Araştırma Makalesi
BibTex RIS Kaynak Göster

Farklı irrigasyon aktivasyon yöntemlerinin rezin siman kullanılarak yapıştırılan fiber postların bağlanma dayanımına etkileri

Yıl 2022, Cilt: 9 Sayı: 2, 394 - 401, 24.08.2022
https://doi.org/10.15311/selcukdentj.874404

Öz

Amaç: Endodontik tedavili ve koronal harabiyeti fazla olan dişlerin restorasyonunda sıklıkla kullanılan fiber postların uzun dönem başarısında, postun dentine etkin bir şekilde bağlanması kritik önem taşır. Bu çalışmanın amacı, çeşitli irrigasyon aktivasyon yöntemlerinin post boşluğunun farklı bölgelerinde fiber postların bağlanma dayanımına etkisini araştırmaktır.
Gereç ve yöntemler: Endodontik tedavileri yapılan 48 adet alt 1. premolar diş, post boşluğuna uygulanacak olan irrigasyon yöntemine göre 4 gruba ayrıldı (n=12): pasif irrigasyon (Pİ); manuel-dinamik irrigasyon (MDİ); sonik irrigasyon (Sİ), ultrasonik irrigasyon (Uİ). Fiber postlar, post boşluğuna kendinden adeziv rezin siman ile yapıştırıldı. Kökler, her biri 2 mm olacak şekilde koronal, orta ve apikal olmak üzere 3 enine kesite ayrıldı. Push-out bağlanma dayanımları universal test cihazı kullanılarak MPa cinsinden hesaplandı. Başarısızlık tipleri her bir örneğin stereomikroskop altında incelenmesi ile şu şekilde gruplandı: siman-dentin arası adeziv başarısızlık-Adeziv(S/D); siman-fiber post arası adeziv başarısızlık-Adeziv(S/F); ilk 2 başarısızlık tipinin beraber görüldüğü başarısızlık-karma.
Bulgular: En düşük ortalama bağlanma dayanımı Pİ için elde edildi (p<0.05). Diğer gruplar arasında istatistiksel açıdan farklılık bulunmadı (p>0.05). Köklerden elde edilen kesitlerden koronal bölge, apikal bölgeden istatistiksel olarak anlamlı düzeyde yüksek bağlantı değeri gösterdi (p<0.05). MDİ,Sİ ve Uİ gruplarında karma hata dominant olarak gözlenirken adeziv (S/D) hatayı en fazla gösteren grup Pİ oldu.
Sonuç: Post boşluğu hazırlandıktan sonra manuel-dinamik, sonik ve ultrasonik irrigasyon aktivasyon yöntemlerinden birinin kullanılması, fiber postların kök kanal dentinine olan bağlanma dayanımını arttırmaktadır. Uygulanan irrigasyon yönteminden bağımsız olarak fiber postun bağlanma dayanımı, koronal bölgede apikal bölgeden daha yüksektir.

Teşekkür

Yazarlar, çalışmanın istatistiksel analizini yapan Prof. Dr. Ensar Başpınar’a ve laboratuvar testlerindeki yardımları için Mustafa Yeşil’e teşekkürlerini sunar.

Kaynakça

  • 1. Akyuz Ekim SN, Erdemir A. Effect of different irrigant activation protocols on push-out bond strength. Lasers Med Sci 2015;30:2143-9.
  • 2. Okay T, Üçtaşlı M, Deniz Arısu H. Post boşluğuna bağlayıcı uygulamalarının kendinden bağlanabilen rezin siman kullanılarak yapıştırılan fiber postların push-out bağlanma dayanımlarına etkileri. Acta Odontologica Turcica 2017; 34(1): 24-30.
  • 3. Belizario LG, Kuga MC, Hungaro Duarte MA, So MVR, Keine KC, Pereira JR. Effect of fiber post space irrigation with different peracetic acid formulations on the bond strength and penetration into the dentinal tubules of self-etching resin cement. J Prosthet Dent 2019;122:46 e1- e7.
  • 4. Goracci C, Ferrari M. Current perspectives on post systems: A literature review. Aust Dent J 2011;56 Suppl 1:77-83.
  • 5. Kırmalı Ö, Üstün Ö, Kapdan A, Kuştarcı A. Evaluation of various pretreatments to fiber post on the push-out bond strength of root canal dentin. J Endod 2017;43:1180-5.
  • 6. Gu XH, Mao CY, Kern M. Effect of different irrigation on smear layer removal after post space preparation. J Endod 2009;35:583-6.
  • 7. Vichi A, Grandini S, Ferrari M. Comparison between two clinical procedures for bonding fiber posts into a root canal: A microscopic investigation. J Endod 2002;28:355-60.
  • 8. Goracci C, Sadek FT, Fabianelli A, Tay FR, Ferrari M. Evaluation of the adhesion of fiber posts to intraradicular dentin. Oper Dent 2005;30:627-35.
  • 9. Serafino C, Gallina G, Cumbo E, Ferrari M. Surface debris of canal walls after post space preparation in endodontically treated teeth: A scanning electron microscopic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;97:381-7.
  • 10. Yang B, Adelung R, Ludwig K, Bossmann K, Pashley DH, Kern M. Effect of structural change of collagen fibrils on the durability of dentin bonding. Biomaterials 2005;26:5021-31.
  • 11. Mazzitelli C, Monticelli F, Toledano M, Ferrari M, Osorio R. Dentin treatment effects on the bonding performance of self-adhesive resin cements. Eur J Oral Sci 2010;118:80-6.
  • 12. Moura AS, Pereira RD, Rached FJJ, Crozeta BM, Mazzi-Chaves JF, Souza-Flamini LE, et al. Influence of root dentin treatment on the push-out bond strength of fibre-reinforced posts. Braz Oral Res 2017;31:e29.
  • 13. Boutsioukis C, Lambrianidis T, Kastrinakis E. Irrigant flow within a prepared root canal using various flow rates: A computational fluid dynamics study. Int Endod J 2009;42:144-55.
  • 14. Zehnder M. Root canal irrigants. J Endod 2006;32:389-98.
  • 15. Huang TY, Gulabivala K, Ng YL. A bio-molecular film ex-vivo model to evaluate the influence of canal dimensions and irrigation variables on the efficacy of irrigation. Int Endod J 2008;41:60-71.
  • 16. Akyüz Ekim ŞN, Erdemir A. Endodontide irrigasyon aktivasyon yöntemleri. Atatürk Üniv Diş Hek Fak Derg 2015;10:98-104.
  • 17. Rödig T, Döllmann S, Konietschke F, Drebenstedt S, Hülsmann M. Effectiveness of different irrigant agitation techniques on debris and smear layer removal in curved root canals: A scanning electron microscopy study. J Endod 2010;36:1983-7.
  • 18. Skidmore LJ, Berzins DW, Bahcall JK. An in vitro comparison of the intraradicular dentin bond strength of resilon and gutta-percha. J Endod 2006;32:963-6.
  • 19. Bitter K, Hambarayan A, Neumann K, Blunck U, Sterzenbach G. Various irrigation protocols for final rinse to improve bond strengths of fiber posts inside the root canal. Eur J Oral Sci 2013;121:349-54.
  • 20. Topçuoğlu HS, Tuncay Ö, Demirbuga S, Dinçer AN, Arslan H. The effect of different final irrigant activation techniques on the bond strength of an epoxy resin-based endodontic sealer: A preliminary study. J Endod 2014;40:862-6.
  • 21. Armstrong S, Geraldeli S, Maia R, Raposo LH, Soares CJ, Yamagawa J. Adhesion to tooth structure: A critical review of "micro" bond strength test methods. Dent Mater 2010;26:e50-62.
  • 22. Soares CJ, Santana FR, Castro CG, Santos-Filho PC, Soares PV, Qian F, et al. Finite element analysis and bond strength of a glass post to intraradicular dentin: Comparison between microtensile and push-out tests. Dent Mater 2008;24:1405-11.
  • 23. Goracci C, Tavares AU, Fabianelli A, Monticelli F, Raffaelli O, Cardoso PC, et al. The adhesion between fiber posts and root canal walls: Comparison between microtensile and push-out bond strength measurements. Eur J Oral Sci 2004;112:353-61.
  • 24. Chen WP, Chen YY, Huang SH, Lin CP. Limitations of push-out test in bond strength measurement. J Endod 2013;39:283-7.
  • 25. Fundaoğlu Küçükekenci F, Küçükekenci AS. Effect of ultrasonic and nd: Yag laser activation on irrigants on the push-out bond strength of fiber post to the root canal. J Appl Oral Sci 2019;27:e20180420.
  • 26. Ertas H, Ok E, Uysal B, Arslan H. Effects of different irrigating solutions and disinfection methods on push-out bond strengths of fiber posts. Acta Odontol Scand 2014;72:783-7.
  • 27. Hashimoto M, Ohno H, Kaga M, Sano H, Tay FR, Oguchi H, et al. Over-etching effects on micro-tensile bond strength and failure patterns for two dentin bonding systems. J Dent 2002;30:99-105.
  • 28. Carrasco R, Román R, Ojeda M, Vergara C. Sonic versus ultrasonic activation for the cleaning of the root canal after post space preparation: An in vitro study. J Oral Res 2015;4:255-62.
  • 29. Galler KM, Grubmüller V, Schlichting R, Widbiller M, Eidt A, Schuller C, et al. Penetration depth of irrigants into root dentine after sonic, ultrasonic and photoacoustic activation. Int Endod J 2019;52:1210-7.
  • 30. Şerefoğlu B, Salameh M, Pişkin B. Smear layer removal efficacy of different irrigation techniques. EÜ Dişhek Fak Derg 2017;38:32-8.

The effect of different irrigation activation protocols on the push-out bond strength of fiber-posts cemented by using a resin cement

Yıl 2022, Cilt: 9 Sayı: 2, 394 - 401, 24.08.2022
https://doi.org/10.15311/selcukdentj.874404

Öz

Background: The effective bonding of fiber posts which are recommended in the restoration of endodontically treated teeth with excessive coronal damage is of critical importance for the long-term success. The aim of this study was to investigate the effect of various irrigation activation protocols on the push-out bond strength of fiber posts in different parts of the post space.
Methods: Forty-eight endodontically treated mandibular first premolar teeth were divided into 4 groups according to irrigation protocol (n=12): passive irrigation(PI); manual-dynamic irrigation(MDI); sonic irrigation(SI), ultrasonic irrigation(UI). Fiber posts were bonded with a self-adhesive resin cement. The roots were divided transversally into 3 sections as coronal, middle, and apical, in 2 mm each. Push-out bond strengths were calculated in MPa using a universal-testing machine. Each sample was examined under a stereomicroscope and failure types were classified as follows: adhesive failure between cement and dentin-Adhesive(C/D); adhesive failure between cement and fiber post-Adhesive(C/F); the combination of both adhesive failure types-mix.
Results: The lowest bond strength was obtained for PI(p<0.05). There was no statistically significant difference between the other groups (p>0.05). Coronal region showed significantly higher bond strength than the apical (p<0.05). While mixed failure was observed dominantly in the MDI, SI and UI groups, PI was the group that showed the adhesive(C/D) failure type in most.
Conclusion: After preparing the post space, using one of the irrigation activation protocols increased the bond strength of fiber posts.Regardless of the irrigation method applied, the bond strength of the fiber post was higher in the coronal region than the apical.

Kaynakça

  • 1. Akyuz Ekim SN, Erdemir A. Effect of different irrigant activation protocols on push-out bond strength. Lasers Med Sci 2015;30:2143-9.
  • 2. Okay T, Üçtaşlı M, Deniz Arısu H. Post boşluğuna bağlayıcı uygulamalarının kendinden bağlanabilen rezin siman kullanılarak yapıştırılan fiber postların push-out bağlanma dayanımlarına etkileri. Acta Odontologica Turcica 2017; 34(1): 24-30.
  • 3. Belizario LG, Kuga MC, Hungaro Duarte MA, So MVR, Keine KC, Pereira JR. Effect of fiber post space irrigation with different peracetic acid formulations on the bond strength and penetration into the dentinal tubules of self-etching resin cement. J Prosthet Dent 2019;122:46 e1- e7.
  • 4. Goracci C, Ferrari M. Current perspectives on post systems: A literature review. Aust Dent J 2011;56 Suppl 1:77-83.
  • 5. Kırmalı Ö, Üstün Ö, Kapdan A, Kuştarcı A. Evaluation of various pretreatments to fiber post on the push-out bond strength of root canal dentin. J Endod 2017;43:1180-5.
  • 6. Gu XH, Mao CY, Kern M. Effect of different irrigation on smear layer removal after post space preparation. J Endod 2009;35:583-6.
  • 7. Vichi A, Grandini S, Ferrari M. Comparison between two clinical procedures for bonding fiber posts into a root canal: A microscopic investigation. J Endod 2002;28:355-60.
  • 8. Goracci C, Sadek FT, Fabianelli A, Tay FR, Ferrari M. Evaluation of the adhesion of fiber posts to intraradicular dentin. Oper Dent 2005;30:627-35.
  • 9. Serafino C, Gallina G, Cumbo E, Ferrari M. Surface debris of canal walls after post space preparation in endodontically treated teeth: A scanning electron microscopic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004;97:381-7.
  • 10. Yang B, Adelung R, Ludwig K, Bossmann K, Pashley DH, Kern M. Effect of structural change of collagen fibrils on the durability of dentin bonding. Biomaterials 2005;26:5021-31.
  • 11. Mazzitelli C, Monticelli F, Toledano M, Ferrari M, Osorio R. Dentin treatment effects on the bonding performance of self-adhesive resin cements. Eur J Oral Sci 2010;118:80-6.
  • 12. Moura AS, Pereira RD, Rached FJJ, Crozeta BM, Mazzi-Chaves JF, Souza-Flamini LE, et al. Influence of root dentin treatment on the push-out bond strength of fibre-reinforced posts. Braz Oral Res 2017;31:e29.
  • 13. Boutsioukis C, Lambrianidis T, Kastrinakis E. Irrigant flow within a prepared root canal using various flow rates: A computational fluid dynamics study. Int Endod J 2009;42:144-55.
  • 14. Zehnder M. Root canal irrigants. J Endod 2006;32:389-98.
  • 15. Huang TY, Gulabivala K, Ng YL. A bio-molecular film ex-vivo model to evaluate the influence of canal dimensions and irrigation variables on the efficacy of irrigation. Int Endod J 2008;41:60-71.
  • 16. Akyüz Ekim ŞN, Erdemir A. Endodontide irrigasyon aktivasyon yöntemleri. Atatürk Üniv Diş Hek Fak Derg 2015;10:98-104.
  • 17. Rödig T, Döllmann S, Konietschke F, Drebenstedt S, Hülsmann M. Effectiveness of different irrigant agitation techniques on debris and smear layer removal in curved root canals: A scanning electron microscopy study. J Endod 2010;36:1983-7.
  • 18. Skidmore LJ, Berzins DW, Bahcall JK. An in vitro comparison of the intraradicular dentin bond strength of resilon and gutta-percha. J Endod 2006;32:963-6.
  • 19. Bitter K, Hambarayan A, Neumann K, Blunck U, Sterzenbach G. Various irrigation protocols for final rinse to improve bond strengths of fiber posts inside the root canal. Eur J Oral Sci 2013;121:349-54.
  • 20. Topçuoğlu HS, Tuncay Ö, Demirbuga S, Dinçer AN, Arslan H. The effect of different final irrigant activation techniques on the bond strength of an epoxy resin-based endodontic sealer: A preliminary study. J Endod 2014;40:862-6.
  • 21. Armstrong S, Geraldeli S, Maia R, Raposo LH, Soares CJ, Yamagawa J. Adhesion to tooth structure: A critical review of "micro" bond strength test methods. Dent Mater 2010;26:e50-62.
  • 22. Soares CJ, Santana FR, Castro CG, Santos-Filho PC, Soares PV, Qian F, et al. Finite element analysis and bond strength of a glass post to intraradicular dentin: Comparison between microtensile and push-out tests. Dent Mater 2008;24:1405-11.
  • 23. Goracci C, Tavares AU, Fabianelli A, Monticelli F, Raffaelli O, Cardoso PC, et al. The adhesion between fiber posts and root canal walls: Comparison between microtensile and push-out bond strength measurements. Eur J Oral Sci 2004;112:353-61.
  • 24. Chen WP, Chen YY, Huang SH, Lin CP. Limitations of push-out test in bond strength measurement. J Endod 2013;39:283-7.
  • 25. Fundaoğlu Küçükekenci F, Küçükekenci AS. Effect of ultrasonic and nd: Yag laser activation on irrigants on the push-out bond strength of fiber post to the root canal. J Appl Oral Sci 2019;27:e20180420.
  • 26. Ertas H, Ok E, Uysal B, Arslan H. Effects of different irrigating solutions and disinfection methods on push-out bond strengths of fiber posts. Acta Odontol Scand 2014;72:783-7.
  • 27. Hashimoto M, Ohno H, Kaga M, Sano H, Tay FR, Oguchi H, et al. Over-etching effects on micro-tensile bond strength and failure patterns for two dentin bonding systems. J Dent 2002;30:99-105.
  • 28. Carrasco R, Román R, Ojeda M, Vergara C. Sonic versus ultrasonic activation for the cleaning of the root canal after post space preparation: An in vitro study. J Oral Res 2015;4:255-62.
  • 29. Galler KM, Grubmüller V, Schlichting R, Widbiller M, Eidt A, Schuller C, et al. Penetration depth of irrigants into root dentine after sonic, ultrasonic and photoacoustic activation. Int Endod J 2019;52:1210-7.
  • 30. Şerefoğlu B, Salameh M, Pişkin B. Smear layer removal efficacy of different irrigation techniques. EÜ Dişhek Fak Derg 2017;38:32-8.
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Diş Hekimliği
Bölüm Araştırma
Yazarlar

Ece İrem Oğuz 0000-0001-6128-9723

Amirreza Seyedebrahimi 0000-0001-6128-9723

Emine Odabaşı Tezer 0000-0003-3669-5062

Meltem Öztan 0000-0002-1693-0355

Yayımlanma Tarihi 24 Ağustos 2022
Gönderilme Tarihi 4 Şubat 2021
Yayımlandığı Sayı Yıl 2022 Cilt: 9 Sayı: 2

Kaynak Göster

Vancouver Oğuz Eİ, Seyedebrahimi A, Odabaşı Tezer E, Öztan M. Farklı irrigasyon aktivasyon yöntemlerinin rezin siman kullanılarak yapıştırılan fiber postların bağlanma dayanımına etkileri. Selcuk Dent J. 2022;9(2):394-401.