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Apical extrusion of debris in four different endodontic instrumentation systems: A meta-analysis

BACKGROUND: All endodontic instrumentation systems tested so far, promote apical extrusion of debris, which is one of the main causes of postoperative pain, flare ups, and delayed healing. OBJECTIVES: Of this meta-analysis was to collect and analyze in vitro studies quantifying apically extruded deb...

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Autores principales: Western, J. Sylvia, Dicksit, Daniel Devaprakash
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5514807/
https://www.ncbi.nlm.nih.gov/pubmed/28761250
http://dx.doi.org/10.4103/0972-0707.209066
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author Western, J. Sylvia
Dicksit, Daniel Devaprakash
author_facet Western, J. Sylvia
Dicksit, Daniel Devaprakash
author_sort Western, J. Sylvia
collection PubMed
description BACKGROUND: All endodontic instrumentation systems tested so far, promote apical extrusion of debris, which is one of the main causes of postoperative pain, flare ups, and delayed healing. OBJECTIVES: Of this meta-analysis was to collect and analyze in vitro studies quantifying apically extruded debris while using Hand ProTaper (manual), ProTaper Universal (rotary), Wave One (reciprocating), and self-adjusting file (SAF; vibratory) endodontic instrumentation systems and to determine methods which produced lesser extrusion of debris apically. METHODOLOGY: An extensive electronic database search was done in PubMed, Scopus, Cochrane, LILACS, and Google Scholar from inception until February 2016 using the key terms “Apical Debris Extrusion, extruded material, and manual/rotary/reciprocating/SAF systems.” A systematic search strategy was followed to extract 12 potential articles from a total of 1352 articles. The overall effect size was calculated from the raw mean difference of weight of apically extruded debris. RESULTS: Statistically significant difference was seen in the following comparisons: SAF < Wave One, SAF < Rotary ProTaper. CONCLUSIONS: Apical extrusion of debris was invariably present in all the instrumentation systems analyzed. SAF system seemed to be periapical tissue friendly as it caused reduced apical extrusion compared to Rotary ProTaper and Wave One.
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spelling pubmed-55148072017-07-31 Apical extrusion of debris in four different endodontic instrumentation systems: A meta-analysis Western, J. Sylvia Dicksit, Daniel Devaprakash J Conserv Dent Original Research Article BACKGROUND: All endodontic instrumentation systems tested so far, promote apical extrusion of debris, which is one of the main causes of postoperative pain, flare ups, and delayed healing. OBJECTIVES: Of this meta-analysis was to collect and analyze in vitro studies quantifying apically extruded debris while using Hand ProTaper (manual), ProTaper Universal (rotary), Wave One (reciprocating), and self-adjusting file (SAF; vibratory) endodontic instrumentation systems and to determine methods which produced lesser extrusion of debris apically. METHODOLOGY: An extensive electronic database search was done in PubMed, Scopus, Cochrane, LILACS, and Google Scholar from inception until February 2016 using the key terms “Apical Debris Extrusion, extruded material, and manual/rotary/reciprocating/SAF systems.” A systematic search strategy was followed to extract 12 potential articles from a total of 1352 articles. The overall effect size was calculated from the raw mean difference of weight of apically extruded debris. RESULTS: Statistically significant difference was seen in the following comparisons: SAF < Wave One, SAF < Rotary ProTaper. CONCLUSIONS: Apical extrusion of debris was invariably present in all the instrumentation systems analyzed. SAF system seemed to be periapical tissue friendly as it caused reduced apical extrusion compared to Rotary ProTaper and Wave One. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5514807/ /pubmed/28761250 http://dx.doi.org/10.4103/0972-0707.209066 Text en Copyright: © 2017 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 Research Article
Western, J. Sylvia
Dicksit, Daniel Devaprakash
Apical extrusion of debris in four different endodontic instrumentation systems: A meta-analysis
title Apical extrusion of debris in four different endodontic instrumentation systems: A meta-analysis
title_full Apical extrusion of debris in four different endodontic instrumentation systems: A meta-analysis
title_fullStr Apical extrusion of debris in four different endodontic instrumentation systems: A meta-analysis
title_full_unstemmed Apical extrusion of debris in four different endodontic instrumentation systems: A meta-analysis
title_short Apical extrusion of debris in four different endodontic instrumentation systems: A meta-analysis
title_sort apical extrusion of debris in four different endodontic instrumentation systems: a meta-analysis
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5514807/
https://www.ncbi.nlm.nih.gov/pubmed/28761250
http://dx.doi.org/10.4103/0972-0707.209066
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