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

Year 2024, Volume: 11 Issue: 2, 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

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