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Evaluación de eficacia de las limas Protaper, limas HERO SHAPER GOLD, ProTaper Universal limas de retratamiento y limas de retratamiento R-Endo con y sin uso de irrigación ultrasónica pasiva mediante lima Irrisafe para la eliminación de Gutapercha y Sellador AH plus de los conductos radiculares bajo el microscopio quirúrgico dental
Resumen
Antecedentes: El propósito del presente estudio es evaluar la eficacia de cuatro diferentes limas rotativas de NiTi, limas ProTaper, limas HERO SHAPER GOLD, limas de retratamiento ProTaper Universal y limas R-Endo para eliminar GP y sellador de los conductos radiculares con o sin uso de irrigación ultrasónica pasiva mediante lima Irrisafe bajo DOMS. La hipótesis de este estudio es que el uso de PUI podría dar como resultado una mejor limpieza de los conductos radiculares después de la instrumentación para la eliminación del GP y el sellador. Materiales y métodos: El presente estudio in vitro se realizó en el departamento de Odontología Conservadora y Endodoncia, G. Pulla. Facultad y hospital dental Reddy, Kurnool, Andhra Pradesh. Las muestras del estudio comprendieron 100 dientes anteriores maxilares humanos de raíz única extraídos y se recolectaron del Departamento de Cirugía Oral y Maxilofacial, G. Pulla Reddy Dental College & Hospital, Kurnool. Resultados: La prueba t muestra que hubo una diferencia estadísticamente significativa entre los Sub individuales grupos de los Grupos I,II y IV (p<0,05). Y no hubo diferencia estadísticamente significativa entre los subgrupos del grupo III (p>0,05), pero el porcentaje de GP restante y sellador en los conductos radiculares después del retratamiento fue comparativamente mayor en el subgrupo A que en el subgrupo B. Discusión: Bajo las condiciones experimentales, todos las limas de retratamiento dejaron cierta cantidad de GP y sellador en los conductos radiculares y no hubo diferencias significativas entre ellos. Sin embargo, R-Endo es mejor siguiendo el sistema de retratamiento ProTaper Universal, las limas Protaper y las limas HERO SHAPER GOLD. El uso adicional de irrigación ultrasónica pasiva con lima Irrisafe dio como resultado una mejor limpieza de la pared del conducto radicular después del retratamiento.
Recibido: 29/10/2024
Aceptado: 05/11/2024
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Cohen S, Hargreaves KM. Pathways of the pulp. 10th ed. Atlanta: Mosby:2005. Roda RS, Gettleman BH. Chapter 25. Nonsurgical endodontic retreatment. 944-1010.
Shimon Friedman, Sarah Abitbol, Herenia P. Lawrence. Treatment outcome in endodontics: The Toronto study. Phase 1: Initial treatment. J Endod 2003;29:787-93.
Mahmoud Torabinejad, Robert Corr, Robert Handysides, Shahrokh Shabahang. Outcomes of nonsurgical retreatment and endodontic surgery: a systematic review. J Endod 2009;35:930-7.
Abdulhamied Y. Saad, Solaiman M. Al-Hadlaq Nasser H. Al-Katheeri. Efficacy of two rotary niti instruments in the removal of gutta-percha during root canal retreatment. J Endod 2007;33:38-41.
Chiara Pirani, Gian Andrea Pelliccioni, Silvia Marchionni, Lucio Montebugnoli, Gabriela Piana Carlo Prati. Effectiveness of three different retreatment techniques in canals filled with compacted gutta-percha or thermafil: a scanning electron microscope study. J Endod 2009;35:1433-40.
Mohammad Hammad, Alison Qualtrough Nick Silikas. Three-dimensional evaluation of effectiveness of hand and rotary instrumentation for retreatment of canals filled with different materials. J Endod 2008;34:1370-3.
Sanjana Patil A, Preeti Dodwad K Avinash Patil A. An in vitro comparison
of bond strengths of gutta-percha/AH plus, resilon/epiphany self-etch and endorez obturation system to intraradicular dentin using a push-out test design. J Conserv Dent 2013;16:238-42.
A. C. de Carvalho Maciel, M. F. Zaccaro Scelza. Efficacy of automated versus hand instrumentation during root canal retreatment: an ex vivo study. Int Endod J 2006;39:779-84.
S. D. Horvath, M. J. Altenburger, M. Naumann, M. Wolkewitz, J. F. Schirrmeister. Cleanliness of dentinal tubules following gutta-percha removal with and without solvents: a scanning electron microscopic study. Int Endod J 2009;42:1032-38.
Mubashir Mushtaq, Riyaz Farooq, Mohammed Ibrahim,Fayiza Yaqoob Khan. Dissolving efficacy of different organic solvents on gutta-percha and resilon root canal obturating materials at different immersion time intervals. J Conserv Dent 2012;15:141-5.
Marcus Vinicius Reis So, Caroline Saran, Miriam Lago Magro, Fabiana Vieira Vier-Pelisser, Marcelo Munhoz. Efficacy of protaper retreatment system in root canals filled with gutta-percha and two endodontic sealers. J Endod 2008;34:1223-5.
Jose Eduardo de Mello Junior, Rodrigo Sanches Cunha, Carlos Eduardo da Silveira Bueno, Mario Luis Zuolo. Retreatment efficacy of gutta-percha removal using a clinical microscope and ultrasonic instruments: Part I—an ex vivo study. Oral Med Oral Pathol Oral Radiol Endod 2009;108:e59-62.
G. Celik Unal, B. Ureyen Kaya, A. G. Tac, A. D. Kececi. A comparison of
the efficacy of conventional and new retreatment instruments to remove gutta-percha in curved root canals: an ex vivo study. Int Endod J 2009;42:344-50.
Gabriela Guardiola Muller, Anielle Pinheiro Schonhofen, Patrícia Maria PoliKopper Mora, Fabiana Soares Grecca, Marcus Vinicius Reis So, AugustoBodanezi. Efficacy of an organic solvent and ultrasound for filling material removal. Braz Dent J 2013;24:585-90.
Lisa R. Wilcox. Endodontic retreatment: ultrasonics and chloroform as the final step in reinstrumentation. J Endod 1989;15:125-8.
Robert W. Ladley, A. Dean Campbell, M. Lamar Hicks, Shou-Hua Li. Effectiveness of halothane used with ultrasonic or hand instrumentation to remove gutta-percha from the root canal. J Endod 1991;17:221-4.
M. Hulsmann, S. Stotz. Efficacy, cleaning ability and safety of different devices for gutta-percha removal in root canal retreatment. Int Endod J 1997;30:227-33.
S. R. Frajlich, F. Goldberg, E. J. Massone, C.Cantarini, L. P. Artaza. Comparative study of retreatment of thermafil and lateral condensation endodontic fillings. Int Endod J 1998;31:354-7.
N. Imura, A. S. Kato, G.-I. Hata, M. Uemura, T. Toda, F. Weine. A comparison of the relative efficacies of four hand and rotary instrumentation techniques during endodontic retreatment. Int Endod J 2000;33:361-6.
J. J. Ferreira, J. S. Rhodes, T. R. Pitt Ford. The efficacy of gutta-percha
removal using ProFiles. Int Endod J 2001;34:267-74.
L. V. Betti & C. M. Bramante. Quantec SC rotary instruments versus hand files for gutta-percha removal in root canal retreatment. Int Endod J 2001;34:514-9.
M. Hulsmann, V. Bluhm. Efficacy, cleaning ability and safety of different rotary NiTi instruments in root canal retreatment. Int Endod J 2004;37:468-76.
A. V. Masiero, F. B. Barletta. Effectiveness of different techniques for removing gutta-percha during retreatment. Int Endod J 2005;38:2-7.
E. Kosti, T. Lambrianidis, N. Economides, C. Neofitou. Ex vivo study of the efficacy of H-files and rotary NiTi instruments to remove gutta-percha and four types of sealer. Int Endod J 2006;39:48-54.
J. F. Schirrmeister, K. M. Meyer, P. Hermanns, M. J. Altenburger, K.-T. Wrbas. Effectiveness of hand and rotary instrumentation for removing a new synthetic polymer-based root canal obturation material (Epiphany) during retreatment. Int Endod J 2006;39:150-6.
Daniel Pinto de Oliveira, Joao Vicente Baroni Barbizam, Martin Trope, Fabricio B. Teixeira. Comparison between gutta-percha and resilon removal using two different techniques in endodontic retreatment. J Endod 2006;32:362-4.
O. Zmener, C. H. Pameijer, G. Banegas. Retreatment efficacy of hand versus automated instrumentation in oval-shaped root canals: an ex vivo
study. Int Endod J 2006;39:521-6.
J. F. Schirrmeister, P. Hermanns, K. M. Meyer, F. Goetz, E. Hellwig. Detectability of residual epiphany and gutta-percha after root canal retreatment using a dental operating microscope and radiographs – an ex vivo study. Int Endod J 2006;39:558-65.
Fernando Branco Barletta,Nicole de Mello Rahde, Orlando Limongi,Abílio Albuquerque Maranhao Moura, Carolina Zanesco, Gina Mazocatto. In vitro comparative analysis of 2 mechanical techniques for removing gutta-percha during retreatment. J Can Dent Assoc 2007;73:65a-e.
T. Tasdemir, K. Er, T. Yildirim & D. Celik. Efficacy of three rotary NiTi instruments in removing gutta-percha from root canals. Int Endod J 2008;41:191-6.
Paulo Roberto Zanettini, Fernando Branco Barletta, Nicole de Mello Rahde. In vitro comparison of different reciprocating systems used during endodontic retreatment. Aust Endod J 2008; 34: 80–5.
Rodrigo Sanches Cunha, Alexandre Sigrist De Martin, Pedro Paulo Barros, et al. In vitro evaluation of the cleansing working time and analysis of the amount of gutta-percha or resilon remnants in the root canal walls after instrumentation for endodontic retreatment. J Endod 2007;33:1426-8.
Fernando Branco Barletta, Magda de Sousa Reis, Marcia Wagner, Janusa Casali Borges, Cristina Dall’Agnol. Computed tomography assessment of three techniques for removal of filling material. Aust Endod J 2008; 34: 101–5.
L.-S. Gu, J.-Q Ling, X. Wei & X.-Y. Huang. Efficacy of ProTaper Universal
rotary retreatment system for gutta-percha removal from root canals. Int Endod J 2008;41:288-95.
Valentina Giuliani, Roberto Cocchetti, Gabriella Pagavino. Efficacy of ProTaper Universal Retreatment files in removing filling materials during root canal retreatment. J Endod 2008;34:1381-4.
B. Aydin, T. Ko se, M. K. Calis kan. Effectiveness of HERO 642 versus Hedstrom files for removing gutta-percha fillings in curved root canals: an ex vivo study. Int Endod J 2009;42:1050-6.
Cristiane Midori Takahashi, Rodrigo Sanches Cunha, Alexandre Sigrist De Martin, et al. In vitro evaluation of the effectiveness of ProTaper Universal Rotary Retreatment system for gutta-Percha removal with or without a solvent. J Endod 2009;35:1580-3.
Mary Kinuenakamune Uezu, Maria Leticia Borges Britto, Cleber K. Nabeshima, Raul Capp Pallotta. Comparison of debris extruded apically and working time used by ProTaper Universal rotary and ProTaper retreatment system during gutta-percha removal. J Appl Oral Sci 2010;18:542-5.
G. Fenoul, G. D. Meless, F. Perez. The efficacy of R-Endo_ rotary NiTi
and stainless steel hand instruments to remove gutta-percha and Resilon.
Int Endod J 2010;43:135-41.
M. J. Roggendorf, M. Legner, J. Ebert, E. Fillery, R. Frankenberger, S. Friedman. Micro-CT evaluation of residual material in canals filled with
Activ GP or Guttaflow following removal with NiTi instruments. Int Endod
J 2010;43:200-9.
Clovis Monteiro Bramante, Natasha Siqueira Fidelis, Tatiana Santos Assumpcao, et al. Heat Release, Time required, and cleaning ability of Mtwo R and ProTaper Universal Retreatment Systems in the removal of filling material. J Endod 2010;36:1870-3.
Hasan Ramzi Noushin Shokouhinejad, Mohammad Ali Saghiri, Ardavan Samieefard. Efficacy of three different methods in the retreatment of root canals filled with resilon/epiphany SE. Iran Endod J. 2010;5:161–6.
K. Marfisi, M. Mercade, G. Plotino, F. Duran-Sindreu, R. Bueno, M. Roig. Efficacy of three different rotary files to remove gutta-percha and resilon from root canals. Int Endod J 2010;43:1022-8.
Luiz Fernando Fariniuk, Vania Portela Dietzel Westphalen, Ulisses Xavier Da Silva-Neto, Everdan Carneiro, Flares Baratto Filho, Sandra Rivera Fidel, Rivail Antonio Sergio Fidel. Efficacy of five rotary systems versus manual instrumentation during endodontic retreatment. Braz Dent J
;22:294-8.
Santhoshini Reddy, Prasanna Neelakantan, Mohammad Ali Saghiri,
Mehrdad Lotfi, Chandragiri Venkata Subbarao, Franklin Garcia-Godoy,
James L. Gutmann. Removal of gutta-percha/zinc-oxide-eugenol sealer or gutta-percha/epoxy resin sealer from severely curved canals: an in vitro study. Int J Dent 2011; :1-6.
Bahareh Dadresanfar,Payman Mehrvarzfar,Mohammad Ali Saghiri,Sedigh Ghafari,Zohreh Khalilak, Mehdi Vatanpour. Efficacy of two rotary systems in removing gutta-percha and sealer from the root canal walls. Iran Endod J 2011; 6: 69–73.
Jaya Siotia, Shashi Rashmi Acharya, Sunil Kumar Gupta. Efficacy of ProTaper Retreatment System in root canals obturated with gutta-Percha using two different sealers and guttaFlow. 2011; :1-5.
A. Mollo, G. Botti, N. Prinicipi Goldoni, E. Randellini, R. Paragliola, M. Chazine, H. F. Ounsi, S. Grandini. Efficacy of two NiTi systems and hand files for removing gutta-percha from root canals. Int Endod J 2012;45:1-6.
A. Kfir, I. Tsesis, E. Yakirevich, S. Matalon, I. Abramovitz. The efficacy of five techniques for removing root filling material: microscopic versus radiographic evaluation. Int Endod J 2012;45:35-41.
I. Abramovitz, S. Relles-Bonar, B. Baransi, A. Kfir. The effectiveness of a self-adjusting file to remove residual gutta-percha after retreatment with rotary files. Int Endod J 2012;45:386-92.
T. Rodig, T. Hausdorfer, F. Konietschke, C. Dullin, W. Hahn, M. Hulsmann. Efficacy of D-RaCe and ProTaper Universal Retreatment NiTi
instruments and hand files in removing gutta-percha from curved root
canals – a micro-computed tomography study. Int Endod J 2012;45:580-9.
Athikesavan Jayasenthil, Emmanuel Solomon Sathish, Prashanth Prakash. Evaluation of Manual and Two-Rotary Niti Retreatment Systems in Removing Gutta-Percha Obturated with Two Root Canal Sealers. ISRN Dent 2012; :
Raju Chauhan, AP Tikku, Anil Chandra. Detection of residual obturation material after root canal retreatment with three different techniques using a dental operating microscope and a stereomicroscope: an in vitro comparative evaluation. J Conserv Dent. 2012;15: 218–22.
Hengameh Akhavan,Yaser Khalil Azdadi,Shahram Azimi, Bahare Dadresanfar, Anahid Ahmadi. Comparing the efficacy of Mtwo and D-RaCe Retreatment Systems in removing residual gutta-percha and sealer in the root canal. Iran Endod J. 2012;7: 122–6.
Michael Solomonov, Frank Paque, Sadullah Kaya, Ozkan Adiguzel, Anda Kfir, Senem YigitOzer. Self-Adjusting Files in retreatment: A high-resolution micro–computed tomography study. J Endod 2012;38:1283-7.
M. Sita Ram Kumar, Girua S. Sajjan, Kalyan Satish, K. Madhu Varma. A comparative evaluation of efficacy of protaper universal rotary retreatment system for gutta-percha removal with or without solvent. Contemp Clin Dent. 2012;3:s160-3.
B. Marques da Silva, F. Baratto-Filho, D. P. Leonardi, A. Henrique Borges, L. Volpato, F. Branco Barletta. Effectiveness of ProTaper, D-RaCe, and Mtwo retreatment files with and without supplementary instruments in the removal of root canal filling material. Int Endod J 2012;45:927-32.
Jingzhi Ma, Ahmed Jawad Al-Ashaw, Ya Shen, Yuan Gao, Yan Yang, Chengfei Zhang, Markus Haapasalo. Efficacy of ProTaper Universal Rotary Retreatment system for gutta-percha removal from oval root canals: a micro–computed tomography study. J Endod 2012;38:1516-20.
Robert T. Beasley, Anne E. Williamson, Bruce C. Justman, Fang Qian. Time required to remove guttacore, thermafil plus, and thermoplasticized gutta-percha from moderately curved root canals with ProTaper files. J Endod 2013;39:125-8.
Zuolo A.S., Mello J.E., Cunha R. S., Zuolo M.L., Bueno C. E. S. Efficacy of reciprocating and rotary techniques for removing filling material during root canal retreatment. Int Endod J 2013;46:947-53.
Monica Sampaio do Vale, Melinna dos Santos Moreno, PriscilaMacedo Franca da Silva, Thereza Cristina FariasBotelho. Endodontic filling removal procedure: an ex vivo comparative study between two rotary techniques. Braz Oral Res 2013; 27:478-83.
Neelam Mittal, Jyoti Jain. Spiral computed tomography assessment of the efficacy of different rotary versus hand retreatment system. J Conserv Dent 2014;17:8-12.
HuseyinSinanTopcuoglu, SezerDemirbuga, OznurTuncay, Kansad Pala, HakanArslan, ErtugrulKaratas. The Effects of Mtwo, R-Endo, and D-RaCe retreatment Instruments on the incidence of dentinal defects during the removal of root canal filling material. J Endod 2014;40:266-70.
Rached-Junior, F. A., Sousa-Neto, M. D., Bruniera, J. F. B., Duarte, M. A. H.,SilvaSousa,Y.T.C.Confocal microscopy assessment of filling material remaining on root canal walls after retreatment. Int Endod J 2014;47:264-70.
Marcos de Azevedo Rios, Alexandre Mascarenhas Villela, Rodrigo Sanches Cunha, Rafael Cortez Velasco, Alexandre Sigrist De Martin, Augusto Shoji Kato, Carlos Eduardo da Silveira Bueno. Efficacy of 2 reciprocating systems compared with a rotary retreatment system for gutta-percha removal. J Endod 2014;40:543-6.
Iriboz, EmreSazakovecoglu, Hesna. Comparison of ProTaper and Mtwo retreatment system in removal of resin based obturating materials during retreatment. Aust Endod J 2014;40:6-11.
Huseyin Sinan Topcuoglu, Salih Duzgun, Bertan Kesim, Oznur Tuncay. Incidence of apical crack initiation and propagation during the removal of root canal filling material with ProTaper and Mtwo rotary nickel titanium retreatment instruments and hand files. J Endod 2014;40:1009-12.
Stephen Paik, Christopher Sechrist, Mahmoud Torabinejd. Levels of evidence for the outcome of endodontic retreatment. J Endod 2004;30:745-50.
Bettina Basrani, Markus Haapasalo. Update on endodontic irrigating solutions. Endod Topic 2012;2:74–102.
Kwang-Won Lee, Michael C. Williams, Jean J. Camps, David H. Pashley. Adhesion of endodontic sealers to dentin and gutta-percha. J Endod
;28:684-8.
K. Mamootil, H. H. Messer. Penetration of dentinal tubules by endodontic sealer cements in extracted teeth and in vivo. Int Endod J 2007;40:873-81.
Christopher S. Lea, Michael J. Apicella, Pete Mines, Peter P. Yancich, M. Harry Parker. Comparison of the obturation density of cold lateral compaction versus warm vertical compaction using the continuous wave of condensation technique. J Endod 2005;31:37-9.
M. Al-Ali, C. Sathorn, P. Parashos. Root canal debridement efficacy of different final irrigation protocols. Int Endod J 2012;45:898-906.
T. Rodig, M. Sedghi, F. Konietschke, K. Lange, D. Ziebolz, M. Hulsmann. Efficacy of syringe irrigation, rinsendo and passive ultrasonic irrigation in removing debris from irregularities in root canals with different apical sizes. Int Endod J 2010;43:581-9.
Lei-Meng Jiang, Bram Verhaagen, Michel Versluis, Chiara Zangrillo, Doris Cuckovic, Lucas W.M. van der Sluis. An evaluation of the effect of pulsed ultrasound on the cleaning efficacy of passive ultrasonic irrigation. J Endod 2010;36:1887-91.
S. Patel. New dimensions in endodontic imaging: Part 2. Cone beam computed tomography. Int Endod J 2009;42:463-75.
Don Robertson, I. Joel Leeb, Mike McKee, Erich Brewer. A clearing technique for the study of root canal systems. J Endod 1980;6:421-4.
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