Evaluation of apical debris removal using various sizes and tapers of ProFile GT file

By Albrecht LJ, Baumgartner JC, Marshall JG

Date: 01/2004
Journal: JOE

Summary:

  • Purpose: to evaluate the effect of preparation taper using size #20 or size #40 ProFile GT files on the ability to introduce irrigant and subsequently remove debris from the apical extent of root canals.
  • N= A total of 104, bilaterally matched, freshly extracted, human teeth were collected.

Materials/Methods:

  • 48 pairs were divided into four groups Group 1 was instrumented with .04-tapered instruments, group 2 with .06-tapered instruments, group 3 with .08-tapered instruments, and group 4 with .10-tapered instruments. within each taper category one tooth was prepared to size #20 and the other to size #40.

  • Sections were viewed with a light microscope. The amount of debris remaining in the canal was quantified using the NIH Image V1.56 software program.

Most highlighted Results:

1.Size #40 preparations resulted in less residual debris compared with the #20 preparations in the .04-, .06-, and .08-taper categories. However, taper .10,showed no significant difference between the #20 &#40 preparations.

2.Within #20 preparations, needle penetration in the .10- and .08-tapered groups was significantly greater than the .04- and .06-tapered categories.

3.The number of instrument changes necessary to reach WL was significantly greater for the #40 preparations in all taper categories.

4.A total of 5.0 ml of NaOCl was used to irrigate each of the size #20 preparations, whereas 5.5 to 5.9 ml was used to irrigate the size #40 preparations. This difference was statistically significant.

Clinical Significance:

 Debris is more effectively removed using .04, .06, and .08 ProFile GT instruments when the apical preparation size is larger (size #40) compared with size #20 apical preparations