Modern supplementary strategies of filling material removal in non-surgical root canal retreatment
DOI:
https://doi.org/10.33448/rsd-v12i6.42127Keywords:
Root canal; Filling material removal; Non-surgical retreatment.Abstract
O retratamento não cirúrgico é atualmente a terapia mais afetada na Endodontia em termos de desfecho clínico. O presente estudo tem como objetivo avaliar estratégias modernas para abordagens complementares na remoção de material de obturador. Assim foi realizada uma revisão narrativa da literatura nas bases de dados PubMed. Cochrane Library e Web of Science com as seguintes palavras-chave em diferentes ordens: “root canal”, “filling material removal”, “non-surgical retreatment” e “supplementary”. Para o delineamento da seleção de estudos, após a triagem dos títulos, foi realizada a retirada das duplicatas e aplicados os critérios de inclusão, em seguida foi feita a análise dos resumos e, por fim, realizada a revisão dos textos completos para seleção final dos estudos. Pesquisas adicionais foram conduzidas manualmente sob demanda. Seis tipos de estratégias de limpeza foram identificados na literatura para abordagem complementar em retratamento não cirúrgico: ativação ultrassônica e sônica passiva, ativação ultrassônica ativa, instrumentos plásticos para agitação mecânica, instrumentos metálicos para agitação mecânica, ativação multissônica e ativação a laser. Aqueles abordados na literatura têm sido associados a desempenhos mais elevados de remoção de material de obturador em comparação com sistemas de instrumentação apenas. No entanto, nenhum deles foi capaz de remover completamente o material obturador dentro do sistema de canais radiculares. Estudos clínicos controlados e randomizados são necessários para entender a real influência dessas estratégias no retratamento não cirúrgico. Há uma discrepância notável entre o volume de estudos para cada estratégia, mais estudos são necessários em alguns sistemas já contemplados. Ainda existem sistemas de ativação das soluções irrigadoras não elucidados no retratamento não cirúrgico.
References
Abduljalil, M. & Kalender, A. (2020). Efficacy of Er,Cr:YSGG Laser with Different Output Powers on Removing Smear Layer After Retreatment of Two Different Obturation Techniques. Photobiomodulation Photomedicine and Laser Surgery. 38(2):84-90.
AbuMostafa, A., Almoqayyad, H. & Mohammad, A. O. (2021). A Digital Microscopic Inspection of Dentinal Defects after Using Endodontic Retreatment Files. Int J Dent. :6661387.
Aksel, H., Kucukkaya Eren, S., Askerbeyli Ors, S., Serper, A., Ocak, M. & Celik, H.H. (2019). Micro-CT evaluation of the removal of root fillings using the ProTaper Universal Retreatment system supplemented by the XP-Endo Finisher file. Int Endod J. 52(7):1070-6.
Alves, F. R. F, Andrade-Junior, C. V., Marceliano-Alves, M. F., Perez, A. R., Rocas, I. N., Versiani, M. A. et al. (2016a) Adjunctive Steps for Disinfection of the Mandibular Molar Root Canal System: A Correlative Bacteriologic, Micro-Computed Tomography, and Cryopulverization Approach. J Endod. 42(11):1667-72.
Alves, F. R. F., Marceliano-Alves, M. F., Sousa, J. C. N., Silveira, S. B., Provenzano, J. C. & Siqueira, J. F. (2016b) Removal of Root Canal Fillings in Curved Canals Using Either Reciprocating Single- or Rotary Multi-instrument Systems and a Supplementary Step with the XP-Endo Finisher. J Endod. 42(7):1114-9.
Alves, F. R. F, Ribeiro, T. O., Moreno, J. O. & Lopes, H. P. (2014). Comparison of the efficacy of nickel-titanium rotary systems with or without the retreatment instruments in the removal of gutta-percha in the apical third. BMC Oral Health. 14:102.
Anjo, T., Ebihara, A., Takeda, A., Takashina, M., Sunakawa, M. & Suda, H. (2004). Removal of two types of root canal filling material using pulsed Nd:YAG laser irradiation. Photomed Laser Surg. 22(6):470-6.
Bartols, A., Bormann, C., Werner, L., Schienle, M., Walther, W. & Dorfer, C. E. (2020). A retrospective assessment of different endodontic treatment protocols. PeerJ. 8: e8495.
Bueno, C., Rios, M. A., Coelho, M. S., Villela, A. M., de Martin, A. S., Kato, A. S. et al. (2017). Influence of Passive Ultrasonic Irrigation on the Removal of Root Canal Filling Material in Straight Root Canals. Eur Endod J. 2(1):1-5.
Bueno, C. R. E., Cury, M. T. S., Vasques, A. M. V., Sarmiento, J. L., Trizzi, J. Q., Jacinto, R. C. et al. (2019). Cleaning effectiveness of a nickel-titanium ultrasonic tip in ultrasonically activated irrigation: a SEM study. Braz Oral Res. 33: e017.
Campello, A. F., Almeida, B. M., Franzoni, M. A., Alves, F. R. F., Marceliano-Alves, M. F., Rocas, I. N. et al. (2019). Influence of solvent and a supplementary step with a finishing instrument on filling material removal from canals connected by an isthmus. Int Endod J. 52(5):716-24.
Castro, R. F., Melo, J., Dias, L. C. L., Silva, E. & Brandao, J. (2018). Evaluation of the efficacy of filling material removal and re-filling after different retreatment procedures. Braz Oral Res. 32: e94.
Cesario, F., Hungaro Duarte, M. A., Duque, J. A., Alcalde, M. P., de Andrade, F. B., Reis So, M. V. et al. (2018). Comparisons by microcomputed tomography of the efficiency of different irrigation techniques for removing dentinal debris from artificial grooves. J Conserv Dent. 21(4):383-7.
Crozeta, B. M., Chaves de Souza, L., Silva-Sousa, Y. T. C., Sousa-Neto, M. D., Jaramillo, D. E. & Silva, R. M. (2020). Evaluation of Passive Ultrasonic Irrigation and GentleWave System as Adjuvants in Endodontic Retreatment. J Endod. 46(9):1279-85.
Crozeta, B. M., Lopes, F. C., Silva, R. M., Silva-Sousa, Y. T. C., Moretti, L. F. & Sousa-Neto, M. D. (2021). Retreatability of BC Sealer and AH Plus root canal sealers using new supplementary instrumentation protocol during non-surgical endodontic retreatment. Clin Oral Investig. 25(3):891-9.
De-Deus, G., Belladonna, F. G., Zuolo, A. S., Cavalcante, D. M., Carvalhal, J. C. A., Simoes-Carvalho, M. et al. (2019). XP-endo Finisher R instrument optimizes the removal of root filling remnants in oval-shaped canals. Int Endod J. 52(6):899-907.
Del Fabbro, M., Afrashtehfar, K. I., Corbella, S., El-Kabbaney, A., Perondi, I. & Taschieri, S. (2018). In Vivo and In Vitro Effectiveness of Rotary Nickel-Titanium vs Manual Stainless-Steel Instruments for Root Canal Therapy: Systematic Review and Meta-analysis. J Evid Based Dent Pract. 18(1):59-69.
Del Fabbro, M., Corbella, S., Sequeira-Byron, P., Tsesis, I., Rosen, E., Lolato, A. et al. (2016). Endodontic procedures for retreatment of periapical lesions. Cochrane Database Syst Rev. 10:CD005511.
Donmez, O. H., Kaval, M. E., Ozkan, G. & Yigit, O. S. (2019). Efficacy of Two Different Nickel-Titanium Rotary Systems in Retreatment Procedure With or Without Laser-Activated Irrigation: An In Vitro Study. Photobiomodul Photomed Laser Surg. 37(8):495-9.
Duque, J. A., Duarte, M. A., Canali, L. C., Zancan, R. F., Vivan, R. R., Bernardes, R. A. et al. (2017). Comparative Effectiveness of New Mechanical Irrigant Agitating Devices for Debris Removal from the Canal and Isthmus of Mesial Roots of Mandibular Molars. J Endod. 43(2):326-31.
Gomes, N. N., de Carvalho, G. M., Junior, E. C. S., Garcia, L., Marques, A. A. F. & de Carvalho, F. M. A. (2017). Filling Material Removal with Reciprocating and Rotary Systems Associated with Passive Ultrasonic Irrigation. Eur Endod J. 2(1):1-7.
Gorduysus, M. O., Al-Rubai, H., Salman, B., Al Saady, D., Al-Dagistani, H. & Muftuoglu, S. (2017). Using erbium-doped yttrium aluminum garnet laser irradiation in different energy output levels versus ultrasonic in removal of root canal filling materials in endodontic retreatment. Eur J Dent. 11(3):281-6.
Green, B. N., Johnson, C. D. & Adams, A. (2006). Writing narrative literature reviews for peer-reviewed journals: secrets of the trade. J Chiropr Med. 5(3):101-17.
Harashima, T., Takeda, F. H., Kimura, Y. & Matsumoto, K. (1997). Effect of Nd:YAG laser irradiation for removal of intracanal debris and smear layer in extracted human teeth. J Clin Laser Med Surg. 15(3):131-5.
Imura, N., Pinheiro, E.T., Gomes, B. P., Zaia, A. A., Ferraz, C. C. & Souza-Filho, F. J. (2007). The outcome of endodontic treatment: a retrospective study of 2000 cases performed by a specialist. J Endod. 33(11):1278-82.
Jiang, S., Zou, T., Li, D., Chang, J. W., Huang, X. & Zhang, C. (2016). Effectiveness of Sonic, Ultrasonic, and Photon-Induced Photoacoustic Streaming Activation of NaOCl on Filling Material Removal Following Retreatment in Oval Canal Anatomy. Photomed Laser Surg. 34(1):3-10.
Kaloustian, M. K., Nehme, W., El Hachem, C., Zogheib, C., Ghosn, N., Mallet, J. P. et al. (2019). Evaluation of two shaping systems and two sonic irrigation devices in removing root canal filling material from distal roots of mandibular molars assessed by micro-CT. Int Endod J. 52(11):1635-44.
Kaloustian, M. K., Nehme, W., El Hachem, C., Zogheib, C., Ghosn, N., Michetti, J. et al. (2019). Evaluation of Two Shaping Systems and Two Ultrasonic Irrigation Devices in Removing Root Canal Filling Material from Mesial Roots of Mandibular Molars: A Micro CT Study. Dent J (Basel). 7(1).
Kang, M., In Jung, H., Song, M., Kim, S. Y., Kim, H. C. & Kim, E. (2015). Outcome of nonsurgical retreatment and endodontic microsurgery: a meta-analysis. Clin Oral Investig. 19(3):569-82.
Kapasi, K., Kesharani, P., Kansara, P., Patil, D., Kansara, T. & Sheth, S. (2020). In vitro comparative evaluation of efficiency of XP-endo shaper, XP-endo finisher, and XP-endo finisher-R files in terms of residual root filling material, preservation of root dentin, and time during retreatment procedures in oval canals - A cone-beam computed tomography analysis. J Conserv Dent. 23(2):145-51
Keles, A., Alcin, H., Kamalak, A. & Versiani, M.A. (2014). Oval-shaped canal retreatment with self-adjusting file: a micro-computed tomography study. Clin Oral Investig. 18(4):1147-53.
Keles, A., Arslan, H., Kamalak, A., Akcay, M., Sousa-Neto, M. D. &Versiani, M. A. (2015). Removal of filling materials from oval-shaped canals using laser irradiation: a micro-computed tomographic study. J Endod. 41(2):219-24.
Kumar, S., Desai, K., Palekar, A., Biradar, B., Chatterjee, A. & Kumari, K. (2020). Comparison of the Efficacy of CanalBrush, EndoActivator, and Passive Ultrasonic Irrigation on the Removal of Triple Antibiotic Paste from Root Canal Walls: An In Vitro Study. J Int Soc Prev Community Dent. 10(4):424-30.
Machado, A. G., Guilherme, B. P. S., Provenzano, J. C., Marceliano-Alves, M. F., Goncalves, L. S., Siqueira, J. F.Jr. et al. (2019). Effects of preparation with the Self-Adjusting File, TRUShape and XP-endo Shaper systems, and a supplementary step with XP-endo Finisher R on filling material removal during retreatment of mandibular molar canals. Int Endod J. 52(5):709-15.
Martins, M. P., Duarte, M. A., Cavenago, B. C., Kato, A. S. & da Silveira, C. E. B. (2017). Effectiveness of the ProTaper Next and Reciproc Systems in Removing Root Canal Filling Material with Sonic or Ultrasonic Irrigation: A Micro-computed Tomographic Study. J Endod. 43(3):467-71.
Mohammadi, Z., Jafarzadeh, H., Shalavi, S. & Palazzi, F. (2017). Recent Advances in Root Canal Disinfection: A Review. Iran Endod J. 12(4):402-6.
Moher, D., Liberati, A., Tetzlaff, J. & Altman, D. G. (2009). The PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med. 6(7): e1000097.
Molina, B., Glickman, G., Vandrangi, P. & Khakpour, M. (2015). Evaluation of Root Canal Debridement of Human Molars Using the GentleWave System. J Endod. 41(10):1701-5.
Ng, Y. L., Mann, V. & Gulabivala, K. (2008). Outcome of secondary root canal treatment: a systematic review of the literature. Int Endod J. 41(12):1026-46.
Ng, Y. L., Mann, V., Rahbaran, S., Lewsey, J. & Gulabivala, K. (2007). Outcome of primary root canal treatment: systematic review of the literature - part 1. Effects of study characteristics on probability of success. Int Endod J. 40(12):921-39.
Nguyen, T. A., Kim, Y., Kim, E., Shin, S. J. & Kim, S. (2019). Comparison of the Efficacy of Different Techniques for the Removal of Root Canal Filling Material in Artificial Teeth: A Micro-Computed Tomography Study. J Clin Med. 8(7).
Ozyurek, T. & Demiryurek, E. O. (2016). Comparison of the Effectiveness of Different Techniques for Supportive Removal of Root Canal Filling Material. Eur Endod J. 1(1):1-6.
Park, S. Y., Kang, M. K., Choi, H. W. & Shon, W. J. (2020). Comparative Analysis of Root Canal Filling Debris and Smear Layer Removal Efficacy Using Various Root Canal Activation Systems during Endodontic Retreatment. Medicina (Kaunas). 56(11).
Pawar, A. M., Thakur, B., Metzger, Z., Kfir, A. & Pawar, M. (2016). The efficacy of the Self-Adjusting File versus WaveOne in removal of root filling residue that remains in oval canals after the use of ProTaper retreatment files: A cone-beam computed tomography study. J Conserv Dent. 19(1):72-6.
Pedulla. E., Abiad, R. S., Conte, G., Khan, K., Lazaridis, K., Rapisarda, E. et al. (2019). Retreatability of two hydraulic calcium silicate-based root canal sealers using rotary instrumentation with supplementary irrigant agitation protocols: a laboratory-based micro-computed tomographic analysis. Int Endod J. 52(9):1377-87.
Rivera-Pena, M. E., Duarte, M. A. H., Alcalde, M. P., de Andrade, F. B. & Vivan, R. R. (2018). A novel ultrasonic tip for removal of filling material in flattened/oval-shaped root canals: a microCT study. Braz Oral Res. 32:e88.
Rodrigues, C. T., Duarte, M. A., de Almeida, M. M., de Andrade, F. B. & Bernardineli, N. (2016). Efficacy of CM-Wire, M-Wire, and Nickel-Titanium Instruments for Removing Filling Material from Curved Root Canals: A Micro-Computed Tomography Study. J Endod. 42(11):1651-5.
Rodrigues, C. T., Duarte, M. A .H., Guimaraes, B. M., Vivan, R. R. & Bernardineli, N. (2017). Comparison of two methods of irrigant agitation in the removal of residual filling material in retreatment. Braz Oral Res. 31:e113.
Rossi-Fedele, G. & Ahmed, H. M. (2017). Assessment of Root Canal Filling Removal Effectiveness Using Micro-Computed Tomography: A Systematic Review. J Endod. 43(4):520-6.
Sigurdsson, A., Garland, R. W., Le, K. T. & Rassoulian, S. A. (2018). Healing of Periapical Lesions after Endodontic Treatment with the GentleWave Procedure: A Prospective Multicenter Clinical Study. J Endod. 44(3):510-7.
Sigurdsson, A., Garland, R. W., Le, K. T. & Woo, S. M. (2016). 12-month Healing Rates after Endodontic Therapy Using the Novel GentleWave System: A Prospective Multicenter Clinical Study. J Endod. 42(7):1040-8.
Silva, E., Belladonna, F. G., Zuolo, A. S., Rodrigues, E., Ehrhardt, I. C., Souza, E. M. et al. (2018). Effectiveness of XP-endo Finisher and XP-endo Finisher R in removing root filling remnants: a micro-CT study. Int Endod J. 51(1):86-91.
Silva, E., de Lima, C. O., Barbosa, A. F. A., Ferreira, C. M., Crozeta, B. M. & Lopes, R. T. (2021). Efficacy of an arrow-shaped ultrasonic tip for the removal of residual root canal filling materials. Aust Endod J. 47(3):467-473
Silva, P. A., Alcalde, M. P., Vivan, R. R. & Duarte, M. A. H. (2020). Comparison of the Self-Adjusting File and Hedstrom File Used as Supplementary Instruments for the Remaining Filling Material Removal During Retreatment of C-Shaped Canals: A Micro-CT Study. Eur Endod J. 5(2):112-7.
Silveira, S. B., Alves, F. R. F., Marceliano-Alves, M. F., Sousa, J. C. N., Vieira, V. T. L., Siqueira, J. F.Jr. et al. (2018). Removal of Root Canal Fillings in Curved Canals Using Either Mani GPR or HyFlex NT Followed by Passive Ultrasonic Irrigation. J Endod. 44(2):299-303 e1.
Siqueira, J. F.Jr. & Rocas, I. N. (2008). Clinical implications and microbiology of bacterial persistence after treatment procedures. J Endod. 34(11):1291-301.
Siqueira, J. F.Jr., Rocas, I. N., Marceliano-Alves, M. F., Perez, A. R. & Ricucci, D. (2018). Unprepared root canal surface areas: causes, clinical implications, and therapeutic strategies. Braz Oral Res. 32(suppl 1): e65.
Solomonov, M., Paque, F., Kaya, S., Adiguzel, O., K fir, A. & Yigit-Ozer, S. (2012). Self-adjusting files in retreatment: a high-resolution micro-computed tomography study. J Endod. 38(9):1283-7.
Suk, M., Bago, I., Katic, M., Snjaric, D., Munitic, M. S. & Anic, I. (2017). The efficacy of photon-initiated photoacoustic streaming in the removal of calcium silicate-based filling remnants from the root canal after rotary retreatment. Lasers Med Sci. 32(9):2055-62.
Tachinami, H. & Katsuumi, I. (2010). Removal of root canal filling materials using Er:YAG laser irradiation. Dent Mater J. 29(3):246-52.
Tavares, S. J .O., Gomes, C. C., Marceliano-Alves, M. F., Guimaraes, L. C., Provenzano, J. C., Amoroso-Silva, P. et al. (2020). Supplementing filling material removal with XP-Endo Finisher R or R1-Clearsonic ultrasonic insert during retreatment of oval canals from contralateral teeth. Aust Endod J. 47(2):188-194.
Uzunoglu-Ozyurek, E., Kucukkaya Eren, S. & Karahan, S. (2021). Contribution of XP-Endo files to the root canal filling removal: A systematic review and meta-analysis of in vitro studies. Aust Endod J. 47(3):703-714
Volponi, A., Pelegrine, R. A., Kato, A. S., Stringheta, C. P., Lopes, R. T., Silva, A. S. S. et al. (2020). Micro-computed Tomographic Assessment of Supplementary Cleaning Techniques for Removing Bioceramic Sealer and Gutta-percha in Oval Canals. J Endod. 46(12):1901-6.
Wright, C .R., Glickman, G. N., Jalali, P. & Umorin, M. (2019). Effectiveness of Gutta-percha/Sealer Removal during Retreatment of Extracted Human Molars Using the GentleWave System. J Endod. 45(6):808-12.
Xavier, F., Nevares, G., Gominho, L., Rodrigues, R., Cassimiro, M., Romeiro, K. et al. (2018). Bacterial Reduction after Gutta-Percha Removal with Single vs. Multiple Instrument Systems. Iran Endod J. 13(2):176-80.
Yuruker, S., Gorduysus, M., Kucukkaya, S., Uzunoglu, E., Ilgin, C., Gulen, O. et al. (2016). Efficacy of Combined Use of Different Nickel-Titanium Files on Removing Root Canal Filling Materials. J Endod. 42(3):487-92.
Zhang, D., Shen, Y., de la Fuente-Nunez, C. & Haapasalo, M. (2019). In vitro evaluation by quantitative real-time PCR and culturing of the effectiveness of disinfection of multispecies biofilms in root canals by two irrigation systems. Clin Oral Investig. 23(2):913-20.
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