Kök kanal duvarlarından kök kanal dolgu materyallerinin uzaklaştırılması sırasında kullanılan farklı aktivasyon sistemlerinin etkinliklerinin karşılaştırılması
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Tarih
2023
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Hatay Mustafa Kemal Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş ve Amaç: Bu çalışma, oval şekilli kanallardan Bioserra biyoseramik patını; geleneksel iğne irrigasyonu (Gİİ) ile EDDY (ED), EndoActivator (EA), pasif ultrasonik irrigasyon (PUI) ve XP-Endo Finisher R (XP-FR) aktivasyon tekniklerinin uzaklaştırma etkinliklerini SEM ile karşılaştırmayı amaçlamaktadır. Gereç ve Yöntem: 60 adet insan mandibular premolar dişi kök boyu 14 ± 1 mm olacak şekilde dekorone edildikten sonra, kök kanalı R25 (25/.08) ile şekillendirilmiştir ve biyoseramik pat ve gutta-perka ile doldurulmuştur. 2 ay süre ile bekletilen numunelerde, PTUR D1 (30/.09) ve D2 (25/.08) ile kök kanalları boşaltıldıktan sonra R40 (40/.06) eğesi ile son şekilendirme yapılmıştır. Numuneler rastgele 5 gruba ayrılmıştır ve irrigasyon aktivasyon teknikleri uygulanmıştır. Hassas kesme cihazı ile longitudinal olarak ikiye ayrılan numunelerin bir yarısı seçilerek kökün apikal, orta ve koronal bölgeleri SEM altında incelenmiştir. İstatistiksel analizde, Shapiro-Wilks ve Kruskal Wallis testi kullanılmıştır. Bulgular: Koronal ve apikal bölgede kalıntı miktarı skoru Gİİ grubunda diğer 4 gruba göre istatistiksel olarak daha fazladır (p<0.05). Orta bölgede, Gİİ ve EA grubu diğer gruplara göre istatistiksel olarak daha fazla kalıntı bulundurmaktadır (p<0.05). Tüm gruplarda apikal kalıntı dolgu materyali miktarları koronal ve orta bölgelerdeki kalıntı miktarlarına göre daha yüksektir. Bu fark, ED ve XP-FR gruplarında istatistiksel olarak anlamlıdır (p<0.05). Sonuç: Tüm aktivasyon teknikleri Gİİ grubuna göre daha iyi etkinlik göstermiştir. Retreatment uygulanan dişlerde irrigasyon aktivasyon sistemleri kalıntı dolgu miktarını azaltmıştır ve geleneksel iğne irrigasyonunun yetersiz kaldığı görülmüştür. ED, PUI ve XP-FR gruplarının kökün üç bölgesindeki kalıntı skorları daha düşük olmasına rağmen, EA grubuna göre istatistiksel olarak anlamlı değildir.
Introduction and Aim: The aim of this study was to evaluate the efficacy of supplemenatary techniques with needle irrigation (NI), EDDY (ED), EndoActivator (EA), passive ultrasonic irrigation (PUI) and XP-Endo Finisher R (XP-FR) in removing residual filling materials (Bioserra BC Sealer) from oval-shaped root canals during non-surgical endodontic retreatment. Material and Methods: Sixty human mandibular premolar teeth were initially prepared with a R25 instrument and filled with gutta-percha points and bioceramic sealer. The samples were kept for 2 months. Initial filling material removal was performed with PTUR D1 (30/.09) ve D2 (25/.08) and root canals were final shaped with R40 instrument. The samples were randomly divided into 5 groups and irrigation activation techniques were applied. One half of the samples, which were divided into two longitudinally with a precision cut-off machine, was selected and the apical, middle and coronal regions of the root were examined with SEM. Statistical analyses were performed using Shapiro-Wilks and Kruskal Wallis. Results: The residuel amount score in the coronal and apical regions was found to be statistically higher in the NI group than in the other 4 groups (p<0.05). In the middle region, the NI and EA groups had statistically more residues than the other groups (p<0.05). In all groups, the amount of apical residual filling material was found to be higher than the coronal and middle regions. This difference is statistically significant in the ED and XP-FR groups (p<0.05). Conclusions: All activation techniques showed better effectiveness than the NI group. In retreatment, irrigation activation systems reduced the amount of residual fillings and traditional needle irrigation was found to be insufficient. Although the ED, PUI and XP-FR groups had lower residual scores in three regions of the root, it was not statistically significant compared to the EA group.
Introduction and Aim: The aim of this study was to evaluate the efficacy of supplemenatary techniques with needle irrigation (NI), EDDY (ED), EndoActivator (EA), passive ultrasonic irrigation (PUI) and XP-Endo Finisher R (XP-FR) in removing residual filling materials (Bioserra BC Sealer) from oval-shaped root canals during non-surgical endodontic retreatment. Material and Methods: Sixty human mandibular premolar teeth were initially prepared with a R25 instrument and filled with gutta-percha points and bioceramic sealer. The samples were kept for 2 months. Initial filling material removal was performed with PTUR D1 (30/.09) ve D2 (25/.08) and root canals were final shaped with R40 instrument. The samples were randomly divided into 5 groups and irrigation activation techniques were applied. One half of the samples, which were divided into two longitudinally with a precision cut-off machine, was selected and the apical, middle and coronal regions of the root were examined with SEM. Statistical analyses were performed using Shapiro-Wilks and Kruskal Wallis. Results: The residuel amount score in the coronal and apical regions was found to be statistically higher in the NI group than in the other 4 groups (p<0.05). In the middle region, the NI and EA groups had statistically more residues than the other groups (p<0.05). In all groups, the amount of apical residual filling material was found to be higher than the coronal and middle regions. This difference is statistically significant in the ED and XP-FR groups (p<0.05). Conclusions: All activation techniques showed better effectiveness than the NI group. In retreatment, irrigation activation systems reduced the amount of residual fillings and traditional needle irrigation was found to be insufficient. Although the ED, PUI and XP-FR groups had lower residual scores in three regions of the root, it was not statistically significant compared to the EA group.
Açıklama
Anahtar Kelimeler
Diş Hekimliği, Dentistry, Retreatment, Biyoseramik pat, Sonik aktivasyon, Pasif ultrasonik irrigasyon, XP-Endo Finisher R., Retreatment, bioceramic sealer, sonic activation, passive ultrasonic irrigation, XP-Endo Finisher R.
