Influence of Different Kinematics on Apical Extrusion of Irrigant and Debris during Canal Preparation Using K3XF Instruments

Toyoğlu, Mustafa; Altunbaş, Demet

doi:10.1016/j.joen.2017.05.001

Cited by 34 publications

(34 citation statements)

References 22 publications

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“…Many studies have shown that dentin chips, pulp tissue, microorganisms, and/or irrigants may be extruded into the periradicular tissues during root canal preparation and irrigation procedures (Charara et al 2016;Toyoğlu and Altunbaş 2017;Caviedes-Bucheli et al 2016). This extrusion into the periapical tissues could cause postoperative discomforts such as pain, swelling, and persistent inflammation.…”

Section: Chemomechanicalmentioning

confidence: 99%

Evaluation Of Postoperative Pain After Using Sonic Vibringe Irrigation System Versus Conventional syringe irrigation In Single Rooted Teeth With Symptomatic Irreversible Pulpitis : A Randomized Clinical Controlled Trial

Ahmed

El‐Far

Khodary

2019

Advanced Dental Journal

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Aim: The aim of this study was to clinically compare the postoperative pain after Vibringe sonic irrigation system and conventional needle irrigation during root canal treatment in single-rooted teeth. Methods: A total of 18 patients with symptomatic irreversible pulpitis in need of nonsurgical endodontic retreatment were randomly divided into 2 groups (n = 9). Patients were carefully diagnosed and checked for the eligibility criteria. Irrigation in (group A) was delivered and sonically activated by Vibringe and Irrigation in (group B) was done using conventional needle. The presence of postoperative pain was assessed 6, 12, 24, and 48 hours after treatment according to the NRS where; 0; No pain, 1-3; mild pain, 4-6; moderate pain, 7-10; severe pain "severe pain, analgesic had no effect in relieving the pain". Data were analyzed using the Mann-Whitney U,Friedman's test, and Fisher's Exact tests. Results: Postoperative pain was non significantly different in the Vibringe group in comparison with the conventional needle group (P >.05) on all time intervals " 6-12-24 and 48 hours" (P-value = 0.753). Pain scores from base line to 6 hours post-operatively showed statistically significant decrease in both Vibringe and Conventional needle irrigation group (P-value <0.001). Conclusions: The sonically activated Vibringe irrigation system and conventional needle irrigation are equally safe with low incidence of post-operative at 6, 12 , 24 and 48 hours intervals.

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Section: Chemomechanicalmentioning

confidence: 99%

Evaluation Of Postoperative Pain After Using Sonic Vibringe Irrigation System Versus Conventional syringe irrigation In Single Rooted Teeth With Symptomatic Irreversible Pulpitis : A Randomized Clinical Controlled Trial

Ahmed

El‐Far

Khodary

2019

Advanced Dental Journal

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“…1,2 Several factors, such as type of the file, instrumentation technique and kinematic, apical preparation size, end-point of the instrumentation, canal or apical foramen size, canal curvature, irrigation solutions and techniques, and type of needle tip that may affect the amount of apically extruded intracanal materials, have been investigated in many studies which have shown that all conditions result in apical extrusion. [3][4][5][6][7][8][9][10] However, the amount of debris and irrigant extruded apically may differ according to these factors, and minimizing the apical extrusion can reduce the incidence of postoperative pain.…”

Section: Introductionmentioning

confidence: 99%

The Influence of Different Torque Settings on the Amount of Apically Extruded Debris During Rotary Instrumentation

Altunbaş

Toyoğlu

2020

Cumhuriyet Dental Journal

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Objectives: This in vitro study was designed to evaluate the effect of lowand high-torque settings on the amount of apically extruded debris during canal preparation with the ProTaper Universal (PTU) system. Materials and Methods: Forty extracted mandibular premolars were selected and randomly divided into two groups (n=20). Each root canal was prepared according to the manufacturer's instructions, using SX, S1, S2, F1, F2, and F3 at low-torque settings and high-torque settings. The apically extruded debris was collected into preweighed Eppendorf tubes. The weight of extruded debris was determined, and data were analyzed using the Mann-Whitney U test at a significance level of p<0.05. Results: No significant difference was observed between the groups (p>0.05). The PTU system produced the higher mean extrusion value at hightorque settings. Conclusions: Under the conditions of this study, as no difference among the different torque settings in terms of the amount of extruded debris were noted, it is possible to suggest that clinicians should choose the most appropriate settings for each case in clinical practice.

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“…, Borges et al . , Toyoğlu & Altunbaş , Uslu et al . ), whilst opposite results are also reported (Tinoco et al .…”

Section: Introductionmentioning

confidence: 99%

Impact of infected and noninfected human dentine debris on bone healing in rats

et al. 2019

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Aim To evaluate in vivo the bone tissue response of rats to varying amounts of infected and noninfected dentine debris. Methodology Bone tissue reactions were evaluated histologically in 42 Wistar rats after 7, 30 and 60 days. For each animal, three surgical cavities were prepared on the femur and filled with varying amounts (5, 10 or 20 mg) of infected or noninfected dentine debris pellets. In the negative control group, the surgical cavities were not filled. At the end of each experimental period, the animals were euthanized. The samples were processed histologically and analysed using a light microscope. The presence and the severity of inflammatory reaction, as well as hard tissue deposition were evaluated. Data were subjected to statistical analysis and the effects of the dependent variables calculated using nonparametric tests Kruskal–Wallis and Mann–Whitney U with due Bonferroni corrections at P = 0.05. Results At 7 days, the presence of infected debris significantly increased the histopathological scores for neutrophils (P < 0.05), and abscess formation (P < 0.05). Noninfected debris scored significantly higher for lymphocyte infiltrate compared with the control group and infected debris (P < 0.05). Both infected and noninfected debris equally triggered eosinophil cells compared with no‐dentine (P < 0.05). As for giant cells and macrophages, no difference was detected amongst the dentine groups (P > 0.05). Hard tissue deposition was similar regardless of the presence or the bacteriological status of the dentine (P = 1.00). None of the above histopathological parameters was significantly influenced by the amount of debris (P > 0.05). For all parameters evaluated, at 7 days of analysis, the inflammatory response was significantly more intense compared with 30 and 60 days (P < 0.05). Inflammatory parameters were scored similarly for the evaluated groups after 30 and 60 days (P > 0.05). However, hard tissue deposition has significantly increased after 30 days (P < 0.05). No difference was seen between 30 and 60 days of analysis (P = 1.00) for all histological parameters evaluated. Conclusion The assumption that the amount of extruded debris may negatively affect the inflammatory response of bone tissue was not validated in the present in vivo animal study. Infected dentine may trigger acute inflammatory parameters especially during the first 7 days of contact with the tissue; however, in the long term, these negative effects are mitigated.

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Influence of Different Kinematics on Apical Extrusion of Irrigant and Debris during Canal Preparation Using K3XF Instruments

Cited by 34 publications

References 22 publications

Evaluation Of Postoperative Pain After Using Sonic Vibringe Irrigation System Versus Conventional syringe irrigation In Single Rooted Teeth With Symptomatic Irreversible Pulpitis : A Randomized Clinical Controlled Trial

Evaluation Of Postoperative Pain After Using Sonic Vibringe Irrigation System Versus Conventional syringe irrigation In Single Rooted Teeth With Symptomatic Irreversible Pulpitis : A Randomized Clinical Controlled Trial

The Influence of Different Torque Settings on the Amount of Apically Extruded Debris During Rotary Instrumentation

Impact of infected and noninfected human dentine debris on bone healing in rats

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