Assessment of debris extrusion on using step-wise irrigant activation versus conventional activation in different access designs: An ex-vivo study

Introduction: A successful endodontic therapy mainly depends on the effective chemomechanical debridement. The present study assessed the effect of different activation modes on debris extrusion in different access cavity designs. Materials and Methods: Freshly extracted 168 maxillary premolars were...

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Main Authors: Kavalipurapu Venkata Teja, Vivek Taduri, Tummala Sri Harsha, Vinukonda Hima Bindu
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-05-01
Series:Saudi Endodontic Journal
Subjects:
Online Access:https://journals.lww.com/10.4103/sej.sej_159_22
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author Kavalipurapu Venkata Teja
Vivek Taduri
Tummala Sri Harsha
Vinukonda Hima Bindu
author_facet Kavalipurapu Venkata Teja
Vivek Taduri
Tummala Sri Harsha
Vinukonda Hima Bindu
author_sort Kavalipurapu Venkata Teja
collection DOAJ
description Introduction: A successful endodontic therapy mainly depends on the effective chemomechanical debridement. The present study assessed the effect of different activation modes on debris extrusion in different access cavity designs. Materials and Methods: Freshly extracted 168 maxillary premolars were collected. They were allocated into two groups (n = 84) (Group I: Traditional Endodontic Access (TEA) and Group II: Contracted Endodontic Access (CEA)). These groups were further subgrouped (n = 28) based on the activation protocol used (Subgroup A, D: Manual irrigation with no activation, Subgroup B, E: Conventional activation (CA), and Subgroup C, F: Step-wise irrigant activation). Each tooth specimen was inserted into Eppendorf for debris collection. The canals were instrumented using HyFlex CM rotary files to 0.04 taper. The irrigation was specific to the experimental subgroups, which was done by a single operator. Following the experimental irrigation, the collected debris was weighted using an analytical balance. The collected data were statistically analyzed. Results: Statistical significant debris extrusion was seen with TEA (P < 0.05). Among the subgroups, step-wise irrigant activation technique showed significant (P < 0.05) debris extrusion. Conclusion: CEA showed less debris extrusion when the CA technique was used for irrigation.
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series Saudi Endodontic Journal
spelling doaj-art-49106a2bee1c44faa2f6c03048a6fdeb2025-08-20T03:12:41ZengWolters Kluwer Medknow PublicationsSaudi Endodontic Journal2320-14952023-05-0113214214710.4103/sej.sej_159_22Assessment of debris extrusion on using step-wise irrigant activation versus conventional activation in different access designs: An ex-vivo studyKavalipurapu Venkata TejaVivek TaduriTummala Sri HarshaVinukonda Hima BinduIntroduction: A successful endodontic therapy mainly depends on the effective chemomechanical debridement. The present study assessed the effect of different activation modes on debris extrusion in different access cavity designs. Materials and Methods: Freshly extracted 168 maxillary premolars were collected. They were allocated into two groups (n = 84) (Group I: Traditional Endodontic Access (TEA) and Group II: Contracted Endodontic Access (CEA)). These groups were further subgrouped (n = 28) based on the activation protocol used (Subgroup A, D: Manual irrigation with no activation, Subgroup B, E: Conventional activation (CA), and Subgroup C, F: Step-wise irrigant activation). Each tooth specimen was inserted into Eppendorf for debris collection. The canals were instrumented using HyFlex CM rotary files to 0.04 taper. The irrigation was specific to the experimental subgroups, which was done by a single operator. Following the experimental irrigation, the collected debris was weighted using an analytical balance. The collected data were statistically analyzed. Results: Statistical significant debris extrusion was seen with TEA (P < 0.05). Among the subgroups, step-wise irrigant activation technique showed significant (P < 0.05) debris extrusion. Conclusion: CEA showed less debris extrusion when the CA technique was used for irrigation.https://journals.lww.com/10.4103/sej.sej_159_22endodonticsirrigationroot canalsyringe needleultrasonics
spellingShingle Kavalipurapu Venkata Teja
Vivek Taduri
Tummala Sri Harsha
Vinukonda Hima Bindu
Assessment of debris extrusion on using step-wise irrigant activation versus conventional activation in different access designs: An ex-vivo study
Saudi Endodontic Journal
endodontics
irrigation
root canal
syringe needle
ultrasonics
title Assessment of debris extrusion on using step-wise irrigant activation versus conventional activation in different access designs: An ex-vivo study
title_full Assessment of debris extrusion on using step-wise irrigant activation versus conventional activation in different access designs: An ex-vivo study
title_fullStr Assessment of debris extrusion on using step-wise irrigant activation versus conventional activation in different access designs: An ex-vivo study
title_full_unstemmed Assessment of debris extrusion on using step-wise irrigant activation versus conventional activation in different access designs: An ex-vivo study
title_short Assessment of debris extrusion on using step-wise irrigant activation versus conventional activation in different access designs: An ex-vivo study
title_sort assessment of debris extrusion on using step wise irrigant activation versus conventional activation in different access designs an ex vivo study
topic endodontics
irrigation
root canal
syringe needle
ultrasonics
url https://journals.lww.com/10.4103/sej.sej_159_22
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AT tummalasriharsha assessmentofdebrisextrusiononusingstepwiseirrigantactivationversusconventionalactivationindifferentaccessdesignsanexvivostudy
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