Farklı Konsantrasyonlarda Glikolik Asit Kullanımının Kök Kanal Dolgu Materyallerinin Bağlanma Dayanımı Üzerine Etkisi

Yıl 2022, Cilt: 13 Sayı: 2, 240 - 252, 31.08.2022

Muhammed Demirbaş , Murat Maden , Hikmet Orhan

https://doi.org/10.22312/sdusbed.1054439

Öz

Amaç: Bu çalışmanın amacı farklı final irrigasyon prosedürlerinin MTA Fillapex kök kanal dolgu patının bağlanma dayanımı üzerine olan etkisini araştırmaktır.
Gereç ve Yöntem: Bu çalışmada 98 adet çürüksüz insan alt premolar dişi kullanıldı. Dişlerin koronal bölümleri çalışma uzunlukları 12 mm olacak şekilde uzaklaştırıldı. Kök kanalları ProTaper Next ile genişletildi. Örnekler rastgele 7 gruba dağıtıldı ve farklı final irrigasyon prosedürleri (Grup 1:EDTA, Grup 2:%10 glikolik asit, Grup 3:%17 glikolik asit, Grup 4:EDTA+CHX, Grup 5:%10 glikolik asit+CHX, Grup 6:%17 glikolik asit+CHX ve Grup 7:Distile su) uygulandı. Kök kanalları MTA Fillapex ve guta perka ile dolduruldu. Örneklerden, apikal konstriksiyondan itibaren 4 ve 9 mm mesafede olacak şekilde kesitler alındı. Push-out testi yapılarak kesitlerdeki kök kanal dolgusunun bağlanma dayanımı değerleri hesaplandı. Veriler Duncan ve T testleri kullanılarak istatistiksel olarak incelendi.
Bulgular: Gruplar arasında yapılan değerlendirmede 4. ve 9. mm’den alınan her iki kesitte de; kök kanal dolgusunun en yüksek bağlanma dayanımı değerleri Grup 6’da, en düşük bağlanma dayanımı değerleri ise grup 7’de tespit edildi (p<0,05). Her iki kesitte de bağlanma dayanımı Grup 6>Grup 3>Grup 5≥Grup 2>Grup 4≥Grup 1>Grup 7 şeklinde tespit edildi. Grup içi değerlendirmede ise; bütün gruplarda 9. mm’den alınan kesitlerdeki kök kanal dolgusunun bağlanma dayanımı değerleri, 4. mm’den daha yüksek bulundu (p<0,05).
Sonuç: MTA Fillapex kök kanal dolgu patının bağlanma dayanımı açısından; glikolik asit EDTA’dan daha yüksek değerler gösterdi. %17 glikolik asit ve CHX ile yapılan final irrigasyonu en yüksek bağlanma dayanımı değerlerini gösterdi.

Anahtar Kelimeler

Glikolik asit, EDTA, MTA Fillapex, bağlanma dayanımı, irrigasyon

Destekleyen Kurum

Süleyman Demirel Üniversitesi Bilimsel Araştırma Projeleri Koordinasyon Birimi (BAP)

Proje Numarası

TDH-2021-8322

The Effect Of Usıng Glycolıc Acıd At Dıfferent Concentratıons On The Bond Strength Of Root Canal Fıllıng Materıals

Öz

Objective: The aim of this study was to investigate the effect of different final irrigation procedures on the bond strength of MTA Fillapex root canal sealer.

Material and Method: 98 caries-free human lower premolar teeth were used in this study. The coronal sections of the teeth were removed with a working length of 12 mm. Root canals were shaped with the ProTaper Next. Samples were randomly distributed into 7 groups and different final irrigation procedures (Group 1:EDTA, Group 2:10% glycolic acid, Group 3:17% glycolic acid, Group 4:EDTA+CHX, Group5:10% glycolic acid+CHX, Group 6:17% glycolic acid+CHX and Group 7:Distilled water) were applied. Root canals were filled with MTA Fillapex and gutta percha. Sections were taken at a distance of 4 and 9 mm from the apical constriction. The bond strength values were calculated by performing the push-out test. Data were analyzed statistically using Duncan and T tests.

Results: For both sections; the highest bond strength values were found in Group 6 and the lowest values were found in Group 7 (p<0.05). Bond strength values in both sections were: Group 6>Group 3>Group 5≥Group 2>Group 4≥Group 1>Group 7. Bond strength values of root canal filling in sections taken from the 9th mm in all groups were found to be significantly higher than 4th mm (p<0.05).

Conclusion: In terms of bond strength of MTA Fillapex root canal sealer; glycolic acid showed higher values than EDTA. Final irrigation with 17% glycolic acid and CHX showed the highest bond strength values.

Anahtar Kelimeler

Glycolic acid, EDTA, MTA Fillapex, bond strength, irrigation

Proje Numarası

TDH-2021-8322

Kaynakça

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