Research Article
BibTex RIS Cite

FARKLI KONSANTRASYONLARDAKİ SODYUM HİPOKLORİT SOLÜSYONLARININ ENDODONTİK TEDAVİLİ DİŞLERİN KIRILMA DİRENCİNE ETKİSİ

Year 2020, Volume: 47 Issue: 1-3, 69 - 74, 31.12.2020

Abstract

Amaç: Bu çalışmanın amacı, iki farklı konsantrasyondaki sodyum hipoklorit yıkama solüsyonlarının endodontik tedavili dişlerin kırılma direncine etkisinin karşılaştırılmasıdır. Gereç ve Yöntem: 40 adet çekilmiş insan alt kesici dişleri toplanarak distile su içerisinde çalışma yapılana kadar bekletildi. 10 adet prepare edilmemiş diş rastgele seçilerek kontrol grubu oluşturuldu (Grup 1). Kalan örnekler rastgele 3 deney grubuna ayrıldı. Örnekler farklı yıkama prosedürleri uygulanarak ProTaper eğe sistemi ile F3 numaralı eğeye kadar prepare edildi: Grup 2: serum fizyolojik, Grup 3: %1’lik NaOCl ve Grup 4: %5,25’lik NaOCl. Kanal dolumu yapıldıktan sonra dişlerin kırılma dirençleri Universal test cihazı kullanılarak test edildi. Bulgular: Kontrol grubu (Grup 1) ile deney grupları arasında istatistiksel olarak anlamlı fark bulundu (Grup 2, 3, 4) (P<0,05). Kontrol grubundaki örneklerin diğer deney gruplarındakine göre daha yüksek kırılma direncine sahip olduğu saptandı. Fakat diğer deney grupları (Grup 1, 2, 3) arasında istatistiksel olarak anlamlı bir farka rastlanılmadı (P>0,05). Sonuç: Kök kanal preparasyonu diş dokusunu zayıflatan bir işlemdir. Sodyum hipokloritin konsantrasyonu vertikal kök kırıklarının oluşumda etkili bir faktör değildir.

References

  • 1. Zehnder, M. (2006). Root canal irrigants. J Endod, 32(5), 389-398.
  • 2. Goldberg, M., Kulkarni, A.B., Young, M., & Boskey, A. (2011). Dentin: Structure, Composition and Mineralization: The role of dentin ECM in dentin formation and mineralization. Front Biosci (Elite Ed), 3, 711.
  • 3. Grigoratos, D., Knowles, J., Ng, Y.L., & Gulabivala, K. (2001). Effect of exposing dentine to sodium hypochlorite and calcium hydroxide on its flexural strength and elastic modulus. Int Endod J, 34(2), 113-119.
  • 4. Tartari, T., Bachmann, L., Maliza, A.G.A., Andrade, F.B., Duarte, M.A.H., & Bramante, C.M. (2016). Tissue dissolution and modifications in dentin composition by different sodium hypochlorite concentrations. J Appl Oral Sci, 24(3), 291-298.
  • 5. Lisboa, D.S., Santos, S. V.D., Griza, S., Rodrigues, J.L., & Faria-e-Silva, A.L. (2013). Dentin deproteinization effect on bond strength of self-adhesive resin cements. Braz Oral Res, 27(1), 73-75.
  • 6. Neelakantan, P., Sharma, S., Shemesh, H., & Wesselink, P.R. (2015). Influence of irrigation sequence on the adhesion of root canal sealers to dentin: a Fourier transform infrared spectroscopy and push-out bond strength analysis. J Endod, 41(7), 1108-1111.
  • 7. Marion, J.J., Manhaes, F.C., Bajo, H., & Duque, T.M. (2012). Efficiency of different concentrations of sodium hypochlorite during endodontic treatment. Literature review. Dental Press Endod J, 2(4), 32-37.
  • 8. Sim, T. P. C., Knowles, J. C., Ng, Y. L., Shelton, J., & Gulabivala, K. (2001). Effect of sodium hypochlorite on mechanical properties of dentine and tooth surface strain. Int Endod J, 34(2), 120-132.
  • 9. Byström, A., & Sunvqvist, G. (1985). The antibacterial action of sodium hypochlorite and EDTA in 60 cases of endodontic therapy. Int Endod, 18(1), 35-40.
  • 10. Karunakaran, J.V., Kumar, S.S., Kumar, M., Chandrasekhar, S., & Namitha, D. (2012). The effects of various irrigating solutions on intra-radicular dentinal surface: An SEM analysis. J Pharm Bioallied Sci, 4(Suppl 2), S125.
  • 11. Zaparolli, D., Saquy, P.C., & Cruz-Filho, A.M. (2012). Effect of sodium hypochlorite and EDTA irrigation, individually and in alternation, on dentin microhardness at the furcation area of mandibular molars. Braz Dent J, 23(6), 654-658.
  • 12. Pascon, F.M., Kantovitz, K.R., Sacramento, P.A., Nobre-dos-Santos, M., & Puppin-Rontani, R.M. (2009). Effect of sodium hypochlorite on dentine mechanical properties. A review. J Dent, 37(12), 903-908.
  • 13. Lee, B. S., Hsieh, T. T., Chi, D. C. H., Lan, W. H., & Lin, C. P. (2004). The role of organic tissue on the punch shear strength of human dentin. J Dent, 32(2), 101-107.
  • 14. Marending, M., Luder, H. U., Brunner, T. J., Knecht, S., Stark, W. J., & Zehnder, M. (2007). Effect of sodium hypochlorite on human root dentine–mechanical, chemical and structural evaluation. Int Endod J, 40(10), 786-793.
  • 15. Corsentino, G., Pedullà, E., Castelli, L., Liguori, M., Spicciarelli, V., Martignoni, M., Ferrari M., & Grandini, S. (2018). Influence of access cavity preparation and remaining tooth substance on fracture strength of endodontically treated teeth. J Endod, 44(9), 1416-1421.

EFFECT OF SODIUM HYPOCHLORIDE SOLUTIONS IN DIFFERENT CONCENTRATIONS ON THE FRACTURE RESISTANCE OF ENDODONTICALLY TREATED TEETH

Year 2020, Volume: 47 Issue: 1-3, 69 - 74, 31.12.2020

Abstract

Aim: The aim of this study is to compare the effect of two different concentrations of sodium hypochlorite solution on the fracture resistance of endodontically treated teeth. Materials and Method: 40 extracted human lower incisors were collected and kept in distilled water until the study was performed. The control group was formed by randomly selecting 10 unprepared teeth (Group 1). The remaining samples were randomly divided into 3 experimental groups. Samples were prepared with ProTaper file system by using different irrigation procedures up to the file numbered F3: Group 2: saline, Group 3: 1% NaOCl and Group 4: 5.25% NaOCl. After filling the canal, the fracture resistance of the teeth was tested using a Universal test machine. Results: A statistically significant difference was found between the control group (Group 1) and the experimental groups (Group 2, 3, 4) (P<0.05). It was determined that the samples in the control group had higher fracture resistance than the other experimental groups. However, no statistically significant difference was found between the other experimental groups (Group 1, 2, 3) (P>0.05).Conclusion: Root canal preparation is a procedure that weakens the dental tissue. The concentration of sodium hypochlorite is not an effective factor in the formation of vertical root fractures.

References

  • 1. Zehnder, M. (2006). Root canal irrigants. J Endod, 32(5), 389-398.
  • 2. Goldberg, M., Kulkarni, A.B., Young, M., & Boskey, A. (2011). Dentin: Structure, Composition and Mineralization: The role of dentin ECM in dentin formation and mineralization. Front Biosci (Elite Ed), 3, 711.
  • 3. Grigoratos, D., Knowles, J., Ng, Y.L., & Gulabivala, K. (2001). Effect of exposing dentine to sodium hypochlorite and calcium hydroxide on its flexural strength and elastic modulus. Int Endod J, 34(2), 113-119.
  • 4. Tartari, T., Bachmann, L., Maliza, A.G.A., Andrade, F.B., Duarte, M.A.H., & Bramante, C.M. (2016). Tissue dissolution and modifications in dentin composition by different sodium hypochlorite concentrations. J Appl Oral Sci, 24(3), 291-298.
  • 5. Lisboa, D.S., Santos, S. V.D., Griza, S., Rodrigues, J.L., & Faria-e-Silva, A.L. (2013). Dentin deproteinization effect on bond strength of self-adhesive resin cements. Braz Oral Res, 27(1), 73-75.
  • 6. Neelakantan, P., Sharma, S., Shemesh, H., & Wesselink, P.R. (2015). Influence of irrigation sequence on the adhesion of root canal sealers to dentin: a Fourier transform infrared spectroscopy and push-out bond strength analysis. J Endod, 41(7), 1108-1111.
  • 7. Marion, J.J., Manhaes, F.C., Bajo, H., & Duque, T.M. (2012). Efficiency of different concentrations of sodium hypochlorite during endodontic treatment. Literature review. Dental Press Endod J, 2(4), 32-37.
  • 8. Sim, T. P. C., Knowles, J. C., Ng, Y. L., Shelton, J., & Gulabivala, K. (2001). Effect of sodium hypochlorite on mechanical properties of dentine and tooth surface strain. Int Endod J, 34(2), 120-132.
  • 9. Byström, A., & Sunvqvist, G. (1985). The antibacterial action of sodium hypochlorite and EDTA in 60 cases of endodontic therapy. Int Endod, 18(1), 35-40.
  • 10. Karunakaran, J.V., Kumar, S.S., Kumar, M., Chandrasekhar, S., & Namitha, D. (2012). The effects of various irrigating solutions on intra-radicular dentinal surface: An SEM analysis. J Pharm Bioallied Sci, 4(Suppl 2), S125.
  • 11. Zaparolli, D., Saquy, P.C., & Cruz-Filho, A.M. (2012). Effect of sodium hypochlorite and EDTA irrigation, individually and in alternation, on dentin microhardness at the furcation area of mandibular molars. Braz Dent J, 23(6), 654-658.
  • 12. Pascon, F.M., Kantovitz, K.R., Sacramento, P.A., Nobre-dos-Santos, M., & Puppin-Rontani, R.M. (2009). Effect of sodium hypochlorite on dentine mechanical properties. A review. J Dent, 37(12), 903-908.
  • 13. Lee, B. S., Hsieh, T. T., Chi, D. C. H., Lan, W. H., & Lin, C. P. (2004). The role of organic tissue on the punch shear strength of human dentin. J Dent, 32(2), 101-107.
  • 14. Marending, M., Luder, H. U., Brunner, T. J., Knecht, S., Stark, W. J., & Zehnder, M. (2007). Effect of sodium hypochlorite on human root dentine–mechanical, chemical and structural evaluation. Int Endod J, 40(10), 786-793.
  • 15. Corsentino, G., Pedullà, E., Castelli, L., Liguori, M., Spicciarelli, V., Martignoni, M., Ferrari M., & Grandini, S. (2018). Influence of access cavity preparation and remaining tooth substance on fracture strength of endodontically treated teeth. J Endod, 44(9), 1416-1421.
There are 15 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Research Article
Authors

Meltem Küçük This is me

Fatma Kermeoğlu

Atakan Kalender This is me

Umut Aksoy This is me

Publication Date December 31, 2020
Published in Issue Year 2020 Volume: 47 Issue: 1-3

Cite

APA Küçük, M., Kermeoğlu, F., Kalender, A., Aksoy, U. (2020). FARKLI KONSANTRASYONLARDAKİ SODYUM HİPOKLORİT SOLÜSYONLARININ ENDODONTİK TEDAVİLİ DİŞLERİN KIRILMA DİRENCİNE ETKİSİ. Ankara Üniversitesi Diş Hekimliği Fakültesi Dergisi, 47(1-3), 69-74.
AMA Küçük M, Kermeoğlu F, Kalender A, Aksoy U. FARKLI KONSANTRASYONLARDAKİ SODYUM HİPOKLORİT SOLÜSYONLARININ ENDODONTİK TEDAVİLİ DİŞLERİN KIRILMA DİRENCİNE ETKİSİ. AÜDHF dergisi. December 2020;47(1-3):69-74.
Chicago Küçük, Meltem, Fatma Kermeoğlu, Atakan Kalender, and Umut Aksoy. “FARKLI KONSANTRASYONLARDAKİ SODYUM HİPOKLORİT SOLÜSYONLARININ ENDODONTİK TEDAVİLİ DİŞLERİN KIRILMA DİRENCİNE ETKİSİ”. Ankara Üniversitesi Diş Hekimliği Fakültesi Dergisi 47, no. 1-3 (December 2020): 69-74.
EndNote Küçük M, Kermeoğlu F, Kalender A, Aksoy U (December 1, 2020) FARKLI KONSANTRASYONLARDAKİ SODYUM HİPOKLORİT SOLÜSYONLARININ ENDODONTİK TEDAVİLİ DİŞLERİN KIRILMA DİRENCİNE ETKİSİ. Ankara Üniversitesi Diş Hekimliği Fakültesi Dergisi 47 1-3 69–74.
IEEE M. Küçük, F. Kermeoğlu, A. Kalender, and U. Aksoy, “FARKLI KONSANTRASYONLARDAKİ SODYUM HİPOKLORİT SOLÜSYONLARININ ENDODONTİK TEDAVİLİ DİŞLERİN KIRILMA DİRENCİNE ETKİSİ”, AÜDHF dergisi, vol. 47, no. 1-3, pp. 69–74, 2020.
ISNAD Küçük, Meltem et al. “FARKLI KONSANTRASYONLARDAKİ SODYUM HİPOKLORİT SOLÜSYONLARININ ENDODONTİK TEDAVİLİ DİŞLERİN KIRILMA DİRENCİNE ETKİSİ”. Ankara Üniversitesi Diş Hekimliği Fakültesi Dergisi 47/1-3 (December 2020), 69-74.
JAMA Küçük M, Kermeoğlu F, Kalender A, Aksoy U. FARKLI KONSANTRASYONLARDAKİ SODYUM HİPOKLORİT SOLÜSYONLARININ ENDODONTİK TEDAVİLİ DİŞLERİN KIRILMA DİRENCİNE ETKİSİ. AÜDHF dergisi. 2020;47:69–74.
MLA Küçük, Meltem et al. “FARKLI KONSANTRASYONLARDAKİ SODYUM HİPOKLORİT SOLÜSYONLARININ ENDODONTİK TEDAVİLİ DİŞLERİN KIRILMA DİRENCİNE ETKİSİ”. Ankara Üniversitesi Diş Hekimliği Fakültesi Dergisi, vol. 47, no. 1-3, 2020, pp. 69-74.
Vancouver Küçük M, Kermeoğlu F, Kalender A, Aksoy U. FARKLI KONSANTRASYONLARDAKİ SODYUM HİPOKLORİT SOLÜSYONLARININ ENDODONTİK TEDAVİLİ DİŞLERİN KIRILMA DİRENCİNE ETKİSİ. AÜDHF dergisi. 2020;47(1-3):69-74.