Apical Extrusion of Dentin and Irrigant Smear Layer Produced by Two Nickel Titanium Instrumentation Systems when Using Passive or Active Irrigation

2019 • Volume 13 • Issue 1

Alfredo Sierra-Cristancho; Daniel Gómez Villarroel; Fabián Gajardo Martínez & Verónica Correa Schnake



The smear layer produced during endodontic treatment can be extruded into the periradicular tissue together with the irrigant, producing inflammation and postoperative pain. The purpose of this in vitro study was to compare the amount of apical extrusion, produced during the endodontic preparations with two rotary instrumentation systems using passive and active irrigation. Forty-eight (48) mandibular premolars were randomly assigned to 4 groups (n = 12 teeth), (1) Rotatory – passive, (2) Reciprocating passive, (3) Rotatory-active, (4) Reciprocating- active. The root canals were instrumented according to the manufacturer’s instructions and irrigated with 5 % sodium hypochlorite. Extruded debris and irrigant were collected in previously weighed Eppendorf tubes. The extrusion values were calculated for each group. The data were analyzed with the ANOVA analysis of variance. Results: Apical extrusion was produced in all groups. No statistically significant differences were found in the apical extrusion of smear layer, between the groups studied (P = 0.068), however, when analyzing the extrusion of irrigants, a statistically significant difference was evidenced between groups 1 and 4 (P <0.05). , among the other groups no statistically significant differences were observed. (P> 0.05). Under the conditions of this study, the reciprocating and rotary systems, extrude solid and liquid, being the reciprocating system the one that produces more extrusion of liquid, with both active and passive irrigation.

KEY WORDS: apical extrusion, smear layer, mechanized instrumentation.


How to cite this article

SIERRA-CRISTANCHO, A.; GÓMEZ, D. V.; GAJARDO, F. M. & CORREA, V. S. Apical extrusion of dentin and irrigant smear layer produced by two nickel titanium instrumentation systems when using passive or active irrigation. Int. J. Odontostomat., 13(1):55-57, 2019.


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