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Bioaggregate ile kapatılan kök ucu dolgularının kalınlığının apikal sızdırmazlığa etkisi

Year 2013, Volume: 16 Issue: 4, 289 - 295, 08.01.2013

Melike Bayram Emre Bayram Alperen Bozkurt

https://doi.org/10.7126/cdj.2013.1914

Abstract

Objectives: The purpose of this study was to compare the ability of different cavity thickness of Bioaggragate to prevent microleakage using computerized fluid filtration method.

Materials and Methods: Fifty single- rooted human teeth were selected for this study. The root canals were prepared with Ni-Ti rotary files with 5% Sodium hypocloride (NaOCl) solution as the irrigant. Then sealed with gutta-percha points(DiaDent®GuttaPercha Points, Seul, SouthCorea) and AH Plus (Dentsply Maillefer, Ballaigues, İsviçre). After root end resection, fifty theeth were randomly selected into 1 of 4 test groups containing 10 teeth each, and positive and negative control groups containing 5 teeth each. Group 1: 1mm, Group 2: 2mm, Group 3: 3mm, Group 4: 6mm cavity thickness. And then all prepared root-end cavities filled with Bioaggregate. Leakage was evaluated using with a computarized fluid filtration model.

Results: Statistical analysis showed that group 1 leaked more than all other groups (p<0.001). There was a significant difference between group 1 and group 3(p<0.001),and also there was a significant difference between group 2 and group 3. In contrast there was no significant difference between group 3 and group 4 (p>0.001).

Conclusions: According to this study, the thickness of root end cavity must be minimum 3 mm and more when Bioaggregate root end filling material is used.

Keywords: Apical leakage, root end filling material, ceramics.


ÖZET

Amaç: Bu çalışmanın amacı, Bioaggregate’in farklı kalınlıklarda uygulayarak sızıntı miktarlarını bilgisayarlı sıvı filtrasyon yöntemiyle sızıntı miktarlarını belirlemektir.

Gereç ve Yöntem: Bu çalışma için 50 adet tek köklü insan dişi seçildi. Kök kanalları Ni-Ti aletler yardımıyla şekillendirildi, irrigasyon ajanı olarak %5 Sodyum hipoklorit (NaOCl) solüsyonu kullanıldı. Daha sonra guta perka ve AH plus kanal patı ile dolduruldu. Kök ucu rezeksiyonunu ardından dişler her biri 10 örnek içeren 4 deney grubuna, her biri 5 örnek içeren pozitif ve negatif kontrol gruplarına ayrıldı. Kök ucu kavite derinlikleri sırasıyla; Grup 1: 1mm, Grup 2: 2mm, Grup 3: 3mm, Grup 4: 6mm. Kök ucu kaviteleri irrige edildi ve kurulandı. Sonrasında bütün kök ucu kaviteleri Bioaggregate ile dolduruldu. Sızıntı miktarı, bilgisayarlı sıvı filtrasyon modeli kullanılarak belirlendi.

Bulgular: Pozitif kontrol grubunda yüksek balon hareketi gözlendi. Negatif kontrol grubunda ise herhangi bir hareket gözlenmedi. İstatistiksel analiz sonuçlarına göre; grup 1 diğer tüm gruplardan daha fazla sızıntı gösterdi (p<0.001). Grup 1 ile grup 3 arasında istatistiksel fark bulunmazken, grup 2 ile grup 3 arasındaki fark ise istatistiksel olarak anlamsız bulundu. Ayrıca, grup 3 ve grup 4 arasında da istatistiksel olarak fark bulunamadı (p>0.001).

Sonuç: Bu çalışmaya göre Bioaggregate kök ucu dolgu materyali kullanıldığında, kök ucu kavitesi kalınlığı minimum 3mm ve üstü olmalıdır.

Keywords

Apikal sızıntı kök ucu dolgu materyali seramikler.

References

  • Kaynaklar:
  • Sjogren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod 1990;16: 498-504.
  • Torabınejad M, Watson TF, Pittford TR. Sealing ability of a mineral trioxide aggregate when used as a root end filling material.
  • J Endod 1993;19: 591-595.
  • Kim S. Endodontic microsurgery. In: Cohen S., Burns R.C., editors. Pathways of the Pulp. 8th ed. St Louis: Mosby Inc; 2002. p. 683-725.
  • Montellano AM, Schwartz SA, Beeson TJ. Contamination of tooth-colored mineral trioxide aggregate used as a root-end filling material: a bacterial leakage study. J Endod 2006; 32:452-455.
  • Gutmann JL, Harrison JW, Apical surgery. In: Gutmann JL, Harrison JW, editors. Surgical endodontics. 1st ed. Blackwell Sciencetific; 1991. p:201-210.
  • Glickman GN, Hartwell GR. Endodontic surgery. In: Hamilton JI., editors. Endodontics. 6th ed. Ontario: BC Decker; 2008. p:1233-1295.
  • Lamb EL, Loushine R J, Weller RN, Kimbrough WF, Pashley DH. Effect of root resection on the apical sealing ability of mineral trioxide aggregate. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003; 95: 732-735.
  • Yıldırım T, Er K, Taşdemir T, Tahan E, Buruk K, Serper A. Effect of smear layer and root-end cavity thickness on apical sealing ability of MTA as a root-end filling material: a bacterial leakage study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: 67-72.
  • Aydemir S, Cimilli H, Oruçoğlu H, Mumcu G, Kartal N. The Evaluation of the Effect of Root Canal Preparation Technique on the Leakage of MTA Used As Retrograde Filling Material. Türkiye Klinikleri J Dental Sci 2012; 3: 13-17.
  • Hansen SW, Marshall JG, Sedgley CM. Comparison of intracanal EndoSequence Root Repair Material and ProRoot MTA to induce pH changes in simulated root resorption defects over 4 weeks in matched pairs of human teeth. J Endod 2011; 37: 502-506.
  • Park JW, Hong SH, Kim JH, Lee SJ, Shin S J. X-Ray diffraction analysis of white ProRoot MTA and Diadent BioAggregate. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: 155-158.
  • Benenati FW. Obturation of the radicular space. In: Ingle JI, Bakland LK, editors. Endodontics. 6th ed. BC Decker Inc. 2008. p. 1053-1087.
  • Pashley DH, Thompson SM, Stewart FP. Dentin permeability: effects of temperature on hydraulic conductance. J Dent Res 1983; 62: 956-959.
  • Bates CF, Carnes DL, Del Rıo CE. Longitudinal sealing ability of mineral trioxide aggregate as a root-end filling material. J Endod 1996; 22: 575-578.
  • Kim S, Kratchman S. Modern endodontic surgery concepts and practice: a review. J Endod 2006; 32: 601-623.
  • Nair U, Ghattas S, Saber M, Natera M, Walker C, Pileggi R. A comparative evaluation of the sealing ability of 2 root-end filling materials: an in vitro leakage study using Enterococcus faecalis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112: 74-77.
  • Torabinejad M, Rastegar AF, Kettering JD, Pitt Ford TR. Bacterial leakage of mineral trioxide aggregate as a root-end filling material. J Endod 1995; 21: 109–112.
  • Fischer EJ, Arens DE, Miller CH. Bacterial leakage of mineral trioxide aggregate as compared with zinc-free amalgam, intermediate restorative material, and Super-EBA as a root-end filling material. J Endod 1998; 24: 176–179.
  • Torabinejad M, Chivian N. Clinical applications of mineral trioxide aggregate. J Endod 1999; 25: 197–205.
  • Kossev D, Stefanov V. Ceramics-based sealers a new alternative to currently used endodontics sealers. Roots 2009; 5: 42-48.
  • Valois CR, Costa ED Jr. Influence of the thickness of mineral trioxide aggregate on sealing ability of root-end fillings in vitro. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 97:108-111.
  • Tay KC, Loushine BA, Oxford C, Kapur R, Primus CM, Gutmann JL, Loushine RJ, Pashley DH, Tay FR. In vitro evaluation of a Ceramicrete-based root-end filling material. J Endod 2007; 33:1438-1443.
  • Shokouhinejad N, Nekoofar MH, Razmi H, Sajadi S, Davies TE, Saghiri MA, Gorjestani H, Dummer PM. Bioactivity of EndoSequence Root Repair Material and Bioaggregate. Int Endod J 2012; 45:1127-1134.
  • Zhang H, Pappen FG, Haapasalo M. Dentin enhances the antibacterial effect of mineral trioxide aggregate and bioaggregate. J Endod 2009; 35:221-224.

-

Year 2013, Volume: 16 Issue: 4, 289 - 295, 08.01.2013

Melike Bayram Emre Bayram Alperen Bozkurt

https://doi.org/10.7126/cdj.2013.1914

Abstract

Objectives: The purpose of this study was tocompare the ability of different cavity thickness ofBioaggragate to prevent microleakage usingcomputerized fluid filtration method.Materials and Methods: Fifty single- rootedhuman teeth were selected for this study. The rootcanals were prepared with Ni-Ti rotary files with5% Sodium hypocloride (NaOCl) solution as theirrigant. Then sealed with gutta-perchapoints(DiaDent®GuttaPercha Points, Seul, SouthCorea) and AH Plus (Dentsply Maillefer,Ballaigues, İsviçre). After root end resection, fiftytheeth were randomly selected into 1 of 4 testgroups containing 10 teeth each, and positive andnegative control groups containing 5 teeth each.Group 1: 1mm, Group 2: 2mm, Group 3: 3mm,Group 4: 6mm cavity thickness. And then allprepared root-end cavities filled with Bioaggregate.Leakage was evaluated using with a computarizedfluid filtration model.Results: Statistical analysis showed that group1 leaked more than all other groups (p<0.001).There was a significant difference between group 1and group 3(p<0.001),and also there was asignificant difference between group 2 and group 3.In contrast there was no significant differencebetween group 3 and group 4 (p>0.001).Conclusions: According to this study, thethickness of root end cavity must be minimum 3mm and more when Bioaggregate root end fillingmaterial is used.

Keywords

Apical leakage root end fillingmaterial ceramics.

References

  • Kaynaklar:
  • Sjogren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod 1990;16: 498-504.
  • Torabınejad M, Watson TF, Pittford TR. Sealing ability of a mineral trioxide aggregate when used as a root end filling material.
  • J Endod 1993;19: 591-595.
  • Kim S. Endodontic microsurgery. In: Cohen S., Burns R.C., editors. Pathways of the Pulp. 8th ed. St Louis: Mosby Inc; 2002. p. 683-725.
  • Montellano AM, Schwartz SA, Beeson TJ. Contamination of tooth-colored mineral trioxide aggregate used as a root-end filling material: a bacterial leakage study. J Endod 2006; 32:452-455.
  • Gutmann JL, Harrison JW, Apical surgery. In: Gutmann JL, Harrison JW, editors. Surgical endodontics. 1st ed. Blackwell Sciencetific; 1991. p:201-210.
  • Glickman GN, Hartwell GR. Endodontic surgery. In: Hamilton JI., editors. Endodontics. 6th ed. Ontario: BC Decker; 2008. p:1233-1295.
  • Lamb EL, Loushine R J, Weller RN, Kimbrough WF, Pashley DH. Effect of root resection on the apical sealing ability of mineral trioxide aggregate. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003; 95: 732-735.
  • Yıldırım T, Er K, Taşdemir T, Tahan E, Buruk K, Serper A. Effect of smear layer and root-end cavity thickness on apical sealing ability of MTA as a root-end filling material: a bacterial leakage study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: 67-72.
  • Aydemir S, Cimilli H, Oruçoğlu H, Mumcu G, Kartal N. The Evaluation of the Effect of Root Canal Preparation Technique on the Leakage of MTA Used As Retrograde Filling Material. Türkiye Klinikleri J Dental Sci 2012; 3: 13-17.
  • Hansen SW, Marshall JG, Sedgley CM. Comparison of intracanal EndoSequence Root Repair Material and ProRoot MTA to induce pH changes in simulated root resorption defects over 4 weeks in matched pairs of human teeth. J Endod 2011; 37: 502-506.
  • Park JW, Hong SH, Kim JH, Lee SJ, Shin S J. X-Ray diffraction analysis of white ProRoot MTA and Diadent BioAggregate. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 109: 155-158.
  • Benenati FW. Obturation of the radicular space. In: Ingle JI, Bakland LK, editors. Endodontics. 6th ed. BC Decker Inc. 2008. p. 1053-1087.
  • Pashley DH, Thompson SM, Stewart FP. Dentin permeability: effects of temperature on hydraulic conductance. J Dent Res 1983; 62: 956-959.
  • Bates CF, Carnes DL, Del Rıo CE. Longitudinal sealing ability of mineral trioxide aggregate as a root-end filling material. J Endod 1996; 22: 575-578.
  • Kim S, Kratchman S. Modern endodontic surgery concepts and practice: a review. J Endod 2006; 32: 601-623.
  • Nair U, Ghattas S, Saber M, Natera M, Walker C, Pileggi R. A comparative evaluation of the sealing ability of 2 root-end filling materials: an in vitro leakage study using Enterococcus faecalis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112: 74-77.
  • Torabinejad M, Rastegar AF, Kettering JD, Pitt Ford TR. Bacterial leakage of mineral trioxide aggregate as a root-end filling material. J Endod 1995; 21: 109–112.
  • Fischer EJ, Arens DE, Miller CH. Bacterial leakage of mineral trioxide aggregate as compared with zinc-free amalgam, intermediate restorative material, and Super-EBA as a root-end filling material. J Endod 1998; 24: 176–179.
  • Torabinejad M, Chivian N. Clinical applications of mineral trioxide aggregate. J Endod 1999; 25: 197–205.
  • Kossev D, Stefanov V. Ceramics-based sealers a new alternative to currently used endodontics sealers. Roots 2009; 5: 42-48.
  • Valois CR, Costa ED Jr. Influence of the thickness of mineral trioxide aggregate on sealing ability of root-end fillings in vitro. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 97:108-111.
  • Tay KC, Loushine BA, Oxford C, Kapur R, Primus CM, Gutmann JL, Loushine RJ, Pashley DH, Tay FR. In vitro evaluation of a Ceramicrete-based root-end filling material. J Endod 2007; 33:1438-1443.
  • Shokouhinejad N, Nekoofar MH, Razmi H, Sajadi S, Davies TE, Saghiri MA, Gorjestani H, Dummer PM. Bioactivity of EndoSequence Root Repair Material and Bioaggregate. Int Endod J 2012; 45:1127-1134.
  • Zhang H, Pappen FG, Haapasalo M. Dentin enhances the antibacterial effect of mineral trioxide aggregate and bioaggregate. J Endod 2009; 35:221-224.
There are 26 citations in total.

Details

Primary Language Turkish
Journal Section Original Research Articles
Authors

Melike Bayram

Emre Bayram

Alperen Bozkurt

Publication Date January 8, 2013
Submission Date January 8, 2013
Published in Issue Year 2013Volume: 16 Issue: 4

Cite

EndNote Bayram M, Bayram E, Bozkurt A (November 1, 2013) Bioaggregate ile kapatılan kök ucu dolgularının kalınlığının apikal sızdırmazlığa etkisi. Cumhuriyet Dental Journal 16 4 289–295.

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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