Quantitative Evaluation of Apically Extruded Debris of Root Canal Dentin Layer with WaveOne, ProTaper Next, ProTaper Gold Rotary File Systems

Ali, Muhammad; Ahmed, Muhammad Adeel; Syed, Azeem Ul Yaqin; Jamil, Asmat; Khan, Seher Pervaiz; AlMokhatieb, Ahmed A.; Abdulwahed, Abdulaziz; Al-Aali, Khulud A.; Vohra, Fahim; Abduljabbar, Tariq

doi:10.3390/coatings12040451

Open AccessArticle

Quantitative Evaluation of Apically Extruded Debris of Root Canal Dentin Layer with WaveOne, ProTaper Next, ProTaper Gold Rotary File Systems

by

Muhammad Ali

¹,

Muhammad Adeel Ahmed

²

,

Azeem Ul Yaqin Syed

³,

Asmat Jamil

⁴,

Seher Pervaiz Khan

⁵,

Ahmed A. AlMokhatieb

⁶,

Abdulaziz Abdulwahed

⁶,

Khulud A. Al-Aali

⁷,

Fahim Vohra

^8,*

and

Tariq Abduljabbar

⁸

¹

Department of Endodontics, Fatima Jinnah Dental College, Karachi 75500, Pakistan

²

Department of Restorative Dental Sciences, College of Dentistry, King Faisal University, Hofuf 31982, Saudi Arabia

³

Department of Prosthodontics, University of Science and Technology of Fujairah, Fujairah 2202, United Arab Emirates

⁴

Department of Operative Dentistry, Ziauddin Dental College, Ziauddin University, Karachi 75600, Pakistan

⁵

Department of Prosthodontics, Fatima Jinnah Dental College, Karachi 75500, Pakistan

⁶

Department of Conservative Dental Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, Riyadh 11942, Saudi Arabia

⁷

Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh 11671, Saudi Arabia

⁸

Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia

^*

Author to whom correspondence should be addressed.

Coatings 2022, 12(4), 451; https://doi.org/10.3390/coatings12040451

Submission received: 17 February 2022 / Revised: 16 March 2022 / Accepted: 18 March 2022 / Published: 26 March 2022

(This article belongs to the Special Issue Surface Coating for Biomedical Applications)

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Abstract

Endodontic flare-up or post-operative pain occurs when debris such as necrotic pulp tissue, dentin chips, irrigants, and microorganisms are extruded from the apical foramen intraoperatively into the periradicular tissue during root canal instrumentation. This study compared the amount of apical debris extrusion of the root canal dentin layer after using reciprocating and rotary file systems (WaveOne, ProTaper Next and ProTaper Gold). Sixty extracted human maxillary central incisors with one canal and closed apex were included in the study. Samples were randomly and equally divided into three groups (n = 20) according to the file systems used for preparation of the root canal. Teeth in the WO group were instrumented by WaveOne, while the PTN group were instrumented by ProTaper Next, and teeth samples in the PTG group were cleaned and shaped by ProTaper Gold. The mean apically extruded debris weight in grams was estimated using the modified Myers and Montgomery experimental model. Analysis of variance (ANOVA) test was used for the comparison of debris weight in three groups. Post hoc LSD test was applied for pairwise comparison of debris weight. The α value of significance was 0.05. The WO group had significantly lower mean debris weight than the PTN and PTG groups (p = 0.001). Post hoc pairwise comparison revealed that there was a statistically significant difference in mean debris weight between the WO group and PTN group (0.0215 vs. 0.0341, p = 0.001); and the WO group and PTG group (0.0215 vs. 0.0324, p = 0.003). Root canal preparations with different file systems were associated with apical extrusion of the debris from the root canal dentin layer. However, the WaveOne system resulted in a comparatively lower amount of apical debris layer extrusion than the ProTaper Next and ProTaper Gold rotary file systems.

Keywords: apical extrusion; debris; root canal treatment; rotary file systems

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MDPI and ACS Style

Ali, M.; Ahmed, M.A.; Syed, A.U.Y.; Jamil, A.; Khan, S.P.; AlMokhatieb, A.A.; Abdulwahed, A.; Al-Aali, K.A.; Vohra, F.; Abduljabbar, T. Quantitative Evaluation of Apically Extruded Debris of Root Canal Dentin Layer with WaveOne, ProTaper Next, ProTaper Gold Rotary File Systems. Coatings 2022, 12, 451. https://doi.org/10.3390/coatings12040451

AMA Style

Ali M, Ahmed MA, Syed AUY, Jamil A, Khan SP, AlMokhatieb AA, Abdulwahed A, Al-Aali KA, Vohra F, Abduljabbar T. Quantitative Evaluation of Apically Extruded Debris of Root Canal Dentin Layer with WaveOne, ProTaper Next, ProTaper Gold Rotary File Systems. Coatings. 2022; 12(4):451. https://doi.org/10.3390/coatings12040451

Chicago/Turabian Style

Ali, Muhammad, Muhammad Adeel Ahmed, Azeem Ul Yaqin Syed, Asmat Jamil, Seher Pervaiz Khan, Ahmed A. AlMokhatieb, Abdulaziz Abdulwahed, Khulud A. Al-Aali, Fahim Vohra, and Tariq Abduljabbar. 2022. "Quantitative Evaluation of Apically Extruded Debris of Root Canal Dentin Layer with WaveOne, ProTaper Next, ProTaper Gold Rotary File Systems" Coatings 12, no. 4: 451. https://doi.org/10.3390/coatings12040451

APA Style

Ali, M., Ahmed, M. A., Syed, A. U. Y., Jamil, A., Khan, S. P., AlMokhatieb, A. A., Abdulwahed, A., Al-Aali, K. A., Vohra, F., & Abduljabbar, T. (2022). Quantitative Evaluation of Apically Extruded Debris of Root Canal Dentin Layer with WaveOne, ProTaper Next, ProTaper Gold Rotary File Systems. Coatings, 12(4), 451. https://doi.org/10.3390/coatings12040451

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Quantitative Evaluation of Apically Extruded Debris of Root Canal Dentin Layer with WaveOne, ProTaper Next, ProTaper Gold Rotary File Systems

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