Kalsiyum Hidroksitin Uzaklaştırılmasında Etanol Kullanımının Kök Kanal Dolgusunun Push-out Bağlantı Dayanımına Etkisinin İncelenmesi

Year 2024, , 110 - 113, 19.08.2024

Funda Fundaoğlu Küçükekenci

https://doi.org/10.15311/selcukdentj.1134167

Abstract

Amaç: Bu çalışmanın amacı, başta etanol olmak üzere, kalsiyum hidroksiti [Ca(OH)2] uzaklaştirmak için kullanilan çeşitli irrigasyon solüsyonlarının kök kanal dolgusunun push-out bağlantı dayanımına etkisinin değerlendirilmesidir.
Gereç ve Yöntemler: 50 adet insan kesici dişi protaper next X3 kanal eğesine kadar genişletildi ve kök kanalları Ca(OH)2 ile dolduruldu ve 37 °C ve % 100 nemde 1 hafta bekletildi. Örnekler Ca(OH)2 ‘ yi uzaklaştırmak için kullanılan irrigasyon solüsyonuna göre 5 çalışma grubuna ayrıldı (n=10); Grup 1: 6 ml % 2.5 NaOCl, Grup 2: 6 ml % 17 EDTA, Grup 3: 6 ml % 37 fosforik asit, Grup 4: 6 ml % 70 etanol, Grup 5: 6 ml distile su. Ca(OH)2 uzaklaştırıldıktan sonra kök kanalları güta perka ve AH plus kanal patı kullanılarak dolduruldu. Her dişten koronal, orta ve apikal üçlüden birer örnek alınarak push-out testi uygulandı. Elde edilen veriler tek yönlü varyans analizi (ANOVA) ve Tukey çoklu karşılaştırma testi ile analiz edildi (α=0.05).
Bulgular: İstatistiksel olarak en yüksek bağlantı değeri etanol kullanılan grupta (6.46 ±0.14 MPa) görülürken tüm gruplar arasında istatiksel olarak anlamlı fark görüldü (p<0.05). Tüm gruplarda apikal üçlü bölgesinde ki bağlantı değeri koronal ve orta üçlüden istatistiksel olarak anlamlı olarak düşük tespit edildi (p<0.05).
Sonuç: Ethanolun irrigasyon solusyonu olarak kullanılması sonrasındaki kök kanal dolgusunun yüksek bağlantı değeri kök kanal tedavisinin başarısını uzun dönemde olumlu etkileyebilir. Bu nedenle, etanol kalsiyum hidroksiti uzaklaştırmak için bilinen irrigasyon solüsyonlarına alternatif olarak kullanılabilir.

Keywords

Kalsiyum hidroksit, Etanol, Push¬-out bağlantı dayanımı

Investigate the Push-out Bond Strength of Root Canal Fillings After Calcium Hydroxide Medicament Removal with Ethanol

Abstract

Aim: The present study aims to evaluate the effect of various irrigation solutions used to remove calcium hydroxide [Ca(OH)2], especially ethanol, on the push-out bond strength (PBS) of root canal filling.
Materials And Methods: 50 human incisor protaper next X3 files were prepared. Root canals were filled with Ca(OH)2. The teeth were kept at 37 °C and 100 % humidity for 1 week. The samples were divided into 5 experimental groups according to the irrigation solution used to remove the Ca(OH)2 (n=10); Group 1: 2.5 % NaOCl, Group 2: 6 mL 17 % EDTA, Group 3: 6 ml 37 % phosphoric acid, Group 4: 6 ml 70 % ethanol, Group 5: 6 ml distilled water. After removing the Ca(OH)2, the root canals were filled with AH plus root canal sealer and gutta-percha. PBS test was applied by taking one sample from each tooth from the coronal, middle, and apical thirds. The data were analyzed with a one-way analysis of variance and Tukey's multiple comparison test (α=0.05).
Results: Statistically, the highest bond strength was found in the ethanol group (6.46±0.14 MPa), and there was a statistical difference between all groups (p<0.05). The apical PBS was significantly lower than the other thirds in all groups (p<0.05).
Conclusion: The high bond value result of the root canal filling after the use of ethanol as an irrigation solution may positively affect the long-term success of root canal treatment. So, ethanol can be used as an alternative to conventional irrigation solutions to remove Ca(OH)2

Keywords

Calcium hydroxide, Ethanol, Push-out bond strength

References

• 1. Mohammadi Z, Dummer PM. Properties and applications of calcium hydroxide in endodontics and dental traumatology. Int Endod J 2011;44(8):697-730.
• 2. Kawashima N, Wadachi R, Suda H, Parashos P, Yeng T. Root canal medicaments. Int Dent J 2009;59:5–11.
• 3. Grecca FS, Leonardo MR, Silva LAB, Tanomaru Filho M, Borges MAG. Radiographic evaluation of periradicular repairafter endodontic treatment of dog’s teeth with induced periradicular periodontitis. J Endod 2001;27:610–2.
• 4. Kim SK, Kim YO. Influence of calcium hydroxide intracanal medication on apical seal. Int Endod J2002;35:623–8.
• 5. Lambrianidis T, Margelos J, Beltes P. Removal efficiency of calcium hydroxide dressing from the root canal. J Endod 1999;25(2):85-8.
• 6. Kontakiotis EG, Wu MK, Wesselink PR. Effect of calcium hydroxide dressing on seal of permanent root filling. Endod Dent Traumatol 1997;13(6):281-4.
• 7. Alturaiki S, Lamphon H, Edrees H, AhlquistM. Efficacy of 3 different irrigation systems on removal of calcium hydroxide from the root canal: a scanning electron microscopic study. J Endod 2015;41:97–101.
• 8. Rödig T, Vögel S, Zapf A, Hülsmann M. Efficacy of different irrigants in the removal of calcium hydroxide from root canals. Int Endod J 2010;43(6):519-27.
• 9. Kenee DM, Allemang JD, Johnson JD, Hellstein J, Nichol BK. A quantitative assessment of efficacy of various calcium hydroxide removal techniques. J Endod 2006;32:563–5.
• 10. Da Silva JM, Silveira A, Santos E, Prado L, Pessoa OF. Efficacy of sodium hypochlorite, ethylenediaminetetraacetic acid, citric acid and phosphoric acid in calcium hydroxide removal from the root canal: a microscopic cleanliness evaluation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;112:820–4.
• 11. Luiz Carlos de Lima Dias-Junior, Roberta Fonseca Castro, Adriany Dias Fernandes, Marcella Yasmin Reis Guerreiro, Emmanuel J. N. L. Silva and Juliana Melo da Silva Brand. Final Endodontic Irrigation with 70% Ethanol Enhanced Calcium Hydroxide Removal from the Apical Third. Endod 2021;47:105–11.
• 12. Teixeira FB, Teixeira EC, Thompson J, Leinfelder KF, Trope M. Dentinal bonding reaches the root canal system. J Esthet Restor Dent 2004;16:348–54.
• 13. Schwartz RS. Adhesive dentistry and endodontics. Part 2: bonding in the root canal system - the promise and the problems: a review. J Endod 2006;32(12):1125-34.
• 14. Siqueira JF Jr, Lopes HP. Mechanisms of antimicrobial activity of calcium hydroxide: a critical review. Int Endod J 1999;32:361–9.
• 15. Barbizam JV, Trope M, Teixeira EC, Tanomaru-Filho M, Teixeira FB. Effect of calcium hydroxide intracanal dressing on the bond strength of a resin-based endodontic sealer. Braz Dent . 2008;19(3):224-7.
• 16. Calt S, Serper A. Dentinal tubule penetration of root canal sealers after root canal dressing with calcium hydroxide. J Endod 1999;25:431–3.
• 17. Van der Sluis LW, Wu MK, Wesselink PR. The evaluation of removal of calcium hydroxide paste from an artificial standardized groove in the apical root canal using different irrigation methodologies. Int Endod J 2007;40(1):52-7.
• 18. Salgado RJ, Moura-Netto C, Yamazaki AK, Cardoso LN, Maranhão de Moura AA, Prokopowitsch I. Comparison of different irrigants on calcium hydroxide medication removal: microscopic cleanliness evaluation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009;107:580–4.
• 19. Ring KC, Murray PE, Namerow KN, Kuttler S, Garcia-Godoy F. The comparison of the effect of endodontic irrigation on cell adherence to root canal dentin. J Endod 2008;34:1474-9.
• 20. Dogan Buzoglu H, Calt S, Gumusderelioglu M. Evaluation of the surface free energy on root canal dentine walls treated with chelating agents and NaOCl. Int Endod J 2007;40:18-24.
• 21. Hashem AA, Ghoneim AG, Lutfy RA, Fouda MY. The effect of different irrigating solutions on bond strength of two root canal-filling systems. J Endod 2009;35:537-40.
• 22. Moon YM, Shon WJ, Baek SH, Bae KS, Kum KY, Lee W. Effect of final irrigation regimen on sealer penetration in curved root canals. J Endod 2010;36:732–6.
• 23. Ramírez-Bommer C, Gulabivala K, Ng YL, Young A. Estimated depth of apatite and collagen degradation in human dentine by sequential exposure to sodium hypochlorite and EDTA: a quantitative FTIR study. Int Endod J 2018;51:469–78.
• 24. de Almeida MB, de Oliveira KV, Dos Santos VR, da Silva WJ, Tomazinho FSF, Filho FB. Effect of vehicle and agitation methods on the penetration of calcium hydroxide paste in the dentinal tubules. J Endod 2020;46:1340–1.
• 25. Alturaiki S, Lamphon H, Edrees H, AhlquistM. Efficacy of 3 different irrigation systems on removal of calcium hydroxide from the root canal: a scanning electron microscopic study. J Endod 2015;41:97–101.
• 26. Ma JZ, Shen Y, Al-Ashaw AJ, Khaleel HY, Wang ZJ, Peng B. Micro-computed tomography evaluation of the removal of calcium hydroxide medicament from C-shaped root canals of mandibular second molars. Int Endod J 2015;48:333–41.
• 27. Kourti E, Pantelidou O. Comparison of different agitation methods for the removal of calcium hydroxide from the root canal: scanning electron microscopy study. J Conserv Dent 2017;20:439–44.
• 28. Ersahan S, Aydin C. Dislocation resistance of iRoot SP, a calcium silicate-based sealer, from radicular dentin. J Endod 2010;36(12):2000-2.
• 29. Sagsen B, Ustün Y, Demirbuga S, Pala K. Push-out bond strength of two new calcium silicate-based endodontic sealers to root canal dentin. Int Endod J 2011;44(12):1088-91.
• 30. Williams C, Loushine RJ, Weller RN, Pashley DH, Tay FR. A comparison of cohesive strength and stiffness of Resilon and gutta-percha. J Endod 2006;32(6):553-5.
• 31. Sousa-Neto MD, Coelho FIS, Marchesan MA, Alfredo E, Silva- Sousa YT. Ex vivo study of the adhesion of an epoxy-based sealer to human dentin submitted to irradiation with Er:YAG and Nd:YAG lasers. Int Endod J 2005;38(12):866-70.
• 32. Bodrumlu E, Avsar A, Hazar Bodrumlu E, Cicek E. The effects of calcium hydroxide removal methods on bond strength of Epiphany SE with two irrigation protocols. Acta Odontol Scand 2013;71:989–93.
• 33. Shokouhinejad N, Sharifian MR, DDS, Jafari M, Sabeti MA. Push-out bond strength of Resilon/Epiphany self-etch and gutta-percha/AH26 after different irrigation protocols. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;110:88-92.