Published July 30, 2025 | Version v1
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Comparison of Debris Extrusion during Root Canal Instrumentation Using a Rotary and a Reciprocating Motion Instrument: An in Vitro Study

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  • 1. International Journal of Dental Science and Innovative Research (IJDSIR)

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Abstract

To compare the amount of apically extruded debris during root canal instrumentation using the Endogal system with two types of motion (rotary and reciprocating) in comparison with R-Motion and One Curve.

Sixty single-rooted teeth were randomly divided into four groups (n = 15) according to the instrumentation system: Endogal (rotary motion), Endogal (reciprocating motion), R-Motion, and One Curve. Each instrument was used five times. Debris extrusion was assessed based on the experimental model reported by Myers and Montgomery (1991), and statistical analysis was performed using the Kruskal-Wallis test, Mann-Whitney U test, and Dunn’s post hoc test with Bonferroni correction (p < 0.05).

The results showed that the Endogal system in rotary motion generated a greater amount of extruded debris compared to One Curve and the same system in reciprocating motion (p < 0.01). No statistically significant differences were found between the reciprocating systems evaluated (R-Motion and Endogal reciprocating), nor between One Curve and R-Motion. Additionally, no significant differences were observed in the amount of extruded debris across the five uses of each system.

This investigation concluded that the amount of apically extruded debris varies according to the design and motion of the instrumentation system. The Endogal system in rotary motion extruded significantly more debris compared to One Curve (rotary). Instrument´s reuse did not affect debris extrusion under the conditions of this study.

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References

  • 1. Abdelnaby, P., Ibrahim, M., & ElBackly, R. (2023). In vitro evaluation of filling material removal and apical debris extrusion after retreatment using Reciproc blue, Hyflex EDM and ProTaper retreatment files. BMC Oral Health, 23(1). https:// doi.org/10.1186/S12903-023-03579-7 2. Al-Omari, M. A. O., & Dummer, P. M. H. (1995). Canal blockage and debris extrusion with eight preparation techniques. Journal of Endodontics, 21(3), 154–158. https://doi.org/10.1016/S0099-2399 (06)80443-7 3. Al-Saffar, F. B., & Al-Gharrawi, H. A. (2023). A Comparative Evaluation of the Apically Extruded Debris from Root Canals Prepared by R-Motion NiTi File System. International Journal of Dentistry, 2023, 5731248. https:// doi.org/ 10.1155/ 2023/ 5731248 4. Alves, F. R. F., Paiva, P. L., Marceliano-Alves, M. F., Cabreira, L. J., Lima, K. C., Siqueira, J. F., Rôças, I. N., & Provenzano, J. C. (2018). Bacteria and Hard Tissue Debris Extrusion and Intracanal Bacterial Reduction Promoted by XP-endo Shaper and Reciproc Instruments. Journal of Endodontics, 44(7), 1173–1178. https://doi.org/ 10.1016/ J.JOEN. 2018.04.007 5. Amaral, A. P., Limongi, P. B. O. C., Fontana, C. E., Martin, A. S. De, Bueno, C. E. D. S., & Pinheiro, S. L. (2019). Debris Apically Extruded by Two Reciprocating Systems: A Comparative Quantitative Study. European Journal of Dentistry, 13(4), 625–628. https://doi.org/10.1055/S-0039-3400550 6. Arias-Moliz, M. T., & Camilleri, J. (2016). The effect of the final irrigant on the antimicrobial activity of root canal sealers. Journal of Dentistry, 52, 30–36. https:// doi.org/ 10.1016/ J.JDENT. 2016.06.008 7. Arslan, H., Doğanay, E., Alsancak, M., Çapar, I. D., Karataş, E., & Gündüz, H. A. (2016). Comparison of apically extruded debris after root canal instrumentation using Reciproc® instruments with various kinematics. International Endodontic Journal, 49(3), 307–310. https://doi.org/ 10.1111/ IEJ.12449 8. Azizi, A., Prati, C., Schiavon, R., Fitzgibbon, R., Pirani, C., Iacono, F., Pelliccioni, G. A., Spinelli, A., Zamparini, F., Puddu, P., Bolelli, G., & Generali, L. (2021). In-depth metallurgical and microstructural analysis of oneshape and heat treated onecurve instruments. European Endodontic Journal, 6(1), 90–97. https://doi.org/10.14744/EEJ.2021.63634, 9. Boutsioukis, C., Verhaagen, B., Versluis, M., Kastrinakis, E., Wesselink, P. R., & van der Sluis, L. W. M. (2010). Evaluation of Irrigant Flow in the Root Canal Using Different Needle Types by an Unsteady Computational Fluid Dynamics Model. Journal of Endodontics, 36(5), 875–879. https:// doi.org/10.1016/j.joen.2009.12.026 10. Bürklein, S., Benten, S., & Schäfer, E. (2014). Quantitative evaluation of apically extruded debris with different single-file systems: Reciproc, F360 and OneShape versus Mtwo. International Endodontic Journal, 47(5), 405–409. https:// doi.org/ 10.1111/IEJ.12161, 11. Caviedes-Bucheli, J., Castellanos, F., Vasquez, N., Ulate, E., & Munoz, H. R. (2016). The influence of two reciprocating single-file and two rotary-file systems on the apical extrusion of debris and its biological relationship with symptomatic apical periodontitis. A systematic review and meta-analysis. International Endodontic Journal, 49(3), 255–270. https://doi.org/10.1111/IEJ.12452 12. De-Deus, G., Brandão, M. C., Barino, B., Giorgi, K. Di, Fidel, R. A. S., & Luna, A. S. (2010). Assessment of apically extruded debris produced by the single-file ProTaper F2 technique under reciprocating movement. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 110(3), 390–394. https://doi.org/ 10. 1016/J.TRIPLEO.2010.04.020 13. Doğanay Yıldız, E., & Arslan, H. (2019). The effect of blue thermal treatment on endodontic instruments and apical debris extrusion during retreatment procedures. International Endodontic Journal, 52(11), 1629–1634. https:// doi.org/ 10.1111/ IEJ. 13161 14. Gokturk, H., Ozkocak, I., Aydin, U., & Serefli, E. D. (2020). Effect of different chelating agents and their surface tension on the amount of apically extruded debris. Journal of Dental Sciences, 16(1), 195. https://doi.org/10.1016/J.JDS.2020.06.015 15. Gunes, B., & Yesildal Yeter, K. (2018). Effects of Different Glide Path Files on Apical Debris Extrusion in Curved Root Canals. Journal of Endodontics, 44(7), 1191–1194. https://doi.org/ 10. 1016/j.joen.2018.04.012 16. Kaşıkçı Bilgi, Köseler, Güneri, P., Hülsmann, M., & Çalışkan, M. K. (2017). Efficiency and apical extrusion of debris: a comparative ex vivo study of four retreatment techniques in severely curved root canals. International Endodontic Journal, 50(9), 910–918. https:// doi.org/ 10.1111/IEJ.12708; C TYPE:STRING:JOURNAL 17. Mirsattari, S., Jahromi, M. Z., & Khabiri, M. (2024). Evaluation of apically extruded debris from root canal filling removal of the mesiobuccal canal of maxillary molars using XP shaper and protaper with two different irrigation. Dental Research Journal, 21(1), 65. https://doi.org/10.4103/DRJ.DRJ_703_22 18. Myers, G. L., & Montgomery, S. (1991). A comparison of weights of debris extruded apically by conventional filing and canal master techniques. Journal of Endodontics, 17(6), 275–279. https:// doi.org/10.1016/S0099-2399(06)81866-2 19. Nevares, G., Xavier, F., Gominho, L., Cavalcanti, F., Cassimiro, M., Romeiro, K., Alvares, P., Queiroz, G., Sobral, A. P., Gerbi, M., Silveira, M., & Albuquerque, D. (2015). Apical Extrusion of Debris Produced during Continuous Rotating and Reciprocating Motion. The Scientific World Journal, 2015, 267264. https://doi.org/10.1155/2015/267264 20. Pedullà, E., Iacono, F., Pitrolo, M., Barbagallo, G., La Rosa, G. R. M., & Pirani, C. (2023). Assessing the impact of obturation techniques, kinematics and irrigation protocols on apical debris extrusion and time required in endodontic retreatment. Australian Endodontic Journal, 49(3), 623–630. https:// doi.org/ 10.1111/AEJ.12795;CTYPE:STRING:JOURNAL 21. Popovic, J., Gasic, J., Zivkovic, S., Petrovic, A., & Radicevic, G. (2010). Evaluation of biological debris on endodontic instruments after cleaning and sterilization procedures. International Endodontic Journal, 43(4), 336–341. https://doi.org/ 10.1111/ J.1365-2591.2010.01686.X, 22. Predin Djuric, N., Van Der Vyver, P., Vorster, M., & Vally, Z. I. (2021). Comparison of apical debris extrusion using clockwise and counter-clockwise single-file reciprocation of rotary and reciprocating systems. Australian Endodontic Journal, 47(3), 394–400. https://doi.org/10.1111/AEJ.12490, 23. Ramírez-Bommer, C., Gulabivala, K., Ng, Y. L., & Young, A. (2018). Estimated depth of apatite and collagen degradation in human dentine by sequential exposure to sodium hypochlorite and EDTA: a quantitative FTIR study. International Endodontic Journal, 51(4), 469–478. https://doi.org/ 10.1111/ IEJ.12864, 24. Restrepo Restrepo, F. A., Holguín Vásquez, V. A., Cañas Jiménez, S. J., Villa Machado, P. A., Ochoa Soto, S., Ossa Orozco, C. P., & Tobón Arroyave, S. I. (2021). Microstructural, microchemical, and mechanical changes associated with the clinical reuse of two nickel–titanium endodontic instruments. Dental Research Journal, 18(1), 48. https://doi.org/10.4103/1735-3327.318943 25. Retana-Lobo, C., Ramírez-Mora, T., Murillo-Gómez, F., Maria Guerreiro-Tanomaru, J., Tanomaru-Filho, M., & Reyes-Carmona, J. (2022). Final irrigation protocols affect radicular dentin DMP1-CT expression, microhardness, and biochemical composition. Clinical Oral Investigations, 26(8), 5491–5501. https://doi.org/ 10.1007/S00784-022-04516-8, 26. Schneider, S. W. (1971). A comparison of canal preparations in straight and curved root canals. Oral Surgery, Oral Medicine, Oral Pathology, 32(2), 271–275. https://doi.org/10.1016/0030-4220(71)90230-1, 27. Seltzer, S., & Naidorf, I. J. (1985). Flare-ups in endodontics: I. Etiological factors. Journal of Endodontics, 11(11), 472–478. https://doi.org/ 10.1016/ S0099-2399(85)80220-X 28. Silva, E. J. N. L., Carapiá, M. F., Lopes, R. M., Belladonna, F. G., Senna, P. M., Souza, E. M., & De-Deus, G. (2016a). Comparison of apically extruded debris after large apical preparations by full-sequence rotary and single-file reciprocating systems. International Endodontic Journal, 49(7), 700–705. https://doi.org/10.1111/IEJ.12503, 29. Silva, E. J. N. L., Carapiá, M. F., Lopes, R. M., Belladonna, F. G., Senna, P. M., Souza, E. M., & De-Deus, G. (2016b). Comparison of apically extruded debris after large apical preparations by full-sequence rotary and single-file reciprocating systems. International Endodontic Journal, 49(7), 700–705. https://doi.org/10.1111/IEJ.12503, 30. Silva, E. J. N. L., Sá, L., Belladonna, F. G., Neves, A. A., Accorsi-Mendonça, T., Vieira, V. T. L., De-Deus, G., & Moreira, E. J. (2014). Reciprocating versus rotary systems for root filling removal: Assessment of the apically extruded material. Journal of Endodontics, 40(12), 2077–2080. https://doi.org/10.1016/j.joen.2014.09.009 31. Silva, E. J. N. L., Teixeira, J. M., Kudsi, N., Sassone, L. M., Krebs, R. L., & Coutinho-Filho, T. S. (2016). Influence of apical preparation size and working length on debris extrusion. Brazilian Dental Journal, 27(1), 28–31. https://doi.org/10.1590/0103-6440201600337, 32. Siqueira, J. F. (2003). Microbial causes of endodontic flare-ups. International Endodontic Journal, 36(7), 453–463. https://doi.org/ 10.1046/ J.1365-2591.2003.00671.X 33. Tanalp, J. (2022). A critical analysis of research methods and experimental models to study apical extrusion of debris and irrigants. International Endodontic Journal, 55(S1), 153–177. https:// doi. org/ 10.1111/IEJ.13686 34. Tanalp, J., & Güngör, T. (2014). Apical extrusion of debris: A literature review of an inherent occurrence during root canal treatment. International Endodontic Journal, 47(3), 211–221. https://doi.org/ 10.1111/IEJ.12137 35. Tanalp, J., Kaptan, F., Sert, S., Kayahan, B., & Bayirl, G. (2006). Quantitative evaluation of the amount of apically extruded debris using 3 different rotary instrumentation systems. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 101(2), 250–257. https://doi.org/ 10. 1016/J.TRIPLEO.2005.03.002 36. Topçuoğlu, H. S., Üstün, Y., Akpek, F., Aktı, A., & Topçuoğlu, G. (2016). Effect of coronal flaring on apical extrusion of debris during root canal instrumentation using single-file systems. International Endodontic Journal, 49(9), 884–889. https://doi.org/10.1111/IEJ.12520, 37. Vertucci, F. J. (1984). Root canal anatomy of the human permanent teeth. Oral Surgery, Oral Medicine, Oral Pathology, 58(5), 589–599. https:// doi.org/10.1016/0030-4220(84)90085-9 38. Yeter, K. Y., Evcil, M. S., Ayranci, L. B., & Ersoy, I. (2013). Weight of apically extruded debris following use of two canal instrumentation techniques and two designs of irrigation needles. International Endodontic Journal, 46(9), 795–799. https://doi.org/10.1111/IEJ.12060, 39. Zancan, R. F., Di Maio, A., Tomson, P. L., Duarte, M. A. H., & Camilleri, J. (2021). The presence of smear layer affects the antimicrobial action of root canal sealers. International Endodontic Journal, 54(8), 1369–1382. https://doi.org/ 10.1111/ IEJ. 13522,