Abstract
Objectives: To evaluate the amount of calciumhydroxide remaining on canal walls after removalusing manual or rotary instruments as well as theamount of apical debris during calcium hydroxideremoval.Materials and Methods:Twenty-fourextracted maxillary incisors were prepared with Kfiles and filled with calcium hydroxide. Four teethserved as positive and negative controls. Theremaining teeth were divided into two groups:master apical file group and Protaper Universalrotary instrument group. During removalprocedures, citric acid was used as an irrigant.Apically extruded debris wascollected andstatistically compared between the groups. Then theteeth were longitudinally sectioned, photographedusing stereomicroscope, and the images wereanalyzed using software. Data were statisticallyanalyzed using one-way Anova.Results: In both groups, a measurable amountof apically extruded debris was observed duringcalcium hydroxide removal. The statistical analysisshowed that there were no significant differencesbetween techniques in terms of the amount ofapically extruded debris as well as in terms of theremoval of the calcium hydroxide.Conclusions: No matter the technique, apicallyextruded debris during calcium hydroxide removaloccurs. None of this study’s techniques completelyremoved calcium hydroxide from the root canalwalls.
References
- Marinho AC, Martinho FC, Zaia AA, et al. Influence of the apical enlargement size on the endotoxin level reduction of dental root canals. J Appl Oral Sci 2012;20:661-666.
- Mohammadi Z, Dummer PM. Properties and applications of calcium hydroxide in endodontics and dental traumatology. Int Endod J 2011;44:697-730.
- Montero JC, Mori GG. Assessment of ion diffusion from a calcium hydroxide-propolis paste through dentin. Braz Oral Res 2012;26:3183
- Ercan E, Dallı M. Dört farklı kalsiyum hidroksit içerikli karışımın kök kanal dentinindeki enterococcus faecalis'e karşı antibakteriyel etkinliği: bir in vitro çalışma. Turkiye Klinikleri J Dental Sci 2006;12:37.
- Eymirli A, Serper A. Endodontide kalsiyum hidroksit kullanımı. Turkiye Klinikleri J Dental Sci 2010;1:16-23.
- Ricucci D, Langeland K. Incomplete calcium hydroxide removal from the root canal: a case report. Int Endod J 1997;30:418-421.
- 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.
- Calt S, Serper A. Dentinal tubule penetration of root canal sealers after root canal dressing with calcium hydroxide. J Endod 1999;25:4314
- Bottcher DE, Hirai VH, Da Silva Neto UX, Grecca FS. Effect of calcium hydroxide dressing on the long-term sealing ability of two different endodontic sealers: an in vitro study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;110:386-389. Hamidi MR, Mahmoudi E, Moghadamnia AA, Zahedpasha S. Effect of calcium hydroxide and chlorhexidine medicaments on the apical seal. Iran Endod J 2012;7:15
- Dornelles-Morgental R, GuerreiroTanomaru JM, de Faria-Junior NB, et al. Antibacterial efficacy of endodontic irrigating solutions and their combinations in root canals contaminated with Enterococcus faecalis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:396-400.
- Arslan H, Topcuoglu HS, Karatas E, et al. Effect of the smear layer in the removal of calcium hydroxide from root canal walls. J Conserv Dent. 2012;15:113-117.
- Mortenson D, Sadilek M, Flake NM, et al. The effect of using an alternative irrigant between sodium hypochlorite and chlorhexidine to prevent the formation of parachloroaniline within the root canal system. Int Endod J 2012;45:87888 Kuga MC, Gouveia-Jorge E, Tanomaru-Filho M, et al. Penetration into dentin of sodium hypochlorite associated with acid solutions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:155-159.
- Burklein S, Schafer E. Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. J Endod 2012;38:850-852.
- Mollo A, Botti G, Prinicipi Goldoni N, et al. Efficacy of two Ni-Ti systems and hand files for removing gutta-percha from root canals. Int Endod J 2012;45:1-6.
- Huang X, Ling J, Wei X, Gu L. Quantitative evaluation of debris extruded apically by using ProTaper Universal Tulsa rotary system in endodontic retreatment. J Endod 2007;33:1102-1105.
- Altundasar E, Nagas E, Uyanik O, Serper A. Debris and irrigant extrusion potential of 2 rotary systems and irrigation needles. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:31-35.
- Aslan T, Üstün Y, Sağsen B, Kocaağaoğlu HH. Kalsiyum hidroksitin kök kanallarından uzaklaştırılmasında kullanılan teknikler: derleme. Sağlık Bilimleri Dergisi 22:76-80. da Silva JM, Silveira A, Santos E, et al. Efficacy of sodium hypochlorite, ethylenediaminetetraacetic acid, citric acid and phosphoric acid in calcium hydroxide removal from the root canal: a microscopic cleanliness evaluation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:820-824.
- Kuga MC, Campos EA, Faria-Junior NB, et al. Efficacy of NiTi rotary instruments in removing calcium hydroxide dressing residues from root canal walls. Braz Oral Res 2012; 26:19-23.
- Kaptan F, Karapinar-Kazandag M, Kayahan MB, et al. Potential of an Er:YAG laser in the removal of calcium hydroxide from root canals. Photomed Laser Surg 2012;30:25025
- Rodig T, Hirschleb M, Zapf A, Hulsmann M. Comparison of ultrasonic irrigation and RinsEndo for the removal of calcium hydroxide and Ledermix paste from root canals. Int Endod J 2011;44:1155-1161.
- Şebnem E, Akın CB, Bek ZG, Tınaz AC. Kök kanallarından kalsiyum hidroksitin uzaklaştırılmasında pasif sonik irrigasyonun etkinliği. Turkiye Klinikleri J Dental Sci 2010;16:2182
- 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. Nandini S, Velmurugan N, Kandaswamy D. Removal efficiency of calcium hydroxide intracanal medicament with two calcium chelators: volumetric analysis using spiral CT, an in vitro study. J Endod 2006;32:1097-1101.
- Balvedi RP, Versiani MA, Manna FF, Biffi JC. A comparison of two techniques for the removal of calcium hydroxide from root canals. Int Endod J 2010;43:763-768.
- Lambrianidis T, Margelos J, Beltes P. Removal efficiency of calcium hydroxide dressing from the root canal. J Endod 1999;25:85-88.
- Kenee DM, Allemang JD, Johnson JD, et al. A quantitative assessment of efficacy of various calcium hydroxide removal techniques. J Endod 2006;32:563-565.
- Takahashi CM, Cunha RS, de Martin AS, et al. In vitro evaluation of the effectiveness of ProTaper universal rotary retreatment system for guttapercha removal with or without a solvent. J Endod 2009;35:1580-1583.
- Lambrianidis T, Kosti E, Boutsioukis C, Mazinis M. Removal efficacy of various calcium hydroxide/ chlorhexidine medicaments from the root canal. Int Endod J 2006;39:556
El ve Döner Alet Kullanımı Sonrasında Apikalden Taşan Debris Miktarının ve Kalsiyum Hidroksit Uzaklaştırılmasının Değerlendirilmesi
Abstract
Amaç: Bu çalışmanın amacı el ve döner alet kullanımından sonra kök kanal duvarlarında kalan kalsiyum hidroksit miktarının ve kalsiyum hidroksit uzaklaştırılması süresince apikalden taşan debris miktarının değerlendirilmesidir.
Gereç ve Yöntem: Yirmi-dört çekilmiş üst çene kesici diş K-tipi eğeler ile prepare edildi ve kalsiyum hidroksit ile dolduruldu. Dört diş pozitif ve negatif kontrol olarak ayrıldı. Kalan dişler iki gruba ayrıldı: ana apikal eğe grubu ve ProTaper Universal döner alet grubu. Uzaklaştırma işlemleri boyunca yıkama solüsyonu olarak sitrik asit kullanıldı. Apikalden taşan debris toplandı ve gruplar arasında karşılaştırıldı. Daha sonra dişler dikey eksenleri boyunca ikiye ayrıldı, stereomikroskop kullanılarak fotoğrafları çekildi ve bilgisayar programı kullanılarak resimlerin analizi yapıldı. Veriler tek yönlü varyans analizi ile istatistiksel olarak analiz edildi.
Bulgular: Her iki grupta kalsiyum hidroksit uzaklaştırma süresince ölçülebilir miktarda apikalden taşan debris gözlemlendi. İstatiksel analiz apikal olarak debris çıkışı ve uzaklaştırılan kalsiyum hidroksit bakımından teknikler arasında anlamlı farkın olmadığını gösterdi.
Sonuçlar: Kalsiyum hidroksit uzaklaştırma süresince tekniğe bağlı olmaksızın apikal olarak debris çıkışı meydana gelmektedir. Kullanılan tekniklerden hiçbirisi kök kanal duvarlarından kalsiyum hidroksiti tamamen uzaklaştıramadı.
References
- Marinho AC, Martinho FC, Zaia AA, et al. Influence of the apical enlargement size on the endotoxin level reduction of dental root canals. J Appl Oral Sci 2012;20:661-666.
- Mohammadi Z, Dummer PM. Properties and applications of calcium hydroxide in endodontics and dental traumatology. Int Endod J 2011;44:697-730.
- Montero JC, Mori GG. Assessment of ion diffusion from a calcium hydroxide-propolis paste through dentin. Braz Oral Res 2012;26:3183
- Ercan E, Dallı M. Dört farklı kalsiyum hidroksit içerikli karışımın kök kanal dentinindeki enterococcus faecalis'e karşı antibakteriyel etkinliği: bir in vitro çalışma. Turkiye Klinikleri J Dental Sci 2006;12:37.
- Eymirli A, Serper A. Endodontide kalsiyum hidroksit kullanımı. Turkiye Klinikleri J Dental Sci 2010;1:16-23.
- Ricucci D, Langeland K. Incomplete calcium hydroxide removal from the root canal: a case report. Int Endod J 1997;30:418-421.
- 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.
- Calt S, Serper A. Dentinal tubule penetration of root canal sealers after root canal dressing with calcium hydroxide. J Endod 1999;25:4314
- Bottcher DE, Hirai VH, Da Silva Neto UX, Grecca FS. Effect of calcium hydroxide dressing on the long-term sealing ability of two different endodontic sealers: an in vitro study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;110:386-389. Hamidi MR, Mahmoudi E, Moghadamnia AA, Zahedpasha S. Effect of calcium hydroxide and chlorhexidine medicaments on the apical seal. Iran Endod J 2012;7:15
- Dornelles-Morgental R, GuerreiroTanomaru JM, de Faria-Junior NB, et al. Antibacterial efficacy of endodontic irrigating solutions and their combinations in root canals contaminated with Enterococcus faecalis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:396-400.
- Arslan H, Topcuoglu HS, Karatas E, et al. Effect of the smear layer in the removal of calcium hydroxide from root canal walls. J Conserv Dent. 2012;15:113-117.
- Mortenson D, Sadilek M, Flake NM, et al. The effect of using an alternative irrigant between sodium hypochlorite and chlorhexidine to prevent the formation of parachloroaniline within the root canal system. Int Endod J 2012;45:87888 Kuga MC, Gouveia-Jorge E, Tanomaru-Filho M, et al. Penetration into dentin of sodium hypochlorite associated with acid solutions. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:155-159.
- Burklein S, Schafer E. Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. J Endod 2012;38:850-852.
- Mollo A, Botti G, Prinicipi Goldoni N, et al. Efficacy of two Ni-Ti systems and hand files for removing gutta-percha from root canals. Int Endod J 2012;45:1-6.
- Huang X, Ling J, Wei X, Gu L. Quantitative evaluation of debris extruded apically by using ProTaper Universal Tulsa rotary system in endodontic retreatment. J Endod 2007;33:1102-1105.
- Altundasar E, Nagas E, Uyanik O, Serper A. Debris and irrigant extrusion potential of 2 rotary systems and irrigation needles. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:31-35.
- Aslan T, Üstün Y, Sağsen B, Kocaağaoğlu HH. Kalsiyum hidroksitin kök kanallarından uzaklaştırılmasında kullanılan teknikler: derleme. Sağlık Bilimleri Dergisi 22:76-80. da Silva JM, Silveira A, Santos E, et al. Efficacy of sodium hypochlorite, ethylenediaminetetraacetic acid, citric acid and phosphoric acid in calcium hydroxide removal from the root canal: a microscopic cleanliness evaluation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:820-824.
- Kuga MC, Campos EA, Faria-Junior NB, et al. Efficacy of NiTi rotary instruments in removing calcium hydroxide dressing residues from root canal walls. Braz Oral Res 2012; 26:19-23.
- Kaptan F, Karapinar-Kazandag M, Kayahan MB, et al. Potential of an Er:YAG laser in the removal of calcium hydroxide from root canals. Photomed Laser Surg 2012;30:25025
- Rodig T, Hirschleb M, Zapf A, Hulsmann M. Comparison of ultrasonic irrigation and RinsEndo for the removal of calcium hydroxide and Ledermix paste from root canals. Int Endod J 2011;44:1155-1161.
- Şebnem E, Akın CB, Bek ZG, Tınaz AC. Kök kanallarından kalsiyum hidroksitin uzaklaştırılmasında pasif sonik irrigasyonun etkinliği. Turkiye Klinikleri J Dental Sci 2010;16:2182
- 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. Nandini S, Velmurugan N, Kandaswamy D. Removal efficiency of calcium hydroxide intracanal medicament with two calcium chelators: volumetric analysis using spiral CT, an in vitro study. J Endod 2006;32:1097-1101.
- Balvedi RP, Versiani MA, Manna FF, Biffi JC. A comparison of two techniques for the removal of calcium hydroxide from root canals. Int Endod J 2010;43:763-768.
- Lambrianidis T, Margelos J, Beltes P. Removal efficiency of calcium hydroxide dressing from the root canal. J Endod 1999;25:85-88.
- Kenee DM, Allemang JD, Johnson JD, et al. A quantitative assessment of efficacy of various calcium hydroxide removal techniques. J Endod 2006;32:563-565.
- Takahashi CM, Cunha RS, de Martin AS, et al. In vitro evaluation of the effectiveness of ProTaper universal rotary retreatment system for guttapercha removal with or without a solvent. J Endod 2009;35:1580-1583.
- Lambrianidis T, Kosti E, Boutsioukis C, Mazinis M. Removal efficacy of various calcium hydroxide/ chlorhexidine medicaments from the root canal. Int Endod J 2006;39:556
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | May 2, 2014 |
| Submission Date | August 13, 2013 |
| Published in Issue | Year 2014 |
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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