Kök Kanal Tedavisi Yapılmış Dişlerde Final İrrigasyon Solüsyonlarının Renk Değişikliği Üzerine Etkisi*

Year 2023, Volume: 1 Issue: 2, 102 - 110, 25.09.2023

Melis Yılmaz , Songül Özdögen , Derya Gursel Surmelioglu

Abstract

Bu çalışmanın amacı, farklı final irrigasyon solüsyonlarının kanal tedavisi yapılmış dişlerde görülebilen renk değişikliğine etkisini belirli zaman aralıkları ile değerlendirmektir. Çekilmiş 96 alt premolar diş, standart bir protokol ile genişletilip örnekler rastgele 2 gruba ayrıldı ve 48 örneğin smear tabakası da uzaklaştırıldı (STU). STU grup ve diğer grup kendi içinde ayrıca kullanılacak final irrgasyon solüsyonuna göre 12 örneklik gruplara ayrıldı ve final irrigasyon solüsyonları uygulandı. Tüm örnekler 0. Gün (tedavi öncesi), 7. Gün, 15.gün, 1 ay sonra ve 3 ay sonra olmak üzere 5 kez spektrofometre ile değerlendirildi ve değerler not edildi. İstatistiksel analiz ANOVA, LSD ve Paired-t testleri ile yapıldı. Tedavi öncesi 0.gün (1), tedavinin 7.günü (2), 15. günü (3), 1. ayı (4) ve 3.ayında (5) olmak üzere saptanan L, a, b, ΔΕ değerleri arasında istatistiksel bir fark bulunmadı (p> 0.05). Sonuç olarak; farklı irrigasyon solüsyonlarının (NaOCl, CHX ve OKT) değişen zaman aralıklarında dişlerde renk değişikliği oluşturmayabilir.

Keywords

final irrigasyon, sodyum hipoklorit, klorheksidin, oktenidin hidroklorür, renk değişikliği, kök kanal tedavisi

Effect of Final Irrigation Solutions on Discoloration in Root Canal Treated Teeth*

Abstract

This study aims to evaluate the effect of different final irrigation solutions on the discoloration seen in root canal-treated teeth at certain time intervals. Extracted 96 lower premolar teeth were enlarged using a standard protocol, the samples were randomly divided into two groups, and the smear layer of 48 samples was removed (STU). The STU group and the other group were divided into groups of 12 according to the final irrigation solution to be used, and the final irrigation solutions were applied. All samples were evaluated by spectrophotometer five times: on day 0 (before treatment), day 7, day 15, after one month, and after three months, and the values were noted. Statistical analysis was performed with ANOVA, LSD, and paired t-tests. Statistics between L, a, b, ΔΕ values determined at the 0th day (1), 7th day of treatment (2), 15th day (3), first month (4), and 3rd month (5) before treatment. No difference was found (p> 0.05). In conclusion, Different irrigation solutions (NaOCl, CHX, and OCT) may not cause color changes in teeth at varying time intervals

Keywords

final irrigation, sodium hypochloride, chlorhexidine gluconate, octenidine hydrochloride, color changes, root canal treatment

References

• Greta, D. C., Colosi, H. A., Gasparik, C., & Dudea, D. (2018). Color comparison between non-vital and vital teeth. The journal of advanced prosthodontics, 10, 218-226. https://doi.org/10.4047/jap.2018.10.3.218
• Gulabivala, K., Patel. B Evans G, & Ng. YL. (2005). Effects of mechanical and chemical procedures on root canal surfaces. Endodontic Topics, 10, 103-22. https://doi.org/10.1111/j.1601-1546.2005.00133.x
• Guneser, M. B., Akbulut, M. B., & Eldeniz, A. U. (2016). Antibacterial effect of chlorhexidine-cetrimide combination, Salvia officinalis plant extract and octenidine in comparison with conventional endodontic irrigants. Dental materials journal, 35, 736-741. https://doi.org/10.4012/dmj.2015-159
• Haapasalo, M., Shen, Y., Wang, Z., & Gao, Y. (2014). Irrigation in endodontics. British dental journal, 216, 299-303. https://doi.org/10.1038/sj.bdj.2014.204
• Kandaswamy, D., & Venkateshbabu, N. (2010). Root canal irrigants. Journal of Conservative Dentistry, 13, 256-264. https://doi.org/10.4103/0972-0707.73378
• Koursoumis, A. D., Kerezoudis, N. P., & Kakaboura, A. (2014). In vitro assessment of tooth color alteration by two different types of endodontic irrigants. The Journal of Contemporary Dental Practice, 15, 529-533. https://doi.org/10.5005/jp-journals-10024-1574
• Moazami, F., Sahebi, S., & Ahzan, S. (2018). Tooth discoloration induced by imidazolium based silver nanoparticles as an intracanal irrigant. Journal of Dentistry, 19, 280.
• Mohammadi, Z., Giardino, L., Palazzi, F., & Asgary, S. (2015). Agonistic and antagonistic interactions between chlorhexidine and other endodontic agents: A critical review. Iranian Endodontic Journal, 10, 1. Neelakantan, P., Romero, M., Vera, J., Daood, U., Khan, A. U., Yan, A., & Cheung, G. S. P. (2017). Biofilms in endodontics—current status and future directions. International journal of molecular sciences, 18, 1748. https://doi.org/10.3390/ijms18081748
• Rossi-Fedele, G., Doğramacı, E. J., Guastalli, A. R., Steier, L., & de Figueiredo, J. A. P. (2012). Antagonistic interactions between sodium hypochlorite, chlorhexidine, EDTA, and citric acid. Journal of endodontics, 38, 426-431. https://doi.org/10.1016/j.joen.2012.01.006
• Susila, A. V., Sai, S., Sharma, N., Balasubramaniam, A., Veronica, A. K., & Nivedhitha, S. (2023). Can natural irrigants replace sodium hypochlorite? A systematic review. Clinical Oral Investigations, 27, 1831-1849. https://doi.org/10.1007/s00784-023-04913-7
• Svec, T. A., & Harrison, J. W. (1977). Chemomechanical removal of pulpal and dentinal debris with sodium hypochlorite and hydrogen peroxide vs normal saline solution. Journal of Endodontics, 3, 49-53. https://doi.org/10.1016/s0099-2399(77)80015-0
• Tirali, R. E., Bodur, H., Sipahi, B., & Sungurtekin, E. (2013). Evaluation of the antimicrobial activities of chlorhexidine gluconate, sodium hypochlorite and octenidine hydrochloride in vitro. Australian Endodontic Journal, 39, 15-18. https://doi.org/10.1111/j.1747-4477.2010.00266.x
• Vertucci, F. J. (1984). Root canal anatomy of the human permanent teeth. Oral surgery, oral medicine, oral pathology, 58, 589-599. https://doi.org/10.1016/0030-4220(84)90085-9
• Violich, D. R., & Chandler, N. P. (2010). The smear layer in endodontics-a review. International endodontic journal, 43, 2-15. https://doi.org/10.1111/j.1365-2591.2009.01627.x
• Yılmaz, M., Yılmaz, S., Dumanı, A., Kuden, C., & Yoldas, O. (2017). Effects of seven different irrigation techniques on debris and the smear layer: a scanning electron microscopy study. Nigerian journal of clinical practice, 20, 328-334. https://doi.org/10.4103/1119-3077.180061
• Zehnder, M. (2006). Root canal irrigants. Journal of endodontics, 32, 389-398. https://doi.org/10.1016/j.joen.2005.09.014