentation techniques. J Endod. 1998; 24(3):180-3. DOI: 10.1016/S0099-2399(98)80179-9. View

Bortoluzzi E, Carlon Jr D, Meghil M, El-Awady A, Niu L, Bergeron B . Efficacy of 3D conforming nickel titanium rotary instruments in eliminating canal wall bacteria from oval-shaped root canals. J Dent. 2015; 43(5):597-604. DOI: 10.1016/j.jdent.2015.01.001. View

Aksel H, Kucukkaya Eren S, Cakar A, Serper A, Ozkuyumcu C, Azim A . Effect of Instrumentation Techniques and Preparation Taper on Apical Extrusion of Bacteria. J Endod. 2017; 43(6):1008-1010. DOI: 10.1016/j.joen.2017.01.014. View

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. 2018; 45(2):216-224. DOI: 10.1111/aej.12311. View

Topcuoglu H, Demirbuga S, Topcuoglu G . Evaluation of apically extruded debris during the removal of canal filling material using three different Ni-Ti systems and hand files in teeth with simulated apical root resorption. Int Endod J. 2019; 53(3):403-409. DOI: 10.1111/iej.13234. View

Ustun Y, Canakci B, Dincer A, Er O, Duzgun S . Evaluation of apically extruded debris associated with several Ni-Ti systems. Int Endod J. 2014; 48(7):701-4. DOI: 10.1111/iej.12369. View

Capar I, Arslan H . A review of instrumentation kinematics of engine-driven nickel-titanium instruments. Int Endod J. 2015; 49(2):119-35. DOI: 10.1111/iej.12432. View

10.

Gutmann J, Wagner M . A quantitative assessment of canal debris forced periapically during root canal instrumentation using two different techniques. J Endod. 1987; 13(12):554-8. DOI: 10.1016/S0099-2399(87)80004-3. View

11.

Al-Omari M, Dummer P . Canal blockage and debris extrusion with eight preparation techniques. J Endod. 1995; 21(3):154-8. DOI: 10.1016/s0099-2399(06)80443-7. View

12.

Ferraz C, Gomes N, Gomes B, Zaia A, Teixeira F, Souza-Filho F . Apical extrusion of debris and irrigants using two hand and three engine-driven instrumentation techniques. Int Endod J. 2001; 34(5):354-8. DOI: 10.1046/j.1365-2591.2001.00394.x. View

13.

Abou-Rass M, Piccinino M . The effectiveness of four clinical irrigation methods on the removal of root canal debris. Oral Surg Oral Med Oral Pathol. 1982; 54(3):323-8. DOI: 10.1016/0030-4220(82)90103-7. View

14.

Arias A, de la Macorra J, Hidalgo J, Azabal M . Predictive models of pain following root canal treatment: a prospective clinical study. Int Endod J. 2013; 46(8):784-93. DOI: 10.1111/iej.12059. View

15.

Silva E, Muniz B, Pires F, Belladonna F, Almeida Neves A, Souza E . Comparison of canal transportation in simulated curved canals prepared with ProTaper Universal and ProTaper Gold systems. Restor Dent Endod. 2016; 41(1):1-5. PMC: 4751201. DOI: 10.5395/rde.2016.41.1.1. View

16.

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

17.

Tanalp J, Gungor T . Apical extrusion of debris: a literature review of an inherent occurrence during root canal treatment. Int Endod J. 2013; 47(3):211-21. DOI: 10.1111/iej.12137. View

18.

Kirchhoff A, Fariniuk L, Mello I . Apical extrusion of debris in flat-oval root canals after using different instrumentation systems. J Endod. 2014; 41(2):237-41. DOI: 10.1016/j.joen.2014.09.023. View

19.

Hachmeister D, Schindler W, Walker 3rd W, Thomas D . The sealing ability and retention characteristics of mineral trioxide aggregate in a model of apexification. J Endod. 2002; 28(5):386-90. DOI: 10.1097/00004770-200205000-00010. View

20.

Myers G, Montgomery S . A comparison of weights of debris extruded apically by conventional filing and Canal Master techniques. J Endod. 1991; 17(6):275-9. DOI: 10.1016/S0099-2399(06)81866-2. View