FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ

Dilara Arslan; Mehmet Burak Güneşer; Fatma Kaplan; Aslıhan Üşümez

doi:10.17567/ataunidfd.381302

FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ

Öz

Amaç: Erbium:Yttrium Aluminium Garnet (Er:YAG) ve Neodymium-Doped Yttrium Aluminum Garnet (Nd:YAG) lazer kullanılarak hazırlanmış retrograd kavitelerde Biodentin dolgu materyeli kullanımının apikal sızıntı üzerine etkisinin boya penetrasyon testi kullanılarak incelenmesidir.

Gereç ve yöntem: Kuronları uzaklaştırılan 64 adet tek köklü çekilmiş insan dişi ProTaper eğe sistemi ile F4’e kadar ile şekillendirildi. Guta-perka ve AH plus kanal patı kullanılarak lateral kondensasyon yöntemi ile dolduruldu. Apikal 3 mm’ lik parçalar kökün uzun aksına 90° olacak şekilde kesilerek uzaklaştırıldı. Kökler rastgele 8 gruba ayrıldı. (n:8); Grup 1: Hiçbir işlem yapılmadı, Grup 2: Apikal kök yüzeyine Nd:YAG lazer uygulandı, Grup 3: Fissür frez ile Sınıf 1 kavite açıldı (KP), Grup 4: Fissür frez ile KP+Biodentin, Grup 5: Fissür frez ile KP+Nd:YAG lazer+Biodentin, Grup 6: Er:YAG lazer ile KP, Grup 7: Er:YAG lazer ile KP+Biodentin, Grup 8: Er:YAG lazer ile KP+Nd:YAG lazer+ Biodentin. Kök yüzeyleri apikal 1mm hariç iki kat tırnak cilası kaplandı ve 15 gün süre ile çini mürekkebinde bekletildi. Apikal sızıntı şeffaflaştırma yöntemi ile değerlendirildi. İstatistiksel analiz Mann-Whitney U ve Kruskal-Wallis testleri kullanılarak yapıldı.

Bulgular: Biodentin ile doldurulmuş gruplar (4,5,7,8) arasında boya sızıntısı açısından istatistiksel olarak anlamlı bir fark bulunmamıştır (p>0.05). Biodentin uygulanan tüm gruplar ile (4,5,7,8) uygulanmayan diğer tüm gruplar (1,2,3,6) arasında istatistiksel olarak anlamlı fark tespit edilmiştir (p<0.05). Kavite açılımı olmadan apisektomi sonrası Nd:YAG lazer uygulanan grup 2 ile diğer tüm arasında istatistiksel olarak anlamlı fark elde edilmiştir (p<0.05).

Sonuç: Uygulanan kavite açım prosedürlerinin farklılığına bakılmaksızın, Biodentin apikal szınıtıyı engellemiştir. Apisektomi sonrası Nd: YAG lazer uygulaması hiçbir işlem uygulanmamasına alternatif olarak önerilebilir.

Anahtar Kelimeler: Biodentine, Er: YAG lazer, Nd: YAG lazer, retrograd tıkama

THE EFFECT OF VARIOUS RETROCAVITY PREPARATION TECHNIQUES AND RETROFILLING WITH BIODENTINE ON APICAL MICROLEAKAGE

ABSTRACT

Aim: The aim of this study was to evaluate the apical microleakage of root-end cavities prepared by Er:YAG (400 mJ, 10 Hz) or Nd:YAG (150 mJ, 10 Hz) laser and the effect of Biodentine by using dye penetration method.

Material and Methods: Decoronated sixty-four extracted single-rooted human teeth were prepared using ProTaper® up to F4 and obturated by lateral condensation technique with Guta-perka ve AH plus. The 3-mm of 90° apicoectomy was performed by low-speed diamond burs. The roots were randomly divided into eight groups (n=8) as follows; Group1: Only apicoectomy without a cavity preparation (CP); Group2: Nd:YAG laser after apicoectomy without a CP; Group: CP with bur; Group4: CP/bur and filled with Biodentine; Group5: CP/bur+Nd:YAG irradiation+Biodentine; Group6: CP with Er:YAG; Group7: CP/Er:YAG+Biodentine; Group8: CP/Er:YAG+Nd:YAG irradiation+Biodentine. The root surfaces were coated with a double layer of nail varnish except the retrograde-filled surfaces and roots were immersed in Indian-ink for 15 days. Dye penetration level was assessed with clearing technique. Data were statistically analyzed by using Kruskal-Wallis and Mann Whitney U test.

Results: Retrofilling with Biodentine groups showed the lowest microleakage (p<0.05). There was no significant difference apical leakage between the roots-filled Biodentine groups (p>0.05). However; there were statistical significant differences between apicoectomy and apicoectomy+Nd:YAG laser group (p<0.05).

Conclusion: Within the limitations of this in vitro study, it can be concluded that retro-filling with Biodentine prevented the apical microleakage. In addition, the treatment of apical surfaces with Nd:YAG laser without a retro-preparation decreases the microleakage in comparison with only apicoectomy.

Key Words: Biodentine, Er: YAG laser, Nd: YAG laser, retrograd obturation

Anahtar Kelimeler

Biodentine,Er: YAG lazer,Nd: YAG lazer

Kaynakça

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Ayrıntılar

Birincil Dil

Türkçe

Konular

Diş Hekimliği

Bölüm

Araştırma Makalesi

Yazarlar

Dilara Arslan Bu kişi benim

Mehmet Burak Güneşer Bu kişi benim

Fatma Kaplan Bu kişi benim

Aslıhan Üşümez Bu kişi benim

Yayımlanma Tarihi

3 Aralık 2017

Gönderilme Tarihi

11 Temmuz 2016

Kabul Tarihi

10 Ocak 2017

Yayımlandığı Sayı

Yıl 2017 Cilt: 27 Sayı: 3

DOI

https://doi.org/10.17567/ataunidfd.381302

IZ

https://izlik.org/JA69KB88CX

Kaynak Göster

RIS / Bibtex

APA

Arslan, D., Güneşer, M. B., Kaplan, F., & Üşümez, A. (2017). FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 27(3), 139-146. https://doi.org/10.17567/ataunidfd.381302

AMA

1.Arslan D, Güneşer MB, Kaplan F, Üşümez A. FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ. Ata Diş Hek Fak Derg. 2017;27(3):139-146. doi:10.17567/ataunidfd.381302

Chicago

Arslan, Dilara, Mehmet Burak Güneşer, Fatma Kaplan, ve Aslıhan Üşümez. 2017. “FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 27 (3): 139-46. https://doi.org/10.17567/ataunidfd.381302.

EndNote

Arslan D, Güneşer MB, Kaplan F, Üşümez A (01 Aralık 2017) FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 27 3 139–146.

IEEE

[1]D. Arslan, M. B. Güneşer, F. Kaplan, ve A. Üşümez, “FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ”, Ata Diş Hek Fak Derg, c. 27, sy 3, ss. 139–146, Ara. 2017, doi: 10.17567/ataunidfd.381302.

ISNAD

Arslan, Dilara - Güneşer, Mehmet Burak - Kaplan, Fatma - Üşümez, Aslıhan. “FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 27/3 (01 Aralık 2017): 139-146. https://doi.org/10.17567/ataunidfd.381302.

JAMA

1.Arslan D, Güneşer MB, Kaplan F, Üşümez A. FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ. Ata Diş Hek Fak Derg. 2017;27:139–146.

MLA

Arslan, Dilara, vd. “FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, c. 27, sy 3, Aralık 2017, ss. 139-46, doi:10.17567/ataunidfd.381302.

Vancouver

1.Dilara Arslan, Mehmet Burak Güneşer, Fatma Kaplan, Aslıhan Üşümez. FARKLI RETROGRAD KAVİTE AÇMA TEKNİKLERİNİN VE RETROGRAD DOLGU BİODENTİNİN APİKAL SIZINTI ÜZERİNE ETKİSİ. Ata Diş Hek Fak Derg. 01 Aralık 2017;27(3):139-46. doi:10.17567/ataunidfd.381302

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