Effect of Apical Preparation on Different Needle Depth Penetration.
DOI:
https://doi.org/10.15218/edj.2024.7Keywords:
Apical, Needle, Penetration depth, EndodonticsAbstract
Introduction: Irrigation is a fundamental part of endodontic debridement as because it allows for cleaning beyond what might be accomplished by root canal instrumentation. The flushing action produced by the irrigant and the penetration of the irrigant is not dependent only on the anatomy of the root canal system, but also on the depth of placement, system of delivery, the volume and fluid properties of the irrigant. Aim: The aim of the study was to evaluate the effect of apical preparation on the penetration depth of different types of needles.
Methods: Thirty single rooted lower premolar teeth were involved in this study. The access opening was performed by using a round diamond bur turbine (diameter 12) and Kfiles (diameter 15) were used for initial penetration in the canal. Stereo- microscope under 20 magnifications was used to determine the working length of the canal. Then the canals were prepared using protaper next in continuos rotation according to manufacture instructions with sequence files reached the WL (X1, X2, X3, X4). 4 mL of 5.25% NaOCI was used between each instrument. Three different types of endodontic needles were used. Needles size 27, 30-gauge stainless steel and IRRIFLEX endodontic irrigation needle. Each needle was inserted in the canal and its length of penetration was measured before canal preparation and after finishing files then the depth of penetration was measured.
Results: ANOVA test showed that there are significant differences among all groups also results show a significant difference when comparing 27 with 30 needle gauge irriflex but there was no significant difference between the needle gauge 30 and irriflex.
Conclusion: This study shows that the penetration depth of needles influences on apical preparation it appears that 27 -gauge needles show less depth penetration when compared to irriflex and 30- gauge needles.
References
Siqueria JF, Rocas IN. Clinical implications and microbiology of bacteria persistence after treatment procedures. J Endod. 2008; 34(11):1291-301.
Bystrom A, Sundqvist G. Bacteriologic evaluation of the efficacy of mechanical root canal instrumentation in endodontic therapy. Scand J Dent Res. 1981;89(4):321-8
Walton RE. Histologic evaluation of different methods of enlarging the pulp canal space. J Endod. 1976;2(10):304-11.
Haga CS. Microscopic measurements of root canal preparations following instrumentation. J Br EndodSoc. 1968;2(3):41-6.
Gulabivala K, Patel B, Evans G, Ng YL. Effects of mechanical and chemical procedures on root canal surfaces. Endod Topics. 2005;10(1):103-22.
Lee SJ, Wu MK, Wesselink PR. The efficacy of ultrasonic irrigation to remove artificially placed dentine debris from different sized simulated plastic root canals. Int Endod J. 2004; 37(9):607-12.
Ram Z. Effectiveness of root canal irrigation. Oral Surg Oral Med Oral Pathol. 1977; 44(2):306-12
Abou-Rass M, Piccinino MV. The effectiveness of four clinical irrigation methods on the removal of root canal debris. Oral Surg Oral Med Oral Pathol. 1982;54(3):323-8.
Moser JB, Heuer MA. Forces and efficacy in endodontic irrigation systems. Oral Surg Oral Med Oral Pathol. 1982;53(4):425-8.
Chow TW. Mechanical effectiveness of root canal irrigation. J Endod. 1983;9(11):475-9.
Kahn FH, Rosenberg PA, Gliksberg J. An in vitro evaluation of the irrigating characteristics of ultrasonic and subsonic handpieces and irrigating needles and probes. J Endod. 1995;21(5):277-80.
Sedgley C, Applegate B, Nagel A, Hall D. Real-time imaging and quantification of bioluminescent bacteria in root canals in vitro. J Endod. 2004;30(12):893-8.
Gu Y, Perinpanayagam H, Kum DJ, Yoo YJ, Jeong JS, Lim SM, Chang SW, Baek SH, Zhu Q, Kum KY. Effect of different agitation techniques on the penetration of irrigant and sealer into dentinal tubules. Photomed Laser Surg 2017;35:71-77.
Zenga C, Meghilb MM, Millerb M, Gou Y. Antimicrobialefficacy of an apical negative pressure root canal irrigation system against intracanal microorganisms. J Dent. 2018; 72:71-5.
Bolles JA, He J, Svoboda KK, Schneiderman E, Glickman GN. Comparison of Vibringe, EndoActivator, and needle irrigation on sealer penetration in extracted human teeth. J Endod 2013;39:708-711.
Kara Tuncer A, Unal B. Comparison of sealer penetration using the EndoVac irrigation system and conventional needle root canal irrigation. J Endod 2014;40:613-617. 72:71-5.
Generali L, Cavani F, Serena V, Pettenati C, Righi E, Bertoldi C. Effect of different irrigation systems on sealer penetration into dentinal tubules. J Endod 2017; 43:652-656.
Peters OA. Current challenges and concepts in the preparation of root canal systems: a review. J Endod 2004;30:559-567.
Dutner J, Mines P, Anderson A. Irrigation trends among American Association of Endodontists members: a web-based survey. J Endod 2012;38:37-40.
Usman N, Baumgartner JC, Marshall JG. Influence of instrument size on root canal debridement. J Endod 2004;30:110-112.
Falk KW, Sedgley CM. The influence of preparation size on the mechanical efficacy of root canal irrigation in vitro. J Endod 2005;31:742-745.
Sedgley CM, Nagel AC, Hall D, Applegate B. Influence of irrigant needle depth in removing bioluminescent bacteria inoculated into instrumented root canals using real time imaging in vitro. Int Endod J 2005;38:97-104.
Khademi A, Yazdizadeh M, Feizianfard M. Determination of the minimum instrumentation size for penetration of irrigants to the apical third of root canal systems. J Endod 2006;32:417-420.
Van der Sluis LW, Gambarini G, Wu MK, Wesselink PR. The influence of volume, type of irrigant and flushing method on removing artificially placed dentine debris from the apical root canal during passive ultrasonic irrigation. Int Endod J 2006;39:472-476.
Perez R, Neves AA, Belladonna FG, Silva EJ, Souza EM, Fidel S, Versiani MA, Lima I, Carvalho C, De-Deus G. Impact of needle insertion depth on the removal of hard-tissue debris. Int Endod J 2017;50:560-568.
Boutsioukis C, Lambrianidis T, Kastrinakis E. Irrigant flow within a prepared root canal using various flow rates: a Computational Fluid Dynamics study. Int Endod J 2009;42:144-155.
Munoz HR, Camacho-Cuadra K. In vivo efficacy of three different endodontic irrigation systems for irrigant delivery to working length of mesial canals of mandibular molars. J Endod 2012;38:445-448
Aksel H, Askerbeyli S, Canbazoglu C, Serper A. Effect of needle insertion depth and apical diameter on irrigant extrusion in simulated immature permanent teeth. Braz Oral Res 2014;28:1-6.
Malentacca A, Uccioli U, Zangari D, Lajolo C, Fabiani C. Efficacy and safety of various active irrigation devices when used with either positive or negative pressure: an in vitro study. J Endod 2012;38:1622-1626.
Psimma Z, Boutsioukis C, Kastrinakis E, Vasiliadis L. Effect of needle insertion depth and root canal curvature on irrigant extrusion ex vivo. J Endod 2013; 39:521-524.
Vertucci FJ. Root canal morphology and its relationship to endo-dontic procedures. Endod Top 2005; 10:3—29.
Diemer F, Sinan A, Calas P. Penetration depth of warm vertical Gutta-Percha pluggers: impact of apical preparation. J Endod 2006;32:123—6.
Albrecht LJ, Baumgartner C, Marshall JG. Evaluation of apical debris removal using various sizes and tapers of ProFile GT files. J Endod 2004;30:425—8.
Salzgeber RM, Brilliant JD. An in vivo evaluation of the penetration of an irrigating solution in root canals. J Endod. 1977;3(10):394-8.
Druttman AC, Stock CJ. An in vitro comparison of ultrasonic and conventional methods of irrigant replacement. Int Endod J. 1989; 22(4):174- 8.
Boutsioukis C, Lambrianidis T, Vasiliadis L. Clinical relevance of standardization of endodontic irrigation needle dimensions according to the ISO 9,626:1991 and 9,626:1991/Amd 1:2001 specification. Int Endod J. 2007;40(9):700-6.
Alexia Vinel a,b, Aline Sinan c, Me´lanie Dedieu a, Sara Laurencin-Dalicieux a,d, Franck Diemer a,e,*, Marie Georgelin-Gurgel .Effect of apical preparation on different needle depth penetration. Giornale Italiano di Endodonzia (2016) 30, 96—100.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Samara Gurgis Essa, Razawa Kareem Saeed, Diyar Khalid Baker (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The copyright on any article published in Erbil Dental Journal is retained by the author(s) in agreement with the Creative Commons Attribution Non-Commercial ShareAlike License (CC BY-NC-SA 4.0).