Journal of Conservative Dentistry
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Year : 2017  |  Volume : 20  |  Issue : 1  |  Page : 30-36

Apical extrusion of debris in four different endodontic instrumentation systems: Ameta-analysis

Faculty of Dentistry, SEGi University, No. 9, Jalan Teknologi, Kota Damansara, PJU5, Selangor, Malaysia

Correspondence Address:
J Sylvia Western
600, Main Road, Western Electricals, Tisaiyanvillai, Tirunelveli-627 657, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0972-0707.209066

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Background All endodontic instrumentation systems tested so far, promote apical extrusion of debris, which is one of the main causes of postoperative pain, flare ups, and delayed healing. Objectives Of this meta-analysis was to collect and analyze invitro studies quantifying apically extruded debris while using Hand ProTaper(manual), ProTaper Universal(rotary), Wave One(reciprocating), and self-adjusting file(SAF; vibratory) endodontic instrumentation systems and to determine methods which produced lesser extrusion of debris apically. Methodology An extensive electronic database search was done in PubMed, Scopus, Cochrane, LILACS, and Google Scholar from inception until February 2016 using the key terms “Apical Debris Extrusion, extruded material, and manual/rotary/reciprocating/SAF systems.” A systematic search strategy was followed to extract 12 potential articles from a total of 1352 articles. The overall effect size was calculated from the raw mean difference of weight of apically extruded debris. Results Statistically significant difference was seen in the following comparisons: SAFConclusions Apical extrusion of debris was invariably present in all the instrumentation systems analyzed. SAF system seemed to be periapical tissue friendly as it caused reduced apical extrusion compared to Rotary ProTaper and Wave One.

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