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Review
. 2023 Sep 14;15(9):e45211.
doi: 10.7759/cureus.45211. eCollection 2023 Sep.

Apical Extrusion: Is It an Inherent Occurrence During Every Endodontic Treatment?

Kaoutar Laslami  1 , Salma Khaldoune  1 , Aly Sy  1 , Sofia Drouri  1 , Imane Benkiran  1
Affiliations
Review

Apical Extrusion: Is It an Inherent Occurrence During Every Endodontic Treatment?

Kaoutar Laslami et al. Cureus. .

Abstract

The aim of this literature review was to analyze all available scientific data on apical extrusion and to identify and associate the possible factors influencing the occurrence of apical extrusion, ranging from the choice of the canal shaping system, the irrigation technique, to the choice of diameter and the apical limit of preparation. A bibliographic search for relevant articles on apical extrusion of debris, irrigants, and bacteria was performed using the following databases: PubMed, Cochrane Library, and ScienceDirect. This search identified articles published between 2010 and 2023 in two languages (French and English). After selective sorting, 25 relevant documents were included. All the studies retained clearly agree on the inherent nature of apical extrusion during endodontic treatment. At the same time, we also understand that the amount of extrusion can be influenced by a number of parameters throughout endodontic therapy. According to this review, despite the undeniable nature of apical extrusion during endodontic therapy, studies with relatable experimental models that approach in vivo conditions are required to establish exploitable conclusions regarding apical extrusion and its prevention.

Keywords: apical extrusion; bacterial; debris; flare up; instrumentation; irrigation; prevention; root canal preparation.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Flow diagram for the data search
See this image and copyright information in PMC

References

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