Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Farklı Eğe Sistemlerinin Kanal Dolgu Sökümü ve Debris Ekstrüzyonu Etkilerinin Karşılaştırılması: Metadolojik Çalışma
Comparison of Different File Systems for Removal of Root Canal Obturation and Debris Extrusion Effect on the Root Canal System: Methodological Study
Selen İNCE YUSUFOĞLUa , Esma SARIÇAMa
aAnkara Yıldırım Beyazıt Üniversitesi Diş Hekimliği Fakültesi, Endodonti ABD, Ankara, Türkiye
Turkiye Klinikleri J Dental Sci. 2023;29(4):566-72
doi: 10.5336/dentalsci.2023-97152
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, Aurum Blue (AB), Aurum Pro (AP), WaveOne Gold (WOG) ve EndoArt (EA) eğe sistemleri kullanılarak yapılan kök kanal dolgusu sökümü işleminden sonra kök kanal temizleme etkinliklerinin ve apikalden debris taşırma miktarlarının değerlendirilmesidir. Gereç ve Yöntemler: Periodontal ve ortodontik nedenlerle çekilmiş 60 adet tek köklü diş ProTaper Next X3 eğe sistemi ile genişletildikten sonra gütaperka ve kanal patı ile dolduruldu ve retreatment prosedürü için 4 eşit gruba ayrıldı (n=15): AB (F3), AP (35/0,4), WOG (35), EA (F3) sistem eğeleri. Apikalden taşan debris miktarı, Myers ve Montgomery yöntemi kullanılarak önceden tartılmış Eppendorf tüplerinde toplandı. Kök kanal temizliği etkinlikleri için kökler bukkolingual olarak elmas bir separe yardımıyla 2'ye bölündü ve kök kanalları ×16 büyütmede stereomikroskop altında incelendi. Veriler istatistiksel olarak tek yönlü varyans analizi, Kruskal-Wallis ve Mann-Whitney U testleri ile analiz edildi (p<0,05). Bulgular: Tüm eğe sistemlerinin apikal foramenden debris taşmasına neden olduğu ve gütaperkayı kök kanallarından tamamen uzaklaştıramadığı görüldü. WOG sisteminin diğer eğe sistemlerine göre apikalden daha fazla debris taşmasına neden olduğu görülürken (p=0,0001), kök kanal temizliği açısından ise WOG'un istatistiksel olarak AB ve AP daha fazla gütaperka uzaklaştırdığı görüldü (p=0,009). Sonuç: WOG eğe sisteminin AB ve AP eğe sistemlerine göre daha fazla kök kanal temizliği sağlamasına rağmen diğer eğe sistemlerine göre apikalden daha fazla debris taşkınlığına neden olduğu görülmüştür.

Anahtar Kelimeler: Aurum Blue; WaveOne Gold; debris ekstrüzyon; retreatment
ABSTRACT
 Objective: The aim of this study was to evaluate the root canal cleaning effectiveness and apical extrusion of debris after retreatment procedures by using Aurum Blue (AB), Aurum Pro (AP), Endoart (EA) and WaveOne Gold (WOG) systems. Material and Methods: Thirty extracted single-rooted teeth were instrumented with ProTaper Next X3 file and filled with gutta percha and root canal sealer. For the retreatment process teeth were divided into 4 groups equally (n=15): AB (F3), AP (35/0.4), WOG (35), EA (F3) system instruments. Apically extruded debris was collected into preweighed Eppendorf tubes by using the Myers and Montgomery method. The roots were split into 2 halves longitudinally and canal surfaces were examined using a ×16 stereomicroscope. Data were statistically analyzed with one way analysis of variance, KruskalWallis and Mann-Whitney U tests (p<0.05). Results: All file systems caused debris extrusion throughout the apices and did not completely remove gutta percha from root canals. WOG system caused statistically more debris extrusion from the apical (p=0.001), and removed statistically more gutta percha than AB and AP root canal files (p=0.009). Conclusion: While it was observed that WOG file system provided superior root canal cleaning than the AB and AP file systems after retreatment, it caused more debris extrusion from the apical than other file systems.

Keywords: Aurum Blue; WaveOne Gold; debris extrusion; retreatment
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