The influence of different working lengths on apically extruded debris

Authors

DOI:

https://doi.org/10.33448/rsd-v10i4.14554

Keywords:

Root canal therapy; Working length; Debris extrusion.

Abstract

Aim: To evaluate the influence of three different working lengths on the amount of apically extruded debris. Methodology: Thirty lower premolars with single roots and straight root canals were standardized at 17 mm. Then, they were inserted into Eppendorf tubes, and the 1.5% agar gel was introduced into the tubes surrounding the roots. The coronal section of the roots was kept visible. The set of tubes and agar gel was weighed 3 times and the average value was recorded. Then, the specimens were randomly distributed in 3 different groups according to the working length (CT) used for the instrumentation: Group (CT -1) - the working length 1 mm below the major foramen (MF); Group (CT 00) - the length was determined at the MF, and Group (CT +1) - the CT was determined 1 mm beyond the MF. Instrumentation was performed with Reciproc Blue R25 (VDW, Munich, Germany) under irrigation with 0.9% saline. After preparation, samples were removed from Eppendorf tubes and weighed 3 times again. The difference between the mean values ​​of the initial and final weight was recorded. The one-way ANOVA test (post-hoc Bonferroni) was used with P> 0.05. Results: The average weight of the extruded waste was 0.0134 ± 0.0157 for CT -1, 0.0075 ± 0.0062 for CT 00 and 0.0075 ± 0.0068 for CT +1, with no statistically significant differences between groups. Conclusion: There was no impact of the different CTs on the amount of extruded debris beyond the apex.

References

Beeson, T. J., Hartwell, G. R., Thornton, J. D., & Gunsolley, J. C. (1998). Comparison of debris extruded apically in straight canals: conventional filing versus profile. 04 Taper series 29. Journal of Endodontics, 24(1), 18-22.

Card, S. J., Sigurdsson, A., Ørstavik, D., & Trope, M. (2002). The effectiveness of increased apical enlargement in reducing intracanal bacteria. Journal of Endodontics, 28(11), 779-783.

Cruz Junior, J. A., Coelho, M. S., Kato, A. S., Vivacqua-Gomes, N., Fontana, C. E., Rocha, D. G. P., & da Silveira Bueno, C. E. (2016). The effect of foraminal enlargement of necrotic teeth with the reciproc system on postoperative pain: a prospective and randomized clinical trial. Journal of Endodontics, 42(1), 8-11.

De Souza Filho, F. J., Benatti, O., & de Almeida, O. P. (1987). Influence of the enlargement of the apical foramen in periapical repair of contaminated teeth of dog. Oral Surgery, Oral Medicine, Oral Pathology, 64(4), 480-484.

De-Deus, G., Brandão, M. C., Barino, B., Di Giorgi, K., Fidel, R. A. S., & Luna, A. S. (2010). Assessment of apically extruded debris produced by the single-file ProTaper F2 technique under reciprocating movement. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology, 110(3), 390-394.

Ferraz, C. C. R., Gomes, N. V., Gomes, B. P. F. A., Zaia, A. A., Teixeira, F. B., & Souza‐Filho, F. J. (2001). Apical extrusion of debris and irrigants using two hand and three engine‐driven instrumentation techniques. International Endodontic Journal, 34(5), 354-358.

Ferraz, C. C., Gomes, B. P., Zaia, A. A., Teixeira, F. B., & Souza-Filho, F. J. (2007). Comparative study of the antimicrobial efficacy of chlorhexidine gel, chlorhexidine solution and sodium hypochlorite as endodontic irrigants. Brazilian Dental Journal, 18(4), 294-298.

George, R., & Walsh, L. J. (2008). Apical extrusion of root canal irrigants when using Er: YAG and Er, Cr: YSGG lasers with optical fibers: an in vitro dye study. Journal of Endodontics, 34(6), 706-708.

Lu, Y., Wang, R., Zhang, L., Li, H. L., Zheng, Q. H., Zhou, X. D., & Huang, D. M. (2013). Apically extruded debris and irrigant with two N i‐T i systems and hand files when removing root fillings: a laboratory study. International Endodontic Journal, 46(12), 1125-1130.

Martin, H., & Cunningham, W. T. (1982). The effect of endosonic and hand manipulation on the amount of root canal material extruded. Oral Surgery, Oral Medicine, Oral Pathology, 53(6), 611-613.

Myers, G. L., & Montgomery, S. (1991). A comparison of weights of debris extruded apically by conventional filing and Canal Master techniques. Journal of Endodontics, 17(6), 275-279.

Ricucci, D., Rôças, I. N., Alves, F. R., Loghin, S., & Siqueira Jr, J. F. (2016). Apically extruded sealers: fate and influence on treatment outcome. Journal of Endodontics, 42(2), 243-249.

Schneider, S. W. (1971). A comparison of canal preparations in straight and curved root canals. Oral surgery, Oral Medicine, Oral Pathology, 32(2), 271-275.

Silva, E. J. N. L., Menaged, K., Ajuz, N., Monteiro, M. R. F. P., & de Souza Coutinho-Filho, T. (2013). Postoperative pain after foraminal enlargement in anterior teeth with necrosis and apical periodontitis: a prospective and randomized clinical trial. Journal of Endodontics, 39(2), 173-176.

Silva, E. J. N. L., Teixeira, J. M., Kudsi, N., Sassone, L. M., Krebs, R. L., & Coutinho-Filho, T. S. (2016). Influence of apical preparation size and working length on debris extrusion. Brazilian Dental Journal, 27(1), 28-31.

Tinaz, A. C., Alacam, T., Uzun, O., Maden, M., & Kayaoglu, G. (2005). The effect of disruption of apical constriction on periapical extrusion. Journal of Endodontics, 31(7), 533-535.

Toyoğlu, M., & Altunbaş, D. (2017). Influence of different kinematics on apical extrusion of irrigant and debris during canal preparation using K3XF instruments. Journal of Endodontics, 43(9), 1565-1568.

Downloads

Published

23/04/2021

How to Cite

GARCIA, K.; LIMOEIRO, A. G. da S. .; NASCIMENTO, W. M.; KADI, E. M.; RADAIC, S.; NERI, L.; SOARES, A. de J.; FROZONI, M. The influence of different working lengths on apically extruded debris. Research, Society and Development, [S. l.], v. 10, n. 4, p. e55410414554, 2021. DOI: 10.33448/rsd-v10i4.14554. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/14554. Acesso em: 26 nov. 2024.

Issue

Section

Health Sciences