Comparative evaluation of extrusion of apical debris in primary anterior teeth using two different rotary systems and hand files: An In Vitro study

Background: The success of endodontic treatment depends on the chemomechanical preparation of the tooth. However, the debris produced during canal preparation may extrude through the apical foramen causing postoperative complications. Aim: The aim of this study is to compare the apical debris extrus...

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Bibliographic Details
Published in:Contemporary clinical dentistry 2019-07, Vol.10 (3), p.512-516
Main Authors: Asif, Ahsana, Jeevanandan, Ganesh, Govindaraju, Lavanya, Vignesh, R, G. Subramanian, E
Format: Article
Language:English
Subjects:
apical extrusion
Canine teeth
Comparative analysis
Complications
Dentistry
Endodontics
k-files
kedo-s
Original
Pediatrics
Postoperative
Postoperative complications
protaper
Root canal therapy
Root canals
Stainless steel
Studies
Teeth
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Summary:Background: The success of endodontic treatment depends on the chemomechanical preparation of the tooth. However, the debris produced during canal preparation may extrude through the apical foramen causing postoperative complications. Aim: The aim of this study is to compare the apical debris extrusion during root canal preparation in primary anterior teeth using hand files, rotary ProTaper files, and rotary Kedo-S files. Materials and Methods: Forty-five freshly extracted primary canine with mature apices and a single canal were randomly divided into three groups for instrumentation as follows (n = 15): Group 1: hand files; Group 2: rotary ProTaper files; and Group 3: rotary Kedo-S files. Myers and Montgomery experimental model was used for this study. Apically extruded debris collected in a preweighed Eppendorf tubes was placed in the incubator at 70°C for 5 days. The weight of the debris collected was determined by subtracting the pre- and post-instrumentation weight of the Eppendorf tubes. The data collected were analyzed using the analysis of variance and Tukey's post-hoc tests. Results: Hand files produced more apical debris extrusion than ProTaper and Kedo-S files (P < 0.05) while Kedo-S produced the least (P < 0.05). Conclusion: All instrumentation systems cause apical debris extrusion. Kedo-S produced less apical debris extrusion when compared to the hand files and ProTaper files.
ISSN:0976-237X
0976-2361
DOI:10.4103/ccd.ccd_884_18