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

Dilara Arslan; Mehmet Burak Güneşer; Fatma Kaplan; Aslıhan Üşümez

doi:10.17567/ataunidfd.381302

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

Abstract

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

Keywords

Biodentine,Er: YAG lazer,Nd: YAG lazer

References

.1. Kim S, Kratchman S. Modern endodontic surgery concepts and practice: a review. J Endod 2006;32:601-23.
2. Mohammadi Z. Laser applications in endodontics: an update review. Int Dent J 2009;59:35-46.
3. Wang N, Knight K, Dao T, Friedman S. Treatment outcome in endodontics-The Toronto Study. Phases I and II: apical surgery. J Endod 2004;30:751-61.
4. Garip H, Garip Y, Orucoglu H, Hatipoglu S. Effect of the angle of apical resection on apical leakage, measured with a computerized fluid filtration device. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;111:50-5.
5. Pereira CL, Cenci MS, Demarco FF. Sealing ability of MTA, Super EBA, Vitremer and amalgam as root-end filling materials. Braz Oral Res 2004;18:317-21.
6. Roy R, Chandler NP, Lin J. Peripheral dentin thickness after root-end cavity preparation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105:263-6.
7. Post LK, Lima FG, Xavier CB, Demarco FF, Gerhardt-Oliveira M. Sealing ability of MTA and amalgam in different root-end preparations and resection bevel angles: an in vitro evaluation using marginal dye leakage. Braz Dent J 2010;21:416-9.
8. Cohen S, M.Hargreaves K. Pathways of the pulp. 9th ed. St Louis; C.V. Mosby:2006.p.628.

9. Taschieri S, Testori T, Francetti L, Del Fabbro M. Effects of ultrasonic root end preparation on resected root surfaces: SEM evaluation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;98:611-8.
10. Bernardes RA, de Moraes IG, Garcia RB, Bernardineli N, Baldi JV, Victorino FR, et al. Evaluation of apical cavity preparation with a new type of ultrasonic diamond tip. J Endod 2007;33:484-7.
11. Ishikawa H, Sawada N, Kobayashi C, Suda H. Evaluation of root-end cavity preparation using ultrasonic retrotips. Int Endod J 2003;36:586-90.
12. Kimura Y, Wilder-Smith P, Matsumoto K. Lasers in endodontics: a review. Int Endod J 2000;33:173-85.
13. Araki AT, Ibraki Y, Kawakami T, Lage-Marques JL. Er:Yag laser irradiation of the microbiological apical biofilm. Braz Dent J 2006;17:296-9.
14. Kato J, Moriya K, Jayawardena JA, Wijeyeweera RL. Clinical application of Er:YAG laser for cavity preparation in children. J Clin Laser Med Surg 2003;21:151-5.
15. Franco EJ AG, Greghi SLA. Comparative evaluation of periodontal radicular therapies conventional. Oral Sci 2005;1:35-42.
16. Oliveira RG, Gouw-Soares S, Baldochi SL, Eduardo CP. Scanning electron microscopy (SEM) and optical microscopy: effects of Er:YAG and Nd:YAG lasers on apical seals after apicoectomy and retrofill. Photomed Laser Surg 2004;22:533-6.
17. Zerbinati LP, Tonietto L, de Moraes JF, de Oliveira MG. Assessment of marginal adaptation after apicoectomy and apical sealing with Nd:YAG laser. Photomed Laser Surg 2012;30:444-50.
18. Baek SH, Plenk H, Jr., Kim S. Periapical tissue responses and cementum regeneration with amalgam, SuperEBA, and MTA as root-end filling materials. J Endod 2005;31:444-9.
19. Grech L, Mallia B, Camilleri J. Characterization of set Intermediate Restorative Material, Biodentine, Bioaggregate and a prototype calcium silicate cement for use as root-end filling materials. Int Endod J 2013;46:632-41.
20. Han L, Okiji T. Uptake of calcium and silicon released from calcium silicate-based endodontic materials into root canal dentine. Int Endod J 2011;44:1081-7.
21. Koubi G, Colon P, Franquin JC, Hartmann A, Richard G, Faure MO, et al. Clinical evaluation of the performance and safety of a new dentine substitute, Biodentine, in the restoration of posterior teeth - a prospective study. Clin Oral Investig 2013;17:243-9.
22. Pawar AM, Kokate SR, Shah RA. Management of a large periapical lesion using Biodentine as retrograde restoration with eighteen months evident follow up. J Conserv Dent 2013;16:573-5.
23. Stabholz A, Khayat A, Weeks DA, Neev J, Torabinejad M. Scanning electron microscopic study of the apical dentine surfaces lased with ND:YAG laser following apicectomy and retrofill. Int Endod J 1992;25:288-91.
24. Birang R, Kiani S, Shokraneh A, Hasheminia SM. Effect of Nd: YAG laser on the apical seal after root-end resection and MTA retrofill: a bacterial leakage study. Lasers Med Sci 2015;30:583-9.
25. Karlovic Z, Pezelj-Ribaric S, Miletic I, Jukic S, Grgurevic J, Anic I. Erbium:YAG laser versus ultrasonic in preparation of root-end cavities. J Endod 2005;31:821-3.
26. Pozza DH, Fregapani PW, Xavier CB, Weber JB, Oliveira MG. CO(2), Er: YAG and Nd:YAG lasers in endodontic surgery. J Appl Oral Sci 2009;17:596-9.
27. Cicek E, Ozsevik A.S, Cortu M, Orucoğlu H. Farklı Kök Ucu Dolgu Materyallerinin Apikal Mikro-Sızıntısı Açısından Bilgisayarlı Sıvı Filtrasyon Metresi ile Değerlendirilmesi. Atatürk Üniv Dis Hek Fak Derg 2015;25:165-71.
28. Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review--Part I: chemical, physical, and antibacterial properties. J Endod 2010;36:16-27.
29. Johns DA, Shivashankar VY, Shobha K, Johns M. An innovative approach in the management of palatogingival groove using Biodentine and platelet-rich fibrin membrane. J Conserv Dent 2014;17:75-9.
30. Pathomvanich S, Edmunds DH. The sealing ability of Thermafil obturators assessed by four different microleakage techniques. Int Endod J 1996;29:327-34.
31. Ahlberg KM, Assavanop P, Tay WM. A comparison of the apical dye penetration patterns shown by methylene blue and india ink in root-filled teeth. Int Endod J 1995;28:30-4.
32. Robertson D, Leeb IJ, McKee M, Brewer E. A clearing technique for the study of root canal systems. J Endod 1980;6:421-4.
33. Lucena-Martin C, Ferrer-Luque CM, Gonzalez-Rodriguez MP, Robles-Gijon V, Navajas-Rodriguez de Mondelo JM. A comparative study of apical leakage of Endomethasone, Top Seal, and Roeko Seal sealer cements. J Endod 2002;28:423-6.
34. Gagliani M, Taschieri S, Molinari R. Ultrasonic root-end preparation: influence of cutting angle on the apical seal. J Endod 1998;24:726-30.
35. Gouw-Soares S, Tanji E, Haypek P, Cardoso W, Eduardo CP. The use of Er:YAG, Nd:YAG and Ga-Al-As lasers in periapical surgery: a 3-year clinical study. J Clin Laser Med Surg 2001;19:193-8.
36. Arisu HD, Bala O, Alimzhanova G, Turkoz E. Assessment of morphological changes and permeability of apical dentin surfaces induced by Nd:Yag laser irradiation through retrograde cavity surfaces. J Contemp Dent Pract 2004;5:102-13.
37. Komabayashi T, Spangberg LS. Comparative analysis of the particle size and shape of commercially available mineral trioxide aggregates and Portland cement: a study with a flow particle image analyzer. J Endod 2008;34:94-8.
38. Kocak MM, Kocak S, Aktuna S, Gorucu J, Yaman SD Sealing ability of retrofilling materials following various root-end cavity preparation techniques. Lasers Med Sci 2011;26:427-31.
39. Paghdiwala AF. Root resection of endodontically treated teeth by erbium: YAG laser radiation. J Endod 1993;19:91-4.
40. Pecora JD, Cussioli AL, Guerisoli DM, Marchesan MA, Sousa-Neto MD, Brugnera Junior A. Evaluation of Er:YAG laser and EDTAC on dentin adhesion of six endodontic sealers. Braz Dent J 2001;12:27-30.
41. Caliskan MK, Parlar NK, Orucoglu H, Aydin B Apical microleakage of root-end cavities prepared by Er, Cr: YSGG laser. Lasers Med Sci 2010; 25:145-50.
42. Onay EO, Gogos C, Ungor M, Economides N, Lyssaris V, Ogus E, Lambrianidis T. Effect of Er,Cr:YSGG laser irradiation on apical sealing ability of calcium silicatecontaining endodontic materials in root-end cavities. Dent Mater J 2014; 33:570-5.
43. Nanjappa AS, Ponnappa KC, Nanjamma KK, Ponappa MC, Girish S, Nitin A. Sealing ability of three root-end filling materials prepared using an erbium: Yttrium aluminium garnet laser and endosonic tip evaluated by confocal laser scanning microscopy. J Conserv Dent 2015;18:327-30.
44.Ravichandra PV, Vemisetty H, K D, Reddy SJ, D R, Krishna MJ, et al. Comparative Evaluation of Marginal Adaptation of Biodentine (TM) and Other Commonly Used Root End Filling Materials-An Invitro Study. J Clin Diagn Res 2014;8:243-5.
45. Caron G, Azerad J, Faure MO, Machtou P, Boucher Y. Use of a new retrograde filling material (Biodentine) for endodontic surgery: two case reports. Int J Oral Sci 2014;6:250-3.

Details

Primary Language

Turkish

Subjects

Dentistry

Journal Section

Research Article

Authors

Dilara Arslan This is me

Mehmet Burak Güneşer This is me

Fatma Kaplan This is me

Aslıhan Üşümez This is me

Publication Date

December 3, 2017

Submission Date

July 11, 2016

Acceptance Date

January 10, 2017

Published in Issue

Year 2017 Volume: 27 Number: 3

DOI

https://doi.org/10.17567/ataunidfd.381302

IZ

https://izlik.org/JA69KB88CX

Cite

RIS / Bibtex

APA

Arslan, D., Güneşer, M. B., 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. https://doi.org/10.17567/ataunidfd.381302

AMA

1.Arslan D, Güneşer MB, 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):139-146. doi:10.17567/ataunidfd.381302

Chicago

Arslan, Dilara, Mehmet Burak Güneşer, Fatma Kaplan, and Aslıhan Üşümez. 2017. “FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 27 (3): 139-46. https://doi.org/10.17567/ataunidfd.381302.

EndNote

Arslan D, Güneşer MB, Kaplan F, Üşümez A (December 1, 2017) FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 27 3 139–146.

IEEE

[1]D. Arslan, M. B. Güneşer, F. Kaplan, and A. Üşümez, “FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ”, Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, vol. 27, no. 3, pp. 139–146, Dec. 2017, doi: 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 1, 2017): 139-146. https://doi.org/10.17567/ataunidfd.381302.

JAMA

1.Arslan D, Güneşer MB, Kaplan F, Üşümez A. FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2017;27:139–146.

MLA

Arslan, Dilara, et al. “FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, vol. 27, no. 3, Dec. 2017, pp. 139-46, doi:10.17567/ataunidfd.381302.

Vancouver

1.Dilara Arslan, Mehmet Burak Güneşer, Fatma Kaplan, Aslıhan Üşümez. FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2017 Dec. 1;27(3):139-46. doi:10.17567/ataunidfd.381302

Cited By

The Study of Effectiveness of Various Surface Sealants on the Sealing Ability in Class V Glass-Ionomer Restorations

Current Research in Dental Sciences

https://doi.org/10.17567/currresdentsci.1445811