Comparison of Gutta Percha Removal with Manual H-Files and ProTaper with or Without Eugenate
DOI:
https://doi.org/10.51253/pafmj.v74i2.4881Keywords:
Eugenate, Gutta-percha removal, H-Files, ProTaperAbstract
Objective: To compare manual H-File with ProTaper Retreatment files for the abolition of Gutta Percha filling material from the root canals with or without solvent use (Eugenate).
Study Design: Quasi-experimental study.
Place and Duration of Study: Operative Dentistry Department, Armed Forces Institute of Dentistry, Rawalpindi Pakistan, from Sep 2019 to Feb 2020.
Methodology: Forty mandibular premolars with previously failed root canal treatment were chosen. They were randomly divided into four groups, each with ten teeth. Gutta-percha filling material elimination was done with manual H-Files and rotary ProTaper with and without Eugenate and evaluated radiographically. The time duration for complete removal was also noted and evaluated by stopwatch.
Results: Out of the total 40 patients 22(55%) were female and 18(45%) were males. Comparison of mean operating time duration of elimination of Gutta Percha filling material from the canals was less with ProTaper with Eugenate compared with the other three groups; however, it showed statistically significant differences among groups (p<0.05).
Conclusion: Every group showed some residual filling material in the canals. ProTaper D retreatment files with Eugenate performed faster than ProTaper alone, followed by manual H-files without Eugenate and Eugenate
Downloads
Metrics
References
Faus-Matoses V, Pasarín-Linares C, Faus-Matoses I, Foschi F, Sauro S, Faus-Llácer VJ. Comparison of Obturation Removal Efficiency from Straight Root Canals with ProTaper Gold or Reciproc Blue: A Micro-Computed Tomography Study. J Clin Med 2020; 9(4): 1164. https://doi.org/10.3390/jcm9041164.
Schirrmeister JF, Wrbas KT, Meyer KM, Altenburger MJ, Hellwig E. Efficacy of different rotary instruments for gutta-percha removal in root canal retreatment. J Endod 2006; 32(5): 469-472.
https://doi.org/10.1016/j.joen.2005.10.052.
Takahashi CM, Cunha RS, de Martin AS, Fontana CE, Silveira CF, da Silveira Bueno CE, et al. In vitro evaluation of the effectiveness of ProTaper universal rotary retreatment system for gutta-percha removal with or without a solvent. J Endod 2009; 35(11): 1580-1583. https://doi.org/10.1016/j.joen.2009.07.015.
Medeiros JB, Gabardo MC, Moraes SH, Faria MI. Evaluation of four gutta-percha removal techniques for endodontic retreatment. Revista Sul-Brasil Odontol 2014; 11(4): 340-345.
Chandrasekar, Ebenezar AV, Kumar M, Sivakumar A. A comparative evaluation of gutta percha removal and extrusion of apical debris by rotary and hand files. J Clin Diagn Res 2014; 8(11): ZC110-114.
https://doi.org/10.7860/JCDR/2014/10203.5199.
Bago I, Suk M, Katic M, Gabric D, Anic I. Comparison of the effectiveness of various rotary and reciprocating systems with different surface treatments to remove gutta-percha and an epoxy resin-based sealer from straight root canals. Int Endod J 2019; 52(1): 105-113. https://doi.org/10.1111/iej.12985.
Genc Sen O, Erdemir A, Canakci BC. Effect of solvent use on postoperative pain in root canal retreatment: a randomized, controlled clinical trial. Clin Oral Investig 2020; 24(1): 257-263.
https://doi.org/10.1007/s00784-019-02948-3.
Pécora JD, Spano JC, Barbin EL. In vitro study on the softening of gutta-percha cones in endodontic retreatment. Braz Dent J 1993; 4(1): 43-47.
Good ML, McCammon A. An removal of gutta-percha and root canal sealer: a literature review and an audit comparing current practice in dental schools. Dent Update 2012; 39(10): 703-708.
https://doi.org/10.12968/denu.2012.39.10.703.
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.
Friedman S, Moshonov J, Trope M. Residue of gutta-percha and a glass ionomer cement sealer following root canal retreatment. Int Endod J 1993; 26(3): 169-172.
https://doi.org/10.1111/j.1365-2591.1993.tb00788.x.
Ferreira JJ, Rhodes JS, Ford TR. The efficacy of gutta-percha removal using ProFiles. Int Endod J 2001; 34(4): 267-274.
https://doi.org/10.1046/j.1365-2591.2001.00379.x.
Imura N, Kato AS, Hata GI, Uemura M, Toda T, Weine F, et al. A comparison of the relative efficacies of four hand and rotary instrumentation techniques during endodontic retreatment. Int Endod J 2000; 33(4): 361-366.
https://doi.org/10.1046/j.1365-2591.2000.00320.x.
Taşdemir 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.
https://doi.org/10.1111/j.1365-2591.2007.01335.x.
Unal GC, Kaya BU, Taç AG, Keçeci AD. A comparison of the efficacy of conventional and new retreatment instruments to remove gutta-percha in curved root canals: an ex vivo study. Int Endod J 2009; 42(4): 344-350.
https://doi.org/10.1111/j.1365-2591.2008.01518.x.
Raj PKT, Mudrakola DP, Baby D, Govindankutty RK, Davis D, Sasikumar TP, et al. Evaluation of Effectiveness of Two Different Endodontic Retreatment Systems in Removal of Gutta-percha: An in vitro Study. J Contemp Dent Pract 2018; 19(6): 726-731.
Gergi R, Sabbagh C. Effectiveness of two nickel-titanium rotary instruments and a hand file for removing gutta-percha in severely curved root canals during retreatment: an ex vivo study. Int Endod J 2007; 40(7): 532-537.
https://doi.org/10.1111/j.1365-2591.2007.01254.x.
Colaco AS, Pai VA. Comparative Evaluation of the Efficiency of Manual and Rotary Gutta-percha Removal Techniques. J Endod 2015; 41(11): 1871-1874.
Downloads
Published
How to Cite
Issue
Section
