Evaluation of apically extruded debris and irrigant using different file systems

OBJECTIVE

The aim of this study was to evaluate the amount of apically extruded debris and irrigant during cleaning and shaping with different file systems.

MATERIALS AND METHODS

Seventy-five extracted mandibular premolar and canine teeth were randomly divided into five groups (n = 15). The root canals were instrumented by using Mtwo (VDW, Munich, Germany), Twisted File (TF; Sybron Endo, Orange, California, USA), Reciproc (VDW), Self-Adjusting File (SAF; Re Dent-Nova, Ra'anana, Israel) systems, and K-type stainless steel hand file (Mani Inc., Tochigi, Japan). Apically extruded debris was collected and dried in preweighed Eppendorf tubes. Extruded irrigant was collected from the cannula by using a plastic insulin syringe. After drying, the amount of apically extruded debris was established by subtracting the initial weight from the final weight of the tubes. After performing the Kolmogorov-Smirnov test, data were analyzed by Kruskall-Wallis test at a significance level of P value less than 0.05.

RESULTS

There were no statistically significant differences between the file systems in terms of debris and irrigant extrusion. Mtwo group produced the highest mean debris extrusion value and the TF group produced the less compared with the other files. The least mean irrigant extrusion value was associated with the SAF group, whereas the highest mean irrigant extrusion value was associated with the Reciproc group.

CONCLUSION

Under the conditions of the study, all file systems were associated with apical debris and irrigant extrusion.

Prevalence and mutations of β-thalassemia trait and abnormal hemoglobins in premarital screening in Çanakkale province, Turkey

The prevalence of β-thalassemia (β-thal) carriers in Turkey varies according to region but in general it is 2.0%. Çanakkale is a city in the Aegean region of Turkey but no study about β-thal frequency in Çanakkale has been published to date. In this study, we aimed to investigate the frequency of β-thal mutations in this province. A total of 4452 couples (8904 individuals) applied for premarital thalassemia scans at the Çanakkale State Health Directorate Laboratory between January 2008 and June 2012 and scanning was done with high performance liquid chromatography (HPLC). Of 125 β-thal carriers seen at the Medical Genetics Clinic, Çanakkale Onsekiz Mart University, Çanakkale, Turkey, for genetic counseling, 46 participated in the study. The remaining 79 patients could not be reached. The prevalence for β-thal carriers in Çanakkale was identified as 1.4% (125/8904). One couple were both β-thal carriers. β-Globin gene analysis of 46 carriers found the total frequency of the three most common mutations was 45.6%. These mutations were found to be HBB: c.93-21G>A [IVS-I-110 (G>A)], 26.08% (12/46); HBB: c.17_ 18delCT [codon 5 (‒CT)], 10.85% (5/46); HBB: c.20delA [codon 6 (‒A)] 8.69% (4/46). This is the first report on the frequency and mutation profiles of β-thal for Çanakkale. The incidence of β-thal carriers in Çanakkale is below the average for Turkey. The most frequently observed mutation profile and rate of β-thal in our region is different from the other regions of Turkey.