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Comparative evaluation of apically extruded debris with V-Taper, ProTaper Next, and the Self-adjusting File systems
BACKGROUND: Complete cleaning of the root canal is the goal for ensuring success in endodontics. Removal of debris plays an important role in achieving this goal. In spite of advancements in instrument design, apical extrusion of debris remains a source of inflammation in the periradicular region. A...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4872577/ https://www.ncbi.nlm.nih.gov/pubmed/27217636 http://dx.doi.org/10.4103/0972-0707.181939 |
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author | Vyavahare, Nishant K. Raghavendra, Srinidhi Surya Desai, Niranjan N. |
author_facet | Vyavahare, Nishant K. Raghavendra, Srinidhi Surya Desai, Niranjan N. |
author_sort | Vyavahare, Nishant K. |
collection | PubMed |
description | BACKGROUND: Complete cleaning of the root canal is the goal for ensuring success in endodontics. Removal of debris plays an important role in achieving this goal. In spite of advancements in instrument design, apical extrusion of debris remains a source of inflammation in the periradicular region. AIM: To comparatively evaluate the amount of apically extruded debris with V-Taper, ProTaper Next, and the self-adjusting File (SAF) system. MATERIALS AND METHODS: Sixty-four extracted human mandibular teeth with straight root canals were taken. Access openings were done and working length determined. The samples were randomly divided into three groups: Group I - V-Taper files (n = 20), Group II - ProTaper Next (n = 20), Group III - SAF (n = 20). Biomechanical preparation was completed and the debris collected in vials to be quantitatively determined. The data obtained was statistically analyzed using ANOVA and post hoc Tukey's test. RESULTS: All the specimens showed apical debris extrusion. SAF showed significantly less debris extrusion compared to V-Taper and ProTaper Next (P < 0.001). Among Groups I and II, ProTaper Next showed lesser debris extrusion as compared to V-Taper, but it was not significant (P = 0.124). CONCLUSION: The SAF showed least amount of apical debris extrusion when compared to newer rotary endodontic instruments. This indicates that the incidence of inter-treatment flare-ups due to debris extrusion would be less with the SAF. |
format | Online Article Text |
id | pubmed-4872577 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-48725772016-05-23 Comparative evaluation of apically extruded debris with V-Taper, ProTaper Next, and the Self-adjusting File systems Vyavahare, Nishant K. Raghavendra, Srinidhi Surya Desai, Niranjan N. J Conserv Dent Original Article BACKGROUND: Complete cleaning of the root canal is the goal for ensuring success in endodontics. Removal of debris plays an important role in achieving this goal. In spite of advancements in instrument design, apical extrusion of debris remains a source of inflammation in the periradicular region. AIM: To comparatively evaluate the amount of apically extruded debris with V-Taper, ProTaper Next, and the self-adjusting File (SAF) system. MATERIALS AND METHODS: Sixty-four extracted human mandibular teeth with straight root canals were taken. Access openings were done and working length determined. The samples were randomly divided into three groups: Group I - V-Taper files (n = 20), Group II - ProTaper Next (n = 20), Group III - SAF (n = 20). Biomechanical preparation was completed and the debris collected in vials to be quantitatively determined. The data obtained was statistically analyzed using ANOVA and post hoc Tukey's test. RESULTS: All the specimens showed apical debris extrusion. SAF showed significantly less debris extrusion compared to V-Taper and ProTaper Next (P < 0.001). Among Groups I and II, ProTaper Next showed lesser debris extrusion as compared to V-Taper, but it was not significant (P = 0.124). CONCLUSION: The SAF showed least amount of apical debris extrusion when compared to newer rotary endodontic instruments. This indicates that the incidence of inter-treatment flare-ups due to debris extrusion would be less with the SAF. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4872577/ /pubmed/27217636 http://dx.doi.org/10.4103/0972-0707.181939 Text en Copyright: © Journal of Conservative Dentistry http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution NonCommercial ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Original Article Vyavahare, Nishant K. Raghavendra, Srinidhi Surya Desai, Niranjan N. Comparative evaluation of apically extruded debris with V-Taper, ProTaper Next, and the Self-adjusting File systems |
title | Comparative evaluation of apically extruded debris with V-Taper, ProTaper Next, and the Self-adjusting File systems |
title_full | Comparative evaluation of apically extruded debris with V-Taper, ProTaper Next, and the Self-adjusting File systems |
title_fullStr | Comparative evaluation of apically extruded debris with V-Taper, ProTaper Next, and the Self-adjusting File systems |
title_full_unstemmed | Comparative evaluation of apically extruded debris with V-Taper, ProTaper Next, and the Self-adjusting File systems |
title_short | Comparative evaluation of apically extruded debris with V-Taper, ProTaper Next, and the Self-adjusting File systems |
title_sort | comparative evaluation of apically extruded debris with v-taper, protaper next, and the self-adjusting file systems |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4872577/ https://www.ncbi.nlm.nih.gov/pubmed/27217636 http://dx.doi.org/10.4103/0972-0707.181939 |
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