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DOI :10.26650/eor.20241057693   IUP :10.26650/eor.20241057693    Full Text (PDF)

The effect of three different primary teeth rotary instrument systems on the amount of apically extruded debris in pulpectomy of primary teeth

Müşfig Abdulhaligov, Nagehan Yılmaz, Tamer Tüzüner, Özgül Baygın, Cansu Emeksiz

Purpose: The objective of this study is to evaluate the amount of apically extruded debris and working time during root canal treatment with three different primary teeth rotary instrument systems.

Material and Methods: A total of 80 extracted primary second molar teeth were randomly divided into four groups (n=20) stratified by the instruments used: AF Baby Rotary, Easyinsmile Baby Rotary, Endoart Pedo Gold, and hand files. The apical extrusion of debris was collected then dried in Eppendorf tubes that were pre-weighed with 10–4 precision micro-balance. The incubation period was set as 14 days at 37°C. The dry weight was procured by deducting the preoperative weight from the postoperative weight. The systems’ working time was calculated by chronometer. Mann Whitney U test with Bonferroni correction was used for pairwise comparison following the variance analysis with Kruskal Wallis test. Wilcoxon test was used for intragroup comparison.

Results: Although all instruments caused apically extruded debris (p<0.001), there was no statistically significant difference between the groups in debris extrusion. However, the longest working time was found in the manual K files, the Endoart Pedo Gold system had the shortest working time (p<0.001).

Conclusions: Our results demonstrate that all instrument systems caused apical extrusion of debris. Furthermore, the rotary instrument systems designed for primary teeth exhibited significantly shorter working time.

Keywords: apical debris, primary teeth, root canal preparation, rotary system, time
DOI :10.26650/eor.20241057693   IUP :10.26650/eor.20241057693    Full Text (PDF)

Üç farklı süt dişi döner eğe sistemi ile süt dişi kök kanal tedavisi sırasında taşan debris miktarının ve çalışma zamanının incelenmesi

Müşfig Abdulhaligov, Nagehan Yılmaz, Tamer Tüzüner, Özgül Baygın, Cansu Emeksiz

Amaç: Çalışmamızın amacı üç farklı süt dişi döner eğe sistemi ile süt dişi kök kanal tedavisi sırasında taşan debris miktarını ve çalışma zamanını belirlemektir.

Gereç ve Yöntem: Toplam 80 adet çekilmiş süt ikinci azı diş, kullanılan aletlere göre rastgele dört gruba (n=20) ayrıldı: AF Baby Rotary, Easyinsmile Baby Rotary, Endoart Pedo Gold ve el eğeleri. Apikale taşan debris toplandı ve 10-4 hassas mikro terazi ile önceden tartılan Eppendorf tüplerinde kurutuldu. İnkübasyon süresi 37°C’de 14 gün olarak belirlendi. İşlem sonrası ağırlıktan işlem öncesi ağırlık değerleri çıkarılarak kuru debris ağırlığı elde edildi. Eğe sistemlerinin çalışma zamanı kronometre ile hesaplandı. Gruplar arası karşılaştırmada Kruskal Wallis testi sonrası Mann Whitney U testi ve Bonferroni düzeltmesi kullanıldı. Grup içi karşılaştırmada Wilcoxon testi uygulandı.

Bulgular: Bütün eğe sistemleri apikalden debris taşmasına neden olsada (p<0.001), eğe sistemleri arasında debris taşırmada istatistiksel olarak anlamlı bir fark bulunmamıştır (p>0.05). En uzun çalışma zamanı manuel K eğelerinde, en kısa çalışma zamanı ise Endoart Pedo Gold sisteminde tespit edilmiştir (p<0.001).

Sonuç: Tüm sistemler apikal debris ekstrüzyonuna neden olmuştur. Süt dişleri döner alet sistemleri önemli ölçüde daha hızlı çalışma süreleri nedeniyle tercih edilebilir. 

Keywords: Apikal debris, süt dişi, kök kanal tedavisi, döner sistemler, zaman

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References

  • Bodur H, Odabaş M, Tulunoğlu Ö, Tinaz AC. Accuracy of two different apex locators in primary teeth with and without root resorption. Clinical Oral Investigations 2008;2:137-41. google scholar
  • Pinky C, Shashibhushan K, Subbareddy V. Endodontic treatment of necrosed primary teeth using two different combinations of antibacterial drugs: an in vivo study. Journal of Indian Society of Pedodontics and Preventive Dentistry 2011;29:121. google scholar
  • Nunes ACGP, Rocha MJdC. Hydroxyl and calcium ions diffusion from endodontic materials through roots of primary teeth-in vitro study. Journal of Applied Oral Science 2005;13:187-92. google scholar
  • Moskovitz M, Sammara E, Holan G. Success rate of root canal treatment in primary molars. Journal of dentistry 2005;33:41-7. google scholar
  • Fuks A, Papagiannoulis L, Duggal M. Pulpotomy in primary teeth: review of the literature according to standardized assessment criteria. European Archives of Paediatric Dentistry 2006;1:64-72. google scholar
  • Barr ES, Kleier DJ, Barr NV. Use of nickel-titanium rotary files for root canal preparation in primary teeth. Pediatric dentistry 2000;22:77-7. google scholar
  • Silva LA, Nelson-Filho P, Leonardo MR, Tanomaru JM. Comparison of rotary and manual instrumentation techniques on cleaning capacity and instrumentation time in deciduous molars. Journal of dentistry for children 2004;71:45-7. google scholar
  • Nagaratna P, Shashikiran N, Subbareddy V. In vitro comparison of NiTi rotary instruments and stainless steel hand instruments in root canal preparations of primary and permanent molar. Journal of Indian Society of Pedodontics and Preventive Dentistry 2006;24: 186. google scholar
  • Govindaraju L, Jeevanandan G, Subramanian E, Vishawanathaiah S. Assessment of Quality of Obturation, Instrumentation Time and Intensity of Pain with Pediatric Rotary File (Kedo-S) in Primary Anterior Teeth: A Randomized Controlled Clinical Trial. International journal of clinical pediatric dentistry 2018;11:462. google scholar
  • FANTA DENTAL MATERIALS (2021). AF BABY ROTARY [online]. Available from: http://www.fanta-dental.com/product/29.html. [Accessed 3 November 2021]. google scholar
  • Easyinsmile (2021). Easyinsmile Baby Rotary Files [online]. Available from: https://www.easyinsmile-direct.com/en/1110-16mm-dental-endo-rotary-niti-files-easyinsmile-never-broken-baby-rotary-engine-files-for-kids-root-canal-treatment.html. [Accessed 3 November 2021]. google scholar
  • Endoart (2021). Endoart Pedo Gold [online]. Available from: http://www.incidental.com.tr/uploads/urun/pdf/endoart-wise-gold1610376272.pdf. [Accessed 3 November 2021]. google scholar
  • Adl A, Sahebi S, Moazami F, Niknam M. Comparison of apical debris extrusion using a conventional and two rotary techniques. Iranian endodontic journal 2009;4:135. google scholar
  • Seltzer S, Naidorf IJ. Flare-ups in endodontics: I. Etiological factors. Journal of Endodontics 2004;30:476-81. google scholar
  • Shah HS, Patil VM, Kamath AP, Mathur AA. Comparative evaluation of instrumentation time, obturation time, and radiographic quality of obturation using two rotary systems and manual technique for primary molar pulpectomies–In vivo study. Contemporary Clinical Dentistry 2021;12:55. google scholar
  • Arıkan V, Akçay M, Zeren AE, Sarı Ş, Çelik BN. Süt dişi kök kanal tedavisinde Hero 642 protaper Ni-Ti döner sistemler ve K tipi eğenin preparasyon güvenliği ve süresi açısından in-vitro olarak karşılaştırılması. European Annals of Dental Sciences. 2010; 37:89-96. google scholar
  • Hülsmann M, Peters OA, Dummer PM. Mechanical preparation of root canals: shaping goals, techniques and means. Endodontic topics 2005;10:30-76. google scholar
  • Alnassar I, Alsafadi AS, Kouchaji C. Assessment of the apically extruded debris between a rotary system, a reciprocating system and hand files during the root canal instrumentation of the deciduous molars. Dental and medical problems 2019;56:53-7. google scholar
  • Pawar BA, Pawar AM, Atram J, Luke AM, Bhardwaj A, Kfir A, Metzger Z, Wahjuningrum DA. Apical debris extrusion during instrumentation of oval root canals in primary teeth using manual versus motorized files: an ex vivo study. Scientific Reports 2021;11:1-7. google scholar
  • Kucukyilmaz E, Savas S, Saygili G, Uysal B. Evaluation of apically extruded debris and irrigant produced by different nickel-titanium instrument systems in primary teeth. J Contemp Dent Pract 2015;16:864-8. google scholar
  • Zhu Y, Gu Y, Du R, Li C. Reliability of two methods on measuring root canal curvature. Int Chin J Dent 2003;3:118-21. google scholar
  • Huang X, Ling J, Wei X, Gu L. Quantitative evaluation of debris extruded apically by using ProTaper Universal Tulsa rotary system in endodontic retreatment. Journal of endodontics 2007;33:1102-5. google scholar
  • Myers GL, Montgomery S. A comparison of weights of debris extruded apically by conventional filing and Canal Master techniques. Journal of endodontics 1991;17:275-9. google scholar
  • Research Randomizer (2021). Research Randomizer [online]. Available from: https://www.randomizer.org/. [Accessed 6 December 2021]. google scholar
  • Hülsmann M, Hahn W. Complications during root canal irrigation–literature review and case reports. International endodontic journal 2000;33:186-93. google scholar
  • Rathi N, Jain SA, Thosar N, Baliga S, Ahmed F, Mehta J. Comparative Evaluation of Cleaning Efficiency and Apical Extrusion of Debris Using Two Pediatric Rotary Endodontic Files: An In Vitro Study. International Journal of Clinical Pediatric Dentistry 2021;14:196. google scholar
  • Tanalp J, Güngör T. Apical extrusion of debris: a literature review of an inherent occurrence during root canal treatment. International endodontic journal 2014; 47:211-21. google scholar
  • De-Deus GA, Silva EJNL, Moreira EJ, de Almeida Neves A, Belladonna FG, Tameirão M. Assessment of apically extruded debris produced by the self-adjusting file system. Journal of endodontics 2014;40:526-9. google scholar
  • Topçuoğlu H, Zan R, Akpek F, Topçuoğlu G, Ulusan Ö, Aktı A, Düzgün S, Ağırnaslıgil M. Apically extruded debris during root canal preparation using Vortex Blue, K3 XF, ProTaper Next and Reciproc instruments. International endodontic journal 2016;49:1183-7. google scholar
  • Arslan H, Khalilov R, Doğanay E, Karatas E. The effect of various kinematics on postoperative pain after instrumentation: a prospective, randomized clinical study. Journal of Applied Oral Science 2016;24:503-8. google scholar
  • Priyadarshini P, Jeevanandan G, Govindaraju L, Subramanian E. Clinical evaluation of instrumentation time and quality of obturation using paediatric hand and rotary file systems with conventional hand K-files for pulpectomy in primary mandibular molars: A double-blinded randomized controlled trial. European Archives of Paediatric Dentistry 2020;21:693-701. google scholar
  • Kalita S, Agarwal N, Jabin Z, Anand A. Comparative Evaluation of Cleaning Capacity and Efficiency of Kedo-S Pediatric Rotary Files, Rotary ProTaper, and Hand K Files in Primary Molar Pulpectomy. International Journal of Clinical Pediatric Dentistry 2021;14:383. google scholar
  • Beeson T, Hartwell G, Thornton J, Gunsolley J. Comparison of debris extruded apically in straight canals: conventional filing versus profile. 04 Taper series 29. Journal of endodontics 1998;24:18-22. google scholar

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APA

Abdulhaligov, M., Yılmaz, N., Tüzüner, T., Baygın, Ö., & Emeksiz, C. (2023). The effect of three different primary teeth rotary instrument systems on the amount of apically extruded debris in pulpectomy of primary teeth. European Oral Research, 58(2), 58-63. https://doi.org/10.26650/eor.20241057693


AMA

Abdulhaligov M, Yılmaz N, Tüzüner T, Baygın Ö, Emeksiz C. The effect of three different primary teeth rotary instrument systems on the amount of apically extruded debris in pulpectomy of primary teeth. European Oral Research. 2023;58(2):58-63. https://doi.org/10.26650/eor.20241057693


ABNT

Abdulhaligov, M.; Yılmaz, N.; Tüzüner, T.; Baygın, Ö.; Emeksiz, C. The effect of three different primary teeth rotary instrument systems on the amount of apically extruded debris in pulpectomy of primary teeth. European Oral Research, [Publisher Location], v. 58, n. 2, p. 58-63, 2023.


Chicago: Author-Date Style

Abdulhaligov, Müşfig, and Nagehan Yılmaz and Tamer Tüzüner and Özgül Baygın and Cansu Emeksiz. 2023. “The effect of three different primary teeth rotary instrument systems on the amount of apically extruded debris in pulpectomy of primary teeth.” European Oral Research 58, no. 2: 58-63. https://doi.org/10.26650/eor.20241057693


Chicago: Humanities Style

Abdulhaligov, Müşfig, and Nagehan Yılmaz and Tamer Tüzüner and Özgül Baygın and Cansu Emeksiz. “The effect of three different primary teeth rotary instrument systems on the amount of apically extruded debris in pulpectomy of primary teeth.” European Oral Research 58, no. 2 (Nov. 2024): 58-63. https://doi.org/10.26650/eor.20241057693


Harvard: Australian Style

Abdulhaligov, M & Yılmaz, N & Tüzüner, T & Baygın, Ö & Emeksiz, C 2023, 'The effect of three different primary teeth rotary instrument systems on the amount of apically extruded debris in pulpectomy of primary teeth', European Oral Research, vol. 58, no. 2, pp. 58-63, viewed 22 Nov. 2024, https://doi.org/10.26650/eor.20241057693


Harvard: Author-Date Style

Abdulhaligov, M. and Yılmaz, N. and Tüzüner, T. and Baygın, Ö. and Emeksiz, C. (2023) ‘The effect of three different primary teeth rotary instrument systems on the amount of apically extruded debris in pulpectomy of primary teeth’, European Oral Research, 58(2), pp. 58-63. https://doi.org/10.26650/eor.20241057693 (22 Nov. 2024).


MLA

Abdulhaligov, Müşfig, and Nagehan Yılmaz and Tamer Tüzüner and Özgül Baygın and Cansu Emeksiz. “The effect of three different primary teeth rotary instrument systems on the amount of apically extruded debris in pulpectomy of primary teeth.” European Oral Research, vol. 58, no. 2, 2023, pp. 58-63. [Database Container], https://doi.org/10.26650/eor.20241057693


Vancouver

Abdulhaligov M, Yılmaz N, Tüzüner T, Baygın Ö, Emeksiz C. The effect of three different primary teeth rotary instrument systems on the amount of apically extruded debris in pulpectomy of primary teeth. European Oral Research [Internet]. 22 Nov. 2024 [cited 22 Nov. 2024];58(2):58-63. Available from: https://doi.org/10.26650/eor.20241057693 doi: 10.26650/eor.20241057693


ISNAD

Abdulhaligov, Müşfig - Yılmaz, Nagehan - Tüzüner, Tamer - Baygın, Özgül - Emeksiz, Cansu. “The effect of three different primary teeth rotary instrument systems on the amount of apically extruded debris in pulpectomy of primary teeth”. European Oral Research 58/2 (Nov. 2024): 58-63. https://doi.org/10.26650/eor.20241057693



TIMELINE


Submitted14.01.2022
Accepted05.05.2023
Published Online08.11.2023

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