RADİKÜLER DENTİNE ER:YAG LAZER UYGULAMASININ CAD/CAM İLE ÜRETİLMİŞ ZİRKONYUM POSTLARIN OVAL KÖK KANALLARINA PUSH-OUT BAĞLANMA DAYANIMINA ETKİSİ

İsmail Uzun; Cangül Keskin

doi:10.17567/ataunidfd.443513

RADİKÜLER DENTİNE ER:YAG LAZER UYGULAMASININ CAD/CAM İLE ÜRETİLMİŞ ZİRKONYUM POSTLARIN OVAL KÖK KANALLARINA PUSH-OUT BAĞLANMA DAYANIMINA ETKİSİ

Öz

Amaç: Bu orijinal araştırmanın amacı, kök duvarlarında Er:YAG lazer kullanımının, oval kök kanallarında açılan post boşluklarına özel olarak Bilgisayar Yardımıyla Tasarım / Bilgisayar Yardımıyla Üretim (CAD/CAM) teknolojisiyle hazırlanan zirkonyum postların push-out bağlanma dayanımına etkisini değerlendirmektir.

Gereç ve Yöntemler: Çalışmaya yapılan radyolojik muayene sonucunda seçilen, oval kök kanal konfigürasyonuna sahip 40 diş dahil edildi. Kök kanal tedavisinin tamamlanmasının ardından ultrasonik uçlarla post boşluğu hazırlandı. Örnekler rastgele şekilde, post boşluğu duvarlarına Er:YAG uygulanıp uygulanmamasına göre iki gruba ayrıldı (n=20). Her bir örnek için post boşluğunun taranmasıyla freze cihazıyla eksiltme yöntemi ile yttria stabilize tetragonal zirkonyum polikristal (Y-TZP) bloklarından zirkonya postlar üretildi. Postlar sinterlendikten sonra simante edildi. Push-out bağlanma testi uygulandı ve elde edilen veriler t-testi ile chi-square testi kullanılarak istatistiksel olarak değerlendirildi.

Bulgular: Kök kanal duvarlarına Er:YAG lazer uygulaması yapılmış olan grubun push-out bağlantı değerleri, lazer uygulamayan gruba göre anlamlı oranda yüksek bulunmuştur (p<0.05).

Sonuç: Radiküler dentine Er:YAG lazer uygulaması push-out bağlanma değerlerini arttırmıştır.

Anahtar kelimeler: Endodonti, diş restorasyonu, zirkonyum post, Er:YAG lazer

The Effect of Er:YAG Laser Preatreatment of Radicular Dentin on the Push-out Bond Strength of CAD/CAM Fabricated Milled Zirconia Posts in Oval Root Canals

Abstract

Aim: This original research study aimed to evaluate the effect of Er:YAG laser irradiation of post spaces prepared in oval root canals on the push-out bond strenght of zirconia posts manufactured by Computer Aided Design / Computer Aided Manufacturing (CAD/CAM) technology.

Materials and methods: Forty teeth showing oval root canal configuration were included to the study following the radiological examination. Post spaces were prepared with ultrasonic tips after the completion of root canal treatment. Specimens were divided into two groups randomly either they were irradiated with Er:YAG lasers or not (n=20). For each specimen, zirconium posts were produced by milling from yttria-tetragonal zirconia polycrystal (Y-TZP) blocks. Posts were sintered and luted in the post spaces of specimens. Push-out bond strenght test was performed and data was statistically analyzed using t-test and chi-square test.

Results: The push-out bond strenght values of the group, which specimens were irradiated with Er:YAG laser were significantly higher when compared to non-lased group (p<0.05).

Conclusion: Er:YAG laser pretreatment of radicular dentin improved the push-out bond strenght values.

Key Words: Endodontics, dental restoration, zirconium posts, Er:YAG laser

Anahtar Kelimeler

Endodonti,diş restorasyonu,zirkonyum post

Kaynakça

1. Hommez GM, Coppens CR, De Moor RJ. Periapical health related to the quality of coronal restorations and root fillings. Int Endod J 2002;35:680-689.
2. Dietschi D, Duc O, Krejci I, Sadan A. Biomechanical considerations for the restoration of endodontically treated teeth: a systematic review of the literature, Part II (Evaluation of fatigue behavior, interfaces, and in vivo studies). Quintessence Int 2008;39:117-129.
3. Schwartz RS, Robbins JW. Post placement and restoration of endodontically treated teeth: a literature review. J Endod 2004;30:289-301.
4. Ferrari M. Fiber Posts and Endodontically Treated Teeth: A Compendium of Scientific and Clinical Perspectives. Wendywood, South Africa: Modern Dentistry Media 2008.
5. Hatzikyriakos AH, Reisis GI, Tsingos N. A 3-year postoperative clinical evaluation of posts and cores beneath existing crowns. J Prosthet Dent 1992;67:454-458.
6. Kremeier K, Fasen L, Klaiber B, Hofmann N. Influence of endodontic post type (glass fiber, quartz fiber or gold) and luting material on push-out bond strength to dentin in vitro. Dent Mater 2008;24:660-666.
7. Standlee JP, Caputo AA, Hanson EC. Retention of endodontic dowels: effects of cement, dowel length, diameter, and design. J Prosthet Dent 1978;39:401-405.
8. Zicari F, Couthino E, De Munck J, Poitevin A, Scotti R, Naert I, Van Meerbeek B. Bonding effectiveness and sealing ability of fiber-post bonding. Dent Mater 2008;24:967-977.

9. D’Arcangelo C, Cinelli M, De Angelis F, D’Amario. The effect of resin cement film thickness on the pull out strength of a fiber-reinforced post system. J Prosthet Dent 2007;98:193-198.
10. Perez BE, Barbosa SE, Melo RM, Zamboni SC, Ozcan M, Valandro LF, Bottino MA. Does the thickness of the resin cement affect the bond strength of a fiber post to the root dentin? Int J Prosthodont 2005;19:606–609.
11. Nagase DY, de Freitas PM, Morimoto S, Oda M, Vieira GF. Influence of laser irradiation on fiber post retention. Lasers Med Sci 2011;26:377-380.
12. Wu MK, R’oris A, Barkis D, Wesselink PR. Prevalence and extent of long oval canals in the apical third. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2000;89:739-743.
13. Wu MK, Wesselink PR. A primary observation on the preparation and obturation of oval canals. Int Endod J 2001;34:137-141. 14. Coniglio I, Carvalho CA, Magni E, Cantoro A, Ferrari M. Post space debridement in oval-shaped canals: the use of a new ultrasonic tip with oval section. J Endod 2008;34:752–755.
15. Zuckerman GR. Practical considerations and technical procedures for post-retained restorations. J Prosthet Dent 1996;75:135-139.
16. Korn SB, von Fraunhofer JA, Mueninghoff LA. An in vitro comparasion of two dowel and core techniques for endodontically treated molars. J Prosthet Dent 1984;51:509-514.
17. Eskitaşçıoğlu G, Belli S, Kalkan M. Evaluation of two post core systems using two different methods. J Endod 2002;28:629-633
18. Butz F, Lenon AM, Heydecke G. Survival rate and fracture strength of endodontically treated teeth maxillary incisors with moderate defects restored with different post-and-core systems: an in vitro study. Int J Prosthodont 2001;14:58-64.
19. Özkurt Z, İşeri U, Kazazoğlu E. Zirconia ceramic post systems: a literature review and a case report. Dent Mater J 2010;29:233-245.
20. Koutayas SO, Kern M. All ceramic posts and cores: the state of the art. Quintessence Int 1999;30:383-392.
21. Coniglio I, Magni E, Cantoro A, Goracci C, Ferrari M. Push-out bond strength of circular and oval-shaped fiber posts. Clin Oral Invest 2011;15:667-672.
22. Durkan R, Deste G, Şimşek H. Monolitik zirkonya seramik sistemlerinin üretim tipleri ile aşınma, optik ve estetik özellikleri. Atatürk Üniv. Diş Hek. Fak. Derg. 2018;28:263-270.
23. Ari H, Yasar A, Belli S. Effects of NaOCl on bond strengths of resin cements to root canal dentin. J Endod 2009;29:248-251.
24. Goracci C, Tavares AU, Fabianelli A, Monticelli F, Raffaelli O, Cardoso PC, Tay F, Ferrari M. The adhesion between ﬁber posts and root canal walls: comparison between microtensile and push-out bond strength measurements. Eur J Oral Sci 2004;112:353-361.
25. Sunsangiam S, van Noort R. Do dentin bond strength tests serve a useful purpose? J Adhes Dent 1999;1:57-67.
26. Ngoh EC, Pashley DH, Loushine RJ, Weller N, Kimbrough F. Effects of eugenol on resin bond strengths to root canal dentin. J Endod 2001;27:411-414.
27. Coniglio I, Magni E, Cantoro A, Goracci C, Ferrari M. Push-out bond strength of circular and oval-shaped fiber posts. Clin Oral Invest 2011;15:667–672.
28. Unlu N, Gunal S, Ulker M, Ozer F, Blatz MB. Influence of operator experience on in vitro bond strength of dentin adhesives. J Adhes Dent 2012;14:223-227.
29. Tachibana A, Marques MM, Soler JM, Matos AB. Erbium, chromium: yttrium scandium gallium garnet laser for caries removal: influence on bonding of a self-etching adhesive system. Lasers Med Sci 2008;23:435–441.
30. Minas NH, Gutknecht N, Lampert F. In vitro investigation of intra-canal dentine–laser beam interaction aspects: II. Evaluation of ablation zone extent and morphology. Lasers Med Sci 2010;25:867–872.
31. Gerth HU, Dammaschke T, Züchner H, Schäfer E. Chemical analysis and bonding reaction of RelyX Unicem and Bifix composites—a comparative study. Dent Mater 2006;22:934–941.
32. Scotti N,Foniglia A, Bergantin D, Paolino DS, Pasqualini, Berutti E. Fibre post adaptation and bond strength in oval canals. Int Endod J 2014; 47 (4): 366–372.
33. D’Arcangelo C, Cinelli M, De Angelis F, D’Amario M. The effect of resin cement film thickness on the pull out strength of a fiber-reinforced post system. J Prosthet Dent 2007; 98, 193–8.
34. Scotti N, Forniglia A, Bergantin E, Paolino DS, Pasqualini D, Berutti E. Fibre post adaptation and bond strength in oval canals. Int Endod J 2014;47, 366–72.
35. Shemesh H, Wu MK, Wesselink PR. Leakage along apical root fillings with and without smear layer using two different leakage models: a two-month longitudinal ex vivo study. Int Endod J 2006;39, 968–76.
36. Tay FR, Loushine RJ, Lambrechts P, Weller RN, Pashley DH. Geometric factors affecting dentin bonding in root canals: a theoretical modeling approach. J Endod 2005;31,584–9.
37. Goracci C, Corciolani G, Vichi A, Ferrari M. Light-transmitting ability of marketed fiber posts. J Dent Reserch 2008;87,1122–6.
38. C. Goya, R. Yamazaki, Y. Tomita, Y. Kimura, K. Matsumoto, “Effects of pulsed Nd:YAG laser irradiation on smear layer at the apical stop and apical leakage after obturation,” Int Endod J 2000;33:266-271.
39. B. H. Kivanc, Ö. İ. A. Ulusoy, G. Görgül. Effects of Er:YAG laser and Nd:YAG laser treatment on the root canal dentin of human teeth: a SEM study. Lasers Med Sci 2008;23:247-252.
40. Rosentritt M, Fürer C, Behr M, Lang R, Handel G. Comparison of in vitro fracture strength of metallic and tooth-coloured posts and cores. J Oral Rehab 2000;27:595–601.
41. Osorio R, Oyagüe RC, Monticelli F, Osorio E, Toledano M. Resistance to bond degradation between dual-cure resin cements and pre-treated sintered CAD-CAM dental ceramics. Med Oral Patol Oral Cir Bucal 2012;17:669.
42. Oyagüe RC, Monticelli F, Toledano M, Osorio E, Ferrari M, Osorio R. Effect of water aging on microtensile bond strength of dual-cured resin cements to pre-treated sintered zirconium-oxide ceramics. Dent Mater 2009;25:392–399.

Ayrıntılar

Birincil Dil

Türkçe

Konular

Diş Hekimliği

Bölüm

Araştırma Makalesi

Yazarlar

İsmail Uzun

Cangül Keskin Bu kişi benim

Yayımlanma Tarihi

15 Ekim 2019

Gönderilme Tarihi

24 Mayıs 2018

Kabul Tarihi

13 Temmuz 2018

Yayımlandığı Sayı

Yıl 2019 Cilt: 29 Sayı: 4

DOI

https://doi.org/10.17567/ataunidfd.443513

IZ

https://izlik.org/JA68TH58TH

Kaynak Göster

RIS / Bibtex

APA

Uzun, İ., & Keskin, C. (2019). RADİKÜLER DENTİNE ER:YAG LAZER UYGULAMASININ CAD/CAM İLE ÜRETİLMİŞ ZİRKONYUM POSTLARIN OVAL KÖK KANALLARINA PUSH-OUT BAĞLANMA DAYANIMINA ETKİSİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 29(4), 563-569. https://doi.org/10.17567/ataunidfd.443513

AMA

1.Uzun İ, Keskin C. RADİKÜLER DENTİNE ER:YAG LAZER UYGULAMASININ CAD/CAM İLE ÜRETİLMİŞ ZİRKONYUM POSTLARIN OVAL KÖK KANALLARINA PUSH-OUT BAĞLANMA DAYANIMINA ETKİSİ. Ata Diş Hek Fak Derg. 2019;29(4):563-569. doi:10.17567/ataunidfd.443513

Chicago

Uzun, İsmail, ve Cangül Keskin. 2019. “RADİKÜLER DENTİNE ER:YAG LAZER UYGULAMASININ CAD/CAM İLE ÜRETİLMİŞ ZİRKONYUM POSTLARIN OVAL KÖK KANALLARINA PUSH-OUT BAĞLANMA DAYANIMINA ETKİSİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 29 (4): 563-69. https://doi.org/10.17567/ataunidfd.443513.

EndNote

Uzun İ, Keskin C (01 Ekim 2019) RADİKÜLER DENTİNE ER:YAG LAZER UYGULAMASININ CAD/CAM İLE ÜRETİLMİŞ ZİRKONYUM POSTLARIN OVAL KÖK KANALLARINA PUSH-OUT BAĞLANMA DAYANIMINA ETKİSİ. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 29 4 563–569.

IEEE

[1]İ. Uzun ve C. Keskin, “RADİKÜLER DENTİNE ER:YAG LAZER UYGULAMASININ CAD/CAM İLE ÜRETİLMİŞ ZİRKONYUM POSTLARIN OVAL KÖK KANALLARINA PUSH-OUT BAĞLANMA DAYANIMINA ETKİSİ”, Ata Diş Hek Fak Derg, c. 29, sy 4, ss. 563–569, Eki. 2019, doi: 10.17567/ataunidfd.443513.

ISNAD

Uzun, İsmail - Keskin, Cangül. “RADİKÜLER DENTİNE ER:YAG LAZER UYGULAMASININ CAD/CAM İLE ÜRETİLMİŞ ZİRKONYUM POSTLARIN OVAL KÖK KANALLARINA PUSH-OUT BAĞLANMA DAYANIMINA ETKİSİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 29/4 (01 Ekim 2019): 563-569. https://doi.org/10.17567/ataunidfd.443513.

JAMA

1.Uzun İ, Keskin C. RADİKÜLER DENTİNE ER:YAG LAZER UYGULAMASININ CAD/CAM İLE ÜRETİLMİŞ ZİRKONYUM POSTLARIN OVAL KÖK KANALLARINA PUSH-OUT BAĞLANMA DAYANIMINA ETKİSİ. Ata Diş Hek Fak Derg. 2019;29:563–569.

MLA

Uzun, İsmail, ve Cangül Keskin. “RADİKÜLER DENTİNE ER:YAG LAZER UYGULAMASININ CAD/CAM İLE ÜRETİLMİŞ ZİRKONYUM POSTLARIN OVAL KÖK KANALLARINA PUSH-OUT BAĞLANMA DAYANIMINA ETKİSİ”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, c. 29, sy 4, Ekim 2019, ss. 563-9, doi:10.17567/ataunidfd.443513.

Vancouver

1.İsmail Uzun, Cangül Keskin. RADİKÜLER DENTİNE ER:YAG LAZER UYGULAMASININ CAD/CAM İLE ÜRETİLMİŞ ZİRKONYUM POSTLARIN OVAL KÖK KANALLARINA PUSH-OUT BAĞLANMA DAYANIMINA ETKİSİ. Ata Diş Hek Fak Derg. 01 Ekim 2019;29(4):563-9. doi:10.17567/ataunidfd.443513