EVALUATION OF THE EFFECT OF DIFFERENT IRRIGATION SYSTEMS ON THE REMOVAL OF INTRACANAL MEDICAMENTS

Cihan Hasçizmeci; Burak Buldur

doi:10.7126/cumudj.1237798

TR EN

FARKLI İRRİGASYON SİSTEMLERİNİN KANAL İÇİ İLAÇLARIN UZAKLAŞTIRILMASINA ETKİSİNİN İNCELENMESİ

Öz

Amaç: Bu çalışmanın amacı farklı irrigasyon sistemlerinin rejeneratif endodonti tedavisinde kullanılan kanal içi ilaçların uzaklaştırılması üzerindeki etkilerini değerlendirmektir. Gereç ve Yöntem: İmmatür diş modeli elde etmek için standardize edilmiş preparasyonun ardından, tek köklü üst insan dişlerinin kök kanallarına metronidazol, siprofloksasin ve klindamisinden oluşan modifiye üçlü antibiyotik pat (mTAP) uygulanmış ve üç hafta beklendi. Standart preparasyon ve kanal içi ilaç uygulanan toplam 50 diş, uygulanacak irrigasyon yöntemine göre (n=10) rastgele beş gruba ayrıldı; Grup 1: Gelenekel Şırınga İrrigasyonu (GSI), Grup 2: Pasif Ultrasonik İrrigasyon (PUI), Grup 3: EndoActivator (EA), Grup 4: EndoVac (EV) Grup 5: Nd:YAG lazer (LZR). Farklı irrigasyon sistemleri ile mTAP'ın uzaklaştırılmasını takiben dişler bukko-lingual ekseni boyunca ayrıldı. Darbe kökleri, artık intrakanal ilaç varlığı için 4 dereceli puanlama skalası ile stereomikroskop altında incelendi. Her kökün koronal, orta ve apikal bölgeleri için skorlar kaydedildi. Bulgular: Toplam puanlar açısından, PUI grubu diğer gruplara göre daha yüksek kanal içi ilaç uzaklaştırma etkinliği gösterdi (p<0.05). Kök kanal üçlüsünün grup içi karşılaştırmasında, apikal üçlüde daha az kanal içi ilaç bulundu (p <0.05). En yüksek kanal içi ilaç uzaklaştırma etkinliği PUI ve LZR gruplarında koronal üçlüde, PUI grubunda orta üçlüde ve PUI ve EV gruplarında apikal üçlüde bulundu (p<0,05). Sonuçlar: Kanal içi ilaç uzaklaştırma skorları, irrigasyon sistemi ile istatistiksel olarak anlamlı şekilde ilişkiliydi. PUI, diğer irrigasyon yöntemlerine göre istatistiksel olarak anlamlı derecede daha yüksek kanal içi ilaç uzaklaştırma etkinliği gösterdi. Koronal ve orta üçlü arasında fark yokken, apikal üçlüde diğer bölgelere göre istatistiksel olarak anlamlı derecede daha az kanal içi ilaç uzaklaştırma saptandı.

Anahtar Kelimeler

EVALUATION OF THE EFFECT OF DIFFERENT IRRIGATION SYSTEMS ON THE REMOVAL OF INTRACANAL MEDICAMENTS

Abstract

Objectives: This study aimed to evaluate the effects of different irrigation systems on the removal of intracanal medicament used in regenerative endodonti treatment. Materials and Methods: Following standardized preparation to obtain an immature tooth model, modified triple antibiotic paste (mTAP) consisting of metronidazole, ciprofloxacin and clindamycin was applied to the root canals of single-rooted human maxillar teeth and waited for three weeks. A total of 50 teeth with standardized preparation and intracanal medicament were randomly divided into five groups according to the irrigation method to be applied (n=10); Group 1: Conventional Syringe Irrigation (CSI), Group 2: Passive Ultrasonic Irrigation (PUI), Group 3: EndoActivator (EA), Group 4: EndoVac (EV) Group 5: Nd:YAG laser (LSR). Following the removal of the mTAP with different irrigation systems, the teeth were divided along their bukko-lingual axis. The impact roots were examined under the stereomicroscope with the 4-grade scoring scale for the presence of residual intracanal medicaments. Scores for coronal, middle and apical regions of each root were recorded. Results: In terms of total scores, PUI group showed higher intracanal medicament removal efficacy compared to the other groups (p<0.05). In the intra-group comparison of the root canal third, less intracanal medicament was found in the apical third (p <0.05). The highest intracanal medicament removal efficacy was found in PUI and LSR groups in the coronal third, PUI group in the middle third, and PUI and EV groups in the apical third (p<0.05). Conclusions: Intracanal medicament removal scores were significanlty associated with irrigation system. PUI showed statistically significantly higher intracanal medicament removal efficiency than other irrigation methods. While there was no difference between the coronal and middle thirds, statistically significantly less intracanal medicament removal was found in the apical third compared to the other regions.

Keywords

Supporting Institution

SİVAS CUMHURİYET ÜNİVERSİTESİ BİLİMSEL ARAŞTIRMA PROJELERİ

Project Number

DİŞ-211

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Cihan Hasçizmeci
0000-0001-6468-6804
Türkiye

Burak Buldur ^*
0000-0003-4764-819X
Türkiye

Publication Date

June 23, 2023

Submission Date

January 17, 2023

Acceptance Date

March 16, 2023

Published in Issue

Year 2023 Volume: 26 Number: 2

DOI

https://doi.org/10.7126/cumudj.1237798

IZ

https://izlik.org/JA67NZ76UN

Cite

RIS / Bibtex

EndNote

Hasçizmeci C, Buldur B (June 1, 2023) EVALUATION OF THE EFFECT OF DIFFERENT IRRIGATION SYSTEMS ON THE REMOVAL OF INTRACANAL MEDICAMENTS. Cumhuriyet Dental Journal 26 2 135–143.