YENİ SONİK SİSTEM VİBRİNGE İLE FARKLI İRRİGASYON SİSTEMLERİNİN KÖK KANALLARINDAN KALSİYUM HİDROKSİT UZAKLAŞTIRMA ETKİNLİKLERİNİN KARŞILAŞTIRILMASI

Year 2019, Volume: 29 Issue: 3, 407 - 415, 16.07.2019

Banu Arıcıoğlu Ömer Hatipoğlu

https://doi.org/10.17567/ataunidfd.526993

Abstract

Amaç: Bu çalışmanın amacı, Vibringe,
EndoVac, pasif ultrasonik (PUI) ve geleneksel şırınga irrigasyonunun (GSI)  kök kanallarından kalsiyum hidroksit
(CH)  uzaklaştırma etkinliklerinin
taramalı elektron mikroskop (SEM) yardımı ile değerlendirilmesidir.

Gereç ve Yöntem: Bu çalışma için 70
adet tek köklü insan mandibular premolar diş kullanıldı. Örnekler ProTaper
döner sistem ile F4'e kadar prepare edildi ve kalsiyum hidroksit ile
dolduruldu. Bir hafta sonra, kalsiyum hidroksit kök kanallarından GSI (Grup 1)
, Vibringe (Grup 2) , EndoVac, (Grup 3) ve PUI (Grup 4) yöntemleri kullanılarak
uzaklaştırıldı.  İşlemler sırasında, her
örnek için toplamda altı dakika boyunca (aktif ve pasif irrigasyon) 2.5 mL %
2.5’lik NaOCI ve ardından 2.5 mL’lik % 17’lik EDTA kullanıldı. Kalan kalsiyum
hidroksit miktarının değerlendirilmesi için kökler uzunlamasına ikiye ayrıldı
ve x50 ve x1000 büyütme altında SEM’de incelendi. Veriler Kruskal-Wallis ve
Mann-Whitney U testleri ile istatistiksel olarak analiz edildi (α = 0.05).

Bulgu: Çalışmada kullanılan
yöntemlerinden hiçbirisi kök kanal duvarlarından kalsiyum hidroksit medikamentini
tamamen uzaklaştıramadı..

GSI sonrasında kanal duvarlarında
en fazla kalsiyum hidroksit artığına rastlanırken, Vibringe, EndoVac ve PUI
yöntemleri arasında anlamlı fark tespit edilmedi.(p> 0.05) Bununla birlikte
GSI yönteminde apikal bölgede,  koronal
ve orta üçlüye göre anlamlı oranda daha fazla kalsiyum hidroksit artığına
rastlanıldı. (p = 0.017) Vibringe, EndoVac ve PUI yöntemlerinin temizleme
etkinliği ise kanal üçlü bölgelerine göre anlamlı farklılık göstermedi.

Sonuç: Kök kanallarından kalsiyum
hidroksit uzaklaştırmada Vibringe, EndoVac ve PUI yöntemleri birbirlerine
benzer temizleme etkinliği göstermiş ve bu üç teknik de GSI metodundan daha başarılı
bulunmuştur.

Anahtar kelimeler: Kalsiyum
hidroksit, Vibringe, EndoVac, Pasif Ultrasonik İrrigasyon, SEM

 

Comparison
of Calcium Hydroxide Removal Activities from Root Canals of New Sonic System
Vibringe and
Different
Irrigation Systems

                                                     
ABSRACT

Objectives:
The aim of this study was to evaluate the removal efficiencies of calcium
hydroxide (CH) from the root canals using Vibringe, EndoVac, passive ultrasonic
(PUI) and conventional needle irrigation (GSI) by means of scanning electron
microscopy (SEM).

Materials
and Methods: Seventy single-rooted human mandibular premolar teeth were used for
this study. The samples were prepared with the Protaper rotary system up to F4
and filled with calcium hydroxide. One week later, Calcium hydroxide was
removed from the root canals with the several irrigation methods as follows: GSI
(Group 1), Vibringe (Group 2), EndoVac (Group 3), PUI (Group 4).

 During the irrigation procedure, for each
sample, 2.5 mL of 2.5% NaOCl followed by 2.5 mL of 17% EDTA was used for six
minutes totally (active and passive irrigation). For the evaluation of
remaining calcium hydroxide, the roots were split longitudinally and evaluated
under SEM at x50 and x1000. Data were analyzed statistically by Kruskal-Wallis
and Mann-Whitney U tests (α=0.05).

Results: None
of the methods used in the study could completely remove the calcium hydroxide
medication from the root canal walls. Although the most residuel calcium
hydroxide was observed on the canal walls after GSI irrigation, there was no
significant difference between Vibringe, EndoVac and PUI methods (p> 0.05).
However, GSI method showed significantly more calcium hydroxide residues in the
apical region (p=0.017)  than the coronal
and middle area. The cleaning efficiency of the Vibringe, EndoVac and PUI
methods were not significantly different in root canal areas.

Conclusions: In terms of calcium hydroxide removal from root
canals, Vibringe, EndoVac and PUI methods were found to be more effective than
the GSI; however, there was no significant difference could be detected between
each other.

Key
Words: Calcium Hydroxide, Vibringe, EndoVac,
Passive Ultrasonic İrrigation, SEM

Keywords

Kalsiyum hidroksit, Vibringe, EndoVac, Pasif Ultrasonik İrrigasyon

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