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EVALUATION OF TWO DIFFERENT ROOT CANAL SEALER, USING DIFFERENT IRRIGATION SOLUTION ON PUSH OUT BOND STRENGHT TO DENTIN

Year 2014, Volume: 24 Issue: 1, 16 - 21, 11.02.2015
https://doi.org/10.17567/dfd.85707

Abstract

Aim: The aim of this study was to evaluate the bond strenght of gutta-percha and different root canal sealers to root canal dentine and gutta-percha after using different irrigation solutions. Method: Seventy extracted superior incisor teeth and canine were used in this study. Root canals were instrumented using Mtwo (VDW, Munich, Germany) rotary system up to 60.04 NiTi file. Teeth were randomly divided in to four groups (n=15) and constituted two control groups (n=5). Both first (A) and third (C) groups, NaOCl and MTAD were applied as the final irrigation. Both second (B) and fourth (D) groups, NaOCl and EDTA were applied as final irrigation. In control groups, only NaOCl was used as irrigation solution. Both groups A and C were filled using AH Plus (Dentsply DeTrey, Konstanz, Germany) and guttapercha single con technique. Both groups B and D were filled using Endorez (Ultradent, South Jordan, USA) and guttapercha with single con technique. First control group was obturated with AH Plus, second control group was obturated with Endorez. Three-millimeter thick horizontal sections from the coronal and mid-thirds of each root were sliced for the push-out bond strength measurement. Statistical analysis was calculated using one-way ANOVA/Tukey type multiple comprasion methods. Results: The mean values of bond strengths were recorded for different subgroups are presented MTAD-AH Plus (1.13±0.18a), EDTA-AH Plus (1.10±0.26a), NaOCl-AH Plus (0.77±0.19c), MTAD-Endorez (0.99±0.20b), EDTA-Endorez (1.02±0.21b) ve NaOCl-Endorez (0.78±0.23c) MPa. Statistically, significant difference was found between the groups. The highest bond strenght is reached after obturation with AH Plus, using MTAD irrigation solution. Conclusion: According to study, it was concluded that using NaOCl and MTAD as irrigation solution and obturation using AH-Plus were found to be more effective

References

  • Tan BT, Messer HH. The quality of apical canal preparation using hand and rotary instruments with specific criteria for enlargement based on initial apical file size. J Endod 2002;28:658-64.
  • Rudddle CJ. Cleaning and shaping the root canal system. In: Cohen S, Burns R, editors. Pathways of the pulp. 10th ed. St Louis (MO): Mosby; 2010. p. 231-92.
  • Coldero LG, McHugh S, MacKenzie D, Saunders WP. Reduc-tion in intracanal bacteria during root canal preparation with and without apical enlargement. Int Endod J 2002;35:437-46.
  • Evcil MS, Ersoy İ, Yeter Yeşildal K, Topcu Colak M. A comparıson of the accuracy of two dıfferent apex locators usıng dıfferent root canal solutıons. Atatürk Üniv Diş Hek Fak Derg 2012;22:132-7.
  • Torabinejad M, Johnson WB (Inventors, Assignee): Irrigation solution and methods for use, US Patent and Trademark Office, December 25, 2003.
  • Torabinejad M, Khademi AA, Babagoli J, Cho Y, Johnson WB, Bozhilov K, et al. A new solution for the the Endod 2003;29:170–5. smear layer. J
  • Torabinejad M, Shabahang S, Aprecio RM, Kettering JD. The antimicrobial effect of MTAD: an invitro investigation. J Endod 2003;29:400-3.
  • Stoll R, Betke K, Stachniss V. The influence of different factors on the survival of root canal fillings: a 10-year retrospective study. J Endod 2005;31:783-90.
  • Dummer PM. Comparison of undergraduate endodontic teaching programmes in the United Kingdom and in some dental schools in Europe and the United States. Int Endod J 1991;24:169-77.
  • Shipper G, Ørstavik D, Teixeira FB, Trope M. An evaluation of microbial leakage in roots filled with a thermoplastic synthetic polymer-based root canal filling material (Resilon). J Endod 2004;30:342–7.
  • Shipper G, Teixeira FB, Arnold RR, Trope M. Periapical inflammation after coronal microbial inoculation of dog roots filled with gutta-percha or resilon J Endod 2005;31:91-6.
  • Tay FR, Pashley DH. Monoblocks in root canals: a hypothetical or a tangible goal. J Endod 2007;33:391-8. Review.
  • Gillespie WT, Loushine RJ, Weller RN, Mazzoni A, Doyle MD, Waller JL, Pashley DH, Tay FR. Improving the performance of EndoREZ root canal sealer with a dual-cured two-step self-etch adhesive. II. Apical and coronal seal. J Endod 2006;32:771-5.
  • Tagger M, Tagger E, Tjan AH, Bakland LK. Measurement of adhesion of endodontic sealers to dentin. J Endod 2002;28:351-4.
  • Nagas E., Cehreli ZC, Durmaz V, Vallittu PK, Lassila LV. Regional push-out bond strength and coronal microleakage of Resilon after different light-curing methods. J Endod 2007;33:1464-8
  • Goracci C, Tavares AU, Fabianelli A, Monticelli F, Raffaelli O, Cardoso PC, Tay F, Ferrari M. The adhesion between fiber posts and root canal walls: comparison between microtensile and push-out bond strength measurements. Eur J Oral Sci 2004;112:353-61.
  • Sundqvist G, Figdor D, Persson S, Sjogren U. Microbiologic analysis of teeth with failed endodontic treatment and the outcome of conservative re-treatment. Oral Surg, Oral Med, Oral Pathol, Oral Radiol, Oral Endod 1998;85:86– 93.
  • Skinner RL, Himel VT. The sealing ability of injection-molded thermoplasticized gutta-percha with and withoutthe use of sealers. J Endod 1987;13:315–7.
  • Wennberg A, Ørstavik D. Adhesion of root canal sealers to bovine dentine and gutta-percha. Int Endod J 1990;23:13–9.
  • Lee KW, Williams MC, Camps JJ, Pashley DH. Adhesion of endodontic sealers to dentin and gutta-percha. J Endod 2002;28:684–8.
  • Bergmans L, Moisiadis P, De Munck J, Van Lambrechts polymerization shrinkage on the sealing capacity of resin fillers for endodontic use. J Adhes Dent 2005;7:321–9. P. Effect of
  • Saleh IM, Ruyter IE, Haapasalo MP, Ørstavik D. Adhesion of endodontic sealers: scanning electron micro-scopy and energy dispersive spectroscopy. J Endod 2003;29:595–601.
  • Gogos C, Economides N, Stavrianos C, Kolokouris I, Kokorikos I. Adhesion of a new methacrylate resin-based sealer to human dentin. Journal of Endodontics 2004;30:238–40.
  • Doyle MD, Loushine RJ, Agee KA et al. Improving the performance of EndoRez root canal sealer with a dual-cured two-step self-etch adhesive. I. Adhesive 2006;32:766–70. dentin. J Endod
  • Eldeniz AU, Erdemir A, Belli S. Shear bond strength of three resin based sealers to dentin with and without the smear layer. J Endod 2005;31:293–6.
  • Hayashi M, Takahashi Y, Hirai M, Iwami Y, Imazato S, Ebisu S. Effect of endodontic irrigation on bonding of resin cement to radicular dentin. Eur J Oral Sci 2005;113:70–6.
  • Saleh IM, Ruyter IE, Haapasalo M, Ørstavik D. The effects of dentine pretreatment on the adhesion of root-canal sealers. Int Endod J 2002;35:859–66.
  • Barbizam JV, Trope M, Tanomaru-Filho M, Teixeira EC, Teixeira FB. Bond strength of different endodontic sealers to dentin: push-out test. J Appl Oral Sci. 2011;19:644-7.
  • Fisher MA, Berzins DW, Bahcall JK. An in vitro comparison of bond strength of various obturation materials to root canal dentin using a push-out test design. J Endod. 2007;33:856-8.
  • Teixeira CS, Alfredo E, Thomé LH, Gariba-Silva R, Silva-Sousa YC, Sousa-Neto MD. Adhesion of an endodontic sealer to dentin and gutta-percha: shear and push-out bond strength measurements and SEM analysis. J Appl Oral Sci. 2009;17:129-35.
  • Gesi A, Raffaelli O, Goracci C, Pashley DH, Tay FR, Ferrari M. Interfacial strength of resilon and gutta- percha to intraradicular dentin. J Endod. 2005;31:809-13.
  • Jainaen A, Palamara JEA, Messer HH. Push-out bond strengths of the dentine-sealer interface with and without a main cone. Int Endod J 2007;40:882-90.
  • Nagas E, Altundasar E, Serper A. The effect of master point taper on bond strenght and apical sealing ability of different root canal sealers. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:61-4.
  • Patil SA, Dodwad PK, Patil AA. An in vitro comparison of bond strengths of Gutta-percha/AH Plus, Resilon/Epiphany self-etch and EndoREZ obturation system to intraradicular dentin using a push-out 2013;16:238-42. J Conserv Dent.
  • Hashem AA, Ghoneim AG, Lutfy RA, Fouda MY. The effect of different irrigating solutions on bond strength of two root canal-filling systems. J Endod 2009;35:537-40.
  • Shokouhinejad N, Sharifian MR, Jafari M, Sabeti MA. Push-out bond strength of Resilon/Epiphany self-etch and gutta-percha/AH26 after different irrigation protocols. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;110:88-92.

İKİ FARKLI KANAL PATININ FARKLI İRRİGASYON SOLÜSYONLARI KULLANILARAK PUSH-OUT YÖNTEMİ İLE DENTİNE BAĞLANMA DİRENÇLERİNİN DEĞERLENDİRİLMESİ

Year 2014, Volume: 24 Issue: 1, 16 - 21, 11.02.2015
https://doi.org/10.17567/dfd.85707

Abstract

Amaç: Çalışmamızın amacı, kök kanalı irrigasyonu için farklı irrigasyon solüsyonlarının kullanılmasından sonra gütaperka ile farklı kanal patı kullanılarak yapılan kök kanal dolgusunun dentine ve gütaperkaya bağlanma dayanımının incelenmesidir.

Gereç ve Yöntem: Çalışmamızda 70 adet çekilmiş üst keser ve kanin diş kullanıldı. Dişlerin kök kanal preparasyonları Mtwo (VDW, Munich, Germany) döner sistem eğeler kullanılarak 60.04 nolu eğeye kadar yapıldı. Dişler rastgele olarak her grupta 15 diş olacak şekilde 4 farklı gruba ayrıldı. Ayrıca 5’şer dişten oluşan 2 ayrı kontrol grubu oluşturuldu.  Birinci (A) ve Üçüncü (C) gruplarda final irrigasyon olarak NaOCl ile MTAD solüsyonu sırası ile uygulandı. İkinci (B) ve dördüncü (D) gruplarda ise final irrigasyon olarak NaOCl ile EDTA uygulandı. Kontrol gruplarında ise irrigasyon solüsyonu olarak sadece NaOCl kullanıldı. Kök kanal dolguları A ve B gruplarında AH Plus (Dentsply DeTrey, Konstanz, Germany) kanal patı ve gütaperka, C ve D gruplarında ise Endorez (Ultradent, South Jordan, USA) kanal patı ve gütaperka kullanılarak tek kon yöntemiyle yapıldı. Kontrol gruplarından E grubunda kök kanal dolgusu için AH Plus kanal patı ve gütaperka, F grubunda ise Endorez kanal patı ve gütaperka kullanılarak tamamlandı.  Kök kanal dolguları tamamlandıktan sonra dişler nemli ortamda bir hafta kadar bekletildikten sonra dişlerin koronal ve orta üçlü kısmından 3mm boyutunda horizontal kesitler alınarak farklı irrigasyon solüsyonu uygulamasının, farklı kanal patlarının dentin duvarına ve gütaperkaya bağlanma kuvvetlerine etkisi push-out yöntemiyle değerlendirildi. Elde edilen verilerin istatistiksel analizleri one way Anova Tukey-Kramer çok yönlü karşılaştırmalı testi kullanılarak yapıldı.

Bulgular: Çalışmanın sonucunda elde edilen verilerin ortalama değerleri ve standart sapmaları; MTAD-AH Plus (1.13±0.18a),  EDTA-AH Plus (1.10±0.26a), NaOCl-AH Plus (0.77±0.19c), MTAD-Endorez (0.99±0.20b), EDTA-Endorez (1.02±0.21b) ve NaOCl-Endorez (0.78±0.23c) MPa olarak bulundu. İstatistiksel olarak gruplar arasında anlamlı farklılık gözlendi. En yüksek bağlanma direnci MTAD irrigasyon solüsyonu kullanılarak AH Plus kanal patı ile yapılan kanal dolgusu sonrası elde edildi.

Sonuç: Bu çalışmada, kök kanalının final irrigasyonunda, irrigasyon solüsyonu olarak NaOCl ile MTAD kullanılmasının ve kanal dolgusu işleminde ise uygun bir gütaperka ile AH Plus kanal patının kullanılmasının daha etkili olduğu sonucu bulunmuştur.

References

  • Tan BT, Messer HH. The quality of apical canal preparation using hand and rotary instruments with specific criteria for enlargement based on initial apical file size. J Endod 2002;28:658-64.
  • Rudddle CJ. Cleaning and shaping the root canal system. In: Cohen S, Burns R, editors. Pathways of the pulp. 10th ed. St Louis (MO): Mosby; 2010. p. 231-92.
  • Coldero LG, McHugh S, MacKenzie D, Saunders WP. Reduc-tion in intracanal bacteria during root canal preparation with and without apical enlargement. Int Endod J 2002;35:437-46.
  • Evcil MS, Ersoy İ, Yeter Yeşildal K, Topcu Colak M. A comparıson of the accuracy of two dıfferent apex locators usıng dıfferent root canal solutıons. Atatürk Üniv Diş Hek Fak Derg 2012;22:132-7.
  • Torabinejad M, Johnson WB (Inventors, Assignee): Irrigation solution and methods for use, US Patent and Trademark Office, December 25, 2003.
  • Torabinejad M, Khademi AA, Babagoli J, Cho Y, Johnson WB, Bozhilov K, et al. A new solution for the the Endod 2003;29:170–5. smear layer. J
  • Torabinejad M, Shabahang S, Aprecio RM, Kettering JD. The antimicrobial effect of MTAD: an invitro investigation. J Endod 2003;29:400-3.
  • Stoll R, Betke K, Stachniss V. The influence of different factors on the survival of root canal fillings: a 10-year retrospective study. J Endod 2005;31:783-90.
  • Dummer PM. Comparison of undergraduate endodontic teaching programmes in the United Kingdom and in some dental schools in Europe and the United States. Int Endod J 1991;24:169-77.
  • Shipper G, Ørstavik D, Teixeira FB, Trope M. An evaluation of microbial leakage in roots filled with a thermoplastic synthetic polymer-based root canal filling material (Resilon). J Endod 2004;30:342–7.
  • Shipper G, Teixeira FB, Arnold RR, Trope M. Periapical inflammation after coronal microbial inoculation of dog roots filled with gutta-percha or resilon J Endod 2005;31:91-6.
  • Tay FR, Pashley DH. Monoblocks in root canals: a hypothetical or a tangible goal. J Endod 2007;33:391-8. Review.
  • Gillespie WT, Loushine RJ, Weller RN, Mazzoni A, Doyle MD, Waller JL, Pashley DH, Tay FR. Improving the performance of EndoREZ root canal sealer with a dual-cured two-step self-etch adhesive. II. Apical and coronal seal. J Endod 2006;32:771-5.
  • Tagger M, Tagger E, Tjan AH, Bakland LK. Measurement of adhesion of endodontic sealers to dentin. J Endod 2002;28:351-4.
  • Nagas E., Cehreli ZC, Durmaz V, Vallittu PK, Lassila LV. Regional push-out bond strength and coronal microleakage of Resilon after different light-curing methods. J Endod 2007;33:1464-8
  • Goracci C, Tavares AU, Fabianelli A, Monticelli F, Raffaelli O, Cardoso PC, Tay F, Ferrari M. The adhesion between fiber posts and root canal walls: comparison between microtensile and push-out bond strength measurements. Eur J Oral Sci 2004;112:353-61.
  • Sundqvist G, Figdor D, Persson S, Sjogren U. Microbiologic analysis of teeth with failed endodontic treatment and the outcome of conservative re-treatment. Oral Surg, Oral Med, Oral Pathol, Oral Radiol, Oral Endod 1998;85:86– 93.
  • Skinner RL, Himel VT. The sealing ability of injection-molded thermoplasticized gutta-percha with and withoutthe use of sealers. J Endod 1987;13:315–7.
  • Wennberg A, Ørstavik D. Adhesion of root canal sealers to bovine dentine and gutta-percha. Int Endod J 1990;23:13–9.
  • Lee KW, Williams MC, Camps JJ, Pashley DH. Adhesion of endodontic sealers to dentin and gutta-percha. J Endod 2002;28:684–8.
  • Bergmans L, Moisiadis P, De Munck J, Van Lambrechts polymerization shrinkage on the sealing capacity of resin fillers for endodontic use. J Adhes Dent 2005;7:321–9. P. Effect of
  • Saleh IM, Ruyter IE, Haapasalo MP, Ørstavik D. Adhesion of endodontic sealers: scanning electron micro-scopy and energy dispersive spectroscopy. J Endod 2003;29:595–601.
  • Gogos C, Economides N, Stavrianos C, Kolokouris I, Kokorikos I. Adhesion of a new methacrylate resin-based sealer to human dentin. Journal of Endodontics 2004;30:238–40.
  • Doyle MD, Loushine RJ, Agee KA et al. Improving the performance of EndoRez root canal sealer with a dual-cured two-step self-etch adhesive. I. Adhesive 2006;32:766–70. dentin. J Endod
  • Eldeniz AU, Erdemir A, Belli S. Shear bond strength of three resin based sealers to dentin with and without the smear layer. J Endod 2005;31:293–6.
  • Hayashi M, Takahashi Y, Hirai M, Iwami Y, Imazato S, Ebisu S. Effect of endodontic irrigation on bonding of resin cement to radicular dentin. Eur J Oral Sci 2005;113:70–6.
  • Saleh IM, Ruyter IE, Haapasalo M, Ørstavik D. The effects of dentine pretreatment on the adhesion of root-canal sealers. Int Endod J 2002;35:859–66.
  • Barbizam JV, Trope M, Tanomaru-Filho M, Teixeira EC, Teixeira FB. Bond strength of different endodontic sealers to dentin: push-out test. J Appl Oral Sci. 2011;19:644-7.
  • Fisher MA, Berzins DW, Bahcall JK. An in vitro comparison of bond strength of various obturation materials to root canal dentin using a push-out test design. J Endod. 2007;33:856-8.
  • Teixeira CS, Alfredo E, Thomé LH, Gariba-Silva R, Silva-Sousa YC, Sousa-Neto MD. Adhesion of an endodontic sealer to dentin and gutta-percha: shear and push-out bond strength measurements and SEM analysis. J Appl Oral Sci. 2009;17:129-35.
  • Gesi A, Raffaelli O, Goracci C, Pashley DH, Tay FR, Ferrari M. Interfacial strength of resilon and gutta- percha to intraradicular dentin. J Endod. 2005;31:809-13.
  • Jainaen A, Palamara JEA, Messer HH. Push-out bond strengths of the dentine-sealer interface with and without a main cone. Int Endod J 2007;40:882-90.
  • Nagas E, Altundasar E, Serper A. The effect of master point taper on bond strenght and apical sealing ability of different root canal sealers. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:61-4.
  • Patil SA, Dodwad PK, Patil AA. An in vitro comparison of bond strengths of Gutta-percha/AH Plus, Resilon/Epiphany self-etch and EndoREZ obturation system to intraradicular dentin using a push-out 2013;16:238-42. J Conserv Dent.
  • Hashem AA, Ghoneim AG, Lutfy RA, Fouda MY. The effect of different irrigating solutions on bond strength of two root canal-filling systems. J Endod 2009;35:537-40.
  • Shokouhinejad N, Sharifian MR, Jafari M, Sabeti MA. Push-out bond strength of Resilon/Epiphany self-etch and gutta-percha/AH26 after different irrigation protocols. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;110:88-92.
There are 36 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Articles
Authors

Ersan Çiçek

Neslihan Özerol This is me

Publication Date February 11, 2015
Published in Issue Year 2014 Volume: 24 Issue: 1

Cite

APA Çiçek, E., & Özerol, N. (2015). İKİ FARKLI KANAL PATININ FARKLI İRRİGASYON SOLÜSYONLARI KULLANILARAK PUSH-OUT YÖNTEMİ İLE DENTİNE BAĞLANMA DİRENÇLERİNİN DEĞERLENDİRİLMESİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 24(1), 16-21. https://doi.org/10.17567/dfd.85707
AMA Çiçek E, Özerol N. İKİ FARKLI KANAL PATININ FARKLI İRRİGASYON SOLÜSYONLARI KULLANILARAK PUSH-OUT YÖNTEMİ İLE DENTİNE BAĞLANMA DİRENÇLERİNİN DEĞERLENDİRİLMESİ. Ata Diş Hek Fak Derg. February 2015;24(1):16-21. doi:10.17567/dfd.85707
Chicago Çiçek, Ersan, and Neslihan Özerol. “İKİ FARKLI KANAL PATININ FARKLI İRRİGASYON SOLÜSYONLARI KULLANILARAK PUSH-OUT YÖNTEMİ İLE DENTİNE BAĞLANMA DİRENÇLERİNİN DEĞERLENDİRİLMESİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 24, no. 1 (February 2015): 16-21. https://doi.org/10.17567/dfd.85707.
EndNote Çiçek E, Özerol N (February 1, 2015) İKİ FARKLI KANAL PATININ FARKLI İRRİGASYON SOLÜSYONLARI KULLANILARAK PUSH-OUT YÖNTEMİ İLE DENTİNE BAĞLANMA DİRENÇLERİNİN DEĞERLENDİRİLMESİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 24 1 16–21.
IEEE E. Çiçek and N. Özerol, “İKİ FARKLI KANAL PATININ FARKLI İRRİGASYON SOLÜSYONLARI KULLANILARAK PUSH-OUT YÖNTEMİ İLE DENTİNE BAĞLANMA DİRENÇLERİNİN DEĞERLENDİRİLMESİ”, Ata Diş Hek Fak Derg, vol. 24, no. 1, pp. 16–21, 2015, doi: 10.17567/dfd.85707.
ISNAD Çiçek, Ersan - Özerol, Neslihan. “İKİ FARKLI KANAL PATININ FARKLI İRRİGASYON SOLÜSYONLARI KULLANILARAK PUSH-OUT YÖNTEMİ İLE DENTİNE BAĞLANMA DİRENÇLERİNİN DEĞERLENDİRİLMESİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 24/1 (February 2015), 16-21. https://doi.org/10.17567/dfd.85707.
JAMA Çiçek E, Özerol N. İKİ FARKLI KANAL PATININ FARKLI İRRİGASYON SOLÜSYONLARI KULLANILARAK PUSH-OUT YÖNTEMİ İLE DENTİNE BAĞLANMA DİRENÇLERİNİN DEĞERLENDİRİLMESİ. Ata Diş Hek Fak Derg. 2015;24:16–21.
MLA Çiçek, Ersan and Neslihan Özerol. “İKİ FARKLI KANAL PATININ FARKLI İRRİGASYON SOLÜSYONLARI KULLANILARAK PUSH-OUT YÖNTEMİ İLE DENTİNE BAĞLANMA DİRENÇLERİNİN DEĞERLENDİRİLMESİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, vol. 24, no. 1, 2015, pp. 16-21, doi:10.17567/dfd.85707.
Vancouver Çiçek E, Özerol N. İKİ FARKLI KANAL PATININ FARKLI İRRİGASYON SOLÜSYONLARI KULLANILARAK PUSH-OUT YÖNTEMİ İLE DENTİNE BAĞLANMA DİRENÇLERİNİN DEĞERLENDİRİLMESİ. Ata Diş Hek Fak Derg. 2015;24(1):16-21.

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