Evaluation of the efficiency of XP-endo Finisher rotary file in the removal of residual Gutta-Percha and sealer in the retreated root canals by D-Race system: invitro study

Document Type : Original Article

Authors

1 Ahvaz Jondishapur University of Medical Sciences Faculty of Dentistry, Ahvaz, Iran

2 Associate Professor, Ahvaz Jondishapur University of Medical Sciences Faculty of Dentistry

Abstract

Background and aims
The success of the rehabilitation of the orthogonoid depends on the cleansing and adequate formation of the intact areas of the root canal system. For better removal of root canal fill materials, various methods and methods have been proposed, including manual files, ultrasonic instruments, lasers, rotary instruments NiTi. D-Race as one of the widely used instrument provides a twisted-shaped design when visualized by using light microscopes.

Material and methods
In this experimental study, 45 adult single-channel premolar teeth with adult roots were collected and kept for two years. The teeth were disinfected by using 2.5% hypochlorite for one hour. The crown of the teeth were cut to CEJ by high speed diamond milling under water flow. The roots were cut to a length of 15mm and the samples were randomly distributed into three groups: 1- XP-F rotary file alone, 2- XP-F rotary file along with NaOCl, 3- XP-F rotary file with chlorohexidine.

Results
The study revealed a positive effect of solvent on removal of gutta-percha and sealer in the D-Race systems while, there were no significant differences in NaOCl and chlorohexidine in removing residual gutta-percha or sealer. Moreover, the results showed that the amount of residual gutta-percha or sealer in the middle (M) and coronal (C) slices is significantly lower than that of apical (A) slice.

Discussion
The results showed that XP-F rotary is an efficient retreatment files for removing residual gutta-percha and sealer.

Keywords

References

1-de Chevingny, C., Dao, T.T., Basrani, B.R., Marquis, V., Farzaneh, M., Abitbol, S., Friedman, S., Treatment outcome in endodontics: the Toronto study--phase 4: initial treatment. J. Endod. 2008;34(3):258-263.
2-Ng, Y.L., Mann, V., Rahbaran, S., Lewsey, J., Gulabivala, K., Outcome of primary root canal treatment: systematic review of the literature—Part 2. Influence of clinical factors. Int. Endod. J. 2008;41(1):6-31
3-Trope, M., The vital tooth-its importance in the study and practice of endodontics. Endodontic Topics. 2003;5(1):1-4.
4-Sagsen, B., Ustun, Y., Demirbuga, S., Pala, K., Push –out bond strength of two new calcium silicate- based endodontic sealers to root canal dentine. Int. Endod. J. 2011;44(12):1088-1091.
5-Shokouhinejad, N., Sharifian, M.R., Jafari, M., Sabeti, M.A., Push out bond strength of Resilon/Epiphany self-etch and gutta percha/AH26 after different irrigation protocols. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 2010;110(5):88-92
6-Reddy, S., Neelakantan, P., Saghiri, M.A., Lotfi, M., Subbarao, C.V., Garcia-Godoy, F., Gutmann, J.L., Removal of gutta-percha/zinc-oxide-eugenol sealer or uutta-percha/epoxy resin sealer from severely curved canals: an in vitro study. Int. J. Dent. 2011;2011:541831.
7-Basrani, B., Tjäderhane, L., Santos, J.M., Pascon, E., Grad, H., Lawrence, H.P., Friedman, S., Efficacy of chlorhexidine- and calcium hydroxide-containing medicaments against Enterococcus faecalis in vitro. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 2003;96:618.
8-Khalilak, Z., Vatanpour, M., Dadresanfar, B., Moshkelgosha, P., Nourbakhsh, H., In vitro comparison of gutta-percha removal with H-file and ProTaper with or without chloroform. Iran. Endod. J. 2013;8(1): 6-9
9-Yadav, P., Bharath, M.J., Sahadev, C.K., Makonahalli Ramachandra, P.K., Rao, Y., Ali, A., Mohamed, S., An in vitro CT comparison of gutta-percha removal with two rotary systems and hedstrom files. Iran. Endod. J. 2013;8(2):59-64.
10-Kosti, E., Lambrianidis, T., Economides, N., Neofitou, C., Ex vivo study of the efficacy of H-files and rotary Ni-Ti instruments to remove gutta-percha and four types of sealer. Int. Endo. J. 2006;39(1):48-54.
11-Sae-Lim, V., Rajamanickam, I., Lim, B.K., Lee, H.L., Effectiveness of profile 04 taper rotary instruments in endodontic retreatment. J. Endod. 2000;26(2):100-104.
12-Hulsmann, M., Stotz, S., Efficacy, cleaning ability and safety of different devices for gutta-percha removal in root canal retreatment. Int. Endod. J. 1997;30(4):227-233.
13-Somma, F., Cammarota, G., Plotino, G., Grande, N.M., Pameijer, C.H., The effectiveness of manual and mechanical in instrumentation for the retreatment of three different root canal filling materials. J. Endod. 2008;34(4):466-469.
14-Azim, A.A., Aksel, H., Margaret Jefferson, M., Huang, G.T., Comparison of sodium hypochlorite extrusion by five irrigation systems using an artificial root socket model and a quantitative chemical method. Clin. Oral Investig. 2018;22(2):1055–1061.
15-Alzuabi M.A., Abiad, R., Ability of XP-Endo Finisher and XP-Endo Finisher-R in Removal of debris from the root canal walls after Retreatment An In-Vitro Study. Int. Arab J Dent. 2018;9(2):60–64.
16-Tasdemir, T, Er, K., Yildirim, T., Celik, D., Efficacy of three rotary NiTi instruments in removing gutta-percha from root canals. Int. Endod. J. 2008;41(3):191-196.
17-Gu, L.S., Ling J.Q., Wei, X., Huang X.Y., Efficacy of ProTaper Universal rotary retreatment system for gutta-percha removal from root canals. Int. Endod. J. 2008;41(4);288-295.
18-Akhavan, H., Azdadi, Y.K., Azimi, S., Dadresanfar, B., Ahmadi, A., Comparing the efficacy of Mtwo and D-Race retreatment systems in removing residual gutta-percha and sealer in the root canal. Iran. Endod. J. 2012;7(3):122-126.
19-Dadresanfar, B., Iranmanesh, M., Mohebbi, P., Mehrvarzfar, P., Vatanpour, M., Efficacy of Two Rotary NiTi Instruments in Removal of Resilon/Epiphany Obturants. Iran Endod J. 2012;7(4);183-188.
20-Obeid, M.F., Nagy, M.M., Retreatability of different endodontic sealers using chemical solvents. Tanta. Dental. J. 2015;12(4):286-291.
21-Menakaya, I.N., Oderinu, O.H., Adegbulugbe, I.C., Shaba, O.P., Incidence of postoperative pain after use of calcium hydroxide mixed with normal saline or 0.2% chlorhexidine digluconate as intercanal medicament in the treatment of apical periodontitis. Saud. Dent. J. 2015;27;187-193.
22-Goncalves, L.S., Rodrigues, R.C.V., Andrade Junior, C.V., Soares, R.G., Vettore, M.V., The effect of sodium hypochlorite and chlorhexidine as irrigant solutions for root canal disinfection: a systematic review of clinical trials. J. Endod. 2016;42(4);527-532.
23-Uzunoglu, E., Yilmaz, Z., Sungur, D.D., Altundasar, E., Retreatability of root canals obturated using gutta-percha with bioceramic, MTA and resin–based sealers. Iran. Endod. J. 2015;10(2):93-98.
24-Colaco, A.S., Pai, V.A.R., Comparative evaluation of the efficiency of manual and rotary gutta-percha removal techniques. J. Endod. 2015;41:1871-1874.
25-da Silva, B.M., Baratto-Filho, F., Leonardi, D.P., Henrique Borges, A., Volpato, L., Branco Barletta, F., Effectiveness of ProTaper, D-RaCe, and Mtwo retreatment files with and without supplementary instruments in the removal of root canal filling material. Int. Endod. J. 2012;45(10):927-932.
26-Madani, Z.S., Simdar, N., Moudi, E., Bijani, A., CBCT Evaluation of the root canal filling removal using D-RaCe, ProTaoer retreatment kit and hand files in curved canals. Iran. Endod. J. 2015;(1):69-74.
 
Jundishapur Scientific Medical Journal
Volume 18, Issue 2 - Serial Number 119
July and August 2019
Pages 179-192

Files

History

  • Receive Date: 02 January 2019
  • Revise Date: 15 July 2019
  • Accept Date: 22 July 2019

Share

How to cite

Statistics