EVALUATING THE EFFECTS OF VARIOUS IRRIGATION SOLUTIONS ON THE FRACTURE STRENGTH OF ENDODONTICALLY TREATED TEETH

Year 2024, Volume: 7 Issue: 2, 139 - 142, 04.06.2024

Neslihan Büşra Keskin , Selen İnce Yusufoğlu , Alperen Bozkurt

https://doi.org/10.26650/JARHS2024-1300249

Abstract

Objective: Various irrigation solutions can affect the root canal sealer to bind dentine and not remove microorganisms from the root canal system completely. This study’s objective is to investigate the efficiency of fracture strength of various irrigation solution protocols.

Material and Methods: The study involves 60 single-rooted teeth. The working lengths were determined, and ProTaper Next (PTN; Dentsply-Sirona) files (X5 50.06) were used to prepare the root canal shaping. The teeth were then randomly divided into three (n=20) groups according to the different irrigation solutions: ethylene diamine tetra acetic acid (EDTA), Irritrol, and chlorhexidine (CHX). A fracture strength test was performed with the fracture value being recorded in Newtons (N). Data were statistically analyzed with the Kruskall-Wallis test (p<0.05).

Results: The EDTA group showed higher bond strength values than the CHX or Irritrol groups. No significant difference was found between EDTA and CHX (p>0.05). When using Irritrol as the final irrigation solution, fracture values were significantly lower compared to when CHX and EDTA were used (p<0.05).

Conclusion: EDTA and CHX have similar effects on fracture strength.

Keywords

Fracture strength, irrigation solutions, Irritrol, resin-based sealers

KÖK KANAL TEDAVİSİ YAPILMIŞ DİŞLERDE FARKLI İRRİGASYON SOLÜSYONLARININ KIRILMA DAYANIMLARI ÜZERİNE ETKİSİNİN İNCELENMESİ

Abstract

Amaç: Farklı irrigasyon solüsyonlarının kök kanal patının dentine bağlanma gücünü olumsuz etkileyebildiğini ve mikroorganizmaların kök kanal sisteminden tamamen uzaklaştırılamadığı görülmüştür. Bu çalışmanın amacı, farklı irrigasyon solüsyonlarının kullanılmasının dişlerin kırılma dayanımları üzerindeki etkisinin değerlendirilmesidir.

Gereç ve Yöntem: Çalışmaya 60 adet çürüksüz, tek köklü mandibular premolar diş dahil edildi. Çalışma boyları belirlendi ve kök kanal şekillendirilmesi üretici firmanın talimatlarına göre ProTaper Next (PTN; Dentsply-Sirona) X5 50.06 apikal genişlik elde edilinceye kadar prepare edildi. Ardından, dişler kullanılan irrigasyon solüsyonlarına (Etilendiamin tetraasetik asit (EDTA), Irritrol, Klorheksidin (CHX)) göre rastgele 3 (n=20) gruba ayrıldı. Kırılma dayanım testi uygulandı ve bu kırılma değeri Newton (N) cinsinden kaydedildi. Gruplarda normal dağılım göstermemiştir. Çalışmamızda, Non-Parametrik test olan Kruskall-Wallis ve Mann Whitney U testleri uygulanmıştır.

Bulgular: Etilendiamin tetraasetik asit grubu CHX ve Irritrol gruplarına göre daha fazla kırılma dayanımı göstermiştir. Etilendiamin tetraasetik asit ve CHX grupları arasında anlamlı bir farklılık bulunmamıştır (p>0,05). Irritrol ise diğer gruplara göre anlamlı derecede daha düşük kırılma dayanımı göstermiştir (p<0,05).

Sonuç: EDTA ve CHX’nin irrigasyon solüsyonu olarak kullanıldıktan sonra kök kanal patına ve gütaperkanın adhezyonuna benzer etkide bulundukları görülmüştür.

Keywords

Irritrol, irrigasyon solüsyonu, kırılma dayanımı, resin içerikli kök kanal patları

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