Farklı kök kanal patları ile doldurulmuş kök kanallarının farklı retreatment teknikleri ile söküm sürelerinin karşılaştırılması
Öz
Amaç: Bu çalışmanın amacı, kök kanal dolgusunun sökülmesi amacıyla kullanılan farklı NiTi
sistemlerinin farklı içerikli kök kanal dolgu patlarını sökme sürelerinin karşılaştırılmasıdır.
Gereç ve yöntem: Çalışmamızda 60 adet tek köklü mandibular premolar diş kullanılmıştır.
Kanallar Mtwo Ni-Ti döner aletlerle genişletilmiş ve her eğe değişiminde kök kanalları 2 ml %
5.25 NaOCl ile irrige edilmiştir. Örnekler her biri 15’er dişten oluşan 4 gruba ayrılmıştır. Kök
kanalları güta perka ve kanal patı ile lateral kompaksiyon tekniği ile doldurulmuştur. Grup 1 ve
2’ de rezin, Grup 3 ve 4’ de ise MTA esaslı kök kanal dolgu patı kullanılmıştır. Patların sertleşme
süresi tamamlandıktan sonra Grup 1 ve 3’teki kök kanalları ProTaper retreatment seti ile, Grup 2
ve 4’teki kök kanalları Reciproc R25 eğe sistemi ile boşaltılmıştır. Çalışma boyuna ulaşana kadar
geçen toplam süreler kronometre ile ölçülmüştür. Veriler one-way ANOVA ile analiz edilmiştir.
Bulgular: MTA esaslı kök kanal patı ve güta perka ile doldurulan kanalların rezin esaslılarla
karşılaştırıldığında daha kısa sürede uzaklaştırılabildiği belirlenmiştir. Uzaklaştırma sistemleri
karşılaştırıldığında, Protaper retreatment eğe sisteminin Reciproc R25 eğe sisteminden daha
kısa sürede çalışma boyuna ulaştığı belirlenmiştir.
Sonuçlar: Araştırmamızın sonuçlarına göre, ProTaper retreatment setinin kök kanal
dolgusunun uzaklaştırmada Reciproc R25 eğesinden daha etkili bir sistem olduğu ve MTA esaslı
kök kanal patlarının rezin esaslı patlara göre daha kolay uzaklaştırıldığı sonucuna varılmıştır.
Anahtar Kelimeler
Kaynakça
- Şaklar F, Aslan B, Yücel AÇ. Endodontik tedavinin yenilenmesinde Profile.04 taper dönen enstrümanların etkinliği. Turkiye Klinikleri J Dental Sci. 2003;9:30-35.
- Simsek N, Keles A, Ahmetoglu F, Ocak MS, Yologlu S. Comparison of different retreatment techniques and root canal sealers: a scanning electron microscopic study. Braz Oral Res. 2014;28:1-7.
- Hülsmann M, Stotz S. Efficacy, cleaning ability and safety of different devices for gutta-percha removal in root canal retreatment. Int Endod J. 1997;30:227-233.
- Hülsmann M, Bluhm V. Efficacy, cleaning ability and safety of different rotary NiTi instruments in root canal retreatment. Int Endod J. 2004;37:468-476.
- Takahashi CM, Cunha RS, de Martin AS, Fontana CE, Silveira CF, da Silveira Bueno CE. In vitro evaluation of the effectiveness of ProTaper universal rotary retreatment system for gutta-percha removal with or without a solvent. J Endod. 2009;35:1580‑1583.
- Pirani C, Pelliccioni GA, Marchionni S, Montebugnoli L, Piana G, Prati C. Effectiveness of three different retreatment techniques in canals filled with compacted guttapercha or Thermafil: a scanning electron microscope study. J Endod. 2009;35:1433-1440.
- Betti LV, Bramante CM, de Moraes IG, Bernardineli N, Garcia RB. Efficacy of Profile.04 taper series 29 in removing filling materials during root canal retreatment-an in vitro study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108:46-50.
- Unal GC, Kaya BU, Taç AG, Keçeci AD. A comparison of the efficacy of conventional and new retreatment instruments to remove gutta-percha in curved root canals: an ex vivo study. Int Endod J. 2009;42:344-350.
- Sağsen B, Üstün Y, Er Ö. İki farklı kök kanal dolgu materyalinde üç farklı NiTi döner sistem ve el eğesi kullanılarak yapılan retreatment işleminin etkinliğinin değerlendirilmesi. Türkiye Klinikleri J Dental Sci. 2009;15:73-80.
- Silva EJ, Sá L, Belladonna FG, Neves AA, Accorsi-Mendonça T, Vieira VT, De-Deus G, et al. Reciprocating versus rotary systems for root filling removal: assessment of the apically extruded material. J Endod. 2014;40:2077-2080.
- Iriboz E, Sazak Öveçoğlu H. Comparison of ProTaper and Mtwo retreatment systems in the removal of resin-based root canal obturation materials during retreatment. Aust Endod J. 2014;40:6-11.
- Moshonov J, Trope M, Friedman S. Retreatment efficacy 3 months after obturation using glass ionomer cement, zinc oxide- eugenol, and epoxy resin sealers. J Endod. 1994;20:90-92.
- Kalaycı A, Aslan B, Zaimoğlu L. Kalsiyum hidroksit esaslı kanal dolgu patlarının kök kanallarından sökülebilme özelliklerinin karşılaştırılması. Turkiye Klinikleri J Dental Sci. 1997;3:84-88.
- Özcan E, Çapar İD, Çetin AR, Aydınbelge HA. Farklı irrigasyon solüsyonlarının MTA Fillapex kanal patının bağlanma dayanımı üzerine etkisi. Acta Odontologica Turcica. 2013;30:1-5.
- Farzaneh M, Abitbol S, Friedman S. Treatment outcome in endodontics: the Toronto study. Phases I and II: Orthograde retreatment. J Endod. 2004;30:627-33.
- Imura N, Kato AS, Hata GI, Uemura M, Toda T, Weine F. A comparison of the relative efficacies of four hand and rotary instrumentation techniques during endodontic retreatment. Int Endod J. 2000;33:361-366.
- Royzenblat A, Goodell GG. Comparison of removal times of Thermafil plastic obturators using ProFile rotary instruments at different rotational speeds in moderately curved canals. J Endod. 2007;33:256-258.
- Sae-Lim V, Rajamanickam I, Lim BK, Lee HL. Effectiveness of ProFile.04 taper rotary instruments in endodontic retreatment. J Endod. 2000;26:100-104.
- Bramante CM, Betti LV. Efficacy of Quantec rotary instruments for gutta-percha removal. Int Endod J. 2000;33:463-467.
- Somma F, Cammarota G, Plotino G, Grande NM, Pameijer CH. The effectiveness of manual and mechanical instrumentation for the retreatment of three different root canal filling materials. J Endod. 2008;34:466-9.
- Uzunoglu E, Yilmaz Z, Sungur DD, Altundasar E. Retreatability of Root Canals Obturated Using Gutta- Percha with Bioceramic, MTA and Resin-Based Sealers. Iran Endod J. 2015;10:93-98.
Comparison of retreatment times of root fillings with different sealers by different retreatment techniques
Öz
Objectives: This study aimed to compare retreatment times of different NiTi enstrumantation
systems used for removal of different root canal filling materials.
Materials and Methods: Sixty single rooted human mandibular premolar teeth were used. The
root canals were prepared with Mtwo NiTi rotary files and irrigated with 2 mL of 5.25% NaOCl
between each file. Specimens were divided into 4 groups (n=15). The root canals were obturated
with gutta-percha and root canal sealer by cold lateral compaction. Resin sealer was used in
Group 1 and 2, while MTA based root canal sealer was used in Group 3 and 4. Following setting
of sealers, ProTaper Retreatment set was used to remove the root canal filling in Groups 1 and
3, whereas Reciproc R25 was used to remove the root canal filling in Groups 2 and 4. Duration
to reach the working length was recorded with chronometer. Data was analyzed with one-way
ANOVA.
Results: MTA based root canal sealer was detected to be removed faster than resin sealers.
When comparing retreatment systems, ProTaper Retreatment file system reached to the
working length faster than Reciproc R25 did.
Conclusions: In conclusion, we report that ProTaper retreatment set is more efficient than
Reciproc R25 file for removal of root canal filling, and removal of MTA based root canal sealers
are easier than resin sealers.
Anahtar Kelimeler
Kaynakça
- Şaklar F, Aslan B, Yücel AÇ. Endodontik tedavinin yenilenmesinde Profile.04 taper dönen enstrümanların etkinliği. Turkiye Klinikleri J Dental Sci. 2003;9:30-35.
- Simsek N, Keles A, Ahmetoglu F, Ocak MS, Yologlu S. Comparison of different retreatment techniques and root canal sealers: a scanning electron microscopic study. Braz Oral Res. 2014;28:1-7.
- Hülsmann M, Stotz S. Efficacy, cleaning ability and safety of different devices for gutta-percha removal in root canal retreatment. Int Endod J. 1997;30:227-233.
- Hülsmann M, Bluhm V. Efficacy, cleaning ability and safety of different rotary NiTi instruments in root canal retreatment. Int Endod J. 2004;37:468-476.
- Takahashi CM, Cunha RS, de Martin AS, Fontana CE, Silveira CF, da Silveira Bueno CE. In vitro evaluation of the effectiveness of ProTaper universal rotary retreatment system for gutta-percha removal with or without a solvent. J Endod. 2009;35:1580‑1583.
- Pirani C, Pelliccioni GA, Marchionni S, Montebugnoli L, Piana G, Prati C. Effectiveness of three different retreatment techniques in canals filled with compacted guttapercha or Thermafil: a scanning electron microscope study. J Endod. 2009;35:1433-1440.
- Betti LV, Bramante CM, de Moraes IG, Bernardineli N, Garcia RB. Efficacy of Profile.04 taper series 29 in removing filling materials during root canal retreatment-an in vitro study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009;108:46-50.
- Unal GC, Kaya BU, Taç AG, Keçeci AD. A comparison of the efficacy of conventional and new retreatment instruments to remove gutta-percha in curved root canals: an ex vivo study. Int Endod J. 2009;42:344-350.
- Sağsen B, Üstün Y, Er Ö. İki farklı kök kanal dolgu materyalinde üç farklı NiTi döner sistem ve el eğesi kullanılarak yapılan retreatment işleminin etkinliğinin değerlendirilmesi. Türkiye Klinikleri J Dental Sci. 2009;15:73-80.
- Silva EJ, Sá L, Belladonna FG, Neves AA, Accorsi-Mendonça T, Vieira VT, De-Deus G, et al. Reciprocating versus rotary systems for root filling removal: assessment of the apically extruded material. J Endod. 2014;40:2077-2080.
- Iriboz E, Sazak Öveçoğlu H. Comparison of ProTaper and Mtwo retreatment systems in the removal of resin-based root canal obturation materials during retreatment. Aust Endod J. 2014;40:6-11.
- Moshonov J, Trope M, Friedman S. Retreatment efficacy 3 months after obturation using glass ionomer cement, zinc oxide- eugenol, and epoxy resin sealers. J Endod. 1994;20:90-92.
- Kalaycı A, Aslan B, Zaimoğlu L. Kalsiyum hidroksit esaslı kanal dolgu patlarının kök kanallarından sökülebilme özelliklerinin karşılaştırılması. Turkiye Klinikleri J Dental Sci. 1997;3:84-88.
- Özcan E, Çapar İD, Çetin AR, Aydınbelge HA. Farklı irrigasyon solüsyonlarının MTA Fillapex kanal patının bağlanma dayanımı üzerine etkisi. Acta Odontologica Turcica. 2013;30:1-5.
- Farzaneh M, Abitbol S, Friedman S. Treatment outcome in endodontics: the Toronto study. Phases I and II: Orthograde retreatment. J Endod. 2004;30:627-33.
- Imura N, Kato AS, Hata GI, Uemura M, Toda T, Weine F. A comparison of the relative efficacies of four hand and rotary instrumentation techniques during endodontic retreatment. Int Endod J. 2000;33:361-366.
- Royzenblat A, Goodell GG. Comparison of removal times of Thermafil plastic obturators using ProFile rotary instruments at different rotational speeds in moderately curved canals. J Endod. 2007;33:256-258.
- Sae-Lim V, Rajamanickam I, Lim BK, Lee HL. Effectiveness of ProFile.04 taper rotary instruments in endodontic retreatment. J Endod. 2000;26:100-104.
- Bramante CM, Betti LV. Efficacy of Quantec rotary instruments for gutta-percha removal. Int Endod J. 2000;33:463-467.
- Somma F, Cammarota G, Plotino G, Grande NM, Pameijer CH. The effectiveness of manual and mechanical instrumentation for the retreatment of three different root canal filling materials. J Endod. 2008;34:466-9.
- Uzunoglu E, Yilmaz Z, Sungur DD, Altundasar E. Retreatability of Root Canals Obturated Using Gutta- Percha with Bioceramic, MTA and Resin-Based Sealers. Iran Endod J. 2015;10:93-98.
Ayrıntılar
| Konular | Sağlık Kurumları Yönetimi |
|---|---|
| Bölüm | Original Research Articles |
| Yazarlar | |
| Yayımlanma Tarihi | 3 Ocak 2016 |
| Gönderilme Tarihi | 6 Aralık 2016 |
| Yayımlandığı Sayı | Yıl 2016Cilt: 19 Sayı: 1 |
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