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

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

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)

Supporting Institution

Gazi üniversitesi BAP

Project Number

03/2019-03

References

  • 1. Imura N, Zuolo ML. Factors associated with endodontic flare-ups: a prospective study. Int Endod J 1995; 28: 261-5.
  • 2. Torabinejad M, et al. Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod 1988; 14: 261-6.
  • 3. Trope M. Flare-up rate of single-visit endodontics. Int Endod J 1991; 24: 24-6.
  • 4. Seltzer S, et al. Biologic aspects of endodontics. Part 3. Periapical tissue reactions to root canal instrumentation. Oral Surg Oral Med Oral Pathol 1968;26: 534-46.
  • 5. Klayman SM, Brilliant JD. A comparison of the efficacy of serial preparation versus Giromatic preparation. J Endod 1975; 1: 334-7.
  • 6. Chapman CE. The correlation between apical infection and instrumentation in endodontics. J Br Endod Soc 1971; 5: 76-80.
  • 7. Martin H, Cunningham WT. The effect of endosonic and hand manipulation on the amount of root canal material extruded. Oral Surg Oral Med Oral Pathol 1982; 53:611-3.
  • 8. Vande Visse JE, Brilliant JD. Effect of irrigation on the production of extruded material at the root apex during instrumentation. J Endod 1975; 1: 243-6.
  • 9. Hession RW. Endodontic morphology. III. Canal preparation. Oral Surg Oral Med Oral Pathol 1977;44:775-85.
  • 10. Salzgeber RM, Brilliant JD. An in vivo evaluation of the penetration of an irrigating solution in root canals. J Endod 1977; 3: 394-8.
  • 11. Chapman CE, et al. A preliminary report on the correlation between apical infection and instrumentation in endodontics. J Br Endod Soc 1968; 2: 7-11.
  • 12. Abou-Rass, M and Jastrab RJ. The use of rotary instruments as auxiliary aids to root canal preparation of molars. J Endod 1982; 8: 78-82.
  • 13. Ferraz CCR et al. Apical extrusion of debris and irrigants using two hand and three engine-driven instrumentation techniques. Int Endod J 2001;34: 354-8.
  • 14. Kuştarci A, et al. Apical extrusion of intracanal debris and irrigant following use of various instrumentation techniques. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 105:257-62.
  • 15. Al-Omari MAO, Dummer PMH. Canal blockage and debris extrusion with eight preparation techniques. J Endod 1995; 21:154-8.
  • 16. Tinaz AC et al. The effect of disruption of apical constriction on periapical extrusion. J Endod, 2005;31:533-5.
  • 17. Ingle, Ingle's endodontics 7. 2019. p. 97.
  • 18. Huang X, et al. Quantitative evaluation of debris extruded apically by using ProTaper Universal Tulsa rotary system in endodontic retreatment. J Endod 2007; 33:1102-5.
  • 19. Özyürek T, Demiryürek E. Efficacy of Different Nickel-Titanium Instruments in Removing Gutta-percha during Root Canal Retreatment. J Endod 2016;42:646-9.
  • 20. Yılmaz A, Helvacıoğlu Yi̇ği̇t D. Retreatment with Nickel-Titanium Rotary Instruments. Journal of Istanbul University Faculty of Dentistry 2014;48:71-78.
  • 21. Akbulut MB, et al. Efficacy of Twisted File Adaptive, Reciproc and ProTaper Universal Retreatment instruments for root-canal-filling removal: A cone-beam computed tomography study. Dent Mater J 2016; 35:126-31.
  • 22. Yürüker S, et al. Efficacy of Combined Use of Different Nickel-Titanium Files on Removing Root Canal Filling Materials. J Endod 2016; 42: 487-92.
  • 23. Gu LS, et al. Efficacy of ProTaper Universal rotary retreatment system for gutta-percha removal from root canals. Int Endod J 2008;41:288-95.
  • 24. Yared G. Reciproc blue: the new generation of reciprocation. Giornale Italiano di Endodonzia, 2017; 31:96-101.
  • 25. Gündoğar M, Özyürek T. Cyclic Fatigue Resistance of OneShape, HyFlex EDM, WaveOne Gold, and Reciproc Blue Nickel-titanium Instruments. J Endod 2017;43:1192-6.
  • 26. Adıgüzel M, Tüfenkçi P. Comparison of the Cyclic Fatigue Resistance of Waveone, Reciproc and Twisted File Adaptive Files in Canals with a Double Curvature (S-Shaped). Atatürk Üniv. Diş Hek. Fak. Derg. 2018; 28:199-203.
  • 27. Yılmaz K, Özyürek T. Apically Extruded Debris after Retreatment Procedure with Reciproc, ProTaper Next, and Twisted File Adaptive Instruments. J Endod 2017;43:648-651.
  • 28. Gavini G, et al. Nickel-titanium instruments in endodontics: a concise review of the state of the art. Braz Oral Res 2018; 32: e67.
  • 29. Çanakçi BC, et al. Evaluation of Apically Extruded Debris from Curved Root Canal Filling Removal Using 5 Nickel-Titanium Systems. J Endod, 2016; 42:1101-4.
  • 30. Topçuoğlu HS, et al. Evaluation of debris extruded apically during the removal of root canal filling material using ProTaper, D-RaCe, and R-Endo rotary nickel-titanium retreatment instruments and hand files. J Endod 2014; 40: 2066-9.
  • 31. Gondim Jr E, et al. Postoperative pain after the application of two different irrigation devices in a prospective randomized clinical trial. J Endod 2010; 36: 1295-301.
  • 32. JF Siqueira Jr. Microbial causes of endodontic flare-ups. Int Endod J 2003; 36:453-63.
  • 33. Boijink D, et al. Apically Extruded Debris in Curved Root Canals Using the WaveOne Gold Reciprocating and Twisted File Adaptive Systems. J Endod 2018; 44:1289-1292.
  • 34. Myers GL, Montgomery S. A comparison of weights of debris extruded apically by conventional filing and Canal Master techniques. J Endod, 1991; 17: 275-9.
  • 35. Koçak S, et al. Apical extrusion of debris using self-adjusting file, reciprocating single-file, and 2 rotary instrumentation systems. J Endod 2013; 39:1278-80.
  • 36. Nevares G, et al. Apical Extrusion of Debris Produced during Continuous Rotating and Reciprocating Motion. Sci World J 2015.
  • 37. Dincer A, et al. Evaluation of apically extruded debris during root canal retreatment with several NiTi systems. Int Endod J 2015;48:1194–8.
  • 38. Silva EJNL, et al. Reciprocating versus rotary systems for root filling removal: assessment of the apically extruded material. J Endod 2014;40: 2077–80.
  • 39. Bürklein S, Schäfer E. Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. J Endod 2012;38:850-852.
  • 40. Kirchhoff AL, et al. Apical extrusion of debris in flat- oval root canals after using different instrumentation systems. J Endod 2015;41:237-241.
  • 41. Karataş E, et al. Quantitative evaluation of apically extruded debris with Twisted File Adaptive instruments in straight root canals: reciprocation with different angles, adaptive motion and continuous rotation. Int Endod J 2016;49:382-385

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

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

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)

Project Number

03/2019-03

References

  • 1. Imura N, Zuolo ML. Factors associated with endodontic flare-ups: a prospective study. Int Endod J 1995; 28: 261-5.
  • 2. Torabinejad M, et al. Factors associated with endodontic interappointment emergencies of teeth with necrotic pulps. J Endod 1988; 14: 261-6.
  • 3. Trope M. Flare-up rate of single-visit endodontics. Int Endod J 1991; 24: 24-6.
  • 4. Seltzer S, et al. Biologic aspects of endodontics. Part 3. Periapical tissue reactions to root canal instrumentation. Oral Surg Oral Med Oral Pathol 1968;26: 534-46.
  • 5. Klayman SM, Brilliant JD. A comparison of the efficacy of serial preparation versus Giromatic preparation. J Endod 1975; 1: 334-7.
  • 6. Chapman CE. The correlation between apical infection and instrumentation in endodontics. J Br Endod Soc 1971; 5: 76-80.
  • 7. Martin H, Cunningham WT. The effect of endosonic and hand manipulation on the amount of root canal material extruded. Oral Surg Oral Med Oral Pathol 1982; 53:611-3.
  • 8. Vande Visse JE, Brilliant JD. Effect of irrigation on the production of extruded material at the root apex during instrumentation. J Endod 1975; 1: 243-6.
  • 9. Hession RW. Endodontic morphology. III. Canal preparation. Oral Surg Oral Med Oral Pathol 1977;44:775-85.
  • 10. Salzgeber RM, Brilliant JD. An in vivo evaluation of the penetration of an irrigating solution in root canals. J Endod 1977; 3: 394-8.
  • 11. Chapman CE, et al. A preliminary report on the correlation between apical infection and instrumentation in endodontics. J Br Endod Soc 1968; 2: 7-11.
  • 12. Abou-Rass, M and Jastrab RJ. The use of rotary instruments as auxiliary aids to root canal preparation of molars. J Endod 1982; 8: 78-82.
  • 13. Ferraz CCR et al. Apical extrusion of debris and irrigants using two hand and three engine-driven instrumentation techniques. Int Endod J 2001;34: 354-8.
  • 14. Kuştarci A, et al. Apical extrusion of intracanal debris and irrigant following use of various instrumentation techniques. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 105:257-62.
  • 15. Al-Omari MAO, Dummer PMH. Canal blockage and debris extrusion with eight preparation techniques. J Endod 1995; 21:154-8.
  • 16. Tinaz AC et al. The effect of disruption of apical constriction on periapical extrusion. J Endod, 2005;31:533-5.
  • 17. Ingle, Ingle's endodontics 7. 2019. p. 97.
  • 18. Huang X, et al. Quantitative evaluation of debris extruded apically by using ProTaper Universal Tulsa rotary system in endodontic retreatment. J Endod 2007; 33:1102-5.
  • 19. Özyürek T, Demiryürek E. Efficacy of Different Nickel-Titanium Instruments in Removing Gutta-percha during Root Canal Retreatment. J Endod 2016;42:646-9.
  • 20. Yılmaz A, Helvacıoğlu Yi̇ği̇t D. Retreatment with Nickel-Titanium Rotary Instruments. Journal of Istanbul University Faculty of Dentistry 2014;48:71-78.
  • 21. Akbulut MB, et al. Efficacy of Twisted File Adaptive, Reciproc and ProTaper Universal Retreatment instruments for root-canal-filling removal: A cone-beam computed tomography study. Dent Mater J 2016; 35:126-31.
  • 22. Yürüker S, et al. Efficacy of Combined Use of Different Nickel-Titanium Files on Removing Root Canal Filling Materials. J Endod 2016; 42: 487-92.
  • 23. Gu LS, et al. Efficacy of ProTaper Universal rotary retreatment system for gutta-percha removal from root canals. Int Endod J 2008;41:288-95.
  • 24. Yared G. Reciproc blue: the new generation of reciprocation. Giornale Italiano di Endodonzia, 2017; 31:96-101.
  • 25. Gündoğar M, Özyürek T. Cyclic Fatigue Resistance of OneShape, HyFlex EDM, WaveOne Gold, and Reciproc Blue Nickel-titanium Instruments. J Endod 2017;43:1192-6.
  • 26. Adıgüzel M, Tüfenkçi P. Comparison of the Cyclic Fatigue Resistance of Waveone, Reciproc and Twisted File Adaptive Files in Canals with a Double Curvature (S-Shaped). Atatürk Üniv. Diş Hek. Fak. Derg. 2018; 28:199-203.
  • 27. Yılmaz K, Özyürek T. Apically Extruded Debris after Retreatment Procedure with Reciproc, ProTaper Next, and Twisted File Adaptive Instruments. J Endod 2017;43:648-651.
  • 28. Gavini G, et al. Nickel-titanium instruments in endodontics: a concise review of the state of the art. Braz Oral Res 2018; 32: e67.
  • 29. Çanakçi BC, et al. Evaluation of Apically Extruded Debris from Curved Root Canal Filling Removal Using 5 Nickel-Titanium Systems. J Endod, 2016; 42:1101-4.
  • 30. Topçuoğlu HS, et al. Evaluation of debris extruded apically during the removal of root canal filling material using ProTaper, D-RaCe, and R-Endo rotary nickel-titanium retreatment instruments and hand files. J Endod 2014; 40: 2066-9.
  • 31. Gondim Jr E, et al. Postoperative pain after the application of two different irrigation devices in a prospective randomized clinical trial. J Endod 2010; 36: 1295-301.
  • 32. JF Siqueira Jr. Microbial causes of endodontic flare-ups. Int Endod J 2003; 36:453-63.
  • 33. Boijink D, et al. Apically Extruded Debris in Curved Root Canals Using the WaveOne Gold Reciprocating and Twisted File Adaptive Systems. J Endod 2018; 44:1289-1292.
  • 34. Myers GL, Montgomery S. A comparison of weights of debris extruded apically by conventional filing and Canal Master techniques. J Endod, 1991; 17: 275-9.
  • 35. Koçak S, et al. Apical extrusion of debris using self-adjusting file, reciprocating single-file, and 2 rotary instrumentation systems. J Endod 2013; 39:1278-80.
  • 36. Nevares G, et al. Apical Extrusion of Debris Produced during Continuous Rotating and Reciprocating Motion. Sci World J 2015.
  • 37. Dincer A, et al. Evaluation of apically extruded debris during root canal retreatment with several NiTi systems. Int Endod J 2015;48:1194–8.
  • 38. Silva EJNL, et al. Reciprocating versus rotary systems for root filling removal: assessment of the apically extruded material. J Endod 2014;40: 2077–80.
  • 39. Bürklein S, Schäfer E. Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. J Endod 2012;38:850-852.
  • 40. Kirchhoff AL, et al. Apical extrusion of debris in flat- oval root canals after using different instrumentation systems. J Endod 2015;41:237-241.
  • 41. Karataş E, et al. Quantitative evaluation of apically extruded debris with Twisted File Adaptive instruments in straight root canals: reciprocation with different angles, adaptive motion and continuous rotation. Int Endod J 2016;49:382-385
There are 41 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Research Articles
Authors

Yelda Paltun 0000-0002-2109-7628

Sis Darendeliler Yaman 0000-0001-8791-2018

Çağman Aksoy 0000-0002-4101-6864

Arzu Kaya Mumcu 0000-0002-7291-144X

Project Number 03/2019-03
Publication Date December 31, 2021
Acceptance Date December 24, 2021
Published in Issue Year 2021 Volume: 7 Issue: 3

Cite

APA Paltun, Y., Darendeliler Yaman, S., Aksoy, Ç., Kaya Mumcu, A. (2021). Tekrarlayan Endodontik Tedavide Kullanılan Farklı Ni-Ti Enstrüman Sistemlerinin Oluşturduğu Apikal Debrisin Karşılaştırılması. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi), 7(3), 51-57.
AMA Paltun Y, Darendeliler Yaman S, Aksoy Ç, Kaya Mumcu A. Tekrarlayan Endodontik Tedavide Kullanılan Farklı Ni-Ti Enstrüman Sistemlerinin Oluşturduğu Apikal Debrisin Karşılaştırılması. J Int Dent Sci. December 2021;7(3):51-57.
Chicago Paltun, Yelda, Sis Darendeliler Yaman, Çağman Aksoy, and Arzu Kaya Mumcu. “Tekrarlayan Endodontik Tedavide Kullanılan Farklı Ni-Ti Enstrüman Sistemlerinin Oluşturduğu Apikal Debrisin Karşılaştırılması”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi) 7, no. 3 (December 2021): 51-57.
EndNote Paltun Y, Darendeliler Yaman S, Aksoy Ç, Kaya Mumcu A (December 1, 2021) Tekrarlayan Endodontik Tedavide Kullanılan Farklı Ni-Ti Enstrüman Sistemlerinin Oluşturduğu Apikal Debrisin Karşılaştırılması. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi) 7 3 51–57.
IEEE Y. Paltun, S. Darendeliler Yaman, Ç. Aksoy, and A. Kaya Mumcu, “Tekrarlayan Endodontik Tedavide Kullanılan Farklı Ni-Ti Enstrüman Sistemlerinin Oluşturduğu Apikal Debrisin Karşılaştırılması”, J Int Dent Sci, vol. 7, no. 3, pp. 51–57, 2021.
ISNAD Paltun, Yelda et al. “Tekrarlayan Endodontik Tedavide Kullanılan Farklı Ni-Ti Enstrüman Sistemlerinin Oluşturduğu Apikal Debrisin Karşılaştırılması”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi) 7/3 (December 2021), 51-57.
JAMA Paltun Y, Darendeliler Yaman S, Aksoy Ç, Kaya Mumcu A. Tekrarlayan Endodontik Tedavide Kullanılan Farklı Ni-Ti Enstrüman Sistemlerinin Oluşturduğu Apikal Debrisin Karşılaştırılması. J Int Dent Sci. 2021;7:51–57.
MLA Paltun, Yelda et al. “Tekrarlayan Endodontik Tedavide Kullanılan Farklı Ni-Ti Enstrüman Sistemlerinin Oluşturduğu Apikal Debrisin Karşılaştırılması”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi), vol. 7, no. 3, 2021, pp. 51-57.
Vancouver Paltun Y, Darendeliler Yaman S, Aksoy Ç, Kaya Mumcu A. Tekrarlayan Endodontik Tedavide Kullanılan Farklı Ni-Ti Enstrüman Sistemlerinin Oluşturduğu Apikal Debrisin Karşılaştırılması. J Int Dent Sci. 2021;7(3):51-7.

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