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İnternal matriks ile birlikte kullanılan MTA’nın ortograd ve retrograd uygulanmasının farklı apikal açıklığa sahip dişler üzerindeki güçlendirme etkisinin değerlendirilmesi

Year 2016, Volume: 33 Issue: 1, 6 - 11, 01.01.2016
https://doi.org/10.17214/aot.36762

Abstract

AMAÇ: Bu çalışmada apikal foramen çapının ve farklı uygulama yöntemlerinin Mineral Trioksit Agregat’ın (MTA) simüle edilmiş immatür dişler üzerine olan kırılma dayanımına etkisinin Universal Test Cihazı kullanılarak belirlenmesi amaçlandı.

GEREÇ VE YÖNTEM: Çalışmada 90 adet çekilmiş üst çene kesici insan dişi kullanıldı. Çalışmada, açık apekse sahip immatür dişleri simüle etmek amacıyla apikal foramen, çapı 1.0 veya 1.4 mm olacak şekilde hazırlandı. Üretici firmanın talimatları doğrultusunda karıştırılan MTA dört farklı yolla (retrograd, ortograd, 2 aşamalı ortograd ve internal matriks destekli ortograd yolla) farklı apikal foramen çapa sahip dişlerin kök kanallarının içine yerleştirildi. Negatif kontrol grubu olarak seçilmiş 5 adet diş hiçbir işlem yapılmadan deney süresine kadar salin solüsyonu içerisinde bekletildi. Pozitif kontrol grubu olarak preparasyonu yapılmış rastgele 5 adet diş seçildi; ancak kanal dolguları yapılmadı. Hazırlanan kökler silindir kalıplar kullanılarak mine-sement sınırının 2 mm apikalinden şeffaf akrilik rezin içerisine gömüldü. Örneklere, dişe dik gelecek şekilde, 5 mm/dk hızda dikey kuvvet uygulandı. Her bir örneğe uygulanan dikey kuvvetler karşısında dişlerin maksimum kırılma dirençleri Newton cinsinden belirlendi. Verilerin istatistiksel analizi bir software kullanılarak yapıldı. Elde edilen veriler tek yönlü ANOVA ve post-hoc Tukey testleri kullanılarak analiz edildi.

BULGULAR: Deney gruplarının birbiri arasında istatistiksel olarak fark bulunmazken (p>0.05), pozitif ve negatif kontrol grupları ile aralarında istatistiksel fark bulundu (p<0.05).

SONUÇ: Farklı yollarla yerleştirilen MTA’nın dikey kuvvetler karşısında dişlerin kırılma dayanımları üzerine anlamlı bir etkisi olmadığı saptandı.

References

  • Brito-Júnior M, Pereira RD, Veríssimo C, Soares CJ, Faria-e-Silva AL, Camilo CC, et al. Fracture resistance and stress distribution of simulated immature teeth after apexification with mineral trioxide aggregate. Int Endod J 2014;47:958-66.
  • Tay FR, Pashley DH. Monoblocks in root canals: a hypothetical or a tangible goal. J Endod 2007;33:391-8.
  • Bortoluzzi EA, Souza EM, Reis JM, Esberard RM, Tanomaru-Filho M. Fracture strength of bovine incisors after intra-radicular treatment with MTA in an experimental immature tooth model. Int Endod J 2007;40:684-91.
  • White JD, Lacefield WR, Chavers LS, Eleazer PD. The effect of three commonly used endodontic materials on the strength and hardness of root dentin. J Endod 2002;28:828-30.
  • Andreasen JO, Munksgaard EC, Bakland LK. Comparison of fracture resistance in root canals of immature sheep teeth after filling with calcium hydroxide or MTA. Dent Traumatol 2006;22:154-6.
  • Andreasen JO, Farik B, Munksgaard EC. Long-term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dent Traumatol 2002;18:134-7.
  • Desai S, Chandler N. The restoration of permanent immature anterior teeth, root filled using MTA: a review. J Dent 2009;37:652-7.
  • Pashley D, Okabe A, Parham P. The relationship between dentin microhardness and tubule density. Endod Dent Traumatol 1985;1:176-9.
  • Schmoldt SJ, Kirkpatrick TC, Rutledge RE, Yaccino JM. Reinforcement of simulated immature roots restored with composite resin, mineral trioxide aggregate, gutta-percha, or a fiber post after thermocycling. J Endod 2011;37:1390-3.
  • Yassen GH. The orthograde application of mineral trioxide aggregate apical plug may be an effective treatment approach in teeth with open apices. J Evid Based Dent Pract 2013;13:104-6.
  • Rossmeisl R, Reader A, Melfi R, Marquard J. A study of freeze-dried (lyophilized) dentin used as an apical barrier in adult monkey teeth. Oral Surg Oral Med Oral Pathol 1982;53:303-10.
  • Nosrat A, Nekoofar MH, Bolhari B, Dummer PM. Unintentional extrusion of mineral trioxide aggregate: a report of three cases. Int Endod J 2012;45:1165-76.
  • Lemon RR. Nonsurgical repair of perforation defects. Internal matrix concept. Dent Clin North Am 1992;36:439-57.
  • Nagas E, Uyanik O, Altundasar E, Durmaz V, Cehreli ZC, Vallittu PK, et al. Effect of different intraorifice barriers on the fracture resistance of roots obturated with Resilon or gutta-percha. J Endod 2010;36:1061-3.
  • Milani AS, Rahimi S, Borna Z, Jafarabadi MA, Bahari M, Deljavan AS. Fracture resistance of immature teeth filled with mineral trioxide aggregate or calcium-enriched mixture cement: an ex vivo study. Dent Res J (Isfahan) 2012;9:299-304.
  • Al Fouzan K, Awadh M, Badwelan M, Gamal A, Geevarghese A, Babhair S, et al. Marginal adaptation of mineral trioxide aggregate (MTA) to root dentin surface with orthograde/retrograde application techniques: A microcomputed tomographic analysis. J Conserv Dent 2015;18:109-13.
  • Mente J, Leo M, Panagidis D, Ohle M, Schneider S, Lorenzo Bermejo J, et al. Treatment outcome of mineral trioxide aggregate in open apex teeth. J Endod 2013;39:20-6.
  • Giuliani V, Baccetti T, Pace R, Pagavino G. The use of MTA in teeth with necrotic pulps and open apices. Dent Traumatol 2002;18:217-21.
  • Chang SW, Oh TS, Lee W, Cheung GS, Kim HC. Long-term observation of the mineral trioxide aggregate extrusion into the periapical lesion: a case series. Int J Oral Sci 2013;5:54-7.
  • Felippe WT, Felippe MC, Rocha MJ. The effect of mineral trioxide aggregate on the apexification and periapical healing of teeth with incomplete root formation. Int Endod J 2006;39:2-9.
  • Rafter M. Apexification: a review. Dent Traumatol 2005;21:1-8.
  • de Leimburg ML, Angeretti A, Ceruti P, Lendini M, Pasqualini D, Berutti E. MTA obturation of pulpless teeth with open apices: bacterial leakage as detected by polymerase chain reaction assay. J Endod 2004;30:883-6.
  • 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.
  • Kim JH, Kim Y, Shin SJ, Park JW, Jung IY. Tooth discoloration of immature permanent incisor associated with triple antibiotic therapy: a case report. J Endod 2010;36:1086-91.
  • Friedlander LT, Cullinan MP, Love RM. Dental stem cells and their potential role in apexogenesis and apexification. Int Endod J 2009;42:955-62.
  • Thibodeau B, Teixeira F, Yamauchi M, Caplan DJ, Trope M. Pulp revascularization of immature dog teeth with apical periodontitis. J Endod 2007;33:680-9.
  • 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.
  • Sood R, Kumar Hans M, Shetty S. Apical barrier technique with mineral trioxide aggregate using internal matrix: a case report. Compend Contin Educ Dent 2012;33:e88-90.
  • Tahan E, Celik D, Er K, Taşdemir T. Effect of unintentionally extruded mineral trioxide aggregate in treatment of tooth with periradicular lesion: a case report. J Endod 2010;36:760-3.
  • Gomes-Filho JE, Rodrigues G, Watanabe S, Estrada Bernabé PF, Lodi CS, Gomes AC, et al. Evaluation of the tissue reaction to fast endodontic cement (CER) and Angelus MTA. J Endod 2009;35:1377-80.
  • Torabinejad M, Parirokh M. Mineral trioxide aggregate: a comprehensive literature review--part II: leakage and biocompatibility investigations. J Endod 2010;36:190-202.
  • Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review--Part I: chemical, physical, and antibacterial properties. J Endod 2010;36:16-27.
  • Camilleri J, Pitt Ford TR. Mineral trioxide aggregate: a review of the constituents and biological properties of the material. Int Endod J 2006;39:747-54.
  • Kim US, Shin SJ, Chang SW, Yoo HM, Oh TS, Park DS. In vitro evaluation of bacterial leakage resistance of an ultrasonically placed mineral trioxide aggregate orthograde apical plug in teeth with wide open apexes: a preliminary study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:e52-6.
  • Whittle M. Apexification of an infected untreated immature tooth. J Endod 2000;26:245-7.
  • Alacam A, Uçüncü N. Combined apexification and orthodontic intrusion of a traumatically extruded immature permanent incisor. Dent Traumatol 2002;18:37-41.
  • Morse DR, O’Larnic J, Yesilsoy C. Apexification: review of the literature. Quintessence Int 1990;21:589-98.
  • Hansen EK, Asmussen E, Christiansen NC. In vivo fractures of endodontically treated posterior teeth restored with amalgam. Endod Dent Traumatol 1990;6:49-55.

Evaluation of the reinforcement effect on teeth with different apical foramen diameters of retrograde or orthograde MTA application with internal matrix

Year 2016, Volume: 33 Issue: 1, 6 - 11, 01.01.2016
https://doi.org/10.17214/aot.36762

Abstract

OBJECTIVE: The aim of this study was to determine the effect of the apical foramen diameter and different application methods of Mineral Trioxide Aggregate (MTA) on the fracture resistance of simulated immature teeth using a Universal Testing Machine.

MATERIALS AND METHOD: Ninety extracted human teeth were used for the fracture resistance test. The apical foramen was prepared to a diameter of 1.0 mm or 1.4 mm to simulate the open apex of immature teeth. MTA was mixed according to manufacturer's recommendations and placed into the root canals with different apical foramen diameter by four different root filling techniques: retrograde, two-phased orthograde, and ortograde with or without internal matrix. Prepared roots were marked 2 mm below the cemento-enamel junction and embedded in transparent acrylic resin in cylinder moulds. Vertical force was applied along the long axis of the tooth at a speed of 5 mm/min, and the maximum resistance to fracture for each tooth was determined in Newton. A software package was used for the statistical analysis. The data were analyzed by using one-way ANOVA and post-hoc Tukey tests.

RESULTS: A statistically significant difference could not be observed between the groups (p>0.05) whereas statistically significant differences were found between the test groups and the control groups (p<0.05).

CONCLUSION: There was no significant difference between different vertical root filling techniques in increasing the fracture strength of the teeth. The diameter of the apical foramen did not have a significant effect on the fracture resistance.

References

  • Brito-Júnior M, Pereira RD, Veríssimo C, Soares CJ, Faria-e-Silva AL, Camilo CC, et al. Fracture resistance and stress distribution of simulated immature teeth after apexification with mineral trioxide aggregate. Int Endod J 2014;47:958-66.
  • Tay FR, Pashley DH. Monoblocks in root canals: a hypothetical or a tangible goal. J Endod 2007;33:391-8.
  • Bortoluzzi EA, Souza EM, Reis JM, Esberard RM, Tanomaru-Filho M. Fracture strength of bovine incisors after intra-radicular treatment with MTA in an experimental immature tooth model. Int Endod J 2007;40:684-91.
  • White JD, Lacefield WR, Chavers LS, Eleazer PD. The effect of three commonly used endodontic materials on the strength and hardness of root dentin. J Endod 2002;28:828-30.
  • Andreasen JO, Munksgaard EC, Bakland LK. Comparison of fracture resistance in root canals of immature sheep teeth after filling with calcium hydroxide or MTA. Dent Traumatol 2006;22:154-6.
  • Andreasen JO, Farik B, Munksgaard EC. Long-term calcium hydroxide as a root canal dressing may increase risk of root fracture. Dent Traumatol 2002;18:134-7.
  • Desai S, Chandler N. The restoration of permanent immature anterior teeth, root filled using MTA: a review. J Dent 2009;37:652-7.
  • Pashley D, Okabe A, Parham P. The relationship between dentin microhardness and tubule density. Endod Dent Traumatol 1985;1:176-9.
  • Schmoldt SJ, Kirkpatrick TC, Rutledge RE, Yaccino JM. Reinforcement of simulated immature roots restored with composite resin, mineral trioxide aggregate, gutta-percha, or a fiber post after thermocycling. J Endod 2011;37:1390-3.
  • Yassen GH. The orthograde application of mineral trioxide aggregate apical plug may be an effective treatment approach in teeth with open apices. J Evid Based Dent Pract 2013;13:104-6.
  • Rossmeisl R, Reader A, Melfi R, Marquard J. A study of freeze-dried (lyophilized) dentin used as an apical barrier in adult monkey teeth. Oral Surg Oral Med Oral Pathol 1982;53:303-10.
  • Nosrat A, Nekoofar MH, Bolhari B, Dummer PM. Unintentional extrusion of mineral trioxide aggregate: a report of three cases. Int Endod J 2012;45:1165-76.
  • Lemon RR. Nonsurgical repair of perforation defects. Internal matrix concept. Dent Clin North Am 1992;36:439-57.
  • Nagas E, Uyanik O, Altundasar E, Durmaz V, Cehreli ZC, Vallittu PK, et al. Effect of different intraorifice barriers on the fracture resistance of roots obturated with Resilon or gutta-percha. J Endod 2010;36:1061-3.
  • Milani AS, Rahimi S, Borna Z, Jafarabadi MA, Bahari M, Deljavan AS. Fracture resistance of immature teeth filled with mineral trioxide aggregate or calcium-enriched mixture cement: an ex vivo study. Dent Res J (Isfahan) 2012;9:299-304.
  • Al Fouzan K, Awadh M, Badwelan M, Gamal A, Geevarghese A, Babhair S, et al. Marginal adaptation of mineral trioxide aggregate (MTA) to root dentin surface with orthograde/retrograde application techniques: A microcomputed tomographic analysis. J Conserv Dent 2015;18:109-13.
  • Mente J, Leo M, Panagidis D, Ohle M, Schneider S, Lorenzo Bermejo J, et al. Treatment outcome of mineral trioxide aggregate in open apex teeth. J Endod 2013;39:20-6.
  • Giuliani V, Baccetti T, Pace R, Pagavino G. The use of MTA in teeth with necrotic pulps and open apices. Dent Traumatol 2002;18:217-21.
  • Chang SW, Oh TS, Lee W, Cheung GS, Kim HC. Long-term observation of the mineral trioxide aggregate extrusion into the periapical lesion: a case series. Int J Oral Sci 2013;5:54-7.
  • Felippe WT, Felippe MC, Rocha MJ. The effect of mineral trioxide aggregate on the apexification and periapical healing of teeth with incomplete root formation. Int Endod J 2006;39:2-9.
  • Rafter M. Apexification: a review. Dent Traumatol 2005;21:1-8.
  • de Leimburg ML, Angeretti A, Ceruti P, Lendini M, Pasqualini D, Berutti E. MTA obturation of pulpless teeth with open apices: bacterial leakage as detected by polymerase chain reaction assay. J Endod 2004;30:883-6.
  • 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.
  • Kim JH, Kim Y, Shin SJ, Park JW, Jung IY. Tooth discoloration of immature permanent incisor associated with triple antibiotic therapy: a case report. J Endod 2010;36:1086-91.
  • Friedlander LT, Cullinan MP, Love RM. Dental stem cells and their potential role in apexogenesis and apexification. Int Endod J 2009;42:955-62.
  • Thibodeau B, Teixeira F, Yamauchi M, Caplan DJ, Trope M. Pulp revascularization of immature dog teeth with apical periodontitis. J Endod 2007;33:680-9.
  • 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.
  • Sood R, Kumar Hans M, Shetty S. Apical barrier technique with mineral trioxide aggregate using internal matrix: a case report. Compend Contin Educ Dent 2012;33:e88-90.
  • Tahan E, Celik D, Er K, Taşdemir T. Effect of unintentionally extruded mineral trioxide aggregate in treatment of tooth with periradicular lesion: a case report. J Endod 2010;36:760-3.
  • Gomes-Filho JE, Rodrigues G, Watanabe S, Estrada Bernabé PF, Lodi CS, Gomes AC, et al. Evaluation of the tissue reaction to fast endodontic cement (CER) and Angelus MTA. J Endod 2009;35:1377-80.
  • Torabinejad M, Parirokh M. Mineral trioxide aggregate: a comprehensive literature review--part II: leakage and biocompatibility investigations. J Endod 2010;36:190-202.
  • Parirokh M, Torabinejad M. Mineral trioxide aggregate: a comprehensive literature review--Part I: chemical, physical, and antibacterial properties. J Endod 2010;36:16-27.
  • Camilleri J, Pitt Ford TR. Mineral trioxide aggregate: a review of the constituents and biological properties of the material. Int Endod J 2006;39:747-54.
  • Kim US, Shin SJ, Chang SW, Yoo HM, Oh TS, Park DS. In vitro evaluation of bacterial leakage resistance of an ultrasonically placed mineral trioxide aggregate orthograde apical plug in teeth with wide open apexes: a preliminary study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:e52-6.
  • Whittle M. Apexification of an infected untreated immature tooth. J Endod 2000;26:245-7.
  • Alacam A, Uçüncü N. Combined apexification and orthodontic intrusion of a traumatically extruded immature permanent incisor. Dent Traumatol 2002;18:37-41.
  • Morse DR, O’Larnic J, Yesilsoy C. Apexification: review of the literature. Quintessence Int 1990;21:589-98.
  • Hansen EK, Asmussen E, Christiansen NC. In vivo fractures of endodontically treated posterior teeth restored with amalgam. Endod Dent Traumatol 1990;6:49-55.
There are 38 citations in total.

Details

Subjects Health Care Administration
Journal Section Original Research Article
Authors

Emre Bayram This is me

Hüda Melike Bayram

Hakan Eren This is me

Publication Date January 1, 2016
Published in Issue Year 2016 Volume: 33 Issue: 1

Cite

APA Bayram, E., Bayram, H. M., & Eren, H. (2016). İnternal matriks ile birlikte kullanılan MTA’nın ortograd ve retrograd uygulanmasının farklı apikal açıklığa sahip dişler üzerindeki güçlendirme etkisinin değerlendirilmesi. Acta Odontologica Turcica, 33(1), 6-11. https://doi.org/10.17214/aot.36762
AMA Bayram E, Bayram HM, Eren H. İnternal matriks ile birlikte kullanılan MTA’nın ortograd ve retrograd uygulanmasının farklı apikal açıklığa sahip dişler üzerindeki güçlendirme etkisinin değerlendirilmesi. Acta Odontol Turc. January 2016;33(1):6-11. doi:10.17214/aot.36762
Chicago Bayram, Emre, Hüda Melike Bayram, and Hakan Eren. “İnternal Matriks Ile Birlikte kullanılan MTA’nın Ortograd Ve Retrograd uygulanmasının Farklı Apikal açıklığa Sahip dişler üzerindeki güçlendirme Etkisinin değerlendirilmesi”. Acta Odontologica Turcica 33, no. 1 (January 2016): 6-11. https://doi.org/10.17214/aot.36762.
EndNote Bayram E, Bayram HM, Eren H (January 1, 2016) İnternal matriks ile birlikte kullanılan MTA’nın ortograd ve retrograd uygulanmasının farklı apikal açıklığa sahip dişler üzerindeki güçlendirme etkisinin değerlendirilmesi. Acta Odontologica Turcica 33 1 6–11.
IEEE E. Bayram, H. M. Bayram, and H. Eren, “İnternal matriks ile birlikte kullanılan MTA’nın ortograd ve retrograd uygulanmasının farklı apikal açıklığa sahip dişler üzerindeki güçlendirme etkisinin değerlendirilmesi”, Acta Odontol Turc, vol. 33, no. 1, pp. 6–11, 2016, doi: 10.17214/aot.36762.
ISNAD Bayram, Emre et al. “İnternal Matriks Ile Birlikte kullanılan MTA’nın Ortograd Ve Retrograd uygulanmasının Farklı Apikal açıklığa Sahip dişler üzerindeki güçlendirme Etkisinin değerlendirilmesi”. Acta Odontologica Turcica 33/1 (January 2016), 6-11. https://doi.org/10.17214/aot.36762.
JAMA Bayram E, Bayram HM, Eren H. İnternal matriks ile birlikte kullanılan MTA’nın ortograd ve retrograd uygulanmasının farklı apikal açıklığa sahip dişler üzerindeki güçlendirme etkisinin değerlendirilmesi. Acta Odontol Turc. 2016;33:6–11.
MLA Bayram, Emre et al. “İnternal Matriks Ile Birlikte kullanılan MTA’nın Ortograd Ve Retrograd uygulanmasının Farklı Apikal açıklığa Sahip dişler üzerindeki güçlendirme Etkisinin değerlendirilmesi”. Acta Odontologica Turcica, vol. 33, no. 1, 2016, pp. 6-11, doi:10.17214/aot.36762.
Vancouver Bayram E, Bayram HM, Eren H. İnternal matriks ile birlikte kullanılan MTA’nın ortograd ve retrograd uygulanmasının farklı apikal açıklığa sahip dişler üzerindeki güçlendirme etkisinin değerlendirilmesi. Acta Odontol Turc. 2016;33(1):6-11.