The Effect of Cross-Section of Three Different Files on Apical Debris and Irrigant Solution Extrusion Using Full File Sequences: An In Vitro Study

Authors

  • Sohaib Fadhil Mohammed Department of operative dentistry, college of dentistry, university of Anbar, Iraq.
  • Sura Yaseen Khudhur
  • Zaidoon Hasan Mohammed
  • Matheel AL-Rawas
  • Tahir Yusuf Noorani
  • Mohd Firdaus Yhaya

DOI:

https://doi.org/10.5195/d3000.2025.791

Keywords:

Cross-Section, Instrumentation, Sodium Hypochlorite, Flexibility, Premolar

Abstract

Objective: The aim of the study was to evaluate the cross-sectional geometry of heat-treated endodontic rotary files upon debris ejection through apex and the quantity of irrigants expelled when employing a complete sequence file system.

Methods: Sixty extracted human maxillary first premolars were included and randomly classified into three categories (n = 20) according to the file employed during the preparation of canal. The groups were Group 1: EdgeFile X7, Group 2: Komet FQ, and Group 3: Fanta AF F One. The modified Myers along with Montgomery experiment protocol was employed to measure the mean weight of upward extruded irrigants and detritus in grams. The comparison of irrigants and debris extrusion was performed utilizing analyses of variances (ANOVA). Significant level has been established at 0.05.

Results: Apical ejection of material was prevalent throughout every one of analyzed files. Quantity of debris extruded during canal shaping did not show any significant variation among the examined files, The Fanta AF F One group exhibited the greatest mean of extrusion irrigant.

Conclusion: Each evaluated endodontic rotary devices produced comparable apical debris ejection among the groups. The Fanta AF F One group extruded the most irrigant.

References

Desai P, Himel V. Comparative safety of various intracanal irrigation systems. Journal of endodontics. 2009;35(4):545-9. https://doi.org/10.1016/j.joen.2009.01.011

Rao MR, Shameem A, Nair R, Ghanta S, Thankachan RP, Issac JKJTjocdp. Comparison of the remaining dentin thickness in the root after hand and four rotary instrumentation techniques: An in vitro study. 2013;14(4):712.https://doi.org/10.5005/jp-journals-10024-1389

Panchal V, Jeevanandan G, Subramanian E. Comparison of instrumentation time and obturation quality between hand K-file, H-files, and rotary Kedo-S in root canal treatment of primary teeth: A randomized controlled trial. Journal of Indian Society of Pedodontics and Preventive Dentistry. 2019;37(1):75-9. https://doi.org/10.21203/rs.3.rs-622404/v1

Khandelwal A, Jose J, Teja K-V, Palanivelu A. Comparative evaluation of postoperative pain and periapical healing after root canal treatment using three different base endodontic sealers–a randomized control clinical trial. Journal of clinical and experimental dentistry. 2022;14(2):e144. https://doi.org/10.21203/rs.3.rs-622404/v1

Kirchhoff AL, Fariniuk LF, Mello I. Apical extrusion of debris in flat-oval root canals after using different instrumentation systems. Journal of endodontics. 2015;41(2):237-41. https://doi.org/10.1016/j.joen.2014.09.023

Nevares G, Xavier F, Gominho L, Cavalcanti F, Cassimiro M, Romeiro K, et al. Apical extrusion of debris produced during continuous rotating and reciprocating motion. The Scientific World Journal. 2015;2015(1):267264. https://doi.org/10.1155/2015/267264

Üstün Y, Çanakçi B, Dinçer A, Er O, Düzgün S. Evaluation of apically extruded debris associated with several Ni–Ti systems. International Endodontic Journal. 2015;48(7):701-4. https://doi.org/10.1111/iej.12369

Jindal R, Singh S, Gupta S, Jindal P. Comparative evaluation of apical extrusion of debris and irrigant with three rotary instruments using crown down technique–An in vitro study. Journal of Oral Biology and Craniofacial Research. 2012;2(2):105 https://doi.org/10.1016/j.jobcr.2012.05.010

Silva E, Carapiá M, Lopes R, Belladonna F, Senna P, Souza E, et al. Comparison of apically extruded debris after large apical preparations by full‐sequence rotary and single‐file reciprocating systems. 2016;49(7):700-5. https://doi.org/10.1111/iej.12503

Ahn S-Y, Kim H-C, Kim E. Kinematic effects of nickel-titanium instruments with reciprocating or continuous rotation motion: a systematic review of in vitro studies. Journal of endodontics. 2016;42(7):1009-17. https://doi.org/10.1016/j.joen.2016.04.002

Toyoğlu M, Altunbaş D. Influence of different kinematics on apical extrusion of irrigant and debris during canal preparation using K3XF instruments. Journal of endodontics. 2017;43(9):1565-8. https://doi.org/10.1016/j.joen.2017.05.001

Gambarini G, Seracchiani M, Piasecki L, Valenti Obino F, Galli M, Di Nardo D, et al. Measurement of torque generated during intracanal instrumentation in vivo. 2019;52(5):737-45. https://doi.org/10.1111/iej.13042

Dental K. FQ. The easy way to a successful endo. Retrieved April 2023, from https://contenthub.kometdental.com/infocenter/files/10020448.pdf

Peters OA, Paqué FJQI. Current developments in rotary root canal instrument technology and clinical use: a review. 2010;41(6). https://doi.org/10.1016/j.joen.2010.02.023

Tabassum S, Zafar K, Umer FJEej. Nickel-titanium rotary file systems: what’s new? 2019;4(3):111. Authors: Sadia Tabassum https://doi.org/10.14744/eej.2019.80664

Zarrabi MH, Bidar M, Jafarzadeh H. An in vitro comparative study of apically extruded debris resulting from conventional and three rotary (Profile, Race, FlexMaster) instrumentation techniques. Journal of oral science. 2006;48(2):85-8. https://doi.org/10.2334/josnusd.48.85

Boijink D, Costa DD, Hoppe CB, Kopper PMP, Grecca FS. Apically extruded debris in curved root canals using the WaveOne Gold reciprocating and Twisted File Adaptive systems. Journal of endodontics. 2018;44(8):1289-92. https://doi.org/10.1016/j.joen.2018.04.011

Zan R, Topcuoglu HS, Tunc T, Ozer S, Hubbezoglu I, Kutlu G. Apical extrusion of intracanal biofilm after root canal preparation using Revo-S, Twisted File Adaptive, One Shape New Generation, ProTaper Next, and K3XF instrumentation systems. Turk Endod J. 2016;1(2):73-9. https://doi.org/10.14744/tej.2016.36844

Uslu G, Özyürek T, Yılmaz K, Gündoğar M, Plotino G. Apically extruded debris during root canal instrumentation with Reciproc Blue, HyFlex EDM, and XP-endo Shaper nickel-titanium files. Journal of endodontics. 2018;44(5):856-9. https://doi.org/10.1016/j.joen.2018.01.018

Dagna A, El Abed R, Hussain S, Abu-Tahun IH, Visai L, Bertoglio F, et al. Comparison of apical extrusion of intracanal bacteria by various glide-path establishing systems: an in vitro study. Restorative Dentistry & Endodontics. 2017;42(4):316-23. https://doi.org/10.5395/rde.2017.42.4.316

Myers GL, Montgomery S. A comparison of weights of debris extruded apically by conventional filing and Canal Master techniques. Journal of endodontics. 1991;17(6):275-9. https://doi.org/10.1016/s0099-2399(06)81866-2

Silva E, Carapiá M, Lopes R, Belladonna F, Senna P, Souza E, et al. Comparison of apically extruded debris after large apical preparations by full‐sequence rotary and single‐file reciprocating systems. International endodontic journal. 2016;49(7):700-5. https://doi.org/10.1111/iej.12503

Hadi AW, Hameed MR. Comparative study of the amount of apically extrusion of debris during root canal preparation using Wave One, Trushape 3D, Hyflex CM and One Shape instrumentation systems-An In Vitro Study. J Bagh Coll Dentistry. 2017;29(1):1-8. https://doi.org/10.12816/0038607

Hussein HM, Al-Zaka IM. Evaluation of the amount of apically extruded debris using different root canal instrumentation systems. Mustansiria Dental Journal. 2014;11(1):1-10. https://doi.org/10.32828/mdj.v11i1.219

Muhaibes MQ, Alwakeel SAJSEJ. Evaluation of apically extruded debris using protaper universal, protaper next, one curve, Xp shaper, and edge file: An in vitro study. 2024;14(1):31-7.https://doi.org/10.4103/sej.sej_76_23

Seltzer S, Naidorf IJ. Flare-ups in endodontics: I. Etiological factors. Journal of endodontics. 1985;11(11):472-8. https://doi.org/10.1016/s0099-2399(85)80220-x

Er K, Sümer Z, Akpınar K. Apical extrusion of intracanal bacteria following use of two engine‐driven instrumentation techniques. International Endodontic Journal. 2005;38(12):871-6. https://doi.org/10.1111/j.1365-2591.2005.01029.x

Siqueira Jr JFJIej. Microbial causes of endodontic flare‐ups. 2003;36(7):453-63. https://doi.org/10.1046/j.1365-2591.2003.00671.x

Torabinejad M, Kettering JD, McGraw JC, Cummings RR, Dwyer TG, Tobias TSJJoe. Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. 1988;14(5):261-6. https://doi.org/10.1016/s0099-2399(88)80181-x

SINGH G, KUKREJA N, DHAWAN R, THAKUR A, KAUR S, CHHABRA SJJoC, et al. Comparative Evaluation of Apical Debris Extrusion from the Root Canal using Hand Files, Continuous Rotary Files and Reciprocating File System: An In-vitro Study. 2023;17(6).https://doi.org/10.7860/jcdr/2023/62318.18128

Shivanni S, Anjaneyulu K, Balakrishna RJIJDOS. Association Of Irreversible Pulpitis And Single Visit Root Canal Treatment. 2020;7(11):1127-31. https://doi.org/10.47750/cibg.2021.27.02.273

Lambrianidis T, Tosounidou E, Tzoanopoulou M. The effect of maintaining apical patency on periapical extrusion. Journal of endodontics. 2001;27(11):696-8. https://doi.org/10.1097/00004770-200111000-00011

Tanalp J, Güngör T. Apical extrusion of debris: a literature review of an inherent occurrence during root canal treatment. International endodontic journal. 2014;47(3):211-21. https://doi.org/10.1111/iej.12137

Khalil WA-B, Merdad K, Abu-Haimed TS, Howait M, Alsofi L. Cyclic fatigue resistance of ProTaper gold, Edgefile, OneShape and ProTaper universal. Egyptian Dental Journal. 2018;64(1-January (Fixed Prosthodontics, Dental Materials, Conservative Dentistry & Endodontics)):589-96. https://doi.org/10.21608/edj.2018.78062

Elashiry M, Saber S, Elashry S. Apical extrusion of debris after canal shaping with three single-file systems. Nigerian Journal of Clinical Practice. 2020;23(1):79-83. https://doi.org/10.4103/njcp.njcp_319_19

Jawad SR, Mahdi MH, Nemah A, Fawzi M. Assessing the amount of apically extruded debris of one curve, edge file x7, AF™ R3 blue in curved canals: An in vitro study. 2024. https://doi.org/10.22271/oral.2024.v10.i2d.1946

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Published

2025-02-13

Issue

Vol. 13 No. 1 (2025)

Section

Mechanisms of Oral Disease

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Copyright (c) 2025 Sohaib Fadhil Mohammed, Sura Yaseen Khudhur, Zaidoon Hasan Mohammed, Matheel AL-Rawas, Tahir Yusuf Noorani, Mohd Firdaus Yhaya

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