Farklı Kök Kanal Şekillendirme Tekniklerinin Eğimli Ve Aşırı Eğimli Kök Kanallarında Apikal Debris Taşkınlığına Etkisi

Yıl 2022, Cilt: 8 Sayı: 1, 11 - 15, 21.11.2022

Fatih Erol , Ecehan Hazar , Murat Kocak , Sibel Tazegül-kocak , Baran Can Sağlam

Öz

Amaç: Çeşitli şekillendirme tekniklerinin ve kök kanal eğiminin apikal debris taşkınlığına etkisinin karşılaştırılmasıdır.
Gereç ve Yöntemler: Yüz sekiz adet alt çene büyük azı dişinin meziobukkal kök kanalları 0º-10º, 11º-25º ve 26º-35º kurvatür açılarına göre üç gruba ayrıldı (N=36). Kökler daha önceden ağırlığı ölçülmüş olan eppendorf tüplerine yapıştırıldı. Kanallar ProTaper Gold (PTG), OneCurve (OC) ve WaveOne Gold (WOG) nikel titanyum (NiTi) eğeleri ile her bir kurvatür grubunda şekillendirildi (n=12). Eppendorf tüplerine taşan miktarı hesaplandı. İstatistiksel analiz ANOVA testi ile yapıldı.
Bulgular: Debris taşması tüm gruplarda görüldü. Düz ve eğimli kök kanallarında NiTi grupları arasında olarak anlamlı bir fark görülmedi (p>0.05). Aşırı eğimli kanal gruplarında PTG grubu, WOG grubuna göre anlamlı derecede daha fazla debris taşkınlığına neden oldu (p<0.05). Şiddetli eğime sahip kök kanallarındaki taşan debris miktarı PTG ve OC gruplarında düz ve eğimli kök kanallarında anlamlı derecede daha yüksektir.
Sonuç: Kök kanal eğimi taşan debris miktarını etkilemektedir.

Anahtar Kelimeler

endodonti, nitinol, kök kanalını hazırlama, kök kanal tedavisi

Destekleyen Kurum

Zonguldak Bülent Ecevit Üniversitesi Bilimsel Araştırma Projeleri Birimi

Proje Numarası

2020-27194235

Effect Of Different Root Canal Preparation Techniques On The Apical Extrusion Of Debris In Curved And Severely Curved Root Canals

Öz

Objective:To compare the efficacy of various preparation techniques and root canal curvature on the apical debris extrusion.
Material and Methods: One hundred eight mesiobuccal root canals of mandibular molars were divided into three groups according to an angle of curvature 0º-10º, 11º-25º and 26º-35º (N=36). The roots were fixed to eppendorf tubes which were previously weighted. The canals were instrumented with ProTaper Gold (PTG), One Curve (OC) and WaveOne Gold (WOG) nickel titanium (NiTi) file systems for each angle of curvature group (n=12). The amount of extruded debris in the Eppendorf tube was calculated. The statistical analysis was done using ANOVA test.
Results: The debris extrusion was recorded in all groups. Any significant difference was observed between NiTi files in curved and straight root canals (p>0.05). PTG group caused significantly higher apical debris extrusion compared to WOG group in severely curved canal groups (p<0.05). The extruded debris in severely curved root canals was significantly higher than straight and curved root canals in PTG and OC groups (p<0.05). Conclusion: Root canal curvature affects the apical debris extrusion.

Anahtar Kelimeler

endodontics, nitinol, root canal preparation, root canal therapy

Proje Numarası

2020-27194235

Kaynakça

• 1. Hülsmann M, Peters OA, Dummer PM. Mechanical preparation of root canals: shaping goals, techniques and means. Endod Topics 2005; 10(1): 30-76.
• 2. Seltzer S. Pain in endodontics. J Endod 2004; 30(7): 501-3.
• 3. Western JS, Dicksit DD. Apical extrusion of debris in four different endodontic instrumentation systems: A meta-analysis. J Conserv Dent 2017 Jan-Feb; 20(1): 30-36.
• 4. Uzunoglu E, Görduysus M. Apical extrusion of debris and irrigant using novel preparation systems. J Contemp Dent Pract 2014 Jul 1; 15(4): 423-7.
• 5. Elnaghy A, Elsaka S. Mechanical properties of ProTaper Gold nickel‐titanium rotary instruments. Int Endod J 2016; 49(11): 1073-8.
• 6. Kim HC, Kwak SW, Cheung GS, Ko DH, Chung SM, Lee W. Cyclic fatigue and torsional resistance of two new nickel-titanium instruments used in reciprocation motion: Reciproc versus WaveOne. J Endod 2012; 38(4): 541-544.
• 7. Düzgün S, Topçuoğlu HS, Kahraman Ö. Evaluation of apically extruded debris during the canal preparation using new heat-treated nickel-titanium files in curved canals. Aust Endod J 2021 Apr;47(1): 54-58.
• 8. Estrela C, Pécora JD, Estrela CR, Guedes OA, Silva BS, Soares CJ, et al. Common operative procedural errors and clinical factors associated with root canal treatment. Braz Dent J 2017; 28(2): 179-90.
• 9. Schilder H. Cleaning and shaping the root canal. Dent Clin North Am 1974; 18(2): 269-96.
• 10. Lin LM, Rosenberg PA, Lin J. Do procedural errors cause endodontic treatment failure? J Am Dent Assoc 2005; 136(2): 187-93.
• 11. Myers GL, Montgomery S. A comparison of weights of debris extruded apically by conventional filing and Canal Master techniques. J Endod 1991 Jun; 17(6): 275-9.
• 12. Caviedes‐Bucheli J, Castellanos F, Vasquez N, Ulate E, Munoz H. The influence of two reciprocating single‐file and two rotary‐file systems on the apical extrusion of debris and its biological relationship with symptomatic apical periodontitis. A systematic review and meta‐analysis. Int Endod J 2016; 49(3): 255-70.
• 13. Paqué F, Musch U, Hülsmann M. Comparison of root canal preparation using RaCe and ProTaper rotary Ni‐Ti instruments. Int Endod J 2005; 38(1): 8-16.
• 14. Pak JG, White SN. Pain prevalence and severity before, during, and after root canal treatment: a systematic review. J Endod 2011; 37(4): 429-38.
• 15. Pruett JP, Clement DJ, Carnes Jr DL. Cyclic fatigue testing of nickel-titanium endodontic instruments. J Endod 1997; 23(2): 77-85.
• 16. Altundasar E, Nagas E, Uyanik O, Serper A. Debris and irrigant extrusion potential of 2 rotary systems and irrigation needles. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011 Oct; 112(4): e31-5.
• 17. Uzunoglu E, Görduysus M. Apical extrusion of debris and irrigant using novel preparation systems. J Contemp Dent Pract 2014 Jul 1;15(4):423-7.
• 18. Madhusudhana K, Mathew VB, Reddy NM. Apical extrusion of debris and irrigants using hand and three rotary instrumentation systems − An in vitro study. Contemp Clin Dent 2010 Oct; 1(4): 234-6.
• 19. Leonardi LE, Atlas DM, Raiden G. Apical extrusion of debris by manual and mechanical instrumentation. Braz Dent J 2007; 18(1): 16-9.
• 20. Hinrichs RE, Walker III WA, Schindler WG. A comparison of amounts of apically extruded debris using handpiece-driven nickel-titanium instrument systems. J Endod 1998; 24(2): 102-6.
• 21. Borges MF, Miranda CE, Silva SR, Marchesan M. Influence of apical enlargement in cleaning and extrusion in canals with mild and moderate curvatures. Braz Dent J 2011; 22(3): 212-7.
• 22. Karataslioglu E, Arslan H, Er G, Avci E. Influence of canal curvature on the amount of apically extruded debris determined by using three-dimensional determination method. Aust Endod J 2019; 45(2): 216-224.
• 23. Silva EJ, Carapiá MF, Lopes RM, Belladonna FG, Senna PM, Souza EM, De-Deus G. Comparison of apically extruded debris after large apical preparations by full-sequence rotary and single-file reciprocating systems. Int Endod J 2016 Jul; 49(7): 700-5.
• 24. Ozsu D, Karatas E, Arslan H, Topcu MC. Quantitative evaluation of apically extruded debris during root canal instrumentation with ProTaper Universal, ProTaper Next, WaveOne, and self-adjusting file systems. Eur J Dent 2014; 8(4): 504-508.
• 25. De-Deus G, Neves A, Silva EJ, Mendonça TA, Lourenço C, Calixto C, Lima EJ. Apically extruded dentin debris by reciprocating single-file and multi-file rotary system. Clin Oral Investig 2015; 19(2): 357-61.
• 26. Karataş E, Ersoy İ, Gündüz HA, Uygun AD, Kol E, Çakıcı F. Influence of Instruments Used in Root Canal Preparation on Amount of Apically Extruded Debris. Artif Organs 2016; 40(8): 774-7.
• 27. Saricam E, Kayaoglu G. Comparison of OneShape, 2Shape and One Curve endodontic instruments for debris and irrigant extrusion. Dent Med Probl 2020; 57(3): 255-259.
• 28. Tüfenkçi P, Yılmaz K, Adigüzel M. Effects of the endodontic access cavity on apical debris extrusion during root canal preparation using different single-file systems. Restor Dent Endod 2020 Jun 4; 45(3): e33.