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Apical debris

Gülşah Uslu, Taha Özyürek, Koray Yılmaz, Mustafa Gündoğar, Gianluca Plotino
INTRODUCTION: The purpose of this study was to investigate the amount of apically extruded debris by Reciproc Blue (REC Blue; VDW, Munich, Germany), HyFlex EDM (HEDM; Coltene/Whaledent, Altstätten, Switzerland), and XP-endo Shaper (XPS; FKG Dentaire SA, La Chaux-de-Fonds, Switzerland) files during root canal preparation at body temperature. METHODS: Sixty extracted single-rooted mandibular premolar human teeth were randomly assigned to 3 groups (n = 20). The canals were instrumented using 1 of the following instruments: REC Blue, HEDM, or XPS...
March 14, 2018: Journal of Endodontics
Zhejun Wang, Ya Shen, Markus Haapasalo
INTRODUCTION: Conventional endodontic treatment includes instrumentation of the canals in most cases to size #25/.06 or larger, which changes the original canal wall anatomy. In recent years, energy-driven equipment, such as photon-induced photoacoustic streaming (Fotona LLC, Dallas, TX) and a multisonic GentleWave system (Sonendo Inc, Laguna Hills, CA), have been introduced to facilitate cleaning of minimally instrumented canals or even uninstrumented canals. The purpose of this study was to examine root canal wall anatomy in premolar teeth cleaned by a noninstrumentation method after #10 K-file patency examination...
March 14, 2018: Journal of Endodontics
Victor Feliz Pedrinha, Juliana Melo da Silva Brandão, Oscar Faciola Pessoa, Patrícia de Almeida Rodrigues
Advances in endodontics have enabled the evolution of file manufacturing processes, improving performance beyond that of conventional files. In the present study, systems manufactured using state of the art methods and possessing special properties related to NiTi alloys ( i.e ., CM-Wire, M-Wire and R-Phase) were selected. The aim of this review was to provide a detailed analysis of the literature about the relationship between recently introduced NiTi files with different movement kinematics and shaping ability, apical extrusion of debris and dentin defects in root canal preparations...
2018: Open Dentistry Journal
Camila Galletti Espir, Camila Almeida Nascimento-Mendes, Juliane Maria Guerreiro-Tanomaru, Bruno Cavalini Cavenago, Marco Antonio Hungaro Duarte, Mário Tanomaru-Filho
OBJECTIVES: To evaluate the shaping ability and cleaning after oval root canal preparation using one or more instruments in reciprocating or rotary motion. MATERIALS AND METHODS: Oval-shaped mandibular incisors were selected, based on the radiographic diameter (2 ≤ diameter ratio ≤ 4), and assigned according to root canal preparation (n = 18): single-file (Reciproc R40); two reciprocating files (Unicone size 20 and 40, .06 taper) or Mtwo rotary files until a size 40, ...
March 10, 2018: Clinical Oral Investigations
Abbas Mesgarani, Mahmoud Reza Hamidi, Sina Haghanifar, Shabnam Naiemi, Ali Bijani
Background: Apical transportation (AT) of the root canal moves the physiologic canal terminus to a new location on the external root surface and results in the accumulation of debris and residual microorganisms due to inadequate cleaning and shaping of the canal end. This study aimed to assess the prevalence of AT following canal preparation with Mtwo and Reciproc R25 using cone-beam computed tomographic (CBCT). Materials and Methods: In this in vitro study, 40 mesiobuccal root canals of the maxillary molars with 19-22 mm length and (>40°) taper were prepared in two groups using Mtwo and Reciproc R25 rotary systems along with irrigation with 2...
January 2018: Dental Research Journal
Emel Uzunoglu-Özyürek, Hakan Karaaslan, Sevinç Aktemur Türker, Bahar Özçelik
Objectives: To determine the effect of size and insertion depth of irrigation needle on the amount of apical extruded debris and the amount of penetration depth of sealer using a confocal laser scanning microscope (CLSM). Materials and Methods: Twenty maxillary premolars were assigned to 2 groups ( n = 10), according to the size of needle tip, 28 G or 30 G. Buccal roots of samples were irrigated with respective needle type inserted 1 mm short of the working length (WL), while palatal roots were irrigated with respective needle type inserted 3 mm short of the WL...
February 2018: Restorative Dentistry & Endodontics
Vidhi Prabhakar Shetty, Balaram Damodar Naik, Amit Kashinath Pachlag, Mahantesh Mrityunjay Yeli
Aim: The aim of this study is to compare the effects of conventional syringe, passive ultrasonic irrigation (PUI), and EndoIrrigator Plus on the amount of apically extruded debris. Materials and Methods: Thirty extracted human mandibular premolars were selected and randomly assigned to three groups ( n = 10). The root canals were irrigated with conventional syringe, PUI, and EndoIrrigator Plus. Sodium hypochlorite was used as an irrigant, and debris was collected in a previously described experimental model (Myers and Montgomery 1991)...
November 2017: Journal of Conservative Dentistry: JCD
Asiye Nur Dincer, Mehmet Burak Guneser, Dilara Arslan
Aim: This study was intended to evaluate the amount of apically extruded debris following root canal preparation with three different instrumentation systems. Materials and Methods: Sixty mandibular incisor teeth were selected and randomly divided into three groups (n = 20/group) according to the instrumentation system used: the ProTaper Next (PTN; Dentsply Maillefer, Ballaigues, Switzerland), the Twisted File Adaptive (TFA; SybronEndo, Orange, CA, USA), and the WaveOne Gold (WOG; Dentsply Maillefer, Ballaigues, Switzerland)...
September 2017: Journal of Conservative Dentistry: JCD
B Kütük, K E Akpınar, D Altunbaş
OBJECTIVE: The aim of this study was to evaluate the amount of apically extruded debris and irrigant during cleaning and shaping with different file systems. MATERIALS AND METHODS: Seventy-five extracted mandibular premolar and canine teeth were randomly divided into five groups (n = 15). The root canals were instrumented by using Mtwo (VDW, Munich, Germany), Twisted File (TF; Sybron Endo, Orange, California, USA), Reciproc (VDW), Self-Adjusting File (SAF; Re Dent-Nova, Ra'anana, Israel) systems, and K-type stainless steel hand file (Mani Inc...
December 2017: Nigerian Journal of Clinical Practice
Myrna Maria Arcanjo Frota, Ricardo Affonso Bernardes, Rodrigo Ricci Vivan, Nilton Vivacqua-Gomes, Marco Antonio Hungaro Duarte, Bruno Carvalho de Vasconcelos
To evaluate the amount of apically extruded debris, percentage of foraminal enlargement and apical foramen (AF) deformation that occurred during root canal preparation with different reciprocation systems: Reciproc, WaveOne (M-Wire), and ProDesign R (Shape Memory Technology Wire) at two different working lengths (WLs): 0.0 and 1.0 mm beyond the AF. The AF of 120 root canals in 60 mesial roots of mandibular molars were photographed with stereomicroscope and randomly assigned into four groups: manual, Reciproc (REC), WaveOne (WO), and ProDesign R (PDR); subsequently, they were further subdivided according to the WL (n=15)...
January 18, 2018: Journal of Applied Oral Science: Revista FOB
M Praveen, G Aarthi, P K Meenapriya, S Senthil Kumar, N S Mohan Kumar, J V Karunakaran
Aim: This study aims to compare the smear layer removal efficacy of 2% chitosan (low molecular weight) (C-LMV), 4% chitosan citrate (CC), and 10% citric acid (CA) when used in specific irrigant protocols. Materials and Methods: A total of 60 single-rooted maxillary incisors and canines were decoronated, standardized to a root length of 15 mm, and prepared with rotary files up to protaper F3 size. Sodium hypochlorite was used as initial rinse [8 ml]. The samples were divided into experimental (Group III, IV, V, and VI) (n = 10) and control groups (I - 17% EDTA, II - normal saline) (n = 5) based on the type of final rinse solution (5 ml) used, that is, 2% C-LMV, 4% C-citrate, 10% CA, and 1% acetic acid...
November 2017: Journal of Pharmacy & Bioallied Sciences
Priyatam Karade, Rutuja Chopade, Suvarna Patil, Upendra Hoshing, Madhukar Rao, Neha Rane, Aditi Chopade, Anish Kulkarni
Introduction: This in vitro study was designed to evaluate and compare different endodontic irrigation and activation systems for removal of the intracanal smear layer. Methods and Materials: Forty recently extracted, non-carious human intact single rooted premolars were selected and divided into five groups ( n =10) according to the root canal irrigation systems; syringe and needle irrigation (CTR), sonic irrigation, passive ultrasonic irrigation (PUI) and EndoVac irrigation system...
2017: Iranian Endodontic Journal
Prem P Kar, Sandhya A Khasnis, Krisnamurthy H Kidiyoor
AIM: The aim of the study was to compare the cleaning efficacy (debris and smear layer removal) of two multifile rotary systems (MTwo and Silk) and two single-file rotary systems (F6 Skytaper and NeoNiTi). MATERIALS AND METHODS: Eighty mesial canals of mandibular first molars were cleaned and shaped using four nickel-titanium (NiTi) rotary instruments to size # 25 and 3% NaOCl and 17% ethylenediaminetetraacetic acid (EDTA). Samples were randomly divided into four equal groups (n = 20) according to instrumentation: Group I, Mtwo; group II, Silk; group III, F6 Skytaper; group IV, NeoNiTi...
December 1, 2017: Journal of Contemporary Dental Practice
S S Virdee, D W Seymour, D Farnell, G Bhamra, S Bhakta
AIMS: To establish whether irrigant activation techniques (IATs) result in greater intracanal smear layer and debris removal than conventional needle irrigation (CNI). METHODOLOGY: Six electronic databases were searched to identify scanning electron microscopy studies evaluating smear layer and/or debris removal following the use of manual dynamic activation (MDA), passive ultrasonic irrigation (PUI), sonic irrigation (SI) or apical negative pressure (ANP) IATs in mature permanent teeth...
November 25, 2017: International Endodontic Journal
Bhagyashree Thakur, Ajinkya M Pawar, Anda Kfir, Prasanna Neelakantan
INTRODUCTION: To assess the amount of debris extruded apically during instrumentation of distal canals of extracted primary molars by three instrument systems [ProTaper Universal (PTU), ProTaper NEXT (PTN), and self-adjusting file (SAF)] compared with conventional stainless steel hand K-files (HF, control). MATERIALS AND METHODS: Primary mandibular molars (n = 120) with a single distal canal were selected and randomly divided into four groups (n = 30) for root canal instrumentation using group I, HF (to size 0...
November 1, 2017: Journal of Contemporary Dental Practice
Jin-Heng Li, Tian-Tian Wu, Hong He, Jun-Li Han
PURPOSE: To compare the efficacy of Mtwo R and Reciproc with that of hand files in removing filling material during root canal retreatment. METHODS: The root canals of forty-five human extracted mandibular central incisors were cleaned and shaped to a size 40 and filled with gutta-percha and sealer using a lateral compaction technique. The teeth were divided into 3 groups. The filling material was removed with hand files, Mtwo R and Reciproc, respectively. The debris extruded out of the apical foramen was collected and weighted...
June 2017: Shanghai Kou Qiang Yi Xue, Shanghai Journal of Stomatology
Michael B Powner, Sasha M Woods, Meidong Zhu, Mark C Gillies, Paul S Bernstein, Gregory S Hageman, Grant M Comer, Catherine Egan, Marcus Fruttiger
PURPOSE: Macular telangiectasia Type 2 (MacTel) causes glial and photoreceptor cell death in a small, oval patch in the central retina. Beyond this oval area, no disease manifestations have been described so far. Here, we describe a novel pathological aspect of MacTel in the retinal pigment epithelium (RPE) that is not restricted to the clinically affected area but covers the entire retina. METHODS: We have studied postmortem eyes from four patients with MacTel by immunohistochemistry and electron microscopy...
January 2018: Retina
Aysenur Kamaci, Berdan Aydin, Necdet Erdilek
PURPOSE: To test the efficacy of debris removal of 5 in vitro irrigation protocols: conventional irrigation, irrigation activated by ultrasound, Er:YAG laser with photon-induced photoacoustic streaming (PIPS) tip, and 2 diode laser techniques. METHODS: The root canals of 75 extracted human canine teeth were enlarged and bisected longitudinally. Standardized grooves were prepared 2-6 mm from the root apex and filled with 0.5 mm of dentine debris. The teeth were reassembled and irrigated using 1 of the following techniques (n = 15/technique): (1) conventional irrigation, (2) diode laser irrigation - tip placed 2 mm from working length, (3) diode laser irrigation - tip placed at root canal orifice, (4) Er:YAG laser - PIPS, and (5) ultrasonically activated irrigation...
September 22, 2017: International Journal of Artificial Organs
Sanghamitra Suman, Promila Verma, Aseem Prakash-Tikku, Rhythm Bains, Vijay Kumar-Shakya
BACKGROUND: This study aimed to compare the smear layer removing efficacy of the EndoActivator, EndoVac and Er:YAG laser in extracted mandibular premolars, at the apical, middle and coronal third of root canal, through scanning electron microscopy. MATERIAL AND METHODS: 40 extracted mandibular premolars were decoronated to a standardized length of 12 mm. Specimens were shaped to ProTaper F4 size and irrigated with 5.25% sodium hypochlorite at 370C between instrumentation...
August 2017: Journal of Clinical and Experimental Dentistry
Shahriar Shahriari, Shahin Kasraei, Ghodratollah Roshanaei, Hamed Karkeabadi, Hossein Davanloo
Introduction: The purpose of the present study was to evaluate the different concentrations of sodium hypochlorite activated with laser in removing of the smear layer in the apical, middle, and coronal segments of root canal walls by scanning electron microscopy analysis. Methods: Sixty single-rooted human mandibular teeth were decoronated to a standardized length. The samples were prepared by using Race rotary system to size 40, 0.04 taper and divided into 4 equal groups (n = 15). Group 1, irrigated with EDTA 17% and 5...
2017: Journal of Lasers in Medical Sciences
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