An In Vitro Comparison of Apically Extruded Debris and Instrumentation Times with ProTaper Universal, ProTaper Next, Twisted File Adaptive, and HyFlex Instruments

Abstract Introduction The purpose of this study was to compare the in vitro amount of apically extruded debris with new endodontic rotary nickel-titanium instruments. Methods Sixty mandibular premolars were instrumented up to size 25 using ProTaper Universal (Dentsply Maillefer, Ballaigues, Switzerl...

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Veröffentlicht in:Journal of endodontics 2014-10, Vol.40 (10), p.1638-1641
Hauptverfasser: Capar, Ismail Davut, DDS, PhD, Arslan, Hakan, DDS, PhD, Akcay, Merve, DDS, PhD, Ertas, Huseyin, DDS, PhD
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container_end_page 1641
container_issue 10
container_start_page 1638
container_title Journal of endodontics
container_volume 40
creator Capar, Ismail Davut, DDS, PhD
Arslan, Hakan, DDS, PhD
Akcay, Merve, DDS, PhD
Ertas, Huseyin, DDS, PhD
description Abstract Introduction The purpose of this study was to compare the in vitro amount of apically extruded debris with new endodontic rotary nickel-titanium instruments. Methods Sixty mandibular premolars were instrumented up to size 25 using ProTaper Universal (Dentsply Maillefer, Ballaigues, Switzerland), ProTaper Next (Dentsply Maillefer), Twisted File Adaptive (SybronEndo, Orange, CA), and HyFlex (Coltene-Whaledent, Allstetten, Switzerland) rotary systems. The apically extruded debris was collected and dried in preweighed Eppendorf tubes. The amount of extruded debris was assessed with an electronic balance. The total time required to complete root canal shaping with the different instruments was also recorded. The significance level was set at P  = .05. Results The instrumentation time with the ProTaper Universal rotary system was significantly longer than with all the other instruments ( P  
doi_str_mv 10.1016/j.joen.2014.04.004
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Methods Sixty mandibular premolars were instrumented up to size 25 using ProTaper Universal (Dentsply Maillefer, Ballaigues, Switzerland), ProTaper Next (Dentsply Maillefer), Twisted File Adaptive (SybronEndo, Orange, CA), and HyFlex (Coltene-Whaledent, Allstetten, Switzerland) rotary systems. The apically extruded debris was collected and dried in preweighed Eppendorf tubes. The amount of extruded debris was assessed with an electronic balance. The total time required to complete root canal shaping with the different instruments was also recorded. The significance level was set at P  = .05. Results The instrumentation time with the ProTaper Universal rotary system was significantly longer than with all the other instruments ( P  &lt; .05). The Twisted File Adaptive and ProTaper Next systems extruded significantly less debris than the ProTaper Universal and HyFlex systems ( P  &lt; .05). Conclusions The ProTaper Next and Twisted File Adaptive instrumentation systems were associated with less debris extrusion compared with the ProTaper Universal and HyFlex systems.</description><identifier>ISSN: 0099-2399</identifier><identifier>EISSN: 1878-3554</identifier><identifier>DOI: 10.1016/j.joen.2014.04.004</identifier><identifier>PMID: 25260737</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Bicuspid - pathology ; Controlled memory nickel-titanium ; debris extrusion ; Dental Alloys - chemistry ; Dental Pulp Cavity - pathology ; Dentistry ; Endocrinology &amp; Metabolism ; Equipment Design ; Humans ; HyFlex ; Materials Testing ; Middle Aged ; Nickel - chemistry ; Periapical Tissue - pathology ; ProTaper Next ; ProTaper Universal ; Root Canal Irrigants - administration &amp; dosage ; Root Canal Preparation - instrumentation ; Rotation ; Smear Layer - pathology ; Therapeutic Irrigation - instrumentation ; Time Factors ; Titanium - chemistry ; Tooth Apex - pathology ; Torque ; Twisted File Adaptive</subject><ispartof>Journal of endodontics, 2014-10, Vol.40 (10), p.1638-1641</ispartof><rights>American Association of Endodontists</rights><rights>2014 American Association of Endodontists</rights><rights>Copyright © 2014 American Association of Endodontists. 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Methods Sixty mandibular premolars were instrumented up to size 25 using ProTaper Universal (Dentsply Maillefer, Ballaigues, Switzerland), ProTaper Next (Dentsply Maillefer), Twisted File Adaptive (SybronEndo, Orange, CA), and HyFlex (Coltene-Whaledent, Allstetten, Switzerland) rotary systems. The apically extruded debris was collected and dried in preweighed Eppendorf tubes. The amount of extruded debris was assessed with an electronic balance. The total time required to complete root canal shaping with the different instruments was also recorded. The significance level was set at P  = .05. Results The instrumentation time with the ProTaper Universal rotary system was significantly longer than with all the other instruments ( P  &lt; .05). The Twisted File Adaptive and ProTaper Next systems extruded significantly less debris than the ProTaper Universal and HyFlex systems ( P  &lt; .05). Conclusions The ProTaper Next and Twisted File Adaptive instrumentation systems were associated with less debris extrusion compared with the ProTaper Universal and HyFlex systems.</description><subject>Adult</subject><subject>Bicuspid - pathology</subject><subject>Controlled memory nickel-titanium</subject><subject>debris extrusion</subject><subject>Dental Alloys - chemistry</subject><subject>Dental Pulp Cavity - pathology</subject><subject>Dentistry</subject><subject>Endocrinology &amp; Metabolism</subject><subject>Equipment Design</subject><subject>Humans</subject><subject>HyFlex</subject><subject>Materials Testing</subject><subject>Middle Aged</subject><subject>Nickel - chemistry</subject><subject>Periapical Tissue - pathology</subject><subject>ProTaper Next</subject><subject>ProTaper Universal</subject><subject>Root Canal Irrigants - administration &amp; dosage</subject><subject>Root Canal Preparation - instrumentation</subject><subject>Rotation</subject><subject>Smear Layer - pathology</subject><subject>Therapeutic Irrigation - instrumentation</subject><subject>Time Factors</subject><subject>Titanium - chemistry</subject><subject>Tooth Apex - pathology</subject><subject>Torque</subject><subject>Twisted File Adaptive</subject><issn>0099-2399</issn><issn>1878-3554</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kt-K1DAUxoso7rj6Al5ILr2Yjif9lxZEGMYdd2FRwVlvQ5qeYmqb1CTdnXkbYd9kn8zUWf_gheFA4OT3feTkSxQ9p7CiQItX3aozqFcJ0GwFoSB7EC1oyco4zfPsYbQAqKo4SavqJHriXAdAWZqyx9FJkicFsJQtotu1Jhf67vtn5a0hGzOMwipnNDEtWY9Kir4_kLO9t1ODDXmLdTglQjdB5EJzQO2FV4HfqQEduVH-C_lozU6MaMmVVtdoneiXf3rvce-XZHejnA-GW9UjWTdi9IFc_jQ-P2x73P_l755Gj1rRO3x2v59GV9uz3eY8vvzw7mKzvoxlVlIfi7aUQKEGYE3GKAK0KSvqtmRChLElzXLaVgXUsmRVm2VV3QqQsmDQAhR5np5GL4--ozXfJnSeD8pJ7Huh0UyO07wo6LxmNDmi0hrnLLZ8tGoQ9sAp8Dkc3vE5HD6HwyEUZEH04t5_qgdsfkt-pRGA10cAw5TXCi13UqGW2CiL0vPGqP_7v_lHLnul5wy_4gFdZyarw_txyl3CgX-av8f8O2gGkLJwgx-t9rec</recordid><startdate>20141001</startdate><enddate>20141001</enddate><creator>Capar, Ismail Davut, DDS, PhD</creator><creator>Arslan, Hakan, DDS, PhD</creator><creator>Akcay, Merve, DDS, PhD</creator><creator>Ertas, Huseyin, DDS, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-8729-8983</orcidid></search><sort><creationdate>20141001</creationdate><title>An In Vitro Comparison of Apically Extruded Debris and Instrumentation Times with ProTaper Universal, ProTaper Next, Twisted File Adaptive, and HyFlex Instruments</title><author>Capar, Ismail Davut, DDS, PhD ; Arslan, Hakan, DDS, PhD ; Akcay, Merve, DDS, PhD ; Ertas, Huseyin, DDS, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c481t-af8c010b007d471e00f376bf87aa337c1451f960bc879f449bfa0cc670f006553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Bicuspid - pathology</topic><topic>Controlled memory nickel-titanium</topic><topic>debris extrusion</topic><topic>Dental Alloys - chemistry</topic><topic>Dental Pulp Cavity - pathology</topic><topic>Dentistry</topic><topic>Endocrinology &amp; Metabolism</topic><topic>Equipment Design</topic><topic>Humans</topic><topic>HyFlex</topic><topic>Materials Testing</topic><topic>Middle Aged</topic><topic>Nickel - chemistry</topic><topic>Periapical Tissue - pathology</topic><topic>ProTaper Next</topic><topic>ProTaper Universal</topic><topic>Root Canal Irrigants - administration &amp; dosage</topic><topic>Root Canal Preparation - instrumentation</topic><topic>Rotation</topic><topic>Smear Layer - pathology</topic><topic>Therapeutic Irrigation - instrumentation</topic><topic>Time Factors</topic><topic>Titanium - chemistry</topic><topic>Tooth Apex - pathology</topic><topic>Torque</topic><topic>Twisted File Adaptive</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Capar, Ismail Davut, DDS, PhD</creatorcontrib><creatorcontrib>Arslan, Hakan, DDS, PhD</creatorcontrib><creatorcontrib>Akcay, Merve, DDS, PhD</creatorcontrib><creatorcontrib>Ertas, Huseyin, DDS, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of endodontics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Capar, Ismail Davut, DDS, PhD</au><au>Arslan, Hakan, DDS, PhD</au><au>Akcay, Merve, DDS, PhD</au><au>Ertas, Huseyin, DDS, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An In Vitro Comparison of Apically Extruded Debris and Instrumentation Times with ProTaper Universal, ProTaper Next, Twisted File Adaptive, and HyFlex Instruments</atitle><jtitle>Journal of endodontics</jtitle><addtitle>J Endod</addtitle><date>2014-10-01</date><risdate>2014</risdate><volume>40</volume><issue>10</issue><spage>1638</spage><epage>1641</epage><pages>1638-1641</pages><issn>0099-2399</issn><eissn>1878-3554</eissn><abstract>Abstract Introduction The purpose of this study was to compare the in vitro amount of apically extruded debris with new endodontic rotary nickel-titanium instruments. Methods Sixty mandibular premolars were instrumented up to size 25 using ProTaper Universal (Dentsply Maillefer, Ballaigues, Switzerland), ProTaper Next (Dentsply Maillefer), Twisted File Adaptive (SybronEndo, Orange, CA), and HyFlex (Coltene-Whaledent, Allstetten, Switzerland) rotary systems. The apically extruded debris was collected and dried in preweighed Eppendorf tubes. The amount of extruded debris was assessed with an electronic balance. The total time required to complete root canal shaping with the different instruments was also recorded. The significance level was set at P  = .05. Results The instrumentation time with the ProTaper Universal rotary system was significantly longer than with all the other instruments ( P  &lt; .05). The Twisted File Adaptive and ProTaper Next systems extruded significantly less debris than the ProTaper Universal and HyFlex systems ( P  &lt; .05). Conclusions The ProTaper Next and Twisted File Adaptive instrumentation systems were associated with less debris extrusion compared with the ProTaper Universal and HyFlex systems.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>25260737</pmid><doi>10.1016/j.joen.2014.04.004</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0002-8729-8983</orcidid></addata></record>
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subjects Adult
Bicuspid - pathology
Controlled memory nickel-titanium
debris extrusion
Dental Alloys - chemistry
Dental Pulp Cavity - pathology
Dentistry
Endocrinology & Metabolism
Equipment Design
Humans
HyFlex
Materials Testing
Middle Aged
Nickel - chemistry
Periapical Tissue - pathology
ProTaper Next
ProTaper Universal
Root Canal Irrigants - administration & dosage
Root Canal Preparation - instrumentation
Rotation
Smear Layer - pathology
Therapeutic Irrigation - instrumentation
Time Factors
Titanium - chemistry
Tooth Apex - pathology
Torque
Twisted File Adaptive
title An In Vitro Comparison of Apically Extruded Debris and Instrumentation Times with ProTaper Universal, ProTaper Next, Twisted File Adaptive, and HyFlex Instruments
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