Comparative evaluation of smear layer removal with Ultra-X device and XP-Endo Finisher file system: an ex-vivo study

Smear removal on using various activation devices


Submitted: 4 August 2023
Accepted: 5 September 2023
Published: 13 September 2023
Abstract Views: 429
PDF: 89
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Authors

  • Raghavendra Penukonda Department of Endodontics, Faculty of Dentistry, MAHSA University, Bandar Saujana Putra, Malaysia, Malaysia.
  • Kavalipurapu Venkata Teja Department of Conservative Dentistry and Endodontics, Mamata Institute of Dental Sceinces, Hyderabad, Telangana State, India, India.
  • Kranthi Raja Kacharaju Department of Endodontics, Faculty of Dentistry, MAHSA University, Bandar Saujana Putra, Malaysia, Malaysia.
  • Sia Yin Xuan Department of Endodontics, Faculty of Dentistry, MAHSA University, Bandar Saujana Putra, Malaysia, Malaysia.
  • Deeviya A/P Mohan Department of Endodontics, Faculty of Dentistry, MAHSA University, Bandar Saujana Putra, Malaysia, Malaysia.
  • Lau Yi Sheun Department of Endodontics, Faculty of Dentistry, MAHSA University, Bandar Saujana Putra, Malaysia, Malaysia.
  • Mariangela Cernera Department of Neuroscience, Reproductive and Odontostomotological Sciences, University of Naples, Federico II, Italy, Italy.
  • Flavia Iaculli Department of Neuroscience, Reproductive and Odontostomotological Sciences, University of Naples, Federico II, Italy, Italy.

Aim: Chemo-mechanical debridement plays a crucial role in root canal treatment. Irrigant activation is the final step before obturation and it helps in effectively cleansing and disinfecting the complex root canal system. The current study aimed at assessing the smear removal after activation with Ultra-X and XP-Endo finisher (XPEF).

Methodology: Sixty extracted single-rooted second premolars were collected. The specimens were decoronated until 13mm standard length and were shaped using Protaper gold rotary files to size 40 under standard irrigation protocol. Following this, based on the final activation, the specimens were randomly allocated to: group 1: Conventional Needle Irrigation (CNI) (n=20); (Control group), group 2: Activation using Ultra X Ultrasonic device (PUI) (n=20); group 3: Activation using XPEF (n=20). Finally, the specimens were examined for smear and debris removal using scanning electron microscopy (SEM).

Results: The obtained data were analysed using the chi-square test in SPSS software version 22.00. All groups showed significant differences (p<0.05) in debris and smear removal. However, no difference (p>0.05) was elicited in groups 2 and 3.

Conclusion: Both Ultra-X and XPEF showed similar debris and smear removal.


Supporting Agencies

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Penukonda, R., Teja, K. V., Kacharaju, K. R., Xuan, S. Y., Mohan, D. A., Sheun, L. Y., Cernera, M., & Iaculli, F. (2023). Comparative evaluation of smear layer removal with Ultra-X device and XP-Endo Finisher file system: an ex-vivo study: Smear removal on using various activation devices. Giornale Italiano Di Endodonzia, 37(2). https://doi.org/10.32067/GIE.2023.37.01.18

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