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KALSİYUM SİLİKAT İÇERİKLİ BİR KÖK KANAL PATI VE GUTTA-PERKA KULLANILARAK YAPILMIŞ KÖK KANAL DOLGULARININ FARKLI KÖK KANAL SOLVENTLERİ İLE YENİDEN KANAL TEDAVİSİ

Yıl 2014, Cilt: 24 Sayı: 2, 219 - 225, 11.02.2015
https://doi.org/10.17567/dfd.97707

Öz

Aim: The aim of this study was to evaluate the efficiencies of different conventional

solvents on the removal of root fillings performed with MTA Fillapex root canal sealer and

gutta- percha.

Material and Method: Forty-five maxillary central incisors human teeth were included. Sample lengths were adjusted to 16 mm and root canal preparations were performed with K3 instruments up to 30/.04 size. MTA Fillapex® root canal sealer and gutta percha were used to obturate the canals with cold lateral condensation technique. The teeth were stored for 1 week at 37 ºC in 100%  relative humidity. Specimens were randomly assigned into three groups (n:15): G1: Resosolv, G2: Endosolv E  and G3: Guttasolv. 35/.04 K3 instruments were used as the final retreatment

instruments. Final irrigation was performed and root canals were dried. The teeth were split

along their long axis and operating microscope at 10x magnification was used to evaluate the amount of remaining root filling material. Samples were then scored. SEM and EDS analysis were used to enhance the accuracy of evaluations. Data were subjected to statistical interpretation using Kruskal-Wallis test at a 95% confidence level (p<0.05).

Results: There were no statistically significant differences among the three experimental groups in the apical, middle and coronal thirds of the root canals (p>0.05). Intra group comparisons showed that apical, middle and coronal thirds of each group showed no significant differences among themselves (p>0.05).

Conclusion: Root fillings performed with MTA Fillapex® and gutta percha could be retreated with the solvents used in the study.

Key Words: Endodontics, Retreatment, Root Canal Therapy

Kaynakça

  • Friedman S. Expected outcomes in the prevention and treatment of apical periodontitis. In: Orstavik D, Ford TP, editors. Essential endodontology: Prevention and treatment of apical periodontitis. Oxford: Blackwell Munksgaard; 2007. 432.
  • Siqueira JF Jr. Aetiology of root canal treatment failure: why well-treated teeth can fail. Int Endod J 2001;34:1-10.
  • de Chevigny C, Dao TT, Basrani BR, Marquis V, Farzaneh M, Abitbol S, Friedman S. Treatment outcome in endodontics: the Toronto study-- phases 3 and 4: orthograde retreatment. J Endod 2008;34:131-7.
  • Barletta FB, de Sousa Reis M, Wagner M, Borges JC, assessment of three techniques for removal of filling material. Aust Endod J 2008;34:101-5.
  • Sjogren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod 1990;16:498-504.
  • Odesjo B, Hellden L, Salonen L, Langeland K. Prevalence of previous endodontic treatment, technical standard and occurrence of periapical lesions in a randomly selected adult, general population. Endod Dent Traumatol 1990;6:265-72.
  • Hulsmann M, Bluhm V. Efficacy, cleaning ability and safety of different rotary NiTi instruments in root canal retreatment. Int Endod J 2004;37:468- 76.
  • Schirrmeister JF, Wrbas KT, Meyer KM, Altenburger MJ, Hellwig E. Efficacy of different rotary instruments for gutta-percha removal in root canal retreatment. J Endod 2006;32:469-72.
  • Tasdemir T, Yildirim T, Celik D. Comparative study of removal of current endodontic fillings. J Endod 2008;34:326-9.
  • Viducic D, Jukic S, Karlovic Z, Bozic Z, Miletic I, Anic I. Removal of gutta-percha from root canals using an Nd:YAG laser. Int Endod J 2003;36:670- 3.
  • Krell KV, Neo J. The use of ultrasonic endodontic instrumentation in the re-treatment of a paste- filled endodontic tooth. Oral Surg Oral Med Oral Pathol 1985;60:100-2.
  • Friedman S, Mor C. The success of endodontic therapy--healing and functionality. J Calif Dent Assoc 2004;32:493-503.
  • Friedman S, Moshonov J, Trope M. Efficacy of removing glass ionomer cement, zinc oxide eugenol, and epoxy resin sealers from retreated root canals. Oral Surg Oral Med Oral Pathol 1992;73:609-12.
  • Schirrmeister JF, Wrbas KT, Schneider FH, Altenburger MJ, Hellwig E. Effectiveness of a hand file and three nickel-titanium rotary instruments for removing gutta-percha in curved root canals during retreatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101:542-7.
  • Wilcox LR, Krell KV, Madison S, Rittman B. Endodontic retreatment: evaluation of gutta- percha and reinstrumentation. J Endod 1987;13:453-7. removal and canal
  • Barrieshi-Nusair KM. Gutta-percha retreatment: effectiveness of nickel-titanium rotary instruments versus stainless steel hand files. J Endod
  • Ferreira JJ, Rhodes JS, Ford TR. The efficacy of gutta-percha removal using ProFiles. Int Endod J 2001;34:267-74.
  • Ring J, Murray PE, Namerow KN, Moldauer BI, Garcia-Godoy F. Removing root canal obturation materials: a comparison of rotary file systems and re-treatment agents. J Am Dent Assoc 2009;140:680-8.
  • Love RM, McMillan MD, Jenkinson HF. Invasion of dentinal tubules by oral streptococci is associated with collagen recognition mediated by the antigen I/II family of polypeptides. Infect Immun 1997;65:5157-64.
  • Hargreaves K CS. Pathways of the pulp, 10th ed. St Louis, Missouri: Mosby Elsevier; 2011.
  • Bodrumlu E, Er O, Kayaoglu G. Solubility of root canal sealers with different organic solvents. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106:67-9.
  • Tanomaru-Filho M, Orlando TA, Bortoluzzi EA, Silva GF, Tanomaru JM. Solvent capacity of different substances on gutta-percha and Resilon. Braz Dent J 2010;21:46-9.
  • Faria-Junior NB, Loiola LE, Guerreiro-Tanomaru JM, Berbert FL, Tanomaru-Filho M. Effectiveness of three solvents and two associations of solvents on gutta-percha and resilon. Braz Dent J 2011;22:41- 4.
  • He BZ, Zhang CF, Ding RY, Lin QG. [Comparative study of resosolv and chloroform in retreatment of canal obturated with resinifying agent]. Hua Xi Kou Qiang Yi Xue Za Zhi 2004;22:474-6.
  • Martos J, Bassotto AP, Gonzalez-Rodriguez MP, Ferrer-Luque CM. Dissolving efficacy of eucalyptus and orange oil, xylol and chloroform solvents on different root canal sealers. Int Endod J 2011;44:1024-8. 26. Gençoğlu N. Yıldırım perforasyonlarında kullanılan MTA, SUPER-EBA ve Amalgam'ın mikrosızıntısının incelenmesi. Atatürk Üniv Diş Hek Fak Derg2003-2004; 13-14: 7-12.
  • [http://www.angelus.ind.br/en/endodontics/mta_ Şllapex/]
  • Sagsen B, Ustun Y, Demirbuga S, Pala K. Push-out bond strength of two new calcium silicate-based endodontic sealers to root canal dentine. Int Endod J 2011;44:1088-91.
  • Bin CV, Valera MC, Camargo SE, Rabelo SB, Silva GO, Balducci I, et al. Cytotoxicity and genotoxicity of root canal sealers based on mineral trioxide aggregate. J Endod 2012;38:495-500.
  • Borges RP, Sousa-Neto MD, Versiani MA, Rached- Junior FA, De-Deus G, Miranda CE, Pecora JD. Changes in the surface of four calcium silicate- containing endodontic materials and an epoxy resin-based sealer after a solubility test. Int Endod J 2012;45:419-28.
  • Tanalp J, Dikbas I, Malkondu O, Ersev H, Gungor T, Bayirli G. Comparison of the fracture resistance of simulated immature permanent teeth using various canal filling materials and fiber posts. Dent Traumatol 2012;28:457-64.
  • Kfir A, Tsesis I, Yakirevich E, Matalon S, Abramovitz I. The efficacy of five techniques for removing root filling material: microscopic versus radiographic evaluation. Int Endod J 2012;45:35- 41.
  • Kosti E, Lambrianidis T, Economides N, Neofitou C. Ex vivo study of the efficacy of H-files and rotary Ni-Ti instruments to remove gutta-percha and four types of sealer. Int Endod J 2006;39:48-54.
  • Sarkar NK, Caicedo R, Ritwik P, Moiseyeva R, Kawashima I. Physicochemical basis of the biologic properties of mineral trioxide aggregate. J Endod 2005;31:97-100.
  • Reyes-Carmona JF, Felippe MS, Felippe WT. Biomineralization ability and interaction of mineral trioxide aggregate and white portland cement with dentin in a phosphate-containing fluid. J Endod 2009;35:731-6.
  • Hess D, Solomon E, Spears R, He J. Retreatability of a bioceramic root canal sealing material. J Endod 2011;37:1547-9.
  • Takahashi CM, Cunha RS, de Martin AS, Fontana CE, Silveira CF, da Silveira Bueno CE. In vitro evaluation of the effectiveness of ProTaper universal rotary retreatment system for gutta- percha removal with or without a solvent. J Endod 2009;35:1580-3.
  • McDonald MN, Vire DE. Chloroform in the endodontic operatory. J Endod 1992;18:301-3.
  • Sae-Lim V, Rajamanickam I, Lim BK, Lee HL. Effectiveness of ProFile .04 taper rotary instruments in endodontic retreatment. J Endod
  • Tamse A, Unger U, Metzger Z, Rosenberg M. Gutta-percha solvents--a comparative study. J Endod 1986;12:337-9.

RETREATMENT OF ROOT CANAL FILLINGS PERFORMED WITH A CALCIUM SILICATE BASED ROOT CANAL SEALER AND GUTTA-PERCHA WITH DIFFERENT ROOT CANAL SOLVENTS

Yıl 2014, Cilt: 24 Sayı: 2, 219 - 225, 11.02.2015
https://doi.org/10.17567/dfd.97707

Öz

Aim: The aim of this study was to evaluate the efficiencies of different conventional solvents on the removal of root fillings performed with MTA Fillapex root canal sealer and gutta- percha. Material and Method: Forty-five maxillary central incisorshuman teeth were included. Sample lengths were adjusted to 16 mm and root canal preparations were performed with K3 instruments up to 30/.04 size. MTA Fillapex®root canal sealer and gutta percha were used to obturate the canals with cold lateral condensation technique. The teeth were stored for 1 week at 37 ºC in 100% relative humidity. Specimens were randomly assigned into three groups (n:15): G1: Resosolv, G2: Endosolv E and G3: Guttasolv. 35/.04 K3 instruments were used as the final retreatment instruments. Final irrigation was performed and root canals were dried. The teeth were split along their long axis and operating microscope at 10x magnification was used to evaluate the amount of remaining root filling material. Samples were then scored. SEM and EDS analysis were used to enhance the accuracy of evaluations. Data were subjected to statistical interpretation using Kruskal-Wallis test at a 95% confidence level (p<0.05). Results: There were no statistically significant differences among the three experimental groups in the apical, middle and coronal thirds of the root canals (p>0.05). Intra group comparisons showed that apical, middle and coronal thirds of each group showed no significant differences among themselves (p>0.05). Conclusion: Root fillings performed with MTA Fillapex® and gutta percha could be retreated with the solvents used in the study

Kaynakça

  • Friedman S. Expected outcomes in the prevention and treatment of apical periodontitis. In: Orstavik D, Ford TP, editors. Essential endodontology: Prevention and treatment of apical periodontitis. Oxford: Blackwell Munksgaard; 2007. 432.
  • Siqueira JF Jr. Aetiology of root canal treatment failure: why well-treated teeth can fail. Int Endod J 2001;34:1-10.
  • de Chevigny C, Dao TT, Basrani BR, Marquis V, Farzaneh M, Abitbol S, Friedman S. Treatment outcome in endodontics: the Toronto study-- phases 3 and 4: orthograde retreatment. J Endod 2008;34:131-7.
  • Barletta FB, de Sousa Reis M, Wagner M, Borges JC, assessment of three techniques for removal of filling material. Aust Endod J 2008;34:101-5.
  • Sjogren U, Hagglund B, Sundqvist G, Wing K. Factors affecting the long-term results of endodontic treatment. J Endod 1990;16:498-504.
  • Odesjo B, Hellden L, Salonen L, Langeland K. Prevalence of previous endodontic treatment, technical standard and occurrence of periapical lesions in a randomly selected adult, general population. Endod Dent Traumatol 1990;6:265-72.
  • Hulsmann M, Bluhm V. Efficacy, cleaning ability and safety of different rotary NiTi instruments in root canal retreatment. Int Endod J 2004;37:468- 76.
  • Schirrmeister JF, Wrbas KT, Meyer KM, Altenburger MJ, Hellwig E. Efficacy of different rotary instruments for gutta-percha removal in root canal retreatment. J Endod 2006;32:469-72.
  • Tasdemir T, Yildirim T, Celik D. Comparative study of removal of current endodontic fillings. J Endod 2008;34:326-9.
  • Viducic D, Jukic S, Karlovic Z, Bozic Z, Miletic I, Anic I. Removal of gutta-percha from root canals using an Nd:YAG laser. Int Endod J 2003;36:670- 3.
  • Krell KV, Neo J. The use of ultrasonic endodontic instrumentation in the re-treatment of a paste- filled endodontic tooth. Oral Surg Oral Med Oral Pathol 1985;60:100-2.
  • Friedman S, Mor C. The success of endodontic therapy--healing and functionality. J Calif Dent Assoc 2004;32:493-503.
  • Friedman S, Moshonov J, Trope M. Efficacy of removing glass ionomer cement, zinc oxide eugenol, and epoxy resin sealers from retreated root canals. Oral Surg Oral Med Oral Pathol 1992;73:609-12.
  • Schirrmeister JF, Wrbas KT, Schneider FH, Altenburger MJ, Hellwig E. Effectiveness of a hand file and three nickel-titanium rotary instruments for removing gutta-percha in curved root canals during retreatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006;101:542-7.
  • Wilcox LR, Krell KV, Madison S, Rittman B. Endodontic retreatment: evaluation of gutta- percha and reinstrumentation. J Endod 1987;13:453-7. removal and canal
  • Barrieshi-Nusair KM. Gutta-percha retreatment: effectiveness of nickel-titanium rotary instruments versus stainless steel hand files. J Endod
  • Ferreira JJ, Rhodes JS, Ford TR. The efficacy of gutta-percha removal using ProFiles. Int Endod J 2001;34:267-74.
  • Ring J, Murray PE, Namerow KN, Moldauer BI, Garcia-Godoy F. Removing root canal obturation materials: a comparison of rotary file systems and re-treatment agents. J Am Dent Assoc 2009;140:680-8.
  • Love RM, McMillan MD, Jenkinson HF. Invasion of dentinal tubules by oral streptococci is associated with collagen recognition mediated by the antigen I/II family of polypeptides. Infect Immun 1997;65:5157-64.
  • Hargreaves K CS. Pathways of the pulp, 10th ed. St Louis, Missouri: Mosby Elsevier; 2011.
  • Bodrumlu E, Er O, Kayaoglu G. Solubility of root canal sealers with different organic solvents. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106:67-9.
  • Tanomaru-Filho M, Orlando TA, Bortoluzzi EA, Silva GF, Tanomaru JM. Solvent capacity of different substances on gutta-percha and Resilon. Braz Dent J 2010;21:46-9.
  • Faria-Junior NB, Loiola LE, Guerreiro-Tanomaru JM, Berbert FL, Tanomaru-Filho M. Effectiveness of three solvents and two associations of solvents on gutta-percha and resilon. Braz Dent J 2011;22:41- 4.
  • He BZ, Zhang CF, Ding RY, Lin QG. [Comparative study of resosolv and chloroform in retreatment of canal obturated with resinifying agent]. Hua Xi Kou Qiang Yi Xue Za Zhi 2004;22:474-6.
  • Martos J, Bassotto AP, Gonzalez-Rodriguez MP, Ferrer-Luque CM. Dissolving efficacy of eucalyptus and orange oil, xylol and chloroform solvents on different root canal sealers. Int Endod J 2011;44:1024-8. 26. Gençoğlu N. Yıldırım perforasyonlarında kullanılan MTA, SUPER-EBA ve Amalgam'ın mikrosızıntısının incelenmesi. Atatürk Üniv Diş Hek Fak Derg2003-2004; 13-14: 7-12.
  • [http://www.angelus.ind.br/en/endodontics/mta_ Şllapex/]
  • Sagsen B, Ustun Y, Demirbuga S, Pala K. Push-out bond strength of two new calcium silicate-based endodontic sealers to root canal dentine. Int Endod J 2011;44:1088-91.
  • Bin CV, Valera MC, Camargo SE, Rabelo SB, Silva GO, Balducci I, et al. Cytotoxicity and genotoxicity of root canal sealers based on mineral trioxide aggregate. J Endod 2012;38:495-500.
  • Borges RP, Sousa-Neto MD, Versiani MA, Rached- Junior FA, De-Deus G, Miranda CE, Pecora JD. Changes in the surface of four calcium silicate- containing endodontic materials and an epoxy resin-based sealer after a solubility test. Int Endod J 2012;45:419-28.
  • Tanalp J, Dikbas I, Malkondu O, Ersev H, Gungor T, Bayirli G. Comparison of the fracture resistance of simulated immature permanent teeth using various canal filling materials and fiber posts. Dent Traumatol 2012;28:457-64.
  • Kfir A, Tsesis I, Yakirevich E, Matalon S, Abramovitz I. The efficacy of five techniques for removing root filling material: microscopic versus radiographic evaluation. Int Endod J 2012;45:35- 41.
  • Kosti E, Lambrianidis T, Economides N, Neofitou C. Ex vivo study of the efficacy of H-files and rotary Ni-Ti instruments to remove gutta-percha and four types of sealer. Int Endod J 2006;39:48-54.
  • Sarkar NK, Caicedo R, Ritwik P, Moiseyeva R, Kawashima I. Physicochemical basis of the biologic properties of mineral trioxide aggregate. J Endod 2005;31:97-100.
  • Reyes-Carmona JF, Felippe MS, Felippe WT. Biomineralization ability and interaction of mineral trioxide aggregate and white portland cement with dentin in a phosphate-containing fluid. J Endod 2009;35:731-6.
  • Hess D, Solomon E, Spears R, He J. Retreatability of a bioceramic root canal sealing material. J Endod 2011;37:1547-9.
  • Takahashi CM, Cunha RS, de Martin AS, Fontana CE, Silveira CF, da Silveira Bueno CE. In vitro evaluation of the effectiveness of ProTaper universal rotary retreatment system for gutta- percha removal with or without a solvent. J Endod 2009;35:1580-3.
  • McDonald MN, Vire DE. Chloroform in the endodontic operatory. J Endod 1992;18:301-3.
  • Sae-Lim V, Rajamanickam I, Lim BK, Lee HL. Effectiveness of ProFile .04 taper rotary instruments in endodontic retreatment. J Endod
  • Tamse A, Unger U, Metzger Z, Rosenberg M. Gutta-percha solvents--a comparative study. J Endod 1986;12:337-9.
Toplam 39 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Diş Hekimliği
Bölüm Makaleler
Yazarlar

Yakup Üstün

Tuğrul Aslan Bu kişi benim

Burak Sağsen Bu kişi benim

Yayımlanma Tarihi 11 Şubat 2015
Yayımlandığı Sayı Yıl 2014 Cilt: 24 Sayı: 2

Kaynak Göster

APA Üstün, Y., Aslan, T., & Sağsen, B. (2015). RETREATMENT OF ROOT CANAL FILLINGS PERFORMED WITH A CALCIUM SILICATE BASED ROOT CANAL SEALER AND GUTTA-PERCHA WITH DIFFERENT ROOT CANAL SOLVENTS. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 24(2), 219-225. https://doi.org/10.17567/dfd.97707
AMA Üstün Y, Aslan T, Sağsen B. RETREATMENT OF ROOT CANAL FILLINGS PERFORMED WITH A CALCIUM SILICATE BASED ROOT CANAL SEALER AND GUTTA-PERCHA WITH DIFFERENT ROOT CANAL SOLVENTS. Ata Diş Hek Fak Derg. Şubat 2015;24(2):219-225. doi:10.17567/dfd.97707
Chicago Üstün, Yakup, Tuğrul Aslan, ve Burak Sağsen. “RETREATMENT OF ROOT CANAL FILLINGS PERFORMED WITH A CALCIUM SILICATE BASED ROOT CANAL SEALER AND GUTTA-PERCHA WITH DIFFERENT ROOT CANAL SOLVENTS”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 24, sy. 2 (Şubat 2015): 219-25. https://doi.org/10.17567/dfd.97707.
EndNote Üstün Y, Aslan T, Sağsen B (01 Şubat 2015) RETREATMENT OF ROOT CANAL FILLINGS PERFORMED WITH A CALCIUM SILICATE BASED ROOT CANAL SEALER AND GUTTA-PERCHA WITH DIFFERENT ROOT CANAL SOLVENTS. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 24 2 219–225.
IEEE Y. Üstün, T. Aslan, ve B. Sağsen, “RETREATMENT OF ROOT CANAL FILLINGS PERFORMED WITH A CALCIUM SILICATE BASED ROOT CANAL SEALER AND GUTTA-PERCHA WITH DIFFERENT ROOT CANAL SOLVENTS”, Ata Diş Hek Fak Derg, c. 24, sy. 2, ss. 219–225, 2015, doi: 10.17567/dfd.97707.
ISNAD Üstün, Yakup vd. “RETREATMENT OF ROOT CANAL FILLINGS PERFORMED WITH A CALCIUM SILICATE BASED ROOT CANAL SEALER AND GUTTA-PERCHA WITH DIFFERENT ROOT CANAL SOLVENTS”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 24/2 (Şubat 2015), 219-225. https://doi.org/10.17567/dfd.97707.
JAMA Üstün Y, Aslan T, Sağsen B. RETREATMENT OF ROOT CANAL FILLINGS PERFORMED WITH A CALCIUM SILICATE BASED ROOT CANAL SEALER AND GUTTA-PERCHA WITH DIFFERENT ROOT CANAL SOLVENTS. Ata Diş Hek Fak Derg. 2015;24:219–225.
MLA Üstün, Yakup vd. “RETREATMENT OF ROOT CANAL FILLINGS PERFORMED WITH A CALCIUM SILICATE BASED ROOT CANAL SEALER AND GUTTA-PERCHA WITH DIFFERENT ROOT CANAL SOLVENTS”. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, c. 24, sy. 2, 2015, ss. 219-25, doi:10.17567/dfd.97707.
Vancouver Üstün Y, Aslan T, Sağsen B. RETREATMENT OF ROOT CANAL FILLINGS PERFORMED WITH A CALCIUM SILICATE BASED ROOT CANAL SEALER AND GUTTA-PERCHA WITH DIFFERENT ROOT CANAL SOLVENTS. Ata Diş Hek Fak Derg. 2015;24(2):219-25.

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