Influence of Cavity Design on Calcium Hydroxide Removal from Root Canal Irregularities

Selen Küçükkaya Eren; Emel Uzunoğlu Özyürek

doi:10.7126/cumudj.605699

TR EN

Kavite tasarımının kalsiyum hidroksitin kök kanal düzensizliklerinden uzaklaştırılmasına etkisi

Öz

Giriş: Konservatif endodontik kavite (KEK) tasarımı son zamanlarda dişlerin mekanik stabilitesini korumak için geliştirilmiştir ve geleneksel endodontik kavite (GEK) tasarımına bir alternatif olarak yerini almıştır. Bu çalışmanın amacı, kavite tasarımının, kalsiyum hidroksitin (Ca(OH)₂) kök kanallarının koronal ve apikal kısımlarında hazırlanan yapay oluklardan uzaklaştırılmasına olan etkisini araştırmaktır.

Yöntem: Kırk adet çekilmiş tek kanallı insan alt küçük azı dişleri, rastgele KEK ve GEK gruplarına ayrıldı. (n=20). Kaviteler hazırlandıktan sonra, kök kanalları genişletildi ve her diş uzunlamasına kesildi. Kök parçalarından birinin koronal ve apikal kısımlarında 2 adet standart oluk hazırlandı. Ca(OH)₂olukların içine yerleştirildi ve kök yarıları yeniden birleştirildi. Bir hafta sonra, her bir kök kanalı apikal çap 40 olacak şekilde genişletildi ve %2,5'luk sodyum hipoklorit ve %17'lik etilendiamintetraasetik asit solusyonlarının sonik aktivasyonu ile yıkandı. Oluklarda kalan Ca(OH)₂ miktarı bir stereomikroskop kullanılarak değerlendirildi ve görüntüler 2 araştırmacı tarafından skorlandı. Veriler Mann-Whitney U ve Wilcoxon testleri kullanılarak analiz edildi.

Bulgular: Her iki grupta da Ca(OH)₂ kalıntıları bulundu. KEK ve GEK grupları arasında Ca(OH)₂'in uzaklaştırılma etkinliği açısından anlamlı fark yoktu (p>0.05). Köklerin koronal ve apikal kısımlarındaki oluklar her iki grupta da benzer miktarda Ca(OH)₂ kalıntıları gösterdi (p>0.05).

Sonuçlar: Kavite tasarımının Ca(OH)₂'in kök kanal düzensizliklerinden uzaklaştırılması üzerinde etkisi yoktur.

Anahtar Kelimeler

kök kanalı,küçültülmüş endodontik giriş kavitesi,medikament uzaklaştırma,minimal invaziv diş hekimliği

Influence of Cavity Design on Calcium Hydroxide Removal from Root Canal Irregularities

Abstract

Objective: Conservative endodontic cavity (CEC) design has recently developed to maintain the stability of tooth and provided an alternative to traditional endodontic cavity (TEC) design. The purpose of this study was to assess the influence of cavity design on calcium hydroxide (Ca(OH)₂) removal from artificial grooves in the coronal and apical parts of root canals.

Materials and Methods: Fourty extracted human mandibular premolars with single canals were randomly assigned to CEC or TEC groups (n=20). Following cavity preparation, the root canals were instrumented and then, each tooth was sectioned longitudinally. Two standardized grooves were prepared in the coronal and apical parts of 1 root half. Ca(OH)₂was placed into the grooves and the root halves reassembled. After 1 week, each root canal was enlarged to a final apical size of 40 and irrigation was performed with the sonic activation of 2.5% sodium hypochlorite and 17% ethylenediaminetetraacetic acid solutions. The remaining Ca(OH)₂in the grooves was evaluated using a stereomicroscope and the images were scored by 2 examiners. Data were analyzed using the Mann-Whitney U and Wilcoxon tests. Ca(OH)₂ remnants were found in both groups.

Results: There was no significant difference between the CEC and TEC groups in terms of Ca(OH)₂removal efficacy (p>0.05). The grooves in the coronal and apical parts of the roots presented similar amount of Ca(OH)₂remnantsin both groups (p>0.05).

Conclusion: The cavity design had no effect on the removal of Ca(OH)₂from root canal irregularities.

Keywords

contracted endodontic cavity,medicament removal,minimally invasive dentistry,root canal

References

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Selen Küçükkaya Eren ^*
0000-0001-5023-1454
Türkiye

Emel Uzunoğlu Özyürek
0000-0001-5032-9996
Türkiye

Publication Date

December 29, 2019

Submission Date

August 16, 2019

Acceptance Date

November 4, 2019

Published in Issue

Year 2019 Volume: 22 Number: 4

DOI

https://doi.org/10.7126/cumudj.605699

IZ

https://izlik.org/JA88BB97YY

Cite

RIS / Bibtex

EndNote

Küçükkaya Eren S, Uzunoğlu Özyürek E (December 1, 2019) Influence of Cavity Design on Calcium Hydroxide Removal from Root Canal Irregularities. Cumhuriyet Dental Journal 22 4 419–425.

Cited By

Influence of access cavity design on calcium hydroxide removal using different cleaning protocols: a confocal laser scanning microscopy study

Restorative Dentistry & Endodontics

https://doi.org/10.5395/rde.2023.48.e25