Endodontik İrrigasyon Solüsyonlarının One Curve Eğesinin Döngüsel Yorgunluk Direncine Olan Etkisinin Karşılaştırılması: İn Vitro Bir Çalışma

Year 2023, Volume: 5 Issue: 3, 211 - 216, 27.12.2023

Tülin Doğan Çankaya , Hatice Büyüközer Özkan , Koray Sürme

https://doi.org/10.51122/neudentj.2023.79

Abstract

Amaç: Sodyum hipoklorit (NaOCl), klorin dioksit (ClO2), etilen diamin tetra asetik asit (EDTA) ve etidronik asit (HEDP) solüsyonlarının One Curve (OC) eğesinin döngüsel yorulma direncine etkisini değerlendirmektedir.
Gereç ve Yöntemler: 60 adet OC eğesi %5 NaOCl, %3,5 ClO2, %17 EDTA, %18 HEDP solüsyonu ve distile su ile muamele edilmek üzere 5 gruba (n= 12) ayrıldı. Her grupta bulunan eğeler kanal içi sıcaklığa (35±1 °C) getirilmiş ilgili solüsyonlara daldırılarak 5 dk bekletildi. Ardından eğeler 60° kurvatür açısına, 5 mm yarıçapına ve 1.5 mm çapına sahip 17 mm uzunluğunda paslanmaz çelik blokta test edildi. Eğeler X-Smart Plus endomotor ile kırılıncaya kadar kullanıldı. Eğelerin kırılana kadar olan tur sayıları ve süreleri ve kırık parça uzunlukları kaydedildi. P<0,05 anlamlılık derecesinde verilerin istatistiksel analizi için tek yönlü varyans analizi ve Tukey testi kullanıldı.
Bulgular: Eğelerin döngüsel yorgunluk direnci arasında istatistiksel olarak fark gözlenmedi (P>0,05). Kırık parça uzunlukları büyükten küçüğe sırasıyla; distile su, HEDP, EDTA, NaOCl, ClO2 olarak bulundu. Test edilen solüsyonlar kırık parça uzunlukları açısından anlamlı fark gösterdi (P<0,05).
Sonuç: Test edilen tüm solüsyonlar OC eğesinin döngüsel yorgunluk direnci üzerinde benzer etki sergilemiştir. Bununla birlikte kırık parça uzunluğu en uzun distile su grubunda iken, en kısa ClO2 grubunda bulunmuştur.

Keywords

Döngüsel yorgunluk direnci, Kırık parça, Kök kanal irrigasyon solüsyonları, Rotary eğe

Supporting Institution

Yok

Project Number

Yok

Thanks

Yok

Comparison of the Effect of Endodontic Irrigation Solutions on the Cyclic Fatigue Resistance of the One Curve File: An In Vitro Study

Abstract

Aim: Evaluate the effects of sodium hypochlorite (NaOCl), chlorine dioxide (ClO2), ethylene diamine tetra acetic acid (EDTA) and etidronic acid (HEDP) on the cyclic fatigue resistance of the One Curve (OC) file. Materials and Methods: 60 OC files were divided into 5 groups (n= 12) to be treated with 5% NaOCl, 3,5% ClO2, 17% EDTA, 18% HEDP and distilled water. The files were immersed in the relevant solutions in temperature (35±1 °C) for 5 minutes. Stainless-steel block with 17 mm long an angle 60° and an inner diameter of 1.5 mm was used. X-Smart Plus endomotor was used until files were broken. The number of cycles, elapsed time and the lengths of broken fragments were recorded. One-way analysis of variance and the Tukey test were used for statistical analysis (p<0,05). Results: No statistical difference was observed between the cyclic fatigue resistance of the files (p>0,05). Broken fragment lengths, in order from largest to smallest; distilled water, HEDP, EDTA, NaOCl, and ClO2 (P<0,05). Conclusion: All tested solutions exhibited similar effects on OC file. The longest fractured fragments length was found in the distilled water group, while the shortest was found in the ClO2 group.

Keywords

Cyclic fatigue resistance, Broken fragment, Root canal irrigation solutions, Rotary file

Project Number

Yok

References

• Hasselgren G, Olsson B, Cvek M. Effects of calcium hydroxide and sodium hypochlorite on the dissolu-tion of necrotic porcine muscle tissue. J Endod. 1988;14:125-7.
• 2. Mendonca de Moura JD, Bueno C, Fontana CE, Pelegrine RA. Extrusion of debris from curved root canals instrumented up to different working lengths using different reciprocating systems. J Endod. 2019;45:930-4.
• 3. Topcuoglu HS, Topcuoglu G, Kafdag O, Balkaya H. Ef-fect of two different temperatures on resistance to cyclic fatigue of One Curve, EdgeFile, HyFlex CM and ProTaper next files. Aust Endod J. 2020;46:68-72.
• 4. Elnaghy AM, Elsaka SE. Cyclic fatigue resistance of One Curve, 2Shape, ProFile Vortex, Vortex Blue, and RaCe nickel-titanium rotary instruments in single and double curvature canals. J Endod. 2018;44:1725-30.
• 5. Tsujimoto M, Irifune Y, Tsujimoto Y, Yamada S, Watanabe I, Hayashi Y. Comparison of conventional and new-generation nickel-titanium files in regard to their physical properties. J Endod. 2014;40:1824-9.
• 6. Jamleh A, Kobayashi C, Yahata Y, Ebihara A, Suda H. Deflecting load of nickel titanium rotary instruments during cyclic fatigue. Dent Mater J. 2012; 31:389-93.
• 7. Kermeoglu F, Abduljalil M. Impacts of NaOCl and Irri-trol irrigation solutions with/without autoclave steri-lisation on the cyclic fatigue resistance of different nickel-titanium files. Aust Endod J. 2021;48:392-9.
• 8. O'Hoy PY, Messer HH, Palamara JE. The effect of cleaning procedures on fracture properties and cor-rosion of NiTi files. Int Endod J. 2003;36:724-32.
• 9. Zehnder M. Root canal irrigants. J Endod. 2006;32:389-98.
• 10. Busslinger A, Sener B, Barbakow F. Effects of sodium hypochlorite on nickel-titanium Lightspeed instru-ments. Int Endod J. 1998;31:290-4.
• 11. Mohammadi Z. Sodium hypochlorite in endodontics: an update review. Int Dent J. 2008;58:329-41.
• 12. Peters OA, Roehlike JO, Baumann MA. Effect of im-mersion in sodium hypochlorite on torque and fa-tigue resistance of nickel-titanium instruments. J En-dod. 2007;33:589-93.
• 13. Buyukozer Ozkan H, Terlemez A, Orhan EO. Proton nuclear magnetic resonance spectroscopy analysis of mixtures of chlorhexidine with different oxidizing agents activated by photon-induced photoacoustic streaming for root canal irrigation. Photobiomodul Photomed Laser Surg. 2020;38:374-9.
• 14. Herczegh A, Ghidan A, Friedreich D, Gyurkovics M, Bendo Z, Lohinai Z. Effectiveness of a high purity chlorine dioxide solution in eliminating intracanal Enterococcus faecalis biofilm. Acta Microbiol Immu-nol Hung. 2013;60:63-75.
• 15. Villalta-Briones N, Baca P, Bravo M, Solana C, Agua-do-Perez B, Ruiz-Linares M, et al. A laboratory study of root canal and isthmus disinfection in extracted teeth using various activation methods with a mix-ture of sodium hypochlorite and etidronic acid. Int Endod J. 2021;54:268-78.
• 16. Zehnder M, Schmidlin P, Sener B, Waltimo T. Chela-tion in root canal therapy reconsidered. J Endod. 2005;31:817-20.
• 17. Surya raghavendra S, Hindlekar A, Vyavahare Dn. Ef-fect of etidronic acid, chitosan and EDTA on micro-hardness of root canal dentin. Saudi J Oral Dent Res. 2018;3:118-21.
• 18. Keles A, Ozyurek EU, Uyanik MO, Nagas E. Effect of temperature of sodium hypochlorite on cyclic fatigue resistance of heat-treated reciprocating files. J Endod. 2019;45:205-8.
• 19. Lopes HP, Elias CN, Vieira MVB, Siqueira JF, Mangelli M, Lopes WSP, et al. Fatigue life of reciproc and Mtwo instruments subjected to static and dynamic tests. J Endod. 2013;39:693-6.
• 20. Keles A, Eymirli A, Uyanik O, Nagas E. Influence of static and dynamic cyclic fatigue tests on the lifespan of four reciprocating systems at different tempera-tures. Int Endod J. 2019;52:880-6.
• 21. Pruett JP, Clement DJ, Carnes Jr DL. Cyclic fatigue test-ing of nickel-titanium endodontic instruments. J En-dod. 1997;23:77-85.
• 22. Grawehr M, Sener B, Waltimo T, Zehnder M. Interac-tions of ethylenediamine tetraacetic acid with sodi-um hypochlorite in aqueous solutions. Int Endod J. 2003;36:411-5.
• 23. Tartari T, Guimarães B, Amoras L, Duarte MAH, Silva e Souza P, Bramante CM. Etidronate causes minimal changes in the ability of sodium hypochlorite to dis-solve organic matter. Int Endod J. 2015;48:399-404.
• 24. 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.
• 25. Erik CE, Özyürek T. Effects of etidronate, NaOCl, EDTA irrigation solutions and their combinations on cyclic fatigue resistance of nickel–titanium single-file rotary and reciprocating instruments at body temper-ature. Odontology. 2019;107:190-5.
• 26. Perez‐Villalba D, Macorra JC, Perez‐Higueras JJ, Peters OA, Arias A. Body temperature fatigue behaviour of reciprocating and rotary glide path instruments in sodium hypochlorite solutions alone or combined with etidronate. Aust Endod J. 2021;47:450-6.
• 27. Ertuğrul İF. Effect of sodium hypochlorite on the cy-clic fatigue resistance: a scanning electron microsco-py evaluation. Microsc Res Tech. 2019;82:2089-94.
• 28. Plotino G, Grande NM, Bellido MM, Testarelli L, Gambarini G. Influence of temperature on cyclic fa-tigue resistance of ProTaper Gold and ProTaper Uni-versal rotary files. J Endod. 2017;43:200-2.
• 29. Dosanjh A, Paurazas S, Askar M. The effect of temper-ature on cyclic fatigue of nickel-titanium rotary en-dodontic instruments. J Endod. 2017;43:823-6.
• 30. De Vasconcelos RA, Murphy S, Carvalho CAT, Go-vindjee RG, Govindjee S, Peters OA. Evidence for re-duced fatigue resistance of contemporary rotary in-struments exposed to body temperature. J Endod. 2016;42:782-7.
• 31. La Rosa GRM, Palermo C, Ferlito S, Isola G, Indelicato F, Pedullà E. Influence of surrounding temperature and angle of file access on cyclic fatigue resistance of two single file nickel‐titanium instruments. Aust En-dod J. 2021;47:260-4.
• 32. Staffoli S, Grande NM, Plotino G, Özyürek T, Gün-doğar M, Fortunato L, et al. Influence of environmen-tal temperature, heat-treatment and design on the cy-clic fatigue resistance of three generations of a single-file nickel–titanium rotary instrument. Odontology. 2019;107:301-7.
• 33. Kermeoglu F, Abduljalil M. Impacts of NaOCl and Irri-trol irrigation solutions with/without autoclave steri-lisation on the cyclic fatigue resistance of different nickel-titanium files. Aust Endod J. 2022 Dec;48(3):392-399. doi: 10.1111/aej.12580. Epub 2021 Oct 7. PMID: 34617638.
• 34. Al-Nasrawi SJH, Ayad Jaber Z, Talib Al-Quraine N, Imhemed Aljdaimi A, Jabbar Abdul-Zahra Al-Hmedat S, Zidan S, et al. Impact of peracetic acid on the dy-namic cyclic fatigue of heat-treated nickel-titanium rotary endodontic instrument. International journal of dentistry. 2021;2021: 6676005.
• 35. Palma PJ, Messias A, Cerqueira AR, Tavares LD, Cara-melo F, Roseiro L, Santos JM. Cyclic fatigue re-sistance of three rotary file systems in a dynamic model after immersion in sodium hypochlorite. Odontology. 2019.