Comparative evaluation of three different rotary instrumentation systems for removal of gutta-percha from root canal during endodontic retreatment: An in vitro study

Abstract

Context: Endodontic retreatment is performed in teeth with endodontic failures. The main goal of retreatment is cleaning and shaping of the root canal with removal of old root filling material. Hand instruments and rotary instruments are mainly used for removing this filling material.

Aim of study: To compare the relative efficacy of three rotary instrumentation systems for removal of gutta-percha from root canal during endodontic retreatment.

Objective of study: To find out which NiTi system is more efficacious in retreatment and to check out the efficacy of retreatment with and without use of solvent.

Materials and methods: Sixty freshly extracted, single-rooted human mandibular premolars were instrumented with K-files, and each root canal was filled with gutta-percha and AH Plus (Dentsply Detrey, Konstanz, Germany) sealer using lateral compaction. Specimens were then divided into three experimental groups with twenty specimens each. Groups were then subdivided into ten specimens each. Groups were then retreated either with or without solvent. The removal of gutta-percha was performed using ProTaper retreatment files, Mtwo retreatment files, and R-Endo files after 2 weeks. The amount of root canal filling material remnant in the coronal, middle, and apical thirds was measured using stereomicroscope and computer image analysis program.

Statistical analysis used: Data were evaluated statistically using analysis of variance.

Results: ProTaper group was found to have less remnant filling material as compared to the other groups in coronal and middle thirds, but a significant difference was observed between ProTaper and Mtwo and Mtwo and R-Endo in the nonsolvent groups (P < 0.05). Mtwo group demonstrated less amount of remaining filling material in the nonsolvent group.

Conclusions: Both nickel-titanium systems and ProTaper and Mtwo retreatment file systems, were found to be effective in the removal of root canal filling material. However, complete removal of gutta-percha from root canals did not occur with any of the experimental groups.

Keywords: Endodontic retreatment; gutta-percha; obturation; rotary instrumentation.

Graph 1

Graphic representation of residual obturation material on the canal walls in the entire root canal

Graph 2

Graphic representation of residual obturation material on the canal walls in coronal third of root canal

Graph 3

Graphic representation of residual obturation material on the canal walls in middle third of root canal

Graph 4

Graphic representation of residual obturation material on the canal walls in apical third of root canal