Dual Rinse HEDP Kök Kanala Yıkama Solüsyonunun Koronal Dentinin Adezyonuna Etkisi

Year 2018, , 412 - 419, 01.12.2018

Gülter Devrim Kaki , Duygu Recen , Mukadder İnci Başer Kolcu , Pınar Güvenç

https://doi.org/10.17343/sdutfd.424119

Abstract

Amaç:
Bu çalışmanın
amacı, Dual Rinse HEDP kök kanal yıkama solüsyonunun kompozitlerin koronal
dentine adezyonuna etkisinin incelenmesidir.

Gereç
ve Yöntem: 40 adet
çürüksüz 20 yaş dişin, okluzal seviyeden 3mm kaldırılarak dentin tabakaları
ortaya çıkarıldı. Bu düz yüzey parlatıldı ve rastgele olarak, kullanılan son
yıkama solüsyonlarına göre  4 gruba
ayrıldı (n=10); G1: 5% NaOCl+ distile su, G2: 5 % NaOCl+17%EDTA, G3: 5% NaOCl+
Dual Rinse HEDP, G4: 5% NaOCl+ %20 CA. Hazırlanan tüm yüzeyler Clear SE Bond
ile bondlandıktan sonra Clearfill Posterior Kompozit Rezin bloklar dişin
vestibülüne ve linguaine olmak yerleştirildi ve ışıkla polimerize edildi.
Universal test makinesi kullanılarak 1.0 mm/dak hızında bağlantı gücü testi
uygulandı ve çıkan sonuçlar Mega Pascal birimine çevrildi. Sonuçlar tek yönlü
ANOVA ve Duncan testi ile analiz edildi. Kırılma modları yüzde olarak
incelendi.  

Bulgu:
Grup 1 (12.04 ± 0.81 MPa), grup 2 (11.49 ± 1.36 MPa) ve grup 3
(12.25 ± 1.42 MPa) arasında istatistiksel olarak farklılık bulunmamıştır (p>.05). Test edilen gruplar arasında en
düşük bağlantı gücü, grup 4 (12.25 ± 1.42 MPa) de bulunmuştur ve diğer
gruplardan istatistiksel olarak anlamlı bir şekilde düşüktür (p<.05).

Sonuç:
Bu çalışmanın
bulguları ışığında, Dual Rinse HEDP kök kanal yıkama solüsyonunun koronal
dentin adezyonuna zarar vermediği görülmektedir ve günümüzde NaOCl ile birlikte
en sık kullanılan şelasyon ajanı olan EDTA solüsyonuna bir alternatif olarak
önerilebilir.

Keywords

Endodonti, EDTA, HEDP

References

• 1. Ray HA, Trope M. Periapical status of endodontically treated teeth in relation to the technical quality of the root filling and the coronal restoration. Int Endod J. 1995;28(1):12–8. 2. Tronstad L, Asbjørnsen K, Døving L, Pedersen I, Eriksen HM. Influence of coronal restorations on the periapical health of endodontically treated teeth. Dent Traumatol. 2000;16(5):218–21. 3. Ng YL, Mann V, Gulabivala K. Tooth survival following non-surgical root canal treatment: a systematic review of the literature. Int Endod J. 2010;43(3):171–89. 4. Belli S, Zhang Y, Pereira PNR, Pashley DH. Adhesive sealing of the pulp chamber. J Endod. 2001;27(8):521–6. 5. Belli S, Zhang Y, Pereira PNR, Ozer F, Pashley DH. Regional bond strengths of adhesive resins to pulp chamber dentin. J Endod. 2001;27(8):527–32. 6. Galvan RR, West LA, Liewehr FR, Pashley DH. Coronal microleakage of five materials used to create an intracoronal seal in endodontically treated teeth. J Endod. 2002;28(2):59–61. 7. Nikaido T, Takano Y, Sasafuchi Y, Burrow MF, Tagami J. Bond strengths to endodontically-treated teeth. Am J Dent. 1999;12(4):177–80. 8. Carvalho MPM, Morari VHC, Susin AH, Rocha RDO, Valandro LF, Soares FZM. Endodontic irrigation protocols: effects on bonding of adhesive systems to coronal enamel and dentin. J Esthet Restor Dent. 2017;29(3):222–8. 9. Fawzi EM, Elkassas DW, Ghoneim AG. Bonding strategies to pulp chamber dentin treated with different endodontic irrigants: microshear bond strength testing and SEM analysis. J Adhes Dent. 2010;12(1):63–70. 10. Girard S, Paqué F, Badertscher M, Sener B, Zehnder M. Assessment of a gel-type chelating preparation containing 1-hydroxyethylidene 1,1-bisphosphonate. Int Endod J. 2005;38:810–6. 11. 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;42:335–43. 12. 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. 13. Ruggeri A, Prati C, Mazzoni A, Nucci C, Di Lenarda R, Mazzotti G, et al. Effects of citric acid and EDTA conditioning on exposed root dentin: an immunohistochemical analysis of collagen and proteoglycans. Arch Oral Biol. 2007;52(1):1–8. 14. Salz U, Bock T. Testing adhesion of direct restoratives to dental hard tissue - a review. J Adhes Dent. 2010;12(5):343–71. 15. Sirisha K, Rambabu T, Ravishankar Y, Ravikumar P. Validity of bond strength tests: a critical review - part II. J Conserv Dent. 2014;17(5):420–6. 16. Pérez-Heredia M, Ferrer-Luque CM, González-Rodríguez MP, Martín-Peinado FJ, González-López S. Decalcifying effect of 15% EDTA, 15% citric acid, 5% phosphoric acid and 2.5% sodium hypochlorite on root canal dentine. Int Endod J. 2008;41(5):418–23. 17. Nascimento Santos J, de Oliveira Carrilho MR, Fernando De Goes M, Augusto Zaia A, de Almeida Gomes BPF, de Souza-Filho FJ, et al. Effect of chemical irrigants on the bond strength of a self-etching adhesive to pulp chamber dentin. J Endod. 2006;32(11):1088–90. 18. Ozturk B, Özer F. Effect of NaOCl on bond strengths of bonding agents to pulp chamber lateral walls. J Endod. 2004;30(5):362–5. 19. Ishizuka T, Kataoka H, Yoshioka T, Suda H, Iwasaki N, Takahashi H, et al. Effect of NaClO treatment on bonding to root canal dentin using a new evaluation method. Dent Mater J. 2001;20(1):24–33. 20. Erdemir A, Ari H, Güngüneş H, Belli S. Effect of medications for root canal treatment on bonding to root canal dentin. J Endod. 2004;30(2):113–6. 21. Arslan S, Yazici AR, Gorucu J, Ertan A, Pala K, Üstün Y, et al. Effects of different cavity disinfectants on shear bond strength of a silorane-based resin composite. J Contemp Dent Pract. 2011;12(4):279–86. 22. Habelitz S, Balooch M, Marshall SJ, Balooch G, Marshall GW. In situ atomic force microscopy of partially demineralized human dentin collagen fibrils. J Struct Biol. 2002;138(3):227–36. 23. Sano H, Takatsu T, Ciucchi B, Russell CM, Pashley DH. Tensile properties of resin-infiltrated demineralized human dentin. J Dent Res. 1995;74(4):1093–102. 24. Silva PV, Guedes DFC, Nakadi FV, Pécora JD, Cruz-Filho AM. Chitosan: a new solution for removal of smear layer after root canal instrumentation. Int Endod J. 2013;46(4):332–8. 25. Yonar ME, Yonar SM, Çoban MZ, Eroǧlu M. Antioxidant effect of propolis against exposure to chromium in Cyprinus carpio. Environ Toxicol. 2014;29(2):155–64. 26. González-López S, Camejo-Aguilar D, Sanchez-Sanchez P, Bolaños-Carmona V. Effect of CHX on the decalcifying effect of 10% citric acid, 20% citric acid, or 17% EDTA. J Endod. 2006;32(8):781–4. 27. Garberoglio R, Brannstrom M. Scanning electron microscopic investigation of human dentinal tubules. Arch Oral Biol. 1976;21:355–62. 28. Marshall GW, Balooch M, Tench RJ, Kinney JH, Marshall SJ. Atomic force microscopy of acid effects on dentin. Dent Mater. 1993;9(4):265–8. 29. Inokoshi S, Hosoda H, Harnirattisai C, Shimada YTT. A study on the resin impregnated layer of dentin. Part 1. A comparative study on the decalcified and undecalcified sections and the application of argon ion beam etching to disclose the resin impregnated layer of dentin. Jpn J Conserv Dent. 1990;33:427–42. 30. Gwinnett AJ. Moist versus dry dentin: its effect on shear bond strength. Am J Dent. 1992;5(3):127–9. 31. Kanca J. Improving bond strength through acid etching of dentin and bonding to wet dentin surfaces. J Am Dent Assoc. 1992;123(9):35–43. 32. Nakabayashi N, Takarada K. Effect of HEMA on bonding to dentin. Dent Mater. 1992;8(2):125–30. 33. Kahveci O, Belli S. Composite bond strength to intact enamel with current simplified adhesives. J Adhes Dent. 2011;13(1):31–7.