Comparative Evaluation of Apically Extruded Debris during Pulpectomy Procedure in Primary Molar Teeth Using Two Different Rotary Systems and Hand Files: An In Vitro Study

Abstract

Background. Successful outcome of endodontic treatment depends on chemomechanical preparation of the tooth. However, during canal preparation, debris may extrude through the apical foramen causing postoperative complications. The aim of this study is to evaluate and compare the amount of apically extruded debris during the pulpectomy procedure in primary molar teeth using two different rotary files and hand files. Materials and Methods. Distal roots of sixty extracted primary molars were divided into three groups: group A: Prime Pedo™ pediatric rotary files, group B: DXL-Pro Pedo™ pediatric rotary files, and group C: hand files. Myers and Montgomery experimental model was used. Preweighed Eppendorf tubes were used to collect apically extruded debris. The tubes were then placed in an incubator at 70°C for 5 days. The weight of the debris attained was determined. The data were analyzed using ANOVA and post hoc Bonferroni test. Results. Hand files produced more apical debris extrusion ( P < 0.05 ). Prime Pedo™ pediatric rotary files produced the least debris ( P < 0.05 ). Conclusion. Prime Pedo™ and DXL-Pro Pedo™ pediatric rotary files extruded significantly lower amount of debris apically during pulpectomy as compared to hand files. Rotary files can be considered an alternative to hand files in pediatric endodontics.

Evaluating In Vitro Performance of a Novel Stainless Steel Rotary System (Gentlefile) Based on Debris Extrusion and Instrumentation Time

“…Apical extrusion of debris is an inherent side effect during the process of root canal preparation. All the instrumentation techniques were found to be associated with apical debris extrusion in this study, which aligns with previous investigations [ 20 – 22 ]. The quantity of extruded debris is subject to variation depending on the design and kinematics of the instrument [ 5 , 6 ].…”

Evaluation of Apically Extruded Debris and Cleaning Efficiency of the Pediatric Rotary File System and the Manual Nickel-Titanium File System

“…Our finding is in the line with that of Nanavati et al [15] who found that throughout pulpectomy, pediatric rotary files extruded considerably less quantity of apical debris than manual files when measuring apically extruded debris of distal roots of 60 primary lower molar teeth by utilizing two types of rotary files and hand files, namely, Prime Pedo™ pediatric rotary files, DXL-Pro Pedo™ pediatric rotary files, and hand K-files.…”

Süt dişlerinde resiprokasyon hareketiyle kullanılan bir pedodontik döner eğe tarafından apikalden taşan debrisin değerlendirilmesi

“…5 Apikalden taşan debris miktarını araştıran çalışmalar, tüm kanal şekillendirme tekniklerinin ve eğelerinin debris taşmasına neden olduğunu bildirmiştir. [6][7][8] Resiprokasyon ve devamlı rotasyonla çalışan eğe sistemlerinin apikalden taşan debris miktarı üzerine etkisi hakkında literatürde farklı sonuçlar bulunmaktadır. Bürklein ve Schäfer 9 , tam devamlı rotasyonla çalışan Mtwo (VDW, Münih, Almanya) ve ProTaper (Dentsply Maillefer, Ballaigues, İsviçre) eğelerinin kullanıldığı çoklu eğeli sistemlerle yapılan kök kanal şekillendirmesinin, resiprokasyon hareketiyle çalışan tek eğe sistemleri olan Reciproc (VDW) ve WaveOne (Dentsply Sirona) kullanımına kıyasla daha az debris taşmasına sebep olduğunu bildirmiştir.…”