Effect of Different Glide Path Establishing Systems on Apically Extruded Debris in Curved Root Canals: An In Vitro Study
Background: Glide path establishment is a critical step in endodontic treatment, particularly in curved root canals, as it facilitates safe and effective canal shaping. The apically extruded debris during this process can cause postoperative complications, including pain and inflammation. Materials...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-12-01
|
| Series: | Journal of Pharmacy and Bioallied Sciences |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jpbs.jpbs_664_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841544179618938880 |
|---|---|
| author | Krutika Shekhawat Himanshi Solanki Amit Patil Sheetal Mali Deepak Sharma Kishan Agarwal |
| author_facet | Krutika Shekhawat Himanshi Solanki Amit Patil Sheetal Mali Deepak Sharma Kishan Agarwal |
| author_sort | Krutika Shekhawat |
| collection | DOAJ |
| description | Background:
Glide path establishment is a critical step in endodontic treatment, particularly in curved root canals, as it facilitates safe and effective canal shaping. The apically extruded debris during this process can cause postoperative complications, including pain and inflammation.
Materials and Methods:
In this in vitro study, 60 extracted human mandibular molars with curved mesial roots were selected and randomly divided into three groups (n = 20) based on the glide path establishment system used: Group A (manual stainless steel K-files), Group B (rotary PathFiles), and Group C (reciprocating R-Pilot files). Each root canal was instrumented following the manufacturer’s instructions for the respective system. The extruded debris was collected in preweighed Eppendorf tubes during the preparation and subsequently dried and weighed using an analytical balance with a precision of 0.0001 g.
Results:
The mean weight of apically extruded debris was significantly different among the groups (P < 0.05). Group A (manual K-files) had the highest mean debris extrusion (0.032 ± 0.005 g), followed by Group C (reciprocating R-Pilot files) with 0.021 ± 0.004 g. Group B (rotary PathFiles) exhibited the least amount of debris extrusion (0.015 ± 0.003 g). The differences between all groups were statistically significant (P < 0.05).
Conclusion:
The type of glide path establishment system significantly affects the amount of apically extruded debris in curved root canals. Rotary PathFiles produced the least debris, suggesting that they may be the most effective in minimizing postoperative complications associated with debris extrusion. Further clinical studies are needed to confirm these findings and to assess their relevance in vivo. |
| format | Article |
| id | doaj-art-fce8510886154bcaa4451029cce2080a |
| institution | Kabale University |
| issn | 0976-4879 0975-7406 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Pharmacy and Bioallied Sciences |
| spelling | doaj-art-fce8510886154bcaa4451029cce2080a2025-01-12T14:10:20ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062024-12-0116Suppl 4S3191S319310.4103/jpbs.jpbs_664_24Effect of Different Glide Path Establishing Systems on Apically Extruded Debris in Curved Root Canals: An In Vitro StudyKrutika ShekhawatHimanshi SolankiAmit PatilSheetal MaliDeepak SharmaKishan AgarwalBackground: Glide path establishment is a critical step in endodontic treatment, particularly in curved root canals, as it facilitates safe and effective canal shaping. The apically extruded debris during this process can cause postoperative complications, including pain and inflammation. Materials and Methods: In this in vitro study, 60 extracted human mandibular molars with curved mesial roots were selected and randomly divided into three groups (n = 20) based on the glide path establishment system used: Group A (manual stainless steel K-files), Group B (rotary PathFiles), and Group C (reciprocating R-Pilot files). Each root canal was instrumented following the manufacturer’s instructions for the respective system. The extruded debris was collected in preweighed Eppendorf tubes during the preparation and subsequently dried and weighed using an analytical balance with a precision of 0.0001 g. Results: The mean weight of apically extruded debris was significantly different among the groups (P < 0.05). Group A (manual K-files) had the highest mean debris extrusion (0.032 ± 0.005 g), followed by Group C (reciprocating R-Pilot files) with 0.021 ± 0.004 g. Group B (rotary PathFiles) exhibited the least amount of debris extrusion (0.015 ± 0.003 g). The differences between all groups were statistically significant (P < 0.05). Conclusion: The type of glide path establishment system significantly affects the amount of apically extruded debris in curved root canals. Rotary PathFiles produced the least debris, suggesting that they may be the most effective in minimizing postoperative complications associated with debris extrusion. Further clinical studies are needed to confirm these findings and to assess their relevance in vivo.https://journals.lww.com/10.4103/jpbs.jpbs_664_24apically extruded debriscurved root canalsendodonticsglide pathin vitro studyk-filespathfilesr-pilot files |
| spellingShingle | Krutika Shekhawat Himanshi Solanki Amit Patil Sheetal Mali Deepak Sharma Kishan Agarwal Effect of Different Glide Path Establishing Systems on Apically Extruded Debris in Curved Root Canals: An In Vitro Study Journal of Pharmacy and Bioallied Sciences apically extruded debris curved root canals endodontics glide path in vitro study k-files pathfiles r-pilot files |
| title | Effect of Different Glide Path Establishing Systems on Apically Extruded Debris in Curved Root Canals: An In Vitro Study |
| title_full | Effect of Different Glide Path Establishing Systems on Apically Extruded Debris in Curved Root Canals: An In Vitro Study |
| title_fullStr | Effect of Different Glide Path Establishing Systems on Apically Extruded Debris in Curved Root Canals: An In Vitro Study |
| title_full_unstemmed | Effect of Different Glide Path Establishing Systems on Apically Extruded Debris in Curved Root Canals: An In Vitro Study |
| title_short | Effect of Different Glide Path Establishing Systems on Apically Extruded Debris in Curved Root Canals: An In Vitro Study |
| title_sort | effect of different glide path establishing systems on apically extruded debris in curved root canals an in vitro study |
| topic | apically extruded debris curved root canals endodontics glide path in vitro study k-files pathfiles r-pilot files |
| url | https://journals.lww.com/10.4103/jpbs.jpbs_664_24 |
| work_keys_str_mv | AT krutikashekhawat effectofdifferentglidepathestablishingsystemsonapicallyextrudeddebrisincurvedrootcanalsaninvitrostudy AT himanshisolanki effectofdifferentglidepathestablishingsystemsonapicallyextrudeddebrisincurvedrootcanalsaninvitrostudy AT amitpatil effectofdifferentglidepathestablishingsystemsonapicallyextrudeddebrisincurvedrootcanalsaninvitrostudy AT sheetalmali effectofdifferentglidepathestablishingsystemsonapicallyextrudeddebrisincurvedrootcanalsaninvitrostudy AT deepaksharma effectofdifferentglidepathestablishingsystemsonapicallyextrudeddebrisincurvedrootcanalsaninvitrostudy AT kishanagarwal effectofdifferentglidepathestablishingsystemsonapicallyextrudeddebrisincurvedrootcanalsaninvitrostudy |