Endodontide Organik ve İnorganik Doku Çözücüler Bir Arada Kullanılabilir mi?

Yıl 2024, Cilt: 10 Sayı: 3, 271 - 279, 30.12.2024

Uğur Karabağ

Öz

Kök kanallarının yıkanması, endodontik triad olarak da bilinen, kök kanalı tedavisinin temelini oluşturan kavramın, en önemli aşamalarından biridir. Özellikle enfekte kök kanallarında, çeşitli anatomik zorluklar da göz önüne alındığında, yıkamanın önemi daha da artmaktadır. Kök kanallarının yıkanmasında belirli protokoller kabul edilmektedir. Günümüzde endodontik tedavilerde en sık kullanılan solüsyon organik doku çözücü olan sodyum hipoklorittir (NaOCl). Endodontik tedavilerde daha başarılı sonuçlar alabilmek amacıyla organik ve inorganik doku çözücü solüsyonların bir arada kullanımı yaygın olarak kabul görmektedir. Fakat bu solüsyonların bir arada kullanımı, etki mekanizmalarının zayıflamasına veya çeşitli çökeltilerin oluşmasına sebep olabilmektedir. Bu durum araştırmacıları, organik ve inorganik doku çözücü solüsyonların, herhangi bir etki kaybı ve olumsuz bir reaksiyon görülmeksizin bir arada kullanımlarını sağlayacak bir formülasyon arayışına yöneltmiştir. Bu amaçla son yıllarda üretilen ve en çok kabul gören formülasyon Dual Rinse HEDP’dir. Bu derlemede, Dual Rinse HEDP’nin içeriği, üretilme amacı ve NaOCl ile birlikte kullanımının etki ve sonuçları anlatılmaktadır.

Anahtar Kelimeler

Dual Rinse HEDP, şelatörler, yıkama solüsyonları

Can Organic and Inorganic Tissue Solvent Solutions be Used Combined in Endodontics?

Öz

Kaynakça

• Prada, I.; Mico-Munoz, P.; Giner-Lluesma, T.; Mico- Martinez, P.; Collado-Castellano, N.; ManzanoSaiz, A. Influence of microbiology on endodontic failure. Literature review. Med Oral Patol Oral Cir Bucal 2019, 24 (3), e364-e372. DOI: 10.4317/medoral.22907 From NLM Medline.
• Girard, S.; Paque, F.; Badertscher, M.; Sener, B.; Zehnder, M. Assessment of a gel-type chelating preparation containing 1-hydroxyethylidene-1, 1-bisphosphonate. Int Endod J 2005, 38 (11), 810-816. DOI: 10.1111/j.1365- 2591.2005.01021.x.
• Zehnder, M.; Schmidlin, P.; Sener, B.; Waltimo, T. Chelation in root canal therapy reconsidered. J Endod 2005, 31 (11), 817-820. DOI: 10.1097/01. don.0000158233.59316.fe.
• Tartari, T.; Guimaraes, B. M.; Amoras, L. S.; Duarte, M. A.; Silva e Souza, P. A.; Bramante, C. M. Etidronate causes minimal changes in the ability of sodium hypochlorite to dissolve organic matter. Int Endod J 2015, 48 (4), 399-404. DOI: 10.1111/iej.12329.
• Zollinger, A.; Mohn, D.; Zeltner, M.; Zehnder, M. Short-term storage stability of NaOCl solutions when combined with Dual Rinse HEDP. Int Endod J 2018, 51 (6), 691-696. DOI: 10.1111/iej.12875.
• Biel, P.; Mohn, D.; Attin, T.; Zehnder, M. Interactions between the Tetrasodium Salts of EDTA and 1Hydroxyethane 1,1-Diphosphonic Acid with Sodium Hypochlorite Irrigants. J Endod 2017, 43 (4), 657661. DOI: 10.1016/j.joen.2016.12.006.
• Abdellatif, D.; Amato, A.; Calapaj, M.; Pisano, M.; Iandolo, A. A novel modified obturation technique using biosealers: An ex vivo study. J Conserv Dent 2021, 24 (4), 369-373. DOI: 10.4103/jcd.jcd_142_21 From NLM PubMed-not-MEDLINE.
• Orstavik, D.; Kerekes, K.; Molven, O. Effects of extensive apical reaming and calcium hydroxide dressing on bacterial infection during treatment of apical periodontitis: a pilot study. Int Endod J 1991, 24 (1), 1-7. DOI: 10.1111/j.1365-2591.1991.tb00863.x.
• Sjogren, U.; Figdor, D.; Spangberg, L.; Sundqvist, G. The antimicrobial effect of calcium hydroxide as a shortterm intracanal dressing. Int Endod J 1991, 24 (3), 119- 125. DOI: 10.1111/j.13652591.1991.tb00117.x.
• Boessler, C.; Peters, O. A.; Zehnder, M. Impact of lubricant parameters on rotary instrument torque and force. J Endod 2007, 33 (3), 280-283. DOI: 10.1016/j. joen.2006.11.007.
• Alacam, T. Kök kanallarının irrigasyonu. In Endodonti, Alacam, T. Ed.; Özyurt Matbaacılık, 2012; p 529.
• Gazzaneo, I.; Vieira, G. C. S.; Perez, A. R.; Alves, F. R. F.; Goncalves, L. S.; Mdala, I.; Siqueira, J. F., Jr.; Rocas, I. N. Root Canal Disinfection by Single- and Multipleinstrument Systems: Effects of Sodium Hypochlorite Volume, Concentration, and Retention Time. J Endod 2019, 45 (6), 736-741. DOI: 10.1016/j.joen.2019.02.017.
• Nygaard, Ö. Chelation in root canal therapy. Odontol Tidskr 1957, 65, 3-11.
• Loel, D. A. Use of acid cleanser in endodontic therapy. J Am Dent Assoc 1975, 90 (1), 148-151. DOI: 10.14219/ jada.archive.1975.0010.
• Gwinnett, A. J. Smear layer: morphological considerations. Oper Dent Suppl 1984, 3, 2-12. From NLM Medline.
• Schilder, H. Cleaning and shaping the root canal. Dent Clin North Am 1974, 18 (2), 269-296. From NLM Medline.
• Yamada, R. S.; Armas, A.; Goldman, M.; Lin, P. S. A scanning electron microscopic comparison of a high volume final flush with several irrigating solutions: Part 3. J Endod 1983, 9 (4), 137-142. DOI: 10.1016/S0099- 2399(83)80032-6.
• Ng, Y. L.; Mann, V.; Gulabivala, K. A prospective study of the factors affecting outcomes of nonsurgical root canal treatment: part 1: periapical health. Int Endod J 2011, 44 (7), 583-609. DOI: 10.1111/j.1365-2591.2011.01872.x.
• Rodig, T.; Vogel, S.; Zapf, A.; Hulsmann, M. Efficacy of different irrigants in the removal of calcium hydroxide from root canals. Int Endod J 2010, 43 (6), 519-527. DOI: 10.1111/j.13652591.2010.01709.x.
• Baumgartner, J. C.; Ibay, A. C. The chemical reactions of irrigants used for root canal debridement. J Endod 1987, 13 (2), 47-51. DOI: 10.1016/S0099-2399(87)80153-X.
• Aranda-Garcia, A. J.; Kuga, M. C.; Chavez-Andrade, G. M.; Kalatzis-Sousa, N. G.; Hungaro Duarte, M. A.; Faria, G.; Reis So, M. V.; Faria, N. B., Jr. Effect of final irrigation protocols on microhardness and erosion of root canal dentin. Microsc Res Tech 2013, 76 (10), 1079-1083. DOI: 10.1002/jemt.22268.
• Barborka, B. J.; Woodmansey, K. F.; Glickman, G. N.; Schneiderman, E.; He, J. Long-term Clinical Outcome of Teeth Obturated with Resilon. J Endod 2017, 43 (4), 556- 560. DOI: 10.1016/j.joen.2016.12.005.
• Pashley, D. H.; Carvalho, R. M. Dentine permeability and dentine adhesion. J Dent 1997, 25 (5), 355372. DOI: 10.1016/s0300-5712(96)00057-7 From NLM Medline. Tay, F. R.; Smales, R. J.; Ngo, H.; Wei, S. H.; Pashley, D. H. Effect of different conditioning protocols on adhesion of a GIC to dentin. J Adhes Dent 2001, 3 (2), 153-167. From NLM Medline.
• Lottanti, S.; Gautschi, H.; Sener, B.; Zehnder, M. Effects of ethylenediaminetetraacetic, etidronic and peracetic acid irrigation on human root dentine and the smear layer. Int Endod J 2009, 42 (4), 335-343. DOI: 10.1111/j.1365-2591.2008.01514.x.
• Neelakantan, P.; Subbarao, C.; Subbarao, C. V.; De-Deus, G.; Zehnder, M. The impact of root dentine conditioning on sealing ability and push-out bond strength of an epoxy resin root canal sealer. Int Endod J 2011, 44 (6), 491-498. DOI: 10.1111/j.1365-2591.2010.01848.x.
• Carvalho, N. K.; Prado, M. C.; Senna, P. M.; Neves, A. A.; Souza, E. M.; Fidel, S. R.; Sassone, L. M.; Silva, E. Do smear-layer removal agents affect the push-out bond strength of calcium silicate-based endodontic sealers? Int Endod J 2017, 50 (6), 612-619. DOI: 10.1111/iej.12662.
• Perdigao, J.; Eiriksson, S.; Rosa, B. T.; Lopes, M.; Gomes, G. Effect of calcium removal on dentin bond strengths. Quintessence Int 2001, 32 (2), 142-146. From NLM Medline.
• Deari, S.; Wegehaupt, F. J.; Taubock, T. T.; Attin, T. Influence of Different Pretreatments on the Microtensile Bond Strength to Eroded Dentin. J Adhes Dent 2017, 19 (2), 147-155. DOI: 10.3290/j.jad.a38142 From NLM Medline. Meraji, N.; Nekoofar, M. H.; Yazdi, K. A.; Sharifian, M. R.; Fakhari, N.; Camilleri, J. Bonding to caries affected dentine. Dent Mater 2018, 34 (9), e236-e245. DOI: 10.1016/j.dental.2018.05.017 From NLM Medline.
• De-Deus, G.; Souza, E. M.; Marins, J. R.; Reis, C.; Paciornik, S.; Zehnder, M. Smear layer dissolution by peracetic acid of low concentration. Int Endod J 2011, 44 (6), 485-490. DOI: 10.1111/j.13652591.2010.01847.x.
• Neelakantan, P.; Varughese, A. A.; Sharma, S.; Subbarao, C. V.; Zehnder, M.; De-Deus, G. Continuous chelation irrigation improves the adhesion of epoxy resin-based root canal sealer to root dentine. Int Endod J 2012, 45 (12), 1097-1102. DOI: 10.1111/j.1365- 2591.2012.02073.x.
• Neelakantan, P.; NANDAGOPALA, M.; Shemesh, h.; Wesselink, P. The effect of root dentin conditioning protocols on the push-out bond strength of three calcium silicate sealers. Int J Adhes Adhes 2015, 40, 104-108.
• Morago, A.; Ordinola-Zapata, R.; Ferrer-Luque, C. M.; Baca, P.; Ruiz-Linares, M.; Arias-Moliz, M. T. Influence of Smear Layer on the Antimicrobial Activity of a Sodium Hypochlorite/Etidronic Acid Irrigating Solution in Infected Dentin. J Endod 2016, 42 (11), 1647-1650. DOI: 10.1016/j.joen.2016.07.023.
• Ballal, N. V.; Gandhi, P.; Shenoy, P. A.; Shenoy Belle, V.; Bhat, V.; Rechenberg, D. K.; Zehnder, M. Safety assessment of an etidronate in a sodium hypochlorite solution: randomized double-blind trial. Int Endod J 2019, 52 (9), 1274-1282. DOI: 10.1111/iej.13129.
• Tartari, T.; de Almeida Rodrigues Silva, E. S. P.; Vila Nova de Almeida, B.; Carrera Silva Junior, J. O.; Faciola Pessoa, O.; Silva, E. S. J. M. H. A new weak chelator in endodontics: effects of different irrigation regimens with etidronate on root dentin microhardness. Int J Dent 2013, 2013, 743018. DOI: 10.1155/2013/743018 From NLM PubMed-not-MEDLINE.
• Bedier, M. M.; Gawdat, S. I. Evaluation of the efficacy of dual rinse and glycolic acid as root canal irrigation on superficial chemical structure and microhardness of radicular dentine. Egyptian Dental Journal 2024, 70, 653:661. DOI: 10.21608/EDJ.2023.232077.2693.
• Grinkevičiūtė, P.; Leknickė, G.; Lodienė, G.; Kriūkienė, R. Effects of Irrigation Solutions on Root Canal Dentin. International Journal of Applied 2019, 4.
• Kfir, A.; Goldenberg, C.; Metzger, Z.; Hulsmann, M.; Baxter, S. Cleanliness and erosion of root canal walls after irrigation with a new HEDP-based solution vs. traditional sodium hypochlorite followed by EDTA. A scanning electron microscope study. Clin Oral Investig 2020, 24 (10), 3699-3706. DOI: 10.1007/s00784-020-03249-w From NLM Medline.
• Zarean, P.; Göllner, M.; Zarean, P.; Neuhaus, K. W. 2D and 3D Erosion Landscape Analysis of Endodontic- Treated Teeth Using EDTA and HEDP as Chelating Agents: A High-Resolution Micro-Computed Tomographic Study. Dent. J. 2023, 11 (12), 286. DOI: https://doi.org/10.3390/ dj11120286.
• Giardino, L.; Del Fabbro, M.; Morra, M.; Pereira, T.; Bombarda de Andrade, F.; Savadori, P.; Generali, L. Dual Rinse((R)) HEDP increases the surface tension of NaOCl but may increase its dentin disinfection efficacy. Odontology 2019, 107 (4), 521-529. DOI: 10.1007/ s10266-019-00436-4 From NLM Medline.
• Harzivartyan, S.; Hazar, A. B.; Kartal, N.; Cimilli, Z. H. Evaluation of different irrigation solutions and activation methods on removing calcium hydroxide. J Dent Sci 2021, 16 (2), 700-705. DOI: 10.1016/j.jds.2020.09.003 From NLM PubMed-not-MEDLINE.
• Awati, A. S.; Dhaded, N. S.; Mokal, S.; Doddwad, P. K. Analysis of the depth of penetration of an epoxy resin-based sealer following a final rinse of irrigants and use of activation systems: An in vitro study. Journal of Conservative Dentistry and Endodontics 2024, 27 (1), 87- 94. DOI: 10.4103/JCDE.JCDE_221_23.
• Paulson, L.; Ballal, N. V.; Bhagat, A. Effect of Root Dentin Conditioning on the Pushout Bond Strength of Biodentine. J Endod 2018, 44 (7), 1186-1190. DOI: 10.1016/j.joen.2018.04.009.
• Zollinger, A.; Attin, T.; Mohn, D.; Zehnder, M. Effects of endodontic irrigants on blood and bloodstained dentin. Heliyon 2019, 5 (5), e01794. DOI: 10.1016/j.heliyon.2019. e01794 From NLM PubMednot-MEDLINE.
• kaki, g.; recen, D.; Baser Kolcu, M.; Güvenç, P. Effect of Dual Rinse HEDP root canal irrigation solution on coronal dentin adhesion. Med J SDU 2018, 25, 412-419.
• KAKİ, G.; RECEN, D.; BAŞER KOLCU, M.; GÜVENÇ, P. Effect of Dual Rinse® HEDP Root Canal Irrigation Solution On Coronal Dentin Adhesion. SDÜ Tıp Fak Derg 2018, 25 (4), 412-419. DOI: 10.17343/ sdutfd.424119.
• Ballal, N. V.; Das, S.; Rao, B. S. S.; Zehnder, M.; Mohn, D. Chemical, cytotoxic and genotoxic analysis of etidronate in sodium hypochlorite solution. Int Endod J 2019, 52 (8), 1228-1234. DOI: 10.1111/iej.13110.
• Zehnder, M. Root canal irrigants. J Endod 2006, 32 (5), 389-398. DOI: 10.1016/j.joen.2005.09.014.
• Sonntag, D.; Raab, W. H.; Martin, E.; Keppel, R. Intracanal use of heated rinsing solutions: A pilot study. Quintessence Int 2017, 48 (4), 281-285. DOI: 10.3290/j. qi.a37689 From NLM Medline.
• Wright, P. P.; Kahler, B.; Walsh, L. J. The Effect of Heating to Intracanal Temperature on the Stability of Sodium Hypochlorite Admixed with Etidronate or EDTA for Continuous Chelation. J Endod 2019, 45 (1), 57-61. DOI: 10.1016/j.joen.2018.09.014.
• Ballal, N. V.; Ivica, A.; Meneses, P.; Narkedamalli, R. K.; Attin, T.; Zehnder, M. Influence of 1Hydroxyethylidene- 1,1-Diphosphonic Acid on the Soft Tissue-Dissolving and Gelatinolytic Effect of Ultrasonically Activated Sodium Hypochlorite in Simulated Endodontic Environments. Materials (Basel) 2021, 14 (10). DOI: 10.3390/ ma14102531 From NLM PubMed-not-MEDLINE.
• Ulusoy, O. I.; Savur, I. G.; Alacam, T.; Celik, B. The effectiveness of various irrigation protocols on organic tissue removal from simulated internal resorption defects. Int Endod J 2018, 51 (9), 1030-1036. DOI: 10.1111/ iej.12919.
• Abuhaimed, T. S.; Abou Neel, E. A. Sodium Hypochlorite Irrigation and Its Effect on Bond Strength to Dentin. Biomed Res Int 2017, 2017, 1930360. DOI: 10.1155/2017/1930360 From NLM Medline.
• RUDDLE, C. J. Identifying root canals, endodontic strategies. Identifying root canals, endodontic strategies 2011, 6(4), 56.
• Deniz Sungur, D.; Aksel, H.; Ozturk, S.; Yilmaz, Z.; Ulubayram, K. Effect of dentine conditioning with phytic acid or etidronic acid on growth factor release, dental pulp stem cell migration and viability. Int Endod J 2019, 52 (6), 838-846. DOI: 10.1111/iej.13066.