Comparison of apical debris extrusion of two rotary systems and one reciprocating system

Abstract

BACKGROUND: Postoperative inflammation and endodontic failure occur due to apical extrusion of debris. AIM: To evaluate the amount of apically extruded debris after preparation of straight root canals in extracted human teeth using three rotary systems. MATERIALS AND METHODS: Sixty single-rooted human teeth with single root canal and apical foramen were selected and randomly divided into three experimental groups (n = 20) according to the rotary system used: Group 1 - ProTaper, Group 2 - Revo-S, Group 3 - WaveOne. Apical enlargement was done up to size 40/0.06 for Groups 1 and 2 and 40/0.08 for Group 3. For debris collection, each tooth was held in a preweighed Eppendorf tube fixed inside a glass vial through rubber plug. After instrumentation, each tooth was separated from the Eppendorf tube and the debris adhering to the root surface was collected by washing the root with 1 mL of bi-distilled water and incubated at 70°C for 5 days. The dry weight of extruded debris was weighed in an electronic balance. STATISTICAL ANALYSIS: The mean weights of extruded debris were statistically analyzed using GraphPad prism version 6 and the intergroup comparison was done using unpaired t-test. RESULTS: There was a statistically significant difference in the mean debris score among all the three groups - ProTaper (0.00065 g), Revo-S (0.00045 g) and WaveOne (0.00089 g). CONCLUSION: Revo-S system was associated with significantly less debris extrusion compared with ProTaper or WaveOne.