{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:31:42Z","timestamp":1787776302389,"version":"build-2784847793"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Minimizing apical debris extrusion may help reduce postoperative pain, flare-ups and enhance the patient\u2019s comfort. This study aimed to compare the apical debris extrusion weights of two rotary file systems, Denco Gold and Denco Blue, with those of hand files.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      In this\n                      <jats:italic toggle=\"yes\">in vitro<\/jats:italic>\n                      study, 69 mandibular first molars with a curvature &lt; 10\u00b0 and two separate root canals and foramen in the mesial root were selected. The samples were randomly divided into three groups: Denco Blue rotary file, Denco Gold rotary file, and hand files. After instrumentation, the extruded apical debris was gathered in glass containers and dehumidified. The weight of the debris was measured and compared. Data analysis was conducted using SPSS 22 with one-way analysis of variance and Tukey tests.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The highest mean (standard deviation) of debris extrusion weight was observed with hand files at 0.21 (0.03), followed by the Denco Gold rotary file at 0.10 (0.31), and the lowest with the Denco Blue rotary file at 0.08 (0.27). There was a significant difference (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001) between the rotary files and hand files, but no significant difference among the rotary files (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.159).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Both Denco Blue and Denco Gold rotary files resulted in less apical debris extrusion compared to hand files, with the two rotary file systems showing similar levels of debris extrusion.<\/jats:p>\n                  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