Aim: The current research set out to examine and contrast the amounts of apically extruded debris produced by two distinct rotary files and hand files used in pulpectomy procedures.
Materials And Methods: Forty-five extracted primary mandibular molars were randomly divided into three groups for instrumentation. Prime Pedo™ files are in Group 1, DXL-Pro Pedo files are in Group 2, and H and K files are in Group 3. Debris that had been apically extruded and collected in preweighed Eppendorf tubes was incubated for five days at 70°C. The weight of the Eppendorf tubes before and after instrumentation was subtracted to get the weight of the debris that was gathered.
Results: It was noted that all three groups had significantly different amounts of material ejected from the tip. The groups with the lightest amounts of extruded debris were 1, 2, and 3, in that order. The most debris was extruded from the apex in Group 3.
Conclusion: This suggests that rotary files are preferable to hand files because they reduce debris extrusion, which in turn reduces postoperative events following pulpectomy procedures.
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http://dx.doi.org/10.4103/jpbs.jpbs_54_24 | DOI Listing |
Lasers Med Sci
January 2025
Department of Endodontics, Faculty of Dentistry, Gülhane Faculty of Dentistry, University of Health Sciences, Ankara, Turkey.
Objective: This study aims to quantitatively compare the effects of standard needle irrigation (SNI), passive ultrasonic irrigation (PUI), EDDY, photon-initiated photoacoustic streaming (PIPS), and shock wave-enhanced emission photoacoustic streaming (SWEEPS) on the apical extrusion of irrigation solutions in teeth with severe canal curvature.
Materials And Methods: Seventy-five teeth with a single root and canal, and curvature angles ranging from 20° to 40°, were selected for this study. Root canal curvatures were measured from buccolingual and mesiodistal radiographs using ImageJ software (version 1.
Int J Clin Pediatr Dent
November 2024
Department of Pedodontics and Preventive Dentistry, Vivekanandha Dental College for Women, Namakkal, Tamil Nadu, India.
Aims And Background: Failure of the endodontic treatment might be due to various reasons like zipping, apical blockade, ledging, debris extrusion, etc. Apical debris extrusion in primary teeth is of major concern as it does not have a proper well-developed apex, that is, mature apex. This study aims to compare and evaluate the apical debris extrusion in primary molars using three different pediatric rotary file system.
View Article and Find Full Text PDFJ Conserv Dent Endod
November 2024
Department of Conservative Dentistry and Endodontics, Yenepoya Dental College, Yenepoya (Deemed to be University), Mangalore, Karnataka, India.
Apical fenestration is a defect in the alveolar cortical plate, exposing the root without involving the alveolar bone margin, often linked to trauma, periodontal disease, and orthodontic treatment, leading to symptoms such as pain and abscesses from endodontic infections. This case report describes managing a mucosal fenestration in an endodontically treated tooth with nonsurgical root canal therapy and periodontal surgery. A 44-year-old male presented with mucosal fenestration and pain in the upper front jaw due to trauma and an inadequately treated root canal.
View Article and Find Full Text PDFOdontology
January 2025
Department of Endodontics, University of Southern Santa Catarina (UNISUL), Palhoça, Santa Catarina, Brazil.
This in vitro research assessed the influence of the instrument kinematics (rotary and reciprocating) and the apical preparation limit on the root canal disinfection and apical bacterial extrusion. After 21 days of Enterococcus faecalis biofilm formation in 72 mesial root canals of mandibular molars, the root canals were distributed into 2 groups (n = 36) according to the systems used for preparation: ProDesign S and Reciproc. The groups were redistributed according to the limit of apical preparation (n = 11): (a) 1 mm up to the apical foramen (TL-1); (b) at the apical foramen (TL = 0); (c) 1 mm beyond the apical foramen (TL + 1).
View Article and Find Full Text PDFDent Res J (Isfahan)
November 2024
Department of Endodontics, Faculty of Dentistry, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran.
Background: Periapical extrusion of debris for root retreatment will effectively improve the posttreatment inflammation and pain. The aim of this study was to investigate the extruded debris for root retreatment using XP shaper and ProTaper files.
Materials And Methods: In his experimental laboratory study, 40 extracted human maxillary molars were used in this laboratory study.
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