Year 2021, Volume 31 , Issue 1, Pages 39 - 45 2021-01-15

REJENERATİF ENDODONTİK TEDAVİ PROTOKOLÜNE GÖRE PULPA BOŞLUĞU BARİYERİ OLARAK BİODENTİN VE MTA KULLANIMININ YAPAY OLARAK TAKLİT EDİLMİŞ OLGUNLAŞMAMIŞ KÖKE SAHİP DİŞLERİN KIRILMA DİRENÇLERİNE ETKİSİ

Yahya GÜVEN [1] , Halit ALADAĞ [2] , Hakan ARSLAN [3]


Amaç: Bu çalışmanın amacı, rejeneratif endodontik tedavi prosedürüne göre pulpa boşluğu bariyeri olarak biodentin (BD) ve mineral trioksit agregat (MTA)ın kullanımı sonrası yapay olarak taklit edilmiş olgunlaşmamış köke sahip dişlerin uzun süreli kırılma direncini karşılaştırmalı olarak incelemektir. Materyal Metot: 80 adet çekilmiş maksiller santral diş, her biri 20 dişten oluşan 4 gruba ayrıldı. Pozitif kontrol grubundaki dişlere herhangi bir tedavi uygulanmadı. Kalan dişler apikal foramenden 1 mm çıkılarak 6 Nolu Peeso Freze kadar genişletildi. Kök kanallarının irrigasyon ve dezenfeksiyonu Amerikan Endodontistler Birliği’nin önerdiği rejeneratif endodonti prosedürüne göre yapıldı. Kanalların koronal kısmı mine-sement birleşiminin yaklaşık 3 mm altına kadar MTA ya da Biodentin ile dolduruldu. Negatif kontrol grubundaki kanallar prepare edildiği halde boş bırakıldı. Koronal giriş kavitesi, cam iyonomer ve bunu takiben kompozit rezin ile restore edildi. Dişler fosfat tamponlu salin çözeltisine kondu ve 3 ay boyunca saklandı. Daha sonra her örnek, üniversal test makinesi kullanılarak kırılma testine tabi tutuldu. Maksimum kırılma yükü kaydedildi ve veriler istatistiksel olarak analiz edildi. Bulgular: Pozitif kontrol grubu en yüksek kırılma direncine sahipti. Negatif kontrol grubundaki kırılma direnci diğer gruplara göre anlamlı derecede düşüktü(P <0.05). Biodentin ile MTA grupları arasında anlamlı fark yoktu (P> 0.05). Sonuç: Rejeneratif endodontik tedavi gören enfekte pulpalı olgunlaşmamış dişlerde servikal kök kırılma direnci bakımından MTA ve Biodentin arasında önemli bir fark yoktur. Anahtar Kelimeler: MTA,Biodentin, Olgunlaşmamış Diş, Regeneratif Endodonti, Travma Effect of Using Biodentine and Mineral Trioxide Aggregate (MTA) as a Pulp Space Barrier For Regenerative Endodontic Procedures on the Fracture Resistance of Simulated Teeth With İmmature Roots. ABSTRACT Aim: The aim of this study was to evaluate the long-term fracture resistance of simulated immature teeth loaded with Biodentine and mineral trioxide aggregate (MTA) as pulp cavity barriers for regenerative endodontic procedures. Materials and Methods: Eighty extracted human maxillary anterior teeth were allocated into four groups of 20 teeth each. No procedure was applied to the teeth in the positive control group. The remaining teeth were prepared until a size 6 Peeso (1.7 mm) could be passed 1 mm beyond the apex. The root canals were irrigated and disinfected according to American Association of Endodontists considerations for regenerative endodontic procedures . The canals were filled with either Biodentine or MTA to approximately 3 mm below the cemento enamel junction. The negative control canals were left unfilled. The coronal access cavities were restored with glass ionomer followed by composite resin. The teeth were placed in phosphate-buffered saline solution and stored for 3 months. Each specimen was then subjected to fracture testing using a universal testing machine. The peak load to fracture and the fracture resistance were recorded, and the data were analysed statistically. Results: The positive control group had the highest fracture resistance and differed significantly (P<0.05) from the other experimental groups. No significant difference was found between Biodentin and MTA (P>0.05). Conclusions: Considering the risk of cervical root fracture for pulpless infected immature teeth treated with regenerative endodontic procedures , there was no difference between MTA and Biodentine regarding the resistance to root fracture. Key Words: MTA,Biodentine, Immature Teeth, Regenerative Endodontics , Trauma,
MTA,Biodentin, Olgunlaşmamış Diş, Regeneratif Endodonti,, Travma
  • 1. Ørstavik D, Kerekes K, Molven O. Effects of extensive apical reaming and calcium hydroxide dressing on bacterial infection during treatment of apical periodontitis: a pilot study. Int Endod J 1991; 24: 1-7.
  • 2. Theilade E. The microbiology of the necrotic pulp. Textbook of endodontology. Blackwell Munksgaard, Oxford, United Kingdom 2003: 111-9.
  • 3. Forsyth C. Treatment planning for traumatized teeth. Br Dent J 2013; 214: 319
  • 4. Pitt Ford HE PFT. Harty’s endodontics in clinical practice. 5 Baskı. London, UK 2004: 195-213.
  • 5. Elnaghy AM, Elsaka SE. Fracture resistance of simulated immature teeth filled with Biodentine and white mineral trioxide aggregate–an in vitro study. Dent Traumatol 2015.
  • 6. Wilkinson KL, Beeson TJ, Kirkpatrick TC. Fracture resistance of simulated immature teeth filled with resilon, gutta-percha, or composite. J Endod 2007; 33: 480-3.
  • 7. Hemalatha H, Sandeep M, Kulkarni S, Yakub SS. Evaluation of fracture resistance in simulated immature teeth using Resilon and Ribbond as root reinforcements–an in vitro study. Dent Traumatol 2009; 25: 433-8.
  • 8. Kerekes K, Heide S, Jacobsen I. Follow-up examination of endodontic treatment in traumatized juvenile incisors. J Endod 1980; 6: 744-8.
  • 9. Frank AL. Therapy for the divergent pulpless tooth by continued apical formation. J Am Dent Assoc 1966; 72: 87-93.
  • 10. Cvek M. Prognosis of luxated non‐vital maxillary incisors treated with calcium hydroxide and filled with gutta‐percha. A retrospective clinical study. Dent Traumatol 1992; 8: 45-55.
  • 11. Chueh L-H, Huang GT-J. Immature teeth with periradicular periodontitis or abscess undergoing apexogenesis: a paradigm shift. J Endod 2006; 32: 1205-13.
  • 12. Östby BN. The role of the blood clot in endodontic therapy An experimental histologic study. Acta Odontol Scand 1961; 19: 323-53.
  • 13. Torabinejad M, Parirokh M. Mineral trioxide aggregate: a comprehensive literature review—part II: leakage and biocompatibility investigations. J Endod 2010; 36: 190-202.
  • 14. Boutsioukis C, Noula G, Lambrianidis T. Ex vivo study of the efficiency of two techniques for the removal of mineral trioxide aggregate used as a root canal filling material. J Endod 2008, 34: 1239-42.
  • 15. Tuna EB, Dinçol ME, Gençay K, Aktören O. Fracture resistance of immature teeth filled with BioAggregate, mineral trioxide aggregate and calcium hydroxide. Dent Traumatol 2011; 27: 174-8.
  • 16. Laurent P, Camps J, De Méo M, Déjou J, About I. Induction of specific cell responses to a Ca 3 SiO 5-based posterior restorative material. Dent Mater 2008; 24: 1486-94.
  • 17. Topçuoğlu G, Topçuoğlu HS. Regenerative Endodontic Therapy in a Single Visit Using Platelet-rich Plasma and Biodentine in Necrotic and Asymptomatic Immature Molar Teeth: A Report of 3 Cases. J Endod 2016; 42: 1344-6.
  • 18. Sirimai S, Riis DN, Morgano SM. An in vitro study of the fracture resistance and the incidence of vertical root fracture of pulpless teeth restored with six post-and-core systems. J Prosthet Dent 1999; 81: 262-9.
  • 19. Moosavi H, Maleknejad F, Kimyai S. Fracture resistance of endodontically-treated teeth restored using three root-reinforcement methods. J Contemp Dent Pract 2008; 9: 30-37.
  • 20. Iwaya Si, Ikawa M, Kubota M. Revascularization of an immature permanent tooth with apical periodontitis and sinus tract. Dent Traumatol 2001; 17: 185-187.
  • 21. Huang GT-J, Sonoyama W, Liu Y, Liu H, Wang S, Shi S. The hidden treasure in apical papilla: the potential role in pulp/dentin regeneration and bioroot engineering. J Endod 2008; 34: 645-51.
  • 22. Thibodeau B, Trope M. Pulp revascularization of a necrotic infected immature permanent tooth: case report and review of the literature. Pediatric Dent 2007; 29: 47-50.
  • 23.Reynolds K, Johnson JD, Cohenca N. Pulp revascularization of necrotic bilateral bicuspids using a modified novel technique to eliminate potential coronal discolouration: a case report. Int Endod J 2009; 42: 84-92.
  • 24. Kim J-H, Kim Y, Shin S-J, Park J-W, Jung I-Y. Tooth discoloration of immature permanent incisor associated with triple antibiotic therapy: a case report. J Endod 2010; 36: 1086-91.
  • 25. Sato I, Ando‐Kurihara N, Kota K, Iwaku M, Hoshino E. Sterilization of infected root‐canal dentine by topical application of a mixture of ciprofloxacin, metronidazole and minocycline in situ. Int Endod J 1996; 29: 118-24.
  • 26. Montero-Miralles P, Martín-González J, Alonso-Ezpeleta O, Jiménez-Sánchez MC, Velasco-Ortega E, Segura-Egea JJ. Effectiveness and clinical implications of the use of topical antibiotics in regenerative endodontic procedures: a review. Int Endod J 2018; Sep;51:981-8.
  • 27. Ruparel NB, Teixeira FB, Ferraz CC, Diogenes A. Direct effect of intracanal medicaments on survival of stem cells of the apical papilla. J Endod 2012; 38: 1372-5.
  • 28. Gronthos S, Brahim J, Li W, Fisher L, Cherman N, Boyde A, DenBesten P, Robey PG, Shi S. Stem cell properties of human dental pulp stem cells. J Dent Res 2002; 81: 531-5.
  • 29. Lieberman J, Trowbridge H. Apical closure of nonvital permanent incisor teeth where no treatment was performed: case report. J Endod 1986; 9: 257-260.
  • 30. Arslan H, Ahmed HMA, Sahin Y, Yildiz ED, Gündogdu EC. Guven Y, Khalilov R. Regenerative endodontic procedures in necrotic mature teeth with periapical radiolucencies: a preliminary randomized clinical study. J Endod 2019; 45: 863-72.
  • 31. Torabinejad M, Watson T, Ford TP. Sealing ability of a mineral trioxide aggregate when used as a root end filling material. J Endod 1993; 19: 591-5.
  • 32. Luo Z, Li D, Kohli MR, Yu Q, Kim S, He WX. Effect of Biodentine on the proliferation, migration and adhesion of human dental pulp stem cells. J Dent 2014; 42:490-7.
  • 33. Perez A, Spears R, Gutmann J, Opperman L. Osteoblasts and MG‐63 osteosarcoma cells behave differently when in contact with ProRoot™ MTA and White MTA. Int Endod J 2003; 36: 564-70.
  • 34. Subramanyam D, Vasantharajan M. Effect of oral tissue fluids on compressive strength of mta and biodentine: an ın vitro study. J Clin Diagn Res 2017; 11:ZC 94.
  • 35. Han L, Okiji T. Bioactivity evaluation of three calcium silicate‐based endodontic materials. Int Endod J 2013; 46: 808-14.
  • 36. Grande NM, Plotino G, Lavorgna L, Ioppolo P, Bedini R, Pameijer CH, Somma F. Influence of different root canal–filling materials on the mechanical properties of root canal dentin. J Endod 2007; 33: 859-63.
Primary Language tr
Subjects Dental
Journal Section Araştırma Makalesi
Authors

Orcid: 0000-0001-7895-8241
Author: Yahya GÜVEN
Institution: AFYONKARAHİSAR SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ
Country: Andorra


Orcid: 0000-0001-6794-3845
Author: Halit ALADAĞ
Institution: ATATÜRK ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ
Country: Andorra


Orcid: 0000-0003-4890-1062
Author: Hakan ARSLAN
Institution: ATATÜRK ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ
Country: Andorra


Dates

Publication Date : January 15, 2021

Bibtex @research article { ataunidfd808070, journal = {Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi}, issn = {1300-9044}, eissn = {2667-5161}, address = {}, publisher = {Ataturk University}, year = {2021}, volume = {31}, pages = {39 - 45}, doi = {10.17567/ataunidfd.808070}, title = {REJENERATİF ENDODONTİK TEDAVİ PROTOKOLÜNE GÖRE PULPA BOŞLUĞU BARİYERİ OLARAK BİODENTİN VE MTA KULLANIMININ YAPAY OLARAK TAKLİT EDİLMİŞ OLGUNLAŞMAMIŞ KÖKE SAHİP DİŞLERİN KIRILMA DİRENÇLERİNE ETKİSİ}, key = {cite}, author = {Güven, Yahya and Aladağ, Halit and Arslan, Hakan} }
APA Güven, Y , Aladağ, H , Arslan, H . (2021). REJENERATİF ENDODONTİK TEDAVİ PROTOKOLÜNE GÖRE PULPA BOŞLUĞU BARİYERİ OLARAK BİODENTİN VE MTA KULLANIMININ YAPAY OLARAK TAKLİT EDİLMİŞ OLGUNLAŞMAMIŞ KÖKE SAHİP DİŞLERİN KIRILMA DİRENÇLERİNE ETKİSİ . Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi , 31 (1) , 39-45 . DOI: 10.17567/ataunidfd.808070
MLA Güven, Y , Aladağ, H , Arslan, H . "REJENERATİF ENDODONTİK TEDAVİ PROTOKOLÜNE GÖRE PULPA BOŞLUĞU BARİYERİ OLARAK BİODENTİN VE MTA KULLANIMININ YAPAY OLARAK TAKLİT EDİLMİŞ OLGUNLAŞMAMIŞ KÖKE SAHİP DİŞLERİN KIRILMA DİRENÇLERİNE ETKİSİ" . Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 31 (2021 ): 39-45 <https://dergipark.org.tr/en/pub/ataunidfd/issue/60082/808070>
Chicago Güven, Y , Aladağ, H , Arslan, H . "REJENERATİF ENDODONTİK TEDAVİ PROTOKOLÜNE GÖRE PULPA BOŞLUĞU BARİYERİ OLARAK BİODENTİN VE MTA KULLANIMININ YAPAY OLARAK TAKLİT EDİLMİŞ OLGUNLAŞMAMIŞ KÖKE SAHİP DİŞLERİN KIRILMA DİRENÇLERİNE ETKİSİ". Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 31 (2021 ): 39-45
RIS TY - JOUR T1 - REJENERATİF ENDODONTİK TEDAVİ PROTOKOLÜNE GÖRE PULPA BOŞLUĞU BARİYERİ OLARAK BİODENTİN VE MTA KULLANIMININ YAPAY OLARAK TAKLİT EDİLMİŞ OLGUNLAŞMAMIŞ KÖKE SAHİP DİŞLERİN KIRILMA DİRENÇLERİNE ETKİSİ AU - Yahya Güven , Halit Aladağ , Hakan Arslan Y1 - 2021 PY - 2021 N1 - doi: 10.17567/ataunidfd.808070 DO - 10.17567/ataunidfd.808070 T2 - Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi JF - Journal JO - JOR SP - 39 EP - 45 VL - 31 IS - 1 SN - 1300-9044-2667-5161 M3 - doi: 10.17567/ataunidfd.808070 UR - https://doi.org/10.17567/ataunidfd.808070 Y2 - 2020 ER -
EndNote %0 Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi REJENERATİF ENDODONTİK TEDAVİ PROTOKOLÜNE GÖRE PULPA BOŞLUĞU BARİYERİ OLARAK BİODENTİN VE MTA KULLANIMININ YAPAY OLARAK TAKLİT EDİLMİŞ OLGUNLAŞMAMIŞ KÖKE SAHİP DİŞLERİN KIRILMA DİRENÇLERİNE ETKİSİ %A Yahya Güven , Halit Aladağ , Hakan Arslan %T REJENERATİF ENDODONTİK TEDAVİ PROTOKOLÜNE GÖRE PULPA BOŞLUĞU BARİYERİ OLARAK BİODENTİN VE MTA KULLANIMININ YAPAY OLARAK TAKLİT EDİLMİŞ OLGUNLAŞMAMIŞ KÖKE SAHİP DİŞLERİN KIRILMA DİRENÇLERİNE ETKİSİ %D 2021 %J Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi %P 1300-9044-2667-5161 %V 31 %N 1 %R doi: 10.17567/ataunidfd.808070 %U 10.17567/ataunidfd.808070
ISNAD Güven, Yahya , Aladağ, Halit , Arslan, Hakan . "REJENERATİF ENDODONTİK TEDAVİ PROTOKOLÜNE GÖRE PULPA BOŞLUĞU BARİYERİ OLARAK BİODENTİN VE MTA KULLANIMININ YAPAY OLARAK TAKLİT EDİLMİŞ OLGUNLAŞMAMIŞ KÖKE SAHİP DİŞLERİN KIRILMA DİRENÇLERİNE ETKİSİ". Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 31 / 1 (January 2021): 39-45 . https://doi.org/10.17567/ataunidfd.808070
AMA Güven Y , Aladağ H , Arslan H . REJENERATİF ENDODONTİK TEDAVİ PROTOKOLÜNE GÖRE PULPA BOŞLUĞU BARİYERİ OLARAK BİODENTİN VE MTA KULLANIMININ YAPAY OLARAK TAKLİT EDİLMİŞ OLGUNLAŞMAMIŞ KÖKE SAHİP DİŞLERİN KIRILMA DİRENÇLERİNE ETKİSİ. Ata Diş Hek Fak Derg. 2021; 31(1): 39-45.
Vancouver Güven Y , Aladağ H , Arslan H . REJENERATİF ENDODONTİK TEDAVİ PROTOKOLÜNE GÖRE PULPA BOŞLUĞU BARİYERİ OLARAK BİODENTİN VE MTA KULLANIMININ YAPAY OLARAK TAKLİT EDİLMİŞ OLGUNLAŞMAMIŞ KÖKE SAHİP DİŞLERİN KIRILMA DİRENÇLERİNE ETKİSİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2021; 31(1): 39-45.
IEEE Y. Güven , H. Aladağ and H. Arslan , "REJENERATİF ENDODONTİK TEDAVİ PROTOKOLÜNE GÖRE PULPA BOŞLUĞU BARİYERİ OLARAK BİODENTİN VE MTA KULLANIMININ YAPAY OLARAK TAKLİT EDİLMİŞ OLGUNLAŞMAMIŞ KÖKE SAHİP DİŞLERİN KIRILMA DİRENÇLERİNE ETKİSİ", Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, vol. 31, no. 1, pp. 39-45, Jan. 2021, doi:10.17567/ataunidfd.808070