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Apical Debris Extrusion by Novel Endostar E5 Compared to Other Commercial Rotary Files: An in Vitro Study

Abstract

Objective:

To compare the amount of apical debris extrusion in samples instrumented by EndoStar E5, ProTaper Universal, and M-two rotary files.

Material and Methods:

Forty-five freshly extracted non-carious mandibular premolar teeth with single roots and single canals were acquired, and randomly divided into 3 groups (n=15). Samples in Groups 1, 2, and 3 were instrumented using EndoStar E5 (EE5), ProTaper Universal (PTU), and M-two (MTO) rotary file, respectively. Following instrumentation, the debris extruded was collected in pre-weighed Eppendorf tubes and stored in an incubator at 70°C for 5 days. Tubes containing the dry extruded debris were then weighed. One-way analysis of variance was applied to the weights obtained followed by Tukey’s post hoc test for multiple comparison.

Results:

The mean debris extruded (mg) for the 3 groups were 1.23 (±0.72), 2.16 (±0.66), and 1.39 (±0.86) for EE5, PTU, and MTO respectively. Samples instrumented with PTU were associated with significantly higher debris extrusion (p<0.01) compared to EE5 and MTO. The groups EE5 and MTO did not differ in the amounts of debris extrusion (p>0.05).

Conclusion:

The novel EE5 and M-two rotary files result in less debris extrusion compared to PTU in mandibular premolars.

Keywords:
Endodontics; Root Canal Therapy; Root Canal Preparation

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