XP-Endo Finisher’in kök kanal düzensizliklerinden kalsiyum hidroksit uzaklaştırma yeteneği üzerine sıcaklığın etkisi: ex vivo
Öz
Amaç: Bu çalışmanın amacı, XP-Endo
Finisher’ın kök kanal düzensizliklerinden kalsiyum hidroksit (KH) uzaklaştırma
kapasitesine sıcaklığın (çevre ve irrigasyon solüsyonunun) etkisini
değerlendirmektir.
Gereç ve Yöntem: Seksen üç dişin kök kanalı
genişletildi ve dişler uzunlamasına ikiye ayrıldı. İki standart yarık (apikal
ve koronalde) hazırlandı ve kökler rastgele beş deney grubuna (n=15), bir
pozitif (n=4) ve bir negatif kontrol grubuna (n=4) ayrıldı. Yarıklar KH ile
dolduruldu, kök yarımları tekrar birleştirildi, tüm kanal KH ile dolduruldu ve
dişler 14 gün boyunca saklandı. Daha sonra KH aşağıdaki irrigasyon
protokollerine göre uzaklaştırıldı. Ortam sıcaklığı ilk dört grup için 37 °C, Grup 5 için 21 °C idi. Grup 1: geleneksel
iğne irrigasyonu ile 21 °C'deki
NaOCl, Grup 2: geleneksel iğne irrigasyonu ile 37 °C'deki NaOCl, Grup 3:
XP-Endo Finisher ile 21 °C'deki
NaOCl, Grup 4: XP-Endo Finisher ile 37 °C'deki NaOCl, Grup 5: XP-Endo Finisher ile 21 °C'deki NaOCl
kullanımıydı. İrrigasyon işleminden sonra artakalan KH miktarı bir stereomikroskop
ile incelenerek skorlandı. İstatistiksel değerlendirme, Kruskal-Wallis analizi
ve Mann-Whitney U testi Bonferroni düzeltmesi kullanılarak yapıldı.
Bulgular: Grup 3 ve 4, apikal bölgede
diğer gruplara göre anlamlı derecede daha fazla KH uzaklaştırdı (p<0.05).
Koronal bölgede gruplar arasında fark yoktu (p>0.05). KH uzaklaştırılması,
irrigasyon solüsyonunun sıcaklığından etkilenmedi (p>0.05) ancak çevre
sıcaklığından (Grup 3’e karşı Grup 5; p<0.05) ve KH uzaklaştırma tekniğinden
(Grup 3 ve 4’e karşı Grup 1 ve 2; p<0.05) önemli derecede etkilendi.
Sonuç NaOCl solüsyonunun sıcaklığı XP-Endo Finisher’ın
KH kaldırma etkinliğinde önemli bir rol oynamazken, çevre sıcaklığı etkinliğini
arttırdı.
Anahtar Kelimeler
Kaynakça
- Arslan H, Gok T, Saygili G, Altintop H, Akcay M, Capar ID. Evaluation of effectiveness of various irrigating solutions on removal of calcium hydroxide mixed with 2% chlorhexidine gel and detection of orange-brown precipitate after removal. J Endod 2014;40:1820-3.
- Guiotti FA, Kuga MC, Duarte MA, Sant'Anna AJ, Faria G. Effect of calcium hydroxide dressing on push-out bond strength of endodontic sealers to root canal dentin. Braz Oral Res 2014;28. doi: 10.1590/S1806-83242014.50000002.
- Calt S, Serper A. Dentinal tubule penetration of root canal sealers after root canal dressing with calcium hydroxide. J Endod 1999;25:431-3.
- Kim SK, Kim YO. Influence of calcium hydroxide intracanal medication on apical seal. Int Endod J 2002;35:623-8.
- Phillips M, McClanahan S, Bowles W. A titration model for evaluating calcium hydroxide removal techniques. J Appl Oral Sci 2015;23:94-100.
- 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;40:52-7.
- Tasdemir T, Celik D, Er K, Yildirim T, Ceyhanli KT, Yesilyurt C. Efficacy of several techniques for the removal of calcium hydroxide medicament from root canals. Int Endod J 2011;44:505-9.
- 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;44:1155-61.
- Eymirli A, Nagas E, Uyanik MO, Cehreli ZC. Effect of Laser-Activated Irrigation with Ethylene Diaminetetraacetic Acid and Phytic Acid on the Removal of Calcium Hydroxide and Triple Antibiotic Paste from Root Dentin. Photomed Laser Surg 2017;35:43-8.
- Ethem Yaylali I, Kececi AD, Ureyen Kaya B. Ultrasonically Activated Irrigation to Remove Calcium Hydroxide from Apical Third of Human Root Canal System: A Systematic Review of In Vitro Studies. J Endod 2015;41:1589-99.
- Keskin C, Sariyilmaz E, Sariyilmaz O. Efficacy of XP-Endo Finisher File in Removing Calcium Hydroxide from Simulated Internal Resorption Cavity. J Endod 2017;43:126-30.
- Uygun AD, Gundogdu EC, Arslan H, Ersoy I. Efficacy of XP-Endo finisher and TRUShape 3D conforming file compared to conventional and ultrasonic irrigation in removing calcium hydroxide. Aust Endod J 2017;43:89-93.
- Wigler R, Dvir R, Weisman A, Matalon S, Kfir A. Efficacy of XP-Endo finisher files in the removal of calcium hydroxide paste from artificial standardized grooves in the apical third of oval root canals. Int Endod J 2017;50:700-5.
- Leoni GB, Versiani MA, Silva-Sousa YT, Bruniera JF, Pecora JD, Sousa-Neto MD. Ex vivo evaluation of four final irrigation protocols on the removal of hard-tissue debris from the mesial root canal system of mandibular first molars. Int Endod J 2017;50:398-406.
- Gokturk H, Ozkocak I, Buyukgebiz F, Demir O. An in vitro evaluation of various irrigation techniques for the removal of double antibiotic paste from root canal surfaces. J Appl Oral Sci 2016;24:568-74.
- Elnaghy AM, Mandorah A, Elsaka SE. Effectiveness of XP-Endo Finisher, EndoActivator, and File agitation on debris and smear layer removal in curved root canals: a comparative study. Odontology 2017;105:178-83.
- Bao P, Shen Y, Lin J, Haapasalo M. In Vitro Efficacy of XP-Endo Finisher with 2 Different Protocols on Biofilm Removal from Apical Root Canals. J Endod 2017;43:321-5.
- Siqueira JF Jr, Guimaraes-Pinto T, Rocas IN. Effects of chemomechanical preparation with 2.5% sodium hypochlorite and intracanal medication with calcium hydroxide on cultivable bacteria in infected root canals. J Endod 2007;33:800-5.
- 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;43:519-27.
Effect of temperature on the ability of XP-Endo Finisher to remove calcium hydroxide from root canal irregularities: ex vivo
Öz
Objective: The purpose
of this study was to evaluate the effect of different environmental
temperatures and irrigation solution temperatures on the calcium hydroxide (CH)
removal efficacy of XP-Endo Finisher from root canal irregularities.
Materials and
Method: Eighty-three teeth were instrumented and split longitudinally. Two
standard grooves (apical and coronal) were prepared, and the roots were
randomly divided into five experimental groups (n=15), a positive control group
(n=4), and a negative control group (n=4). The grooves were filled with CH, the
root halves were re-assembled; the canal space was also filled with CH, and the
teeth were stored for 14 days. Fourteen days later, CH was removed using one of
the following irrigation protocols, where environmental temperature for Groups
1-4 and Group 5 were 37 °C
and 21 °C,
respectively: Group 1: Conventional needle irrigation with NaOCl at 21 °C; Group 2: Conventional
needle irrigation with NaOCl at 37
°C; Group 3: XP-Endo Finisher with NaOCl at 21 °C; Group 4: XP-Endo
Finisher with NaOCl at 37 °C;
Group 5: XP-Endo Finisher with NaOCl at 21 °C. The amount of the remaining CH after the
removal was examined and scored by using a stereomicroscope. The statistical
evaluation was performed using Kruskal–Wallis and Mann–Whitney U tests with
Bonferroni-correction.
Results: Group 3 and
4 removed significantly more CH than the other groups in the apical region
(p<0.05). There were no significant differences between the groups in the
coronal region (p>0.05). The removal of CH was not affected by the
temperature of the irrigation solution (p>0.05); but it was significantly
affected by the environmental temperature (Group 3 versus Group 5; p<0.05) and the CH removal technique (Groups 3
and 4 versus Groups 1 and 2;
p<0.05).
Conclusion: While the
temperature of the NaOCl solution did not play a significant role in the CH
removal efficacy of XP-Endo Finisher, greater environmental temperature
increased its activity.
Anahtar Kelimeler
Kaynakça
- Arslan H, Gok T, Saygili G, Altintop H, Akcay M, Capar ID. Evaluation of effectiveness of various irrigating solutions on removal of calcium hydroxide mixed with 2% chlorhexidine gel and detection of orange-brown precipitate after removal. J Endod 2014;40:1820-3.
- Guiotti FA, Kuga MC, Duarte MA, Sant'Anna AJ, Faria G. Effect of calcium hydroxide dressing on push-out bond strength of endodontic sealers to root canal dentin. Braz Oral Res 2014;28. doi: 10.1590/S1806-83242014.50000002.
- Calt S, Serper A. Dentinal tubule penetration of root canal sealers after root canal dressing with calcium hydroxide. J Endod 1999;25:431-3.
- Kim SK, Kim YO. Influence of calcium hydroxide intracanal medication on apical seal. Int Endod J 2002;35:623-8.
- Phillips M, McClanahan S, Bowles W. A titration model for evaluating calcium hydroxide removal techniques. J Appl Oral Sci 2015;23:94-100.
- 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;40:52-7.
- Tasdemir T, Celik D, Er K, Yildirim T, Ceyhanli KT, Yesilyurt C. Efficacy of several techniques for the removal of calcium hydroxide medicament from root canals. Int Endod J 2011;44:505-9.
- 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;44:1155-61.
- Eymirli A, Nagas E, Uyanik MO, Cehreli ZC. Effect of Laser-Activated Irrigation with Ethylene Diaminetetraacetic Acid and Phytic Acid on the Removal of Calcium Hydroxide and Triple Antibiotic Paste from Root Dentin. Photomed Laser Surg 2017;35:43-8.
- Ethem Yaylali I, Kececi AD, Ureyen Kaya B. Ultrasonically Activated Irrigation to Remove Calcium Hydroxide from Apical Third of Human Root Canal System: A Systematic Review of In Vitro Studies. J Endod 2015;41:1589-99.
- Keskin C, Sariyilmaz E, Sariyilmaz O. Efficacy of XP-Endo Finisher File in Removing Calcium Hydroxide from Simulated Internal Resorption Cavity. J Endod 2017;43:126-30.
- Uygun AD, Gundogdu EC, Arslan H, Ersoy I. Efficacy of XP-Endo finisher and TRUShape 3D conforming file compared to conventional and ultrasonic irrigation in removing calcium hydroxide. Aust Endod J 2017;43:89-93.
- Wigler R, Dvir R, Weisman A, Matalon S, Kfir A. Efficacy of XP-Endo finisher files in the removal of calcium hydroxide paste from artificial standardized grooves in the apical third of oval root canals. Int Endod J 2017;50:700-5.
- Leoni GB, Versiani MA, Silva-Sousa YT, Bruniera JF, Pecora JD, Sousa-Neto MD. Ex vivo evaluation of four final irrigation protocols on the removal of hard-tissue debris from the mesial root canal system of mandibular first molars. Int Endod J 2017;50:398-406.
- Gokturk H, Ozkocak I, Buyukgebiz F, Demir O. An in vitro evaluation of various irrigation techniques for the removal of double antibiotic paste from root canal surfaces. J Appl Oral Sci 2016;24:568-74.
- Elnaghy AM, Mandorah A, Elsaka SE. Effectiveness of XP-Endo Finisher, EndoActivator, and File agitation on debris and smear layer removal in curved root canals: a comparative study. Odontology 2017;105:178-83.
- Bao P, Shen Y, Lin J, Haapasalo M. In Vitro Efficacy of XP-Endo Finisher with 2 Different Protocols on Biofilm Removal from Apical Root Canals. J Endod 2017;43:321-5.
- Siqueira JF Jr, Guimaraes-Pinto T, Rocas IN. Effects of chemomechanical preparation with 2.5% sodium hypochlorite and intracanal medication with calcium hydroxide on cultivable bacteria in infected root canals. J Endod 2007;33:800-5.
- 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;43:519-27.
Ayrıntılar
| Konular | Sağlık Kurumları Yönetimi |
|---|---|
| Bölüm | Özgün Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 12 Nisan 2018 |
| Yayımlandığı Sayı | Yıl 2018 Cilt: 35 Sayı: 2 |