Year 2017, Volume 27 , Issue 3, Pages 139 - 146 2017-12-03

FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ

Dilara ARSLAN [1] , Mehmet Burak GÜNEŞER [2] , Fatma KAPLAN [3] , Aslıhan ÜŞÜMEZ [4]


Amaç: Erbium:Yttrium Aluminium Garnet (Er:YAG) ve Neodymium-Doped Yttrium Aluminum Garnet (Nd:YAG) lazer kullanılarak hazırlanmış retrograd kavitelerde Biodentin dolgu materyeli kullanımının apikal sızıntı üzerine etkisinin boya penetrasyon testi kullanılarak incelenmesidir.

Gereç ve yöntem: Kuronları uzaklaştırılan 64 adet tek köklü çekilmiş insan dişi ProTaper eğe sistemi ile F4’e kadar ile şekillendirildi. Guta-perka ve AH plus kanal patı kullanılarak lateral kondensasyon yöntemi ile dolduruldu. Apikal 3 mm’ lik parçalar kökün uzun aksına 90° olacak şekilde kesilerek uzaklaştırıldı. Kökler rastgele 8 gruba ayrıldı. (n:8); Grup 1: Hiçbir işlem yapılmadı, Grup 2: Apikal kök yüzeyine Nd:YAG lazer uygulandı, Grup 3: Fissür frez ile Sınıf 1 kavite açıldı (KP), Grup 4: Fissür frez ile KP+Biodentin, Grup 5: Fissür frez ile  KP+Nd:YAG  lazer+Biodentin, Grup 6: Er:YAG lazer ile KP, Grup 7: Er:YAG lazer ile KP+Biodentin, Grup 8: Er:YAG lazer ile KP+Nd:YAG lazer+ Biodentin. Kök yüzeyleri apikal 1mm hariç iki kat tırnak cilası kaplandı ve 15 gün süre ile çini mürekkebinde bekletildi. Apikal sızıntı şeffaflaştırma yöntemi ile değerlendirildi. İstatistiksel analiz Mann-Whitney U ve Kruskal-Wallis testleri kullanılarak yapıldı. 

Bulgular: Biodentin ile doldurulmuş gruplar (4,5,7,8) arasında boya sızıntısı açısından istatistiksel olarak anlamlı bir fark bulunmamıştır (p>0.05). Biodentin uygulanan tüm gruplar ile  (4,5,7,8) uygulanmayan diğer tüm gruplar (1,2,3,6) arasında istatistiksel olarak anlamlı fark tespit edilmiştir (p<0.05). Kavite açılımı olmadan apisektomi sonrası Nd:YAG lazer uygulanan grup 2 ile diğer tüm arasında istatistiksel olarak anlamlı fark elde edilmiştir (p<0.05).

Sonuç: Uygulanan kavite açım prosedürlerinin farklılığına bakılmaksızın, Biodentin apikal szınıtıyı engellemiştir. Apisektomi sonrası Nd: YAG lazer uygulaması hiçbir işlem uygulanmamasına alternatif olarak önerilebilir.

Anahtar Kelimeler:    Biodentine, Er: YAG lazer, Nd: YAG lazer, retrograd tıkama

THE EFFECT OF VARIOUS RETROCAVITY PREPARATION TECHNIQUES AND RETROFILLING WITH BIODENTINE ON APICAL MICROLEAKAGE

ABSTRACT

 

Aim: The aim of this study was to evaluate the apical microleakage of root-end cavities prepared by Er:YAG (400 mJ, 10 Hz) or Nd:YAG (150 mJ, 10 Hz) laser and the effect of Biodentine by using dye penetration method.

Material and Methods: Decoronated sixty-four extracted single-rooted human teeth were prepared using ProTaper® up to F4 and obturated by lateral condensation technique with Guta-perka ve AH plus. The 3-mm of 90° apicoectomy was performed by low-speed diamond burs. The roots were randomly divided into eight groups (n=8) as follows; Group1: Only apicoectomy without a cavity preparation (CP); Group2: Nd:YAG laser after apicoectomy without a CP; Group: CP with bur; Group4: CP/bur and filled with Biodentine; Group5: CP/bur+Nd:YAG irradiation+Biodentine; Group6: CP with Er:YAG; Group7: CP/Er:YAG+Biodentine; Group8: CP/Er:YAG+Nd:YAG irradiation+Biodentine. The root surfaces were coated with a double layer of nail varnish except the retrograde-filled surfaces and roots were immersed in Indian-ink for 15 days. Dye penetration level was assessed with clearing technique. Data were statistically analyzed by using Kruskal-Wallis and Mann Whitney U test.

 Results: Retrofilling with Biodentine groups showed the lowest microleakage (p<0.05). There was no significant difference apical leakage between the roots-filled Biodentine groups (p>0.05). However; there were statistical significant differences between apicoectomy and apicoectomy+Nd:YAG laser group (p<0.05).

Conclusion: Within the limitations of this in vitro study, it can be concluded that retro-filling with Biodentine prevented the apical microleakage. In addition, the treatment of apical surfaces with Nd:YAG laser without a retro-preparation decreases the microleakage in comparison with only apicoectomy.

Key Words: Biodentine, Er: YAG laser, Nd: YAG laser, retrograd obturation

Biodentine, Er: YAG lazer, Nd: YAG lazer
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Primary Language tr
Subjects Dentistry, Oral Surgery and Medicine
Journal Section Articles
Authors

Author: Dilara ARSLAN

Author: Mehmet Burak GÜNEŞER

Author: Fatma KAPLAN

Author: Aslıhan ÜŞÜMEZ

Dates

Publication Date : December 3, 2017

Bibtex @research article { ataunidfd381302, journal = {Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi}, issn = {1300-9044}, eissn = {2667-5161}, address = {}, publisher = {Ataturk University}, year = {2017}, pages = {139 - 146}, doi = {10.17567/ataunidfd.381302}, title = {FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ}, key = {cite}, author = {ARSLAN, Dilara and GÜNEŞER, Mehmet Burak and KAPLAN, Fatma and ÜŞÜMEZ, Aslıhan} }
APA ARSLAN, D , GÜNEŞER, M , KAPLAN, F , ÜŞÜMEZ, A . (2017). FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi , 27 (3) , 139-146 . DOI: 10.17567/ataunidfd.381302
MLA ARSLAN, D , GÜNEŞER, M , KAPLAN, F , ÜŞÜMEZ, A . "FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ". Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 27 (2017 ): 139-146 <https://dergipark.org.tr/en/pub/ataunidfd/article/381302>
Chicago ARSLAN, D , GÜNEŞER, M , KAPLAN, F , ÜŞÜMEZ, A . "FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ". Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 27 (2017 ): 139-146
RIS TY - JOUR T1 - FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ AU - Dilara ARSLAN , Mehmet Burak GÜNEŞER , Fatma KAPLAN , Aslıhan ÜŞÜMEZ Y1 - 2017 PY - 2017 N1 - doi: 10.17567/ataunidfd.381302 DO - 10.17567/ataunidfd.381302 T2 - Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi JF - Journal JO - JOR SP - 139 EP - 146 VL - 27 IS - 3 SN - 1300-9044-2667-5161 M3 - doi: 10.17567/ataunidfd.381302 UR - https://doi.org/10.17567/ataunidfd.381302 Y2 - 2017 ER -
EndNote %0 Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ %A Dilara ARSLAN , Mehmet Burak GÜNEŞER , Fatma KAPLAN , Aslıhan ÜŞÜMEZ %T FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ %D 2017 %J Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi %P 1300-9044-2667-5161 %V 27 %N 3 %R doi: 10.17567/ataunidfd.381302 %U 10.17567/ataunidfd.381302
ISNAD ARSLAN, Dilara , GÜNEŞER, Mehmet Burak , KAPLAN, Fatma , ÜŞÜMEZ, Aslıhan . "FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ". Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 27 / 3 (December 2017): 139-146 . https://doi.org/10.17567/ataunidfd.381302
AMA ARSLAN D , GÜNEŞER M , KAPLAN F , ÜŞÜMEZ A . FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ. Ata Diş Hek Fak Derg. 2017; 27(3): 139-146.
Vancouver ARSLAN D , GÜNEŞER M , KAPLAN F , ÜŞÜMEZ A . FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2017; 27(3): 146-139.

Authors of the Article
Dilara ARSLAN [1]
Mehmet Burak GÜNEŞER [2]
Fatma KAPLAN [3]
Aslıhan ÜŞÜMEZ [4]