98%
921
2 minutes
20
Purpose: Apically extruded debris, canal transportation and shaping ability were compared between contracted endodontic cavities (CECs) and traditional endodontic cavities (TECs) after instrumentation with XP-endo Shaper (XPS), ProTaper Gold (PTG), ProTaper for hand-use (HPT) and Hero Shaper.
Methods: The CECs or TECs groups were sub-divided into 24 groups according to root canal morphology and nickel-titanium (Ni-Ti) instruments. The weight of apically extruded debris was calculated using the Myers and Montgomery model. Pre- and postoperative images of teeth were scanned using micro-CT and the three-dimensional models were constructed and compared.
Results: Under CECs or TECs, XPS and PTG produced less apical debris and formed less canal transportation than HPT and Hero Shaper (P < 0.05). XPS group under CECs extruded less apical debris than that under TCEs for round canals with curvature of 20°-35° (P < 0.05). The centering ratios of four tested instruments were higher under TECs than those under CECs (P < 0.05). The HPT and Hero Shaper had more transportation under CECs than that under TCEs (P < 0.05). No statistical difference was found regarding shaping ability among all the groups.
Conclusion: Under CECs, XPS preserves the original root canal anatomy, meanwhile it produces less apical debris than the other instruments.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.2334/josnusd.23-0050 | DOI Listing |
Iran Endod J
May 2025
Iranian Centre for Endodontic Research, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Strip perforation is a severe procedural complication during root canal therapy, often associated with poor prognosis, especially when combined with overextended gutta-percha. While surgical or nonsurgical retreatment is commonly indicated, patient-centered decision-making and long-term follow-up may influence the management strategy. This case report describes the conservative follow-up and eventual successful treatment of a mandibular second molar with an extensive midroot strip perforation and extruded gutta-percha, ultimately managed with intentional replantation and root-end filling using calcium-enriched mixture (CEM) cement.
View Article and Find Full Text PDFIran Endod J
July 2025
Department of Conservative Dentistry with Endodontics, Institute of Stomatology, Faculty of Medicine, Jagiellonian University Medical College in Cracow, Poland.
Continuous improvement and technological progress in the field of microscopic endodontics enable a gradual increase in indications for non-surgical root canal treatment. While most publications report successful surgical management of overfill or extruded foreign bodies into the periapical area, very few report that this complication can be successfully managed with non-surgical endodontic treatment. This case report presents successful management of a lower left second molar (tooth #37) diagnosed with exacerbated chronic apical periodontitis and massive overfill in a 36-year-old patient WITH non-surgical endodontic treatment AND bent H-file to remove extruded material under dental operating microscope control.
View Article and Find Full Text PDFInt J Biomater
July 2025
Department of Cariology and Endodontics, The Affiliated Stomatological Hospital, Jiangxi Medical College, Nanchang University, Nanchang 330006, China.
This study compared the shaping ability and apical debris extrusion of four nickel-titanium (Ni-Ti) single-file systems in simulated curved root canals. Forty simulated curved root canals in resin blocks were randomly assigned to four groups ( = 10): Reciproc Blue (RCB), V-Blue, One Plex, and S-ONE. Images of the simulated root canals were captured before and after instrumentation.
View Article and Find Full Text PDFJ Pharm Bioallied Sci
June 2025
My Dental Southbridge, 305 Main St Southbridge, MA, USA.
Background: The formation of apical debris is a common occurrence during root canal preparation, which may cause postoperative complications like pain and infection. Different file motions-rotary, reciprocating, and adaptive-can influence the extent of debris extrusion.
Materials And Methods: A total of 90 extracted single-rooted teeth were randomly divided into three groups ( = 30) based on the file motion used: Group 1-rotary, Group 2-reciprocating, and Group 3-adaptive motion.
J Pharm Bioallied Sci
June 2025
Department of Conservative Dentistry and Endodontics, Sri Sai Dental College and Hospital, Vikarabad, Telangana, India.
Background: After root canal preparation, apical debris may cause discomfort and delayed healing. Rotary, reciprocating, and adaptive file movements affect debris extrusion.
Materials And Methods: Sixty extracted mandibular premolars with single root canals were randomly divided into three file motion groups (n = 20): Group A (rotary motion using ProTaper Universal files), Group B (reciprocating motion using WaveOne files), and Group C (adaptive motion using TF Adaptive files).