Effect evaluation of different methods for removal of root canal filling materials.

Objectives: This study aimed to evaluate the efficacy of three methods in root canal retreatment to remove the filling material in the root canals.

Methods: Ninety tooth roots filled by gutta percha or plasticized material (=45, each) were randomly divided into three groups (=15). WaveOne (WaveOne group), 1P drill+WaveOne (1P+WaveOne group), and ultrasound P5 working end ET25+ProTaper Universal (P5+ProTaper Universal group) were used to remove the root canal filling material and prepare for root canal. The operating time of each canal was recorded and the percentage of residual filling material area was measured on the root canal wall of the mesial and distal dissected root section. The degree of deviation of the root canal after operation was measured for the root samples filled by gutta percha.

Results: The type of root filling material and the method of root canal retreatment had no significant effect on the percentage of residual area of the filling material (>0.05). However, the remaining filling material area of apical 1/3 of the root canal was significantly higher than that of cervical 1/3 of the root canal (<0.05). The average operating times for removing gutta-percha or plasticized material in the W and 1P+WaveOne groups were significantly less than that in the P5+ProTaper Universal group (=0.000). The root canal retreatment methods had no significant effect on the curvature of the root canal (=0.650).

Conclusions: WaveOne single file's cleaning ability and center positioning ability were similar to those of ProTaper Universal. Moreover, WaveOne can be independently used for most root canals without a pathway when removing the root canal fillings, thereby simplifying the process of root canal retreatment.