EFFICIENCY OF RECIPROCATING FILES IN REMOVAL OF GUTTACORE AND SINGLE-CONE FROM CURVED ROOT CANALS: A MICRO-CT ANALYSIS
Abstract
Aims: The purpose of this study was to assess and compare the retreatment ability of different reciprocating single file systems in curved canals obturated with GuttaCore and single-cone obturation techniques using microcomputed tomography. Methods: Sixty-four mandibular molar teeth with root canal systems that have two independent severely curved canals in the mesial root have been chosen for the current study. The root canals have been instrumented with WaveOne Gold primary file and obturated by two techniques: Group SC filled with Single-cone and group GC filled with GuttaCore obturation techniques, using AH Plus sealer in both methods. First micro-CT scan has been taken and the samples have been subdivided into 4 groups for each obturation technique (n16 canals each) according to the retreatment system: Group R: Reciproc (R25 file), group RB: Reciproc Blue (R25 file), group WO: WaveOne (Primary file 25) and group WOG: WaveOne Gold (Primary file 25). After the retreatment procedures, the second micro-CT scan has been taken and then the volume of residual obturation material was calculated. Results: The residual obturation material was spotted in all samples. The mean percentage of residual obturation material was significantly lower when canals retreated with the R25/ Reciproc Blue file, while no significant differences were observed among the other three systems. A significant difference was noticed between GuttaCore and single-cone remnants of obturation material. Conclusion: Under the circumstances of the current study, the use of the Reciproc Blue system is more effective in removing root canal obturation material filled either with GuttaCore or single-cone obturation techniques. R, WO, and WOG systems resembled in the removal of obturation material. The removal of obturation materials from severely curved root canals obturated with GuttaCore is more difficult than the single cone
Downloads
References
Aksoy, U., Küçük, M., Versiani, M. A., & Orhan, K. (2021). Publication trends in micro-CT endodontic research: A bibliometric analysis over a 25-year period. Int Endod J, 54(3), 343–353.
Alakabani, T.-F., Faus-Llácer, V., Faus-Matoses, I., Ruiz-Sánchez, C., Zubizarreta-Macho, Á., Sauro, S., & Faus-Matoses, V. (2020). The Efficacy of Rotary, Reciprocating, and Combined Non-Surgical Endodontic Retreatment Techniques in Removing a Carrier-Based Root Canal Filling Material from Straight Root Canal Systems: A Micro-Computed Tomography Analysis. J Clin Med, 9(6), 1989.
AlRahabi, A. M. K., & Atta, R. M. (2019). Surface nanoscale profile of WaveOne, WaveOne Gold, Reciproc, and Reciproc blue, before and after root canal preparation. Odontology, 107(4), 500–506.
Altunbas, D., Kutuk, B., & Kustarci, A. (2015). Shaping ability of reciprocating single-file and full-sequence rotary instrumentation systems in simulated curved canals. Eur. J. Dent, 9(3), 346–351.
Alves, F. R., Marceliano-Alves, M. F., Sousa, J. C., Silveira, S. B., Provenzano, J. C., & Siqueira, J. F., Jr (2016). Removal of Root Canal Fillings in Curved Canals Using Either Reciprocating Single- or Rotary Multi-instrument Systems and a Supplementary Step with the XP-Endo Finisher. J endod, 42(7), 1114–1119.
Azim, A. A., Piasecki, L., da Silva Neto, U. X., Cruz, A. T. G., & Azim, K. A. (2017). XP Shaper, A Novel Adaptive Core Rotary Instrument: Micro-computed Tomographic Analysis of Its Shaping Abilities. J Endod, 43(9), 1532–1538.
Bago, I., Plotino, G., Katić, M., Ročan, M., Batinić, M., & Anić, I. (2020). Evaluation of filling material remnants after basic preparation, apical enlargement and final irrigation in retreatment of severely curved root canals in extracted teeth. Int Endod J, 53(7), 962–973.
Bago, I., Suk, M., Katić, M., Gabrić, D., & Anić, I. (2019). Comparison of the effectiveness of various rotary and reciprocating systems with different surface treatments to remove gutta-percha and an epoxy resin-based sealer from straight root canals. Int Endod J, 52(1), 105–113.
Baratto Filho, F., Ferreira, E. L., & Fariniuk, L. F. (2002). Efficiency of the 0.04 taper ProFile during the re-treatment of gutta-percha-filled root canals. Int Endod J, 35(8), 651–654.
Bhagavaldas, M. C., Diwan, A., Kusumvalli, S., Pasha, S., Devale, M., & Chava, D. C. (2017). Efficacy of two rotary retreatment systems in removing Gutta-percha and sealer during endodontic retreatment with or without solvent: A comparative in vitro study. J Conserv Dent, 20(1), 12–16.
Bodrumlu, E., Uzun, O., Topuz, O., & Semiz, M. (2008). Efficacy of 3 techniques in removing root canal filling material. Journal (Canadian Dental Association), 74(8), 721.
Boetto, A. C., Arce-Brisson, G., Zmener, O., Pameijer, C., Della-Porta, R., & Picca, M. (2022). Ability of two reciprocating Nickel-Titanium instruments for guttapercha/ sealer removal in simulated curved root canals. Acta Odontol Latinoam, 35(1), 39–44.
Bürklein, S., Flüch, S., & Schäfer, E. (2019). Shaping ability of reciprocating single-file systems in severely curved canals: WaveOne and Reciproc versus WaveOne Gold and Reciproc blue. Odontology, 107(1), 96–102.
Canali, L. C. F., Duque, J. A., Vivan, R. R., Bramante, C. M., Só, M. V. R., & Duarte, M. A. H. (2019). Comparison of efficiency of the retreatment procedure between Wave One Gold and Wave One systems by Micro-CT and confocal microscopy: an in vitro study. Clin Oral Investig, 23(1), 337–343.
Crozeta, B. M., Lopes, F. C., Menezes Silva, R., Silva-Sousa, Y. T. C., Moretti, L. F., & Sousa-Neto, M. D. (2021). Retreatability of BC Sealer and AH Plus root canal sealers using new supplementary instrumentation protocol during non-surgical endodontic retreatment. Clin. Oral Investig, 25(3), 891–899.
De-Deus, G., Silva, E. J., Vieira, V. T., Belladonna, F. G., Elias, C. N., Plotino, G., & Grande, N. M. (2017). Blue Thermomechanical Treatment Optimizes Fatigue Resistance and Flexibility of the Reciproc Files. J Endod, 43(3), 462–466.
Dioguardi, M., Stellacci, C., La Femina, L., Spirito, F., Sovereto, D., Laneve, E., Manfredonia, M. F., D’Alessandro, A., Ballini, A., Cantore, S., Lo Muzio, L., & Troiano, G. (2022). Comparison of Endodontic Failures between Nonsurgical Retreatment and Endodontic Surgery: Systematic Review and Meta-Analysis with Trial Sequential Analysis. Medicina (Kaunas, Lithuania), 58(7), 894.
Dotto, L., Sarkis‐Onofre, R., Bacchi, A., & Pereira, G. K. R. (2021). The use of solvents for gutta‐percha dissolution/removal during endodontic retreatments: A scoping review. Journal of Biomedical Materials Research Part B: Appl. Bio Mater., 109(6), 890–901.
Faus-Llácer, V., Pérez, R. L., Faus-Matoses, I., Ruiz-Sánchez, C., Zubizarreta-Macho, Á., Sauro, S., & Faus-Matoses, V. (2021). Efficacy of Removing Thermafil and GuttaCore from Straight Root Canal Systems Using a Novel Non-Surgical Root Canal Re-Treatment System: A Micro-Computed Tomography Analysis. J Clin Med, 10(6), 1266.
Frajlich, S. R., Goldberg, F., Massone, E. J., Cantarini, C., & Artaza, L. P. (1998). Comparative study of retreatment of Thermafil and lateral condensation endodontic fillings. Int Endod J, 31(5), 354–357.
Franco, V., Fabiani, C., Taschieri, S., Malentacca, A., Bortolin, M., & Del Fabbro, M. (2011). Investigation on the shaping ability of nickel-titanium files when used with a reciprocating motion. J Endod, 37(10), 1398–1401.
Fruchi, L. de C., Ordinola-Zapata, R., Cavenago, B. C., Hungaro Duarte, M. A., Bueno, C. E. da S., & De Martin, A. S. (2014). Efficacy of reciprocating instruments for removing filling material in curved canals obturated with a single-cone technique: A micro-computed tomographic analysis. J Endod, 40(7), 1000–1004.
Giansiracusa Rubini, A., Plotino, G., Al-Sudani, D., Grande, N. M., Sonnino, G., Putorti, E., Cotti, E., Testarelli, L., & Gambarini, G. (2014). A new device to test cutting efficiency of mechanical endodontic instruments. Medical Science Monitor: Int. J. Clin. Exp. Med., 20, 374–378.
Hargreaves KM, Cohen S, & Berman LH (2016). Cohen's pathways of the pulp (11th ed.). St. Louis, Mo.: Mosby Elsevier.
Jain, A., Nikhil, V., & Bansal, P. (2018). Effect of root canal preparation, obturation, and retreatment on the induction of dentinal microcracks: A microcomputed tomography study. J Conserv Dent, 21(5), 521–525.
Jorgensen, B., Williamson, A., Chu, R., & Qian, F. (2017). The Efficacy of the WaveOne Reciprocating File System versus the ProTaper Retreatment System in Endodontic Retreatment of Two Different Obturating Techniques. J Endod, 43(6), 1011–1013.
Kasam, S., & Mariswamy, A. B. (2016). Efficacy of Different Methods for Removing Root Canal Filling Material in Retreatment - An In-vitro Study. J Clin Diagn Res : JCDR, 10(6), ZC06–ZC10.
Kfir, A., Tsesis, I., Yakirevich, E., Matalon, S., & Abramovitz, I. (2012). The efficacy of five techniques for removing root filling material: Microscopic versus radiographic evaluation. Int Endod J, 45(1), 35–41.
Kırıcı, D., Demirbuga, S., & Karataş, E. (2020). Micro-computed Tomographic Assessment of the Residual Filling Volume, Apical Transportation, and Crack Formation after Retreatment with Reciproc and Reciproc Blue Systems in Curved Root Canals. J Endod, 46(2), 238–243.
Koçak, M. M., Çırakoğlu, N. Y., Koçak, S., Sağlam, B. C., Çiçek, E., Türker, S. A., & Bodrumlu, E. (2017). Effect of retreatment instruments on microcrack formation: A microcomputed tomography study. Int J Artif Organs, 40(3): 123-127
Kwak, S. W., Lee, C.-J., Kim, S. K., Kim, H.-C., & Ha, J.-H. (2019). Comparison of Screw-In Forces during Movement of Endodontic Files with Different Geometries, Alloys, and Kinetics. Materials, 12(9), 1506.
Limoeiro, A. G., Braitt, A. H., Silveira Machado, A., Bueno, C. E., Fontana, C. E., Freire, L. G., Lopes, R. T., & De Martin, A. (2021). Micro-computed tomography evaluation of filling material removal by three reciprocating systems with different thermal treatments. G Ital Endod, 35(1).
Nevares, G., de Albuquerque, D. S., Freire, L. G., Romeiro, K., Fogel, H. M., dos Santos, M., & Cunha, R. S. (2016). Efficacy of ProTaper NEXT Compared with Reciproc in Removing Obturation Material from Severely Curved Root Canals: A Micro–Computed Tomography Study. J Endod, 42(5), 803–808.
Ng, Y.-L., Mann, V., & Gulabivala, K. (2011). A prospective study of the factors affecting outcomes of nonsurgical root canal treatment: Part 1: periapical health: Outcome of nonsurgical root canal treatment. Int Endod J, 44(7), 583–609.
Patel, E., & Owen, C. P. (2016). The use of textural analysis to test the hardness and penetrability of three types of gutta percha cones when exposed to two endodontic solvents. S Afr Dent J, 71, 346–350.
Prati, C., Zamparini, F., Spinelli, A., Pelliccioni, G. A., Pirani, C., & Gandolfi, M. G. (2020). Secondary Root Canal Treatment with Reciproc Blue and K-File: Radiographic and ESEM-EDX Analysis of Dentin and Root Canal Filling Remnants. J Clin Med, 9(6), 1902.
Rödig, T., Reicherts, P., Konietschke, F., Dullin, C., Hahn, W., & Hülsmann, M. (2014). Efficacy of reciprocating and rotary NiTi instruments for retreatment of curved root canals assessed by micro-CT. Int Endod J, 47(10), 942–948.
Rödig, T., Wagner, J., Wiegand, A., & Rizk, M. (2018). Efficacy of the ProTaper retreatment system in removing Thermafil, GuttaCore or vertically compacted gutta-percha from curved root canals assessed by micro-CT. Int Endod J, 51(7), 808–815.
Romeiro, K., de Almeida, A., Cassimiro, M., Gominho, L., Dantas, E., Chagas, N., Velozo, C., Freire, L., & Albuquerque, D. (2020). Reciproc and Reciproc Blue in the removal of bioceramic and resin-based sealers in retreatment procedures. Clin Oral Investig, 24(1), 405–416.
Rossi-Fedele, G., & Ahmed, H. M. A. (2017). Assessment of Root Canal Filling Removal Effectiveness Using Micro–computed Tomography: A Systematic Review. J Endod, 43(4), 520–526.
Scavo R, Gersuni C, Oliva S, Salas Romero W (2018). Efficacy of two engine-driven systems in the removal of GuttaCore fillings from curved root canals. Rev Asoc Odontol Argent; 106: 12-18.
Schafer, E., Diez, C., Hoppe, W., & Tepel, J. (2002). Roentgenographic Investigation of Frequency and Degree of Canal Curvatures in Human Permanent Teeth. J Endod, 28(3), 211–216.
Schneider, S. W. (1971). A comparison of canal preparations in straight and curved root canals. Oral Surg Oral Med Oral Pathol, 32(2), 271–275.
Siqueira, J. F., Rôças, I. N., Ricucci, D., & Hülsmann, M. (2014). Causes and management of post-treatment apical periodontitis. Br Dent J, 216(6), 305–312.
Topçuoğlu, H. S., Demirbuga, S., Düzgün, S., & Topçuoğlu, G. (2018). Cyclic fatigue resistance of new reciprocating files (Reciproc Blue, WaveOne Gold, and SmartTrack) in two different curved canals. J Investig Clin Dent, 9(3), e12344.
van der Vyver, P. J., & Jonker, C. (2014). Reciprocating instruments in endodontics: a review of the literature. SADJ: J S Afr Dent Assoc; 69(9), 404–409.
Vertucci F. J. (1984). Root canal anatomy of the human permanent teeth. Oral Surg Oral Med Oral Pathol, 58(5), 589–599.
Yilmaz, A., Helvacioglu-Yigit, D., Gur, C., Ersev, H., Kiziltas Sendur, G., Avcu, E., Baydemir, C., & Abbott, P. V. (2017). Evaluation of Dentin Defect Formation during Retreatment with Hand and Rotary Instruments: A Micro-CT Study. Scanning, 2017, 1–7
It is the policy of the Journal of Duhok University to own the copyright of the technical contributions. It publishes and facilitates the appropriate re-utilize of the published materials by others. Photocopying is permitted with credit and referring to the source for individuals use.
Copyright © 2017. All Rights Reserved.



