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Kavite tasarımının kalsiyum hidroksitin kök kanal düzensizliklerinden uzaklaştırılmasına etkisi

Year 2019, Volume: 22 Issue: 4, 419 - 425, 29.12.2019

Selen Küçükkaya Eren , Emel Uzunoğlu Özyürek

https://doi.org/10.7126/cumudj.605699
Cited By: 1

Abstract

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)2 olukların 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.

Keywords

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

References

  • 1. Vera J, Siqueira JF, Jr., Ricucci D, Loghin S, Fernandez N, Flores B, Cruz AG. One- versus two-visit endodontic treatment of teeth with apical periodontitis: a histobacteriologic study. J Endod 2012;38:1040-1052.
  • 2. Athanassiadis B, Abbott PV, Walsh LJ. The use of calcium hydroxide, antibiotics and biocides as antimicrobial medicaments in endodontics. Aust Dent J 2007;52:S64-82.
  • 3. Kim SK, Kim YO. Influence of calcium hydroxide intracanal medication on apical seal. Int Endod J 2002;35:623-628.
  • 4. Uzunoglu-Ozyurek E, Erdogan O, Aktemur Turker S. Effect of calcium hydroxide dressing on the dentinal tubule penetration of 2 different root canal sealers: a confocal laser scanning microscopic study. J Endod 2018;44:1018-1023.
  • 5. Margelos J, Eliades G, Verdelis C, Palaghias G. Interaction of calcium hydroxide with zinc oxide-eugenol type sealers: a potential clinical problem. J Endod 1997;23:43-48.
  • 6. Hosoya N, Kurayama H, Iino F, Arai T. Effects of calcium hydroxide on physical and sealing properties of canal sealers. Int Endod J 2004;37:178-184.
  • 7. Neelakantan P, Khan K, Hei Ng GP, Yip CY, Zhang C, Pan Cheung GS. Does the orifice-directed dentin conservation access design debride pulp chamber and mesial root canal systems of mandibular molars similar to a traditional access design? J Endod 2018;44:274-279.
  • 8. Tang W, Wu Y, Smales RJ. Identifying and reducing risks for potential fractures in endodontically treated teeth. J Endod 2010;36:609-617.
  • 9. Clark D, Khademi J. Modern molar endodontic access and directed dentin conservation. Dent Clin North Am 2010;54:249-273.
  • 10. Krishan R, Paque F, Ossareh A, Kishen A, Dao T, Friedman S. Impacts of conservative endodontic cavity on root canal instrumentation efficacy and resistance to fracture assessed in incisors, premolars, and molars. J Endod 2014;40:1160-1166.
  • 11. Plotino G, Grande NM, Isufi A, Ioppolo P, Pedulla E, Bedini R, Gambarini G, Testarelli L. Fracture strength of endodontically treated teeth with different access cavity designs. J Endod 2017;43:995-1000.
  • 12. Rover G, Belladonna FG, Bortoluzzi EA, De-Deus G, Silva E, Teixeira CS. Influence of access cavity design on root canal detection, instrumentation efficacy, and fracture resistance assessed in maxillary molars. J Endod 2017;43:1657-1662.
  • 13. Gokturk H, Ozkocak I, Buyukgebiz F, Demir O. Effectiveness of various irrigation protocols for the removal of calcium hydroxide from artificial standardized grooves. J Appl Oral Sci 2017;25:290-298.
  • 14. van der Sluis LW, Wu MK, Wesselink PR. The evaluation of removal of calcium hydroxide paste from an artificial standardized groove in the apical root canal using different irrigation methodologies. Int Endod J 2007;40:52-57.
  • 15. Topcuoglu HS, Duzgun S, Ceyhanli KT, Akti A, Pala K, Kesim B. Efficacy of different irrigation techniques in the removal of calcium hydroxide from a simulated internal root resorption cavity. Int Endod J 2015;48:309-316.
  • 16. Sabeti M, Kazem M, Dianat O, Bahrololumi N, Beglou A, Rahimipour K, Dehnavi F. Impact of access cavity design and root canal taper on fracture resistance of endodontically treated teeth: an ex vivo investigation. J Endod 2018;44:1402-1406.
  • 17. Capar ID, Ozcan E, Arslan H, Ertas H, Aydinbelge HA. Effect of different final irrigation methods on the removal of calcium hydroxide from an artificial standardized groove in the apical third of root canals. J Endod 2014;40:451-454.
  • 18. Niemi TK, Marchesan MA, Lloyd A, Seltzer RJ. Effect of instrument design and access outlines on the removal of root canal obturation materials in oval-shaped canals. J Endod 2016;42:1550-1554.
  • 19. Alturaiki S, Lamphon H, Edrees H, Ahlquist M. Efficacy of 3 different irrigation systems on removal of calcium hydroxide from the root canal: a scanning electron microscopic study. J Endod 2015;41:97-101.
  • 20. Khaleel HY, Al-Ashaw AJ, Yang Y, Pang A-h, Ma J-z. Quantitative comparison of calcium hydroxide removal by endoactivator, ultrasonic and protaper file agitation techniques: An in vitro study. J Huazhong Univ Sci Technolog Med Sci 2013;33:142-145.
  • 21. Faria G, Viola KS, Kuga MC, Garcia AJA, Daher VB, Leonardo MF, Tanomaru-Filho M. Effect of rotary instrument associated with different irrigation techniques on removing calcium hydroxide dressing. Microsc Res Tech 2014;77:642-646.
  • 22. Ma JZ, Shen Y, Al-Ashaw AJ, Khaleel HY, Yang Y, Wang ZJ, Peng B, Haapasalo M. Micro-computed tomography evaluation of the removal of calcium hydroxide medicament from C-shaped root canals of mandibular second molars. Int Endod J 2015;48:333-341.
  • 23. Kenee DM, Allemang JD, Johnson JD, Hellstein J, Nichol BK. A quantitative assessment of efficacy of various calcium hydroxide removal techniques. J Endod 2006;32:563-565.
  • 24. Kucukkaya Eren S, Aksel H, Parashos P. A novel model for testing the efficiency of removal of calcium hydroxide from complex root canal anatomies. Aust Endod J 2017;43:5-10.
  • 25. Yucel AC, Gurel M, Guler E, Karabucak B. Comparison of final irrigation techniques in removal of calcium hydroxide. Aust Endod J 2013;39:116-121.
  • 26. Ma JZ, Shen Y, Al-Ashaw AJ, Khaleel HY, Yang Y, Wang ZJ, Peng B, Haapasalo M. Micro-computed tomography evaluation of the removal of calcium hydroxide medicament from C-shaped root canals of mandibular second molars. Int Endod J 2015;48:333-341.
  • 27. Rodig T, Vogel S, Zapf A, Hulsmann M. Efficacy of different irrigants in the removal of calcium hydroxide from root canals. Int Endod J 2010;43:519-527.
  • 28. Pabel AK, Hulsmann M. Comparison of different techniques for removal of calcium hydroxide from straight root canals: an in vitro study. Odontology 2017;105:453-459.
  • 29. Lambrianidis T, Margelos J, Beltes P. Removal efficiency of calcium hydroxide dressing from the root canal. J Endod 1999;25:85-88.
  • 30. Wang Y, Guo LY, Fang HZ, Zou WL, Yang YM, Gao Y, Yang H, Hu T. An in vitro study on the efficacy of removing calcium hydroxide from curved root canal systems in root canal therapy. Int J Oral Sci 2017;9:110-116.
  • 31. Al-Garni S, Al-Shahrani S, Al-Nazhan S, Al-Maflehi N. Evaluation of calcium hydroxide removal using EndoActivator system: an in vitro study. Saudi Endod J 2014;4:13-17.
  • 32. Bryce G, MacBeth N, Gulabivala K, Ng YL. The efficacy of supplementary sonic irrigation using the EndoActivator(R) system determined by removal of a collagen film from an ex vivo model. Int Endod J 2018;51:489-497.

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

Year 2019, Volume: 22 Issue: 4, 419 - 425, 29.12.2019

Selen Küçükkaya Eren , Emel Uzunoğlu Özyürek

https://doi.org/10.7126/cumudj.605699
Cited By: 1

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)2 was 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)2 in 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)2 removal
efficacy (p>0.05). The grooves in the coronal and apical parts of the roots
presented similar amount of Ca(OH)2 remnantsin both groups
(p>0.05).


























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

Keywords

contracted endodontic cavity medicament removal minimally invasive dentistry root canal

References

  • 1. Vera J, Siqueira JF, Jr., Ricucci D, Loghin S, Fernandez N, Flores B, Cruz AG. One- versus two-visit endodontic treatment of teeth with apical periodontitis: a histobacteriologic study. J Endod 2012;38:1040-1052.
  • 2. Athanassiadis B, Abbott PV, Walsh LJ. The use of calcium hydroxide, antibiotics and biocides as antimicrobial medicaments in endodontics. Aust Dent J 2007;52:S64-82.
  • 3. Kim SK, Kim YO. Influence of calcium hydroxide intracanal medication on apical seal. Int Endod J 2002;35:623-628.
  • 4. Uzunoglu-Ozyurek E, Erdogan O, Aktemur Turker S. Effect of calcium hydroxide dressing on the dentinal tubule penetration of 2 different root canal sealers: a confocal laser scanning microscopic study. J Endod 2018;44:1018-1023.
  • 5. Margelos J, Eliades G, Verdelis C, Palaghias G. Interaction of calcium hydroxide with zinc oxide-eugenol type sealers: a potential clinical problem. J Endod 1997;23:43-48.
  • 6. Hosoya N, Kurayama H, Iino F, Arai T. Effects of calcium hydroxide on physical and sealing properties of canal sealers. Int Endod J 2004;37:178-184.
  • 7. Neelakantan P, Khan K, Hei Ng GP, Yip CY, Zhang C, Pan Cheung GS. Does the orifice-directed dentin conservation access design debride pulp chamber and mesial root canal systems of mandibular molars similar to a traditional access design? J Endod 2018;44:274-279.
  • 8. Tang W, Wu Y, Smales RJ. Identifying and reducing risks for potential fractures in endodontically treated teeth. J Endod 2010;36:609-617.
  • 9. Clark D, Khademi J. Modern molar endodontic access and directed dentin conservation. Dent Clin North Am 2010;54:249-273.
  • 10. Krishan R, Paque F, Ossareh A, Kishen A, Dao T, Friedman S. Impacts of conservative endodontic cavity on root canal instrumentation efficacy and resistance to fracture assessed in incisors, premolars, and molars. J Endod 2014;40:1160-1166.
  • 11. Plotino G, Grande NM, Isufi A, Ioppolo P, Pedulla E, Bedini R, Gambarini G, Testarelli L. Fracture strength of endodontically treated teeth with different access cavity designs. J Endod 2017;43:995-1000.
  • 12. Rover G, Belladonna FG, Bortoluzzi EA, De-Deus G, Silva E, Teixeira CS. Influence of access cavity design on root canal detection, instrumentation efficacy, and fracture resistance assessed in maxillary molars. J Endod 2017;43:1657-1662.
  • 13. Gokturk H, Ozkocak I, Buyukgebiz F, Demir O. Effectiveness of various irrigation protocols for the removal of calcium hydroxide from artificial standardized grooves. J Appl Oral Sci 2017;25:290-298.
  • 14. van der Sluis LW, Wu MK, Wesselink PR. The evaluation of removal of calcium hydroxide paste from an artificial standardized groove in the apical root canal using different irrigation methodologies. Int Endod J 2007;40:52-57.
  • 15. Topcuoglu HS, Duzgun S, Ceyhanli KT, Akti A, Pala K, Kesim B. Efficacy of different irrigation techniques in the removal of calcium hydroxide from a simulated internal root resorption cavity. Int Endod J 2015;48:309-316.
  • 16. Sabeti M, Kazem M, Dianat O, Bahrololumi N, Beglou A, Rahimipour K, Dehnavi F. Impact of access cavity design and root canal taper on fracture resistance of endodontically treated teeth: an ex vivo investigation. J Endod 2018;44:1402-1406.
  • 17. Capar ID, Ozcan E, Arslan H, Ertas H, Aydinbelge HA. Effect of different final irrigation methods on the removal of calcium hydroxide from an artificial standardized groove in the apical third of root canals. J Endod 2014;40:451-454.
  • 18. Niemi TK, Marchesan MA, Lloyd A, Seltzer RJ. Effect of instrument design and access outlines on the removal of root canal obturation materials in oval-shaped canals. J Endod 2016;42:1550-1554.
  • 19. Alturaiki S, Lamphon H, Edrees H, Ahlquist M. Efficacy of 3 different irrigation systems on removal of calcium hydroxide from the root canal: a scanning electron microscopic study. J Endod 2015;41:97-101.
  • 20. Khaleel HY, Al-Ashaw AJ, Yang Y, Pang A-h, Ma J-z. Quantitative comparison of calcium hydroxide removal by endoactivator, ultrasonic and protaper file agitation techniques: An in vitro study. J Huazhong Univ Sci Technolog Med Sci 2013;33:142-145.
  • 21. Faria G, Viola KS, Kuga MC, Garcia AJA, Daher VB, Leonardo MF, Tanomaru-Filho M. Effect of rotary instrument associated with different irrigation techniques on removing calcium hydroxide dressing. Microsc Res Tech 2014;77:642-646.
  • 22. Ma JZ, Shen Y, Al-Ashaw AJ, Khaleel HY, Yang Y, Wang ZJ, Peng B, Haapasalo M. Micro-computed tomography evaluation of the removal of calcium hydroxide medicament from C-shaped root canals of mandibular second molars. Int Endod J 2015;48:333-341.
  • 23. Kenee DM, Allemang JD, Johnson JD, Hellstein J, Nichol BK. A quantitative assessment of efficacy of various calcium hydroxide removal techniques. J Endod 2006;32:563-565.
  • 24. Kucukkaya Eren S, Aksel H, Parashos P. A novel model for testing the efficiency of removal of calcium hydroxide from complex root canal anatomies. Aust Endod J 2017;43:5-10.
  • 25. Yucel AC, Gurel M, Guler E, Karabucak B. Comparison of final irrigation techniques in removal of calcium hydroxide. Aust Endod J 2013;39:116-121.
  • 26. Ma JZ, Shen Y, Al-Ashaw AJ, Khaleel HY, Yang Y, Wang ZJ, Peng B, Haapasalo M. Micro-computed tomography evaluation of the removal of calcium hydroxide medicament from C-shaped root canals of mandibular second molars. Int Endod J 2015;48:333-341.
  • 27. Rodig T, Vogel S, Zapf A, Hulsmann M. Efficacy of different irrigants in the removal of calcium hydroxide from root canals. Int Endod J 2010;43:519-527.
  • 28. Pabel AK, Hulsmann M. Comparison of different techniques for removal of calcium hydroxide from straight root canals: an in vitro study. Odontology 2017;105:453-459.
  • 29. Lambrianidis T, Margelos J, Beltes P. Removal efficiency of calcium hydroxide dressing from the root canal. J Endod 1999;25:85-88.
  • 30. Wang Y, Guo LY, Fang HZ, Zou WL, Yang YM, Gao Y, Yang H, Hu T. An in vitro study on the efficacy of removing calcium hydroxide from curved root canal systems in root canal therapy. Int J Oral Sci 2017;9:110-116.
  • 31. Al-Garni S, Al-Shahrani S, Al-Nazhan S, Al-Maflehi N. Evaluation of calcium hydroxide removal using EndoActivator system: an in vitro study. Saudi Endod J 2014;4:13-17.
  • 32. Bryce G, MacBeth N, Gulabivala K, Ng YL. The efficacy of supplementary sonic irrigation using the EndoActivator(R) system determined by removal of a collagen film from an ex vivo model. Int Endod J 2018;51:489-497.
There are 32 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research Articles
Authors

Selen Küçükkaya Eren 0000-0001-5023-1454

Emel Uzunoğlu Özyürek 0000-0001-5032-9996

Publication Date December 29, 2019
Submission Date August 16, 2019
Published in Issue Year 2019Volume: 22 Issue: 4

Cite

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
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