title: Effectiveness of XP-endo Finisher, EndoActivator, and File agitation on debris and smear layer removal in curved root canals: a comparative study.
abstract: The purpose of this study was to assess the efficacy of the XP-endo Finisher (FKG Dentaire SA, La Chaux-de-Fonds, Switzerland) file on debris and smear layer removal in curved root canals in comparison to different irrigation regimens. Seventy-five freshly extracted human mandibular molar teeth with mesial root curved more than 20° were used in this study. The mesial root canals were mechanically prepared using the BT-Race rotary system (FKG Dentaire) and divided into five groups (n = 15) according to the following irrigation techniques: positive control, non-agitated, File agitation, XP-endo Finisher, and EndoActivator (Dentsply Tulsa Dental Specialities, Tulsa, OK, USA). Root canals were split longitudinally and evaluated by scanning electron microscopy. Five-grade scoring system was used to assess the presence of debris and smear layer at the coronal, middle, and apical regions. The XP-endo Finisher and EndoActivator groups revealed significantly lower debris and smear layer scores than the other groups at the coronal, middle, and apical regions (P < 0.05). There was no significant difference between XP-endo Finisher and EndoActivator groups (P > 0.05). The apical region had higher debris and smear layer scores compared with the coronal regions in all groups (P < 0.05), except for the positive control group; there was no significant difference between the three regions of the root canal (P > 0.05). Irrigation of curved root canals using XP-endo Finisher and EndoActivator methods appears to be more effective on debris and smear layer removal than the other tested groups.
authors.affiliation: Department of Endodontics, Faculty of Dentistry, Mansoura University, Mansoura, 35516, Egypt. aelnaghy@mans.edu.eg.
authors.forename: Amr M
authors.initials: AM
authors.lastname: Elnaghy
authors.affiliation: Dental Department, King Faisal Hospital, Makkah, Saudi Arabia.
authors.forename: Ayman
authors.initials: A
authors.lastname: Mandorah
authors.affiliation: Department of Dental Biomaterials, Faculty of Dentistry, Mansoura University, Mansoura, Egypt.
authors.forename: Shaymaa E
authors.initials: SE
authors.lastname: Elsaka
mesh_terms: D003762:Dental Instruments; D003786:Dental Pulp Cavity; D004867:Equipment Design; D006801:Humans; D066298:In Vitro Techniques; D008855:Microscopy, Electron, Scanning; D008963:Molar; D015203:Reproducibility of Results; D012388:Root Canal Irrigants / Q000737:chemistry*; D018915:Root Canal Preparation / Q000295:instrumentation*; D016369:Smear Layer; D007507:Therapeutic Irrigation
chemical_list: D012388:Root Canal Irrigants
keywords: Curved root canals; Debris; EndoActivator; Smear layer; XP-endo Finisher