Tekrarlayan Endodontik Tedavide Kullanılan Farklı Ni-Ti Enstrüman Sistemlerinin Oluşturduğu Apikal Debrisin Karşılaştırılması

Year 2021, Volume: 7 Issue: 3, 51 - 57, 31.12.2021

Yelda Paltun , Sis Darendeliler Yaman , Çağman Aksoy , Arzu Kaya Mumcu

Abstract

Bu çalışmanın amacı, döner eğe retreatment sistemi, resiprokal sistem ve adaptif sistem nikel titanyum rotary enstrümanlar kullanılarak kök kanal dolgu maddesinin çıkarılması sırasında apikal olarak ekstrüze edilen debris miktarının değerlendirilmesidir.
45 adet çekilmiş tek köklü mandibular premolar dişler rotary eğe sistemi kullanılarak prepare edilecek kök kanal patı ve ısıtılmış gutta perka ile dolduruldu. Dişler, kanal dolgusunun sökümü için rastgele 3 gruba ayrıldı. Kanal dolgusunun sökümü sırasında: rotary tekrarlayan tedavi sistemi, resiprokal sistem ve adaptif sistemleri kullanıldı. Kanal dolgu malzemesinin sökülmesi sırasında apikal olarak ekstrüze edilen debris önceden tartılmış Eppendorf tüplerine toplandı. Tüpler daha sonra 5 gün 70 derece bir inkübatörde depolandı. Kuru ekstrüze debrisin ağırlığı, her grup için Eppendorf tüplerinin tedavi sonrası ve tedavi öncesi ağırlığı çıkarılarak oluşturuldu. Elde edilen veriler tek yönlü varyans analizi ve Tukey post hoc testleri kullanılarak analiz edildi.
Tüm deney gruplarında apikalden debris ekstrüzyonu oluşturmuştur, ancak Adaptif sistem istatistiksel olarak anlamlı olarak en az debris extrüzyonuna neden olmuştur.(p<0.001)

Keywords

apikal ekstrüzyon, debris, tekrarlayan tedavi

Supporting Institution

Gazi üniversitesi BAP

Project Number

03/2019-03

Comparison of The Amount of Apical Debris Extrusion Acquired with Different Ni-Ti Systems During Endodontic Retreatment

Abstract

Abstract
The aim of this study is to evaluate the amount of debris extruded apically during the removal of root canal filling material using nickel titanium rotary retreatment system, reciprocal system and adaptive system. 45 extracted single-rooted mandibular premolar teeth were prepared with rotary instrument system and filled with warm gutta-percha and root canal sealer. Then the teeth were randomly divided into 3 groups for retreatment. The removal of canal filling material were performed as: rotary retreatment system, reciprocal system and adaptive system. Debris extruded apically during the removal of canal filling material collected into 14 pre-weighed Eppendorf tubes. The tubes stored in an incubator at 70 celcius degree for 5 days. The weight of the dry extruded debris were established by substracting the pre-retreatment and post-retreatment weight of the Eppendorf tubes for each group. The data were analyzed with one-way analysis of variance and Tukey post hoc tests.
Apical debris were extruded in all experimental groups, but statistically significantly the least extrusion of debris was found in Adaptive system. (p<0.001)

Keywords

apical extrusion, debris, retreatment

Project Number

03/2019-03

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