Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Mar 1;15(3):e250-e263.
doi: 10.4317/jced.59953. eCollection 2023 Mar.

Effectiveness, efficiency, and apical extrusion of 2 rotaries and 2 reciprocating systems in removing filling material during endodontic retreatment. A systematic review

Javier Caviedes-Bucheli  1 , Nestor Rios-Osorio  2 , Cristina Gutiérrez de Pineres-Milazzo  3 , Mauricio Jiménez-Peña  4 , Ricardo Portigliatti  5 , Jose-Francisco Gaviño-Orduña  6 , Marcia Antúnez-Rivero  7 , Jose-Francisco Gomez-Sosa  8 , Hugo-Roberto Munoz  9
Affiliations
Review

Effectiveness, efficiency, and apical extrusion of 2 rotaries and 2 reciprocating systems in removing filling material during endodontic retreatment. A systematic review

Javier Caviedes-Bucheli et al. J Clin Exp Dent. .

Abstract

Background: This systematic review investigated the effectiveness, efficiency and apical extrusion of the debris of two rotary and two reciprocating single-file systems used for the removal of filling material from straight root canals.

Material and methods: A literature search was performed in the Medline, ISI Web of Science, and Scopus databases for relevant articles matching the keyword search strategy. Effectiveness was determined with studies dealing with the ability of the instruments to remove filling material from root canals. Efficiency was assessed with studies dealing with the time needed to completely remove the root canal filling, and apical extrusion was determined with studies that measured the amount of filling material extruded through the apex.

Results: From the 424 articles initially found, 406 were excluded for being non-relevant or not fulfilling the selection criteria. Another 9 articles were excluded after methodology evaluation. Finally, 9 studies were included in the systematic review.

Conclusions: None of the reviewed systems is effective to completely remove the filling materials from straight root canals, and all systems appear to be equally time-efficient, although this variable shows different results. In terms of apical extrusion, the analyzed reciprocating systems extrude more material toward the periapical tissues than the continuous rotation systems. Key words:Systematic review, rotary files, reciprocating files, apical extrusion, endodontic retreatment.

PubMed Disclaimer

Conflict of interest statement

Conflicts of interest None declared.

Figures

Figure 1
Figure 1
PRISMA 2020 flow diagram for new systematic reviews which included searches of databases and registers.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Del Fabbro M, Corbella S, Sequeira-Byron P, Tsesis I, Rosen E, Lolato A. Endodontic procedures for retreatment of periapical lesions. Cochrane Database Syst Rev. 2016;10:CD005511. - PMC - PubMed
    1. Bramante CM, Fidelis NS, Assumpçao TS, Bernardineli N, Garcia RB, Bramante AS. Heat release, time required, and cleaning ability of Mtwo R and ProTaper Universal retreatment systems in the removal of filling material. J Endod. 2010;36:1870–3. - PubMed
    1. Lu Y, Wang R, Zhang L, Li HL, Zheng QH, Zhou XD. Apically extruded debris and irrigant with two Ni-Ti systems and hand files when removing root fillings: a laboratory study. Int Endod J. 2013;46:1125–30. - PubMed
    1. Silva EJ, Sa L, Belladonna FG, Neves AA, Accorsi-Mendonça T, Vieira VT. Reciprocating versus rotary systems for root filling removal: assessment of the apically extruded material. J Endod. 2014;40:2077–80. - PubMed
    1. Bürklein S, Schäfer E. Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. J Endod. 2012;38:850–2. - PubMed

LinkOut - more resources