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. 2021 Nov;13(Suppl 2):S1398-S1401.
doi: 10.4103/jpbs.jpbs_225_21. Epub 2021 Nov 10.

Quantitative Evaluation of Apically Extruded Debris in Root Canals prepared by Single-file Reciprocating and Single File Rotary Instrumentation Systems: A Comparative In vitro Study

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Quantitative Evaluation of Apically Extruded Debris in Root Canals prepared by Single-file Reciprocating and Single File Rotary Instrumentation Systems: A Comparative In vitro Study

Sonal Sinha et al. J Pharm Bioallied Sci. 2021 Nov.

Abstract

Background: Prevention of the debris from extruding to the periapical region is an important aspect to be taken care of as its extrusion can result in pain, periapical inflammation, and delayed healing owing to the presence of highly infective components in the debris.

Aim: The present trial was aimed to compare and assess the amount of debris extruded apically using the single-file reciprocating system - WaveOne GOLD and single file rotary system - OneShape in root canal preparations in vitro.

Materials and methods: Thirty mandibular premolars were divided into two groups (15 samples each) prepared with a single-file reciprocating system - WaveOne GOLD and single-file rotary system - OneShape. Debris extruded was collected and then stored in an incubator. The final weight was calculated after obtaining the mean of three consecutive weights obtained for each tooth. The data were compared using the ANOVA and Turkey's post hoc analysis.

Results: Debris extrusions were recorded in both groups and analysis revealed statistical differences in weight before and after the instrumentation procedures in both groups. When compared, reciprocating single file - WaveOne GOLD extruded more debris than rotary single file system - OneShape with a P < 0.001.

Conclusions: The rotary instrumentation systems extrude lesser debris apically than the reciprocating instrumentation system. The difference found was statistically significant.

Keywords: Apical extrusion; OneShape; WaveOne GOLD; debris; irrigation; reciprocating motion; rotating motion.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Biomechanical preparation done using wave OneGold and OneShape
Figure 2
Figure 2
The final weight of the vials including the extruded debris

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