THE EFFECT OF QMix SOLUTION IN THE REMOVAL OF CALCIUM HYDROXIDE FROM ARTIFICIALLY CREATED GROOVES

Ertuğrul Karataş; Hakan Arslan; Ahmet Demirhan Uygun; Eyüp Candaş Gündoğdu

doi:10.17567/ataunidfd.473850

THE EFFECT OF QMix SOLUTION IN THE REMOVAL OF CALCIUM HYDROXIDE FROM ARTIFICIALLY CREATED GROOVES

Öz

Aim: The current study aimed to evaluate the effectiveness of QMix and EDTA solutions in removing Ca(OH)₂ from root canals.

Materials and Methods: Forty-eight mandibular premolar teeth were instrumented by ProTaper Universal instruments. All of the teeth were then fixed in modified Eppendorf vials using a silicone impression material. After the removal of the specimens from the Eppendorf vials the roots were split into two halves longitudinally and standard longitudinal grooves were then created on the dentinal walls at a level of 3 mm below the cementoenamel junction and 3 mm above from the apex of the roots. The Ca(OH)₂ was placed into the grooves and the specimens were then remounted into the silicone impression material. Six groups were formed: Needle-EDTA, Needle-QMix, Ultrasonic-EDTA, Ultrasonic- QMix, Sonic-EDTA and Sonic-QMix. The root halves were separated and digital images of artificially created grooves were obtained with a stereomicroscope at a 25x magnification. The Ca(OH)₂ left on the artificially created grooves were scored using a 4-graded scoring system and the data were statistically analyzed.

Results: Needle QMix group removed more Ca(OH)₂ than with the EDTA group at the apical part of the root canal (P < 0.083).

Conclusions: When the irrigation was performed by a conventional needle, the QMix solution had better efficiency than EDTA in removing Ca(OH)₂ from the apical part of the root canal. In clinical practice, the QMix solution can be used effectively for the removal of Ca (OH)_2.

* Department of Endodontics, Faculty of Dentistry, Ataturk University, Erzurum.

Keywords: QMix, EDTA, calcium hydroxide

YAPAY OLARAK OLUŞTURULMUŞ OLUKLARDAN KALSİYUM HİDROKSİTİN UZAKLAŞTIRILMASINDA QMix SOLÜSYONUNUN ETKİNLİĞİ

Amaç: Bu çalışma amacı, QMix ve EDTA solüsyonlarının kök kanalından Ca(OH)₂ ’i uzaklaştırma etkinliklerini değerlendirmektir.

Gereç ve Yöntem: ProTaper Universal aletleri kullanılarak 48 adet altçene küçük azı dişi şekillendirildi. Tüm dişler modifiye Ependorf tüplerine slikon ölçü materyali kullanılarak sabitlendi. Örnekler Ependorf tüplerinden çıkarıldıktan sonra kökler dik olarak ikiye ayrıldı ve dentin duvarları üzerinde, mine sement sınırının 3 mm aşağısında ve apeksin 3 mm yukarısında olacak şekilde standart oluklar oluşturuldu. Oluklara Ca(OH)₂ yerleştirildi ve örnekler tekrar slikon ölçü materyali içerisine yerleştirildi.6 grup oluşturuldu: İğne-EDTA, İğne-QMix, Ultrasonik-EDTA, Ultrasonik-QMix, Sonik-EDTA, Sonik-QMix. Kök parçaları ayrıldı ve stereo mikroskop altında 25 büyütme kullanılarak olukların dijital görüntüleri alındı. 4 aşamalı skorlama sistemi kullanılarak geride kalan Ca(OH)₂ miktarı değerlendirildi ve veriler istatistiksel olarak analiz edildi.

Bulgular: İğne-QMix grubu apikal bölgede iğne-EDTA grubundan daha fazla Ca(OH)₂ uzaklaştırmıştır. (P < 0.083).

Sonuçlar: Kök kanalları geleneksel iğne ile yıkandığı zaman, QMix soluüsyonu, EDTA’dan daha etkin şekilde Ca(OH)₂uzaklaştırmaktadır. Klinik pratikte QMix solüsyonu etkin bir şekilde kullanılabilir.

Anahtar Kelimeler: QMix, EDTA, kalsiyum hidroksit

Anahtar Kelimeler

QMix,EDTA

Kaynakça

1. Şimşek NK, A. Non-Surgical Endodontic Treatment Of Large Cyst-Like Periapical Lesions: A Case Report. Atatürk Üniv Diş Hek Fak Derg 2013; 23: 375-9.
2. EE Ok, Altunsoy İ, Kalkan M. A comparison of the vertical root fracture resistance of teeth treated with calcium hydroxide and ledermix paste. Atatürk Üniv Diş Hek Fak Derg 2016; 26: 52-7.
3. Siqueira JF, Jr, Lopes HP. Mechanisms of antimicrobial activity of calcium hydroxide: a critical review. Int Endod J 1999; 32: 361-9.
4. Ricucci D, Langeland K. Incomplete calcium hydroxide removal from the root canal: a case report. Int Endod J 1997; 30: 418-21.
5. Bottcher DE, Hirai VH, Da Silva Neto UX, Grecca FS. Effect of calcium hydroxide dressing on the long-term sealing ability of two different endodon- tic sealers: an in vitro study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010; 110: 386-9.
6. Nandini S, Velmurugan N, Kandaswamy D. Removal efficiency of calcium hydroxide intracanal medicament with two calcium chelators: volumetric analysis using spiral CT, an in vitro study. J Endod, 2006, 32: 1097-101.
7. Stojicic S, Shen Y, Qian W, Johnson B, Haapasalo M. Antibacterial and smear layer removal ability of a novel irrigant, QMiX. Int Endod J 2012; 45: 363-71.
8. Wang Z, Shen Y, Haapasalo M. Effect of smear layer against disinfection protocols on Enterococcus faecalis-infected dentin. J Endod 2013; 39: 1395-400.

9. 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: 52-7.
10. Eliot C, Hatton JF, Stewart GP, Hildebolt CF, Jane Gillespie M, Gutmann JL. The effect of the irrigant QMix on removal of canal wall smear layer: an ex vivo study. Odontology 2014; 102: 232-40.
11. Giardino L, Ambu E, Becce C, Rimondini L, Morra M. Surface tension comparison of four common root canal irrigants and two new irrigants containing antibiotic. J Endod 2006; 32: 1091-3.
12. Abou-Rass M, Patonai FJ, Jr. The effects of decreasing surface tension on the flow of irrigating solutions in narrow root canals. Oral Surg Oral Med Oral Pathol 1982; 53: 524-6.
13. Dunavant TR, Regan JD, Glickman GN, Solomon ES, Honeyman AL. Comparative evaluation of endodontic irrigants against Enterococcus faecalis biofilms. J Endod 2006; 32: 527-31.
14. Shen Y, Qian W, Chung C, Olsen I, Haapasalo M. Evaluation of the effect of two chlorhexidine preparations on biofilm bacteria in vitro: a three-dimensional quantitative analysis. J Endod 2009; 35: 981-5.
15. Stojicic S, Zivkovic S, Qian W, Zhang H, Haapasalo M. Tissue dissolution by sodium hypochlorite: effect of concentration, temperature, agitation, and surfactant. J Endod 2010; 36: 1558-62.
16. Arslan H, Akcay M, Capar ID, Saygili G, Gok T, Ertas H. An in vitro comparison of irrigation using photon-initiated photoacoustic streaming, ultra- sonic, sonic and needle techniques in removing calcium hydroxide. Int Endod J 2015; 48: 246-251.
17. Yucel AC, Gurel M, Guler E, Karabucak B. Compa- rison of final irrigation techniques in removal of calcium hydroxide. Aust Endod J 2013; 39: 116-21.
18. Capar ID, Ozcan E, Arslan H, Ertas H, Aydinbelge HA. Effect of different final irrigation methods on the removal of calcium hydroxide from an artificial standardized groove in the apical third of root canals. J Endod 2014; 40: 451-4.
19. 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.
20. Wiseman A, Cox TC, Paranjpe A, Flake NM, Cohenca N, Johnson JD. Efficacy of sonic and ult- rasonic activation for removal of calcium hydroxide from mesial canals of mandibular molars: a microtomographic study. J Endod 2011; 37: 235-8.
21. Jiang LM, Verhaagen B, Versluis M, van der Sluis LW. Influence of the oscillation direction of an ultrasonic file on the cleaning efficacy of passive ultrasonic irrigation. J Endod 2010; 36: 1372-6.
22. Hennequin M, Pajot J, Avignant D. Effects of different pH values of citric acid solutions on the calcium and phosphorus contents of human root dentin. J Endod 1994; 20: 551-4.
23. Hulsmann M, Heckendorff M, Lennon A. Chelating agents in root canal treatment: mode of action and indications for their use. Int Endod J 2003; 36: 810-30.
24. Teixeira CS, Felippe MC, Felippe WT. The effect of application time of EDTA and NaOCl on intracanal smear layer removal: an SEM analysis. Int Endod J 2005; 38: 285-90.
25. Scelza MF, Antoniazzi JH, Scelza P. Efficacy of final irrigation--a scanning electron microscopic evaluation. J Endod 2000; 26: 355-8.
26. Hulsmann M, Heckendorff M, Schafers F. Compara- tive in-vitro evaluation of three chelator pastes. Int Endod J 2002; 35: 668-79.
27. Torabinejad M, Cho Y, Khademi AA, Bakland LK, Shabahang S. The effect of various concentrations of sodium hypochlorite on the ability of MTAD to remove the smear layer. J Endod 2003; 29: 233-9.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Sağlık Kurumları Yönetimi

Bölüm

Araştırma Makalesi

Yazarlar

Ertuğrul Karataş Bu kişi benim
0000-0002-8145-8763

Hakan Arslan Bu kişi benim
0000-0003-4890-1062

Ahmet Demirhan Uygun Bu kişi benim
0000-0001-5704-183X

Eyüp Candaş Gündoğdu Bu kişi benim
0000-0002-4680-3912

Yayımlanma Tarihi

14 Ekim 2018

Gönderilme Tarihi

10 Ocak 2017

Kabul Tarihi

21 Şubat 2017

Yayımlandığı Sayı

Yıl 2018 Cilt: 28 Sayı: 4

DOI

https://doi.org/10.17567/ataunidfd.473850

IZ

https://izlik.org/JA36NE63UR

Kaynak Göster

RIS / Bibtex

APA

Karataş, E., Arslan, H., Uygun, A. D., & Gündoğdu, E. C. (2018). THE EFFECT OF QMix SOLUTION IN THE REMOVAL OF CALCIUM HYDROXIDE FROM ARTIFICIALLY CREATED GROOVES. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 28(4), 487-491. https://doi.org/10.17567/ataunidfd.473850

AMA

1.Karataş E, Arslan H, Uygun AD, Gündoğdu EC. THE EFFECT OF QMix SOLUTION IN THE REMOVAL OF CALCIUM HYDROXIDE FROM ARTIFICIALLY CREATED GROOVES. Ata Diş Hek Fak Derg. 2018;28(4):487-491. doi:10.17567/ataunidfd.473850

Chicago

Karataş, Ertuğrul, Hakan Arslan, Ahmet Demirhan Uygun, ve Eyüp Candaş Gündoğdu. 2018. “THE EFFECT OF QMix SOLUTION IN THE REMOVAL OF CALCIUM HYDROXIDE FROM ARTIFICIALLY CREATED GROOVES”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 28 (4): 487-91. https://doi.org/10.17567/ataunidfd.473850.

EndNote

Karataş E, Arslan H, Uygun AD, Gündoğdu EC (01 Ekim 2018) THE EFFECT OF QMix SOLUTION IN THE REMOVAL OF CALCIUM HYDROXIDE FROM ARTIFICIALLY CREATED GROOVES. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 28 4 487–491.

IEEE

[1]E. Karataş, H. Arslan, A. D. Uygun, ve E. C. Gündoğdu, “THE EFFECT OF QMix SOLUTION IN THE REMOVAL OF CALCIUM HYDROXIDE FROM ARTIFICIALLY CREATED GROOVES”, Ata Diş Hek Fak Derg, c. 28, sy 4, ss. 487–491, Eki. 2018, doi: 10.17567/ataunidfd.473850.

ISNAD

Karataş, Ertuğrul - Arslan, Hakan - Uygun, Ahmet Demirhan - Gündoğdu, Eyüp Candaş. “THE EFFECT OF QMix SOLUTION IN THE REMOVAL OF CALCIUM HYDROXIDE FROM ARTIFICIALLY CREATED GROOVES”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 28/4 (01 Ekim 2018): 487-491. https://doi.org/10.17567/ataunidfd.473850.

JAMA

1.Karataş E, Arslan H, Uygun AD, Gündoğdu EC. THE EFFECT OF QMix SOLUTION IN THE REMOVAL OF CALCIUM HYDROXIDE FROM ARTIFICIALLY CREATED GROOVES. Ata Diş Hek Fak Derg. 2018;28:487–491.

MLA

Karataş, Ertuğrul, vd. “THE EFFECT OF QMix SOLUTION IN THE REMOVAL OF CALCIUM HYDROXIDE FROM ARTIFICIALLY CREATED GROOVES”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, c. 28, sy 4, Ekim 2018, ss. 487-91, doi:10.17567/ataunidfd.473850.

Vancouver

1.Ertuğrul Karataş, Hakan Arslan, Ahmet Demirhan Uygun, Eyüp Candaş Gündoğdu. THE EFFECT OF QMix SOLUTION IN THE REMOVAL OF CALCIUM HYDROXIDE FROM ARTIFICIALLY CREATED GROOVES. Ata Diş Hek Fak Derg. 01 Ekim 2018;28(4):487-91. doi:10.17567/ataunidfd.473850

Cited By

Kök Kanallarından Kalsiyum Hidroksit Uzaklaştırılmasında İrritrolün Etkinliğinin Değerlendirilmesi

Selcuk Dental Journal

https://doi.org/10.15311/selcukdentj.1433850