A Comparative SEM Evaluation of Cleaning Efficacy of Endo Finisher, Self Adjusting File and Conventional Irrigation Regimen in Simulated Internal Resorptive Defects: An in vitro Study
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 1
Abstract
Introduction: Difficulties associated with the comprehensive cleaning and disinfection of the canals with Internal Resorptive Defects (IRD) still remains a challenge. Hence, it is essential to improvise the existing or develop new root canal cleaning techniques. Aim: To comparatively assess the cleaning efficacy of XP Endo finisher (XP), Self-Adjusting File (SAF) and Conventional Syringe Needle Irrigation (CSNI) from mechanically unreachable region like Internal Root Resorption (IRR) in the middle third of relatively straight root canals. Materials and Methods: The root canals of 30 freshly extracted single rooted human maxillary anterior teeth were prepared using Nickel (Ni) Titanium (Ti) rotary files up till apical size 40. The prepared teeth were longitudinally split into two halves and internal resorptive defects were simulated in each half at uniform level by a demineralisation protocol with nitric acid and Sodium Hypochlorite (NaOCl) solutions in a sequential manner. Thereafter, the prepared specimen halves were reattached and randomly allocated to three equally sized groups (n=10) according to the technique to be used for smear layer/debris removal as follows: Group 1-CSNI, Group 2-SAF, Group 3-XP Endo finisher. The finally prepared specimens were again detached and evaluated for cleaning efficacy using Scanning Electron Microscope (SEM). One-way ANOVA test for means of the group and Post–Hoc Tukey’s test for interrelationship between groups were used for statistical analysis. Results: The mean scores of SAF and XP Endo Finisher group depicted comparatively cleaner canal surfaces and did not differ statistically (p>0.001). However, both the groups showed statistically significant difference with CSNI group (p<0.001). Conclusion: Maximum cleaning efficacy was obtained with SAF and EF followed by CSNI. In the cases of IRD the debris from resorptive defects may be adequately cleaned by both SAF and XP.
Authors and Affiliations
Krupa Rajesh Desai, Naveen Chhabra, Hitesh Gyanani, Satish Gangaramani, Kritika Gupta
Keywords
Related Articles
- EP ID EP532273
- DOI 10.7860/JCDR/2018/31275.11122
- Views 71
- Downloads 0
Knowledge and Attitude of Parents towards Avulsed Permanent Tooth of their Children and its Emergency Management in Bhopal City
Introduction: Dental avulsion is a commonly reported traumatic injury causing pain, aesthetic, functional, psychological and mental impairment. Since parents are in the immediate vicinity of children in such situations,...
Ano-Genital Warts and HIV Status– A Clinical Study
Introduction: Ano-Genital Warts (AGW) like other Sexually Transmitted Diseases (STD) is associated with Human Immunodeficiency Virus (HIV) infection. This study of AGW was done in HIV positive and HIV negative patients....
Unusual Clinical Presentations in Early-Onset Childhood Sarcoidosis: A Correlation or Coincidence?
Sarcoidosis is a multisystem granulomatous disease which frequently affects young adults. Because of its rarity, the exact incidence and prevalence of childhood sarcoidosis is not known. It mostly affects children of old...
Amnion and Chorion Membranes in the Treatment of Gingival Recession and their Effect on Gingival Biotype: A Clinical and Ultrasonographic Study
ABSTRACT Introduction: Treatment of gingival recession defects should aim at addressing both the biological and aesthetic demands. The chances of relapse are minimised if periodontal therapy fulfils the main goal to atta...
Feasibility and Complications of Spinal Anaesthesia in Percutaneous Nephrolithotomy: Our Experience
Introduction: Percutaneous Nephrolithotomy (PCNL) is the treatment modality used for the extraction of large renal stones, or multiple calculi or stones resistant to shock wave lithotripsy. The General Anaesthesia (GA) i...