Comparative Evaluation of Debris Extrusion, Remaining Dentin Thickness and Fracture Resistance of Endodontically Treated Teeth Using Rotary and Reciprocating Endodontic File Systems: An In Vitro Study

Authors

  • Unmesh Khanvilkar Professor and HOD, Department of Conservative Dentistry and Endodontics, Yogita Dental College and Hospital, Khed, Ratnagiri, Maharashtra, India
  • Vaishnavi Dhok Assistant Professor, Department of Conservative Dentistry and Endodontics, Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Pimpari, Pune, India
  • Rashmi Misra Professor, Department of Conservative Dentistry and Endodontics, Padmashree Dr.D.Y.Patil School of Dentistry, Nerul, Navi Mumbai, India
  • Gunjan Pagariya Post Graduate, Department of Conservative Dentistry and Endodontics, Padmashree Dr. D.Y. Patil School of Dentistry, Nerul, Navi Mumbai, India
  • Rolly S Agarwal Professor, Department of Conservative Dentistry and Endodontics, Index Institute of Dental Sciences, Indore, Madhya Pradesh, India
  • Sharvaree Deshpande Lecturer, Department of Conservative Dentistry & Endodontics, Yogita Dental College and Hospita Khed, Ratnagiri, Maharashtra, India

DOI:

https://doi.org/10.3329/bjms.v23i10.71745

Keywords:

Endodontics, rotary file system, reciprocating file system, debris extrusion, remaining dentin thickness, fracture resistance, in vitro study.

Abstract

Background: Endodontic treatment aims to thoroughly clean and shape the root canal system while preserving the structural integrity of the tooth. The choice of endodontic file system can significantly impact the outcomes of this procedure. This in vitro study compares debris extrusion, remaining dentin thickness, and fracture resistance in endodontically treated teeth using rotary and reciprocating endodontic file systems.

Materials and Methods: Forty extracted human mandibular premolars were selected and randomly divided into two groups (n=20 each): Group A was prepared using a rotary file system, and Group B was prepared using a reciprocating file system. Debris extrusion was quantified using the Myers and Montgomery method, and remaining dentin thickness was measured at the coronal, middle, and apical thirds of each root. Fracture resistance was evaluated using a universal testing machine. The data were analyzed using appropriate statistical tests.

Results: The mean debris extrusion in Group A was 0.25 mg, while in Group B, it was 0.18 mg. The remaining dentin thickness in Group A was 1.24 mm, 1.15 mm, and 1.06 mm at the coronal, middle, and apical thirds, respectively, while in Group B, it was 1.30 mm, 1.22 mm, and 1.14 mm. The mean fracture resistance in Group A was 888 N, and in Group B, it was 920 N.

Conclusion: The reciprocating endodontic file system exhibited less debris extrusion, slightly greater remaining dentin thickness, and slightly higher fracture resistance compared to the rotary file system, although these differences were not statistically significant. Both file systems can be considered safe and effective for endodontic treatment, with the choice depending on clinician preference and specific clinical scenarios.

Bangladesh Journal of Medical Science Vol.23 (Special Issue) 2024 p.S87-S91

Downloads

Download data is not yet available.
Abstract
7
PDF
22

Downloads

Published

2024-03-11

How to Cite

Khanvilkar, U., Dhok, V., Misra, R., Pagariya, G., Agarwal, R. S., & Deshpande, S. . (2024). Comparative Evaluation of Debris Extrusion, Remaining Dentin Thickness and Fracture Resistance of Endodontically Treated Teeth Using Rotary and Reciprocating Endodontic File Systems: An In Vitro Study. Bangladesh Journal of Medical Science, 23(10), S87-S91. https://doi.org/10.3329/bjms.v23i10.71745

Issue

Vol 23: 'Special issue 2024'

Section

Original Articles

License

Copyright (c) 2024 Unmesh Khanvilkar, Vaishnavi Dhok, Rashmi Misra, Gunjan Pagariya, Rolly S Agarwal, Sharvaree Deshpande

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish in the Bangladesh Journal of Medical Science agree to the following terms that:

  1. Authors retain copyright and grant Bangladesh Journal of Medical Science the right of first publication of the work.

  2. Creative Commons Licence
    Articles in Bangladesh Journal of Medical Science are licensed under a Creative Commons Attribution 4.0 International License CC BY-4.0.This license permits use, distribution and reproduction in any medium, provided the original work is properly cited.
  3. Authors are able to enter into separate, additional contractual arrangements for the distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  4. Authors are permitted to post their work online (e.g., in institutional repositories or on their website) as it can lead to productive exchanges, as well as greater citation of published work.