Comparative Evaluation Of Amount Of Apically Extruded Debris In Endodontic Retreatment Procedures Using Four Different File Systems- An Invitro Study

Abstract

Objective(s): To compare the amount of apical debris extruded during endodontic retreatment procedures performed using H files, R-Endo Retreatment files, GPR files and ProTaper Universal Retreatment files. Materials and Methods: The conventional coronal access cavity was prepared for 40 extracted Mandibular Premolars. The root canals were prepared with ProTaper Next Rotary files till X1.  Obturation was done by combination of Lateral and Vertical Compaction technique. All the samples were later attached to Eppendorf tubes. The samples were then divided into four groups each containing 10 samples on the basis of different retreatment files to be used.  After complete removal of root canal filling material, the debris and the root filling material remnants adhered was collected in preattached Eppendorf tubes. For final weight computation and comparison, the weight of empty tube was deducted from the weight of tube accommodating the debris. ANOVA and Tukey test were applied for statistical analysis. Results: The R-Endo retreatment files showed minimum apical extrusion of debris than all the other examined files in the study. The apical extrusion of debris for R Endo min to max was -0.045 to 0.009. However, there was no statistically significant difference in amount of apical extrusion of debris by different files system (p>0.005). Conclusion(s): There was no significant difference between the groups in apical extrusion of debris. Also rotary retreatment files showed lesser apical of debris than Hedstrom hand files. R Endo extruded less debris apically in this study. Keywords: Apical extrusion of debris; Gutta-percha; Retreatment files.