Micro-CT evaluation of the removal of root fillings using rotary and reciprocating systems supplemented by XP-Endo Finisher, the Self-Adjusting File, or Er,Cr:YSGG laser

ObjectivesThis study aimed to compare the effectiveness of a single-file reciprocating system (WaveOne Gold, WOG) and a multi-file rotary system (ProTaper Universal Retreatment, PTUR) in removing canal filling from severely curved canals and to evaluate the possible adjunctive effects of XP-Endo Fin...

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Main Authors: Gülsen Kiraz, Bulem Üreyen Kaya, Mert Ocak, Muhammet Bora Uzuner, Hakan Hamdi Çelik
Format: Article
Language:English
Published: Korean Academy of Conservative Dentistry 2023-11-01
Series:Restorative Dentistry & Endodontics
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Online Access:http://www.rde.ac/upload/pdf/rde-48-e36.pdf
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author Gülsen Kiraz
Bulem Üreyen Kaya
Mert Ocak
Muhammet Bora Uzuner
Hakan Hamdi Çelik
author_facet Gülsen Kiraz
Bulem Üreyen Kaya
Mert Ocak
Muhammet Bora Uzuner
Hakan Hamdi Çelik
author_sort Gülsen Kiraz
collection DOAJ
description ObjectivesThis study aimed to compare the effectiveness of a single-file reciprocating system (WaveOne Gold, WOG) and a multi-file rotary system (ProTaper Universal Retreatment, PTUR) in removing canal filling from severely curved canals and to evaluate the possible adjunctive effects of XP-Endo Finisher (XPF), the Self-Adjusting File (SAF), and an erbium, chromium: yttrium, scandium, gallium garnet (Er,Cr:YSGG) laser using micro-computed tomography (μCT).Materials and MethodsSixty-six curved mandibular molars were divided into 2 groups based on the retreatment technique and then into 3 based on the supplementary method. The residual filling volumes and root canals were evaluated with μCT before and after retreatment, and after the supplementary steps. The data were statistically analyzed with the t-test, Mann-Whitney U test, analysis of covariance, and factorial analysis of variance (p < 0.05).ResultsPTUR and WOG showed no significant difference in removing filling materials (p > 0.05). The supplementary techniques were significantly more effective than reciprocating or rotary systems only (p < 0.01). The supplementary steps showed no significant differences in canal filling removal effectiveness (p > 0.05), but XPF showed less dentin reduction than the SAF and Er,Cr:YSGG laser (p < 0.01).ConclusionsThe supplementary methods significantly decreased the volume of residual filling materials. XPF caused minimal changes in root canal volume and might be preferred for retreatment in curved root canals. Supplementary approaches after retreatment procedures may improve root canal cleanliness.
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institution Kabale University
issn 2234-7658
2234-7666
language English
publishDate 2023-11-01
publisher Korean Academy of Conservative Dentistry
record_format Article
series Restorative Dentistry & Endodontics
spelling doaj-art-d83d9d3480b44e809cc7f367b3cdc7652025-08-20T03:31:10ZengKorean Academy of Conservative DentistryRestorative Dentistry & Endodontics2234-76582234-76662023-11-01484e3610.5395/rde.2023.48.e361079Micro-CT evaluation of the removal of root fillings using rotary and reciprocating systems supplemented by XP-Endo Finisher, the Self-Adjusting File, or Er,Cr:YSGG laserGülsen Kiraz0Bulem Üreyen Kaya1Mert Ocak2Muhammet Bora Uzuner3Hakan Hamdi Çelik4Department of Endodontics, Faculty of Dentistry, Kutahya Health Sciences University, Kutahya, TurkeyDepartment of Endodontics, Faculty of Dentistry, Suleyman Demirel University, Isparta, TurkeyDepartment of Anatomy, Faculty of Dentistry, Ankara University, Ankara, TurkeyDepartment of Anatomy, Faculty of Medicine, Bandırma Onyedi Eylül University, Balıkesir, TurkeyDepartment of Anatomy, Faculty of Medicine, Hacettepe University, Ankara, TurkeyObjectivesThis study aimed to compare the effectiveness of a single-file reciprocating system (WaveOne Gold, WOG) and a multi-file rotary system (ProTaper Universal Retreatment, PTUR) in removing canal filling from severely curved canals and to evaluate the possible adjunctive effects of XP-Endo Finisher (XPF), the Self-Adjusting File (SAF), and an erbium, chromium: yttrium, scandium, gallium garnet (Er,Cr:YSGG) laser using micro-computed tomography (μCT).Materials and MethodsSixty-six curved mandibular molars were divided into 2 groups based on the retreatment technique and then into 3 based on the supplementary method. The residual filling volumes and root canals were evaluated with μCT before and after retreatment, and after the supplementary steps. The data were statistically analyzed with the t-test, Mann-Whitney U test, analysis of covariance, and factorial analysis of variance (p < 0.05).ResultsPTUR and WOG showed no significant difference in removing filling materials (p > 0.05). The supplementary techniques were significantly more effective than reciprocating or rotary systems only (p < 0.01). The supplementary steps showed no significant differences in canal filling removal effectiveness (p > 0.05), but XPF showed less dentin reduction than the SAF and Er,Cr:YSGG laser (p < 0.01).ConclusionsThe supplementary methods significantly decreased the volume of residual filling materials. XPF caused minimal changes in root canal volume and might be preferred for retreatment in curved root canals. Supplementary approaches after retreatment procedures may improve root canal cleanliness.http://www.rde.ac/upload/pdf/rde-48-e36.pdfendodonticsgutta-perchamicro-computed tomographynickel-titanium file system
spellingShingle Gülsen Kiraz
Bulem Üreyen Kaya
Mert Ocak
Muhammet Bora Uzuner
Hakan Hamdi Çelik
Micro-CT evaluation of the removal of root fillings using rotary and reciprocating systems supplemented by XP-Endo Finisher, the Self-Adjusting File, or Er,Cr:YSGG laser
Restorative Dentistry & Endodontics
endodontics
gutta-percha
micro-computed tomography
nickel-titanium file system
title Micro-CT evaluation of the removal of root fillings using rotary and reciprocating systems supplemented by XP-Endo Finisher, the Self-Adjusting File, or Er,Cr:YSGG laser
title_full Micro-CT evaluation of the removal of root fillings using rotary and reciprocating systems supplemented by XP-Endo Finisher, the Self-Adjusting File, or Er,Cr:YSGG laser
title_fullStr Micro-CT evaluation of the removal of root fillings using rotary and reciprocating systems supplemented by XP-Endo Finisher, the Self-Adjusting File, or Er,Cr:YSGG laser
title_full_unstemmed Micro-CT evaluation of the removal of root fillings using rotary and reciprocating systems supplemented by XP-Endo Finisher, the Self-Adjusting File, or Er,Cr:YSGG laser
title_short Micro-CT evaluation of the removal of root fillings using rotary and reciprocating systems supplemented by XP-Endo Finisher, the Self-Adjusting File, or Er,Cr:YSGG laser
title_sort micro ct evaluation of the removal of root fillings using rotary and reciprocating systems supplemented by xp endo finisher the self adjusting file or er cr ysgg laser
topic endodontics
gutta-percha
micro-computed tomography
nickel-titanium file system
url http://www.rde.ac/upload/pdf/rde-48-e36.pdf
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