J Korean Acad Conserv Dent.  2004 May;29(3):212-218. 10.5395/JKACD.2004.29.3.212.

The effect of gutta-percha removal using nickel-titanium rotary instruments

Affiliations
  • 1Department of Conservative Dentistry, College of Dentistry, Chosun University, Korea. rootcanal@hanmail.net

Abstract

The purpose of this study was to quantify the amount of remaining gutta-percha/sealer on the walls of root canals when three types of nickel-titanium rotary instruments(Profile, ProTaper and K3) and a hand instrument(Hedstrom file) used to remove these materials. The results of this study were as follows: 1. In the total time for gutta-percha removal, Profile group was the fastest and followed by K3, Protaper, Hedstrom file group. 2. In case of the evaluation of the volume of remained gutta-percha from radiograph, K3 group got the highest score and followed by Protaper, Hedstrom file, Profile group in the apical 1/3. 3. In case of the evaluation of the volume of gutta-percha remained from stereomicroscope, K3 group got the highest score and followed by Protaper, Hedstrom file, Profile group in the apical 1/3. These results showed that instrumentation using nickel-titanium rotary instrument groups was faster than that using hand instrument group. The effect of gutta-percha removal using Profile group was better than that using Protaper and K3 group in the nickel-titanium rotary instrument groups.

Keyword

Endodontic retreatment; Gutta-percha removal; Profile; ProTaper; K3

MeSH Terms

Dental Instruments
Dental Pulp Cavity
Gutta-Percha*
Hand
Gutta-Percha

Figure

  • Figure 1. Mean time for gutta-percha removal

  • Figure 2. The representive image showing score 0

  • Figure 3. The representive image showing score 1

  • Figure 4. The representive image showing score 2

  • Figure 5. The representive image showing score 3


Reference

References

1. Stabholz A, Friedman S. Endodontic retreatment-case selection and technique. part 2: Treatment planning for retreatment. J Endod. 14:607–614. 1988.
Article
2. Friedman S, Rotstein I, Shar-Lev S. Bypassing gutta-percha root fillings with an automated device. J Endod. 12:432–437. 1989.
Article
3. Krell KV, Neo J. The use of ultrasonic endodontic instrumentation in the retreatment of a paste-filled endodontic tooth. Oral Surg Oral Med Oral Pathol. 60:100–102. 1985.
Article
4. Moshonov J, Trope M, Friedman S. Retreatment efficacy 3 months after obturation using glass ionomer cement, zinc oxide-eugenol, and epoxy resin sealers. J Endod. 20:90–92. 1994.
Article
5. Wilcox LR, Juhlin JJ. Endodontic retreatment of ther-malfil versue lateral condensed gutta-percha. J Endod. 20:115–117. 1994.
6. Varawan S. Effectiveness of Profile.04 taper rotary instruments in endodontic retreatment. J Endod. 26:100–103. 2000.
7. Tamse A, Unger U, Metzger Z, Rosenberg M. Gutta-percha solvent-a comparative study. J Endod. 12:337–339. 1986.
8. Wennberg A, Ørstavik D. Evaluation of alternatives to chloroform in endodontic practice. Endod Dent Traumatol. 5:234–237. 1989.
Article
9. Civjan S, Huget EF, Desimon LB. Potential applications of certain nickel-titanium(nitinol)alloys. J Dent Res. 54:89–96. 1975.
10. Walia H, Brantley WA, Gerstein H. An initial investigation of the bending and torsional properties of nitinol root canal files. J Endod. 14:346–351. 1988.
Article
11. Canalda-Sahli C, Brau-Aguade E, Berastegui-Jimeno E. A comparison of bending and torsional peoperties of K-files manufactured with different matallic alloys. Int Endod J. 29:185–189. 1996.
12. Zmener O, Balbachan L. Effectiveness of nickel-titanium files for preparing curved root canals. Endod Dent Traumatol. 11:121–123. 1995.
Article
13. Glosson CR, Haller E H, Dove B, Del Rio CE. A comparison of root canal preparation using Ni-Ti engine-driven, and K-Flex endodontic instruments. J Endod. 21:146–151. 1995.
14. Kefah M. Gutta-percha retreatment: effectiveness of nickel-titanium rotary instruments versus stainless steel hand files. J Endod. 28:454–456. 2002.
15. Stephen C, Richard CB. pathway of the pulp. 8th Edn. St. Louis: Mosby;888:2002.
16. Betti LV, Bramante C. Quantec SC rotary instruments versue hand files for gutta-percha removal in root canal retreatment. Int Endod J. 34:514–519. 2001.
17. Zuolo ML, Imura N, Ferreira MOF. Endodontic retreatment of thermafil or lateral condensation obturation in post space prepared teeth. J Endod. 20:9–12. 1994.
18. Nearing MV, Glickman GV. Comparative efficacy of various rotary instrumentation systems for gutta-percha removal. J Endod. 25:225[abstract]. 1999.
19. Wilcox LR, Krell KL, Madison S, Rittman B. Endodontic retreatment: Evaluation of gutta-percha and sealer removal and canal reininstrument. J Endod. 13:453–457. 1987.
20. Imura N, Zuolo ML, Ferreira MOF, Novo NF. Effectiveness of the canal finder and hand instrumentation in removal of gutta-percha root fillings during root canal retreatment. Int Endod J. 29:382–386. 1996.
Article
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