You are here

İKİ FARKLI KÖK KANAL DOLUM TEKNİĞİ VE İKİ FARKLI POST SİSTEMİNİN APİKAL SIZINTI ÜZERİNE ETKİLERİNİN İNCELENMESİ

EFFECTS OF TWO DIFFERENT ROOT CANAL OBTURATION TECHNIQUES AND TWO DIFFERENT POST SYSTEMS ON APICAL LEAKAGE

Journal Name:

Publication Year:

Keywords (Original Language):

Abstract (2. Language): 
The aim of this study was to evaluate two different root canal obturation techniques (lateral condensation and thermoplasticised injectable guttapercha techniques) and two different post systems (cast and prefabricated posts) on apical leakage. A total of 60 extracted single-rooted maxillary incisor teeth with straight roots, and without resorption were used in this study. The root canals were prepared according to a step-back technique. Eight teeth served as control (positive and negative controls). Remaining 52 teeth were randomly divided into 4 groups of 13 teeth each. The root canals were obturated with lateral condensation technique in Groups 1 and 2, obturated with thermoplasticised injectable guttapercha technique in Groups 3 and 4. After obturation of the root canals, post space preparation was accomplished. While prefabricated posts were used in groups 1 and 4, cast posts were used, in groups 2 and 3. After sample preparation, the root surfaces were coated with a double layer of nail varnish, with the exception of the apical 2 mm, and immersed in indian ink for 7 days. Dye penetration at the apical level was assessed by clearing technique. Obtained data were compared with one-way ANOVA and Kruskal-Wallis tests (p=0.05). No significant difference was found between the groups (p>0.05). However, canals obturated with Dia-Gun system showed less mean dye leakage than canals obturated with lateral condensation technique
Abstract (Original Language): 
Bu çalışmanın amacı, iki farklı kök kanal dolum tekniği (lateral kondensasyon tekniği ve termoplastik gutta-perkanın enjeksiyonu (TGE) tekniği ve iki farklı post sisteminin (döküm ve prefabrike postlar) apikal sızıntı üzerine etkilerinin incelenmesidir. Çalışmada 60 adet düz ve rezorbsiyonu bulunmayan maksiller kesici diş kullanıldı. Kök kanalları step-back tekniğine göre prepare edildi. Sekiz diş kontrol (pozitif ve negatif kontrol) amacıyla ayrıldı. Kalan 52 diş her biri 13 dişten oluşan 4 gruba ayrıldı. Grup 1 ve 2'de kök kanalları lateral kondensasyon tekniği ile, Grup 3 ve 4'te ise TGE tekniği ile dolduruldu. Kanalların doldurulmasından sonra, post boşlukları hazırlandı. Grup 1 ve 4'te prefabrike postlar kullanılırken, grup 2 ve 3'te döküm postlar kullanıldı. Preparasyonların tamamlanmasından sonra apikal 2 mm dışındaki kök yüzeyleri 2 kat tırnak cilası ile kaplandı ve 7 gün çini mürekkebinde bekletildi. Apikal bölgedeki boya sızıntısı şeffaflaştırma tekniği ile ölçüldü. Elde edilen verilerin karşılaştırılmasında oneway ANOVA and Kruskal-Wallis testleri kullanıldı (p=0,05). Gruplar arasında istatistiksel olarak bir fark bulunmadı (p>0,05). Bununla birlikte, Dia-Gun ile doldurulan kanallardaki ortalama boya sızıntısının, lateral kondensasyon tekniği ile doldurulanlara göre daha az olduğu görüldü.
94-101

REFERENCES

References: 

1.
Key
f F. Aşırı madde kaybına uğramış dişlerin protetik onarımı: Post-core sistemlerinin retantif özellikleri. G Ü Diş Hek Fak Derg 1992; 9: 209¬21.
2. Hudis SI, Golstein GR. Restoration of endodonticaly treated teeth: a review of literatüre. J Prosthet Dent 1986; 55: 33-8.
3. Guzy GE, Nichols JI. In vitro comparison of intact endodontically treated teeth with and without endo-post reinforcement. J Prosthet Dent 1979;
42: 39-44.
4. Mattison GD. Photoelastic stres analysis of cast-gold endodontic posts. J Prosthet Dent 1982; 48:
407-11.
5. Tjan AH, Whang S. Resistance to root fracture of dowel channels with various thicknesses of buccal dentin walls. J Prosthet Dent 1985; 53:
496-500.
6. Morgano SM, Milot M. Clinical success of cast metal posts and cores. J Prosthet Dent 1993; 70:
11-6.
7. Zmener O. Adaptation of threaded dowles to dentin. J Prosthet Dent 1980; 43: 530.
8. Christensen GJ. Posts: Necessary and unnecessary? J Am Dent Asso 1996b; 127: 1397¬8.
9. Stockton LW. Factors affecting retention of post systems: A literature review. J Prosthet Dent
1999; 81: 380-5.
10.
Alaça
m T. Endodonti. Barış Yayınları, Fakülteler Kitapevi, Ankara 2000.
11. Chu CH, Lo ECM, Cheung GSP. Outcome of root
cana
l treatment using Thermafil and cold lateral condensation filling techniques. Int Endod J 2005; 38: 179-85.
12. Weller NM, Kimbrough WF, Anderson WR. A comparison of thermoplastic obturation techniques: adaptation to the canal walls. J
Endod 1997; 23: 703-6.
13. Gatot A, Peist M, Mozes M. Endodontic overextension produced by injected thermoplasticized gutta-percha. J Endod 1989;
15: 273-4.
14. La Combe JS, Campbell AD, Hicks ML, Pelleu GB Jr. A comparison of the apical seal produced by two thermoplasticized injectable gutta-percha techniques. J Endod 1988; 14: 445-50.
100
Atatürk Üniv. Diş Hek. Fak. Derg.
J Dent Fac Atatürk Uni
Cilt:21, Sayı: 2, Yıl: 2011, Sayfa: 94-101
KUŞTARCI, TUĞUT, ÖZÇOBAN, KIRMALI, ZAN
15. Limkangwalmongkol S, Abbott PV, Sandler AB. Apical dye penetration with four root canal sealers and gutta-percha using longitudinal sectioning. J Endodon 1992; 11: 535-9.
16. Lucena-Martfn C, Ferrer-Luque CM, Gonzalez-Rodriguez MP, Robles-Gijön V, Navajas-Rodrfguez de Mondelo JM. A comparative study of apical leakage of Endomethasone, Top Seal, and Roeko Seal sealer cements. J Endod 2002; 28: 423-6.
17. Wu MK, De Gee J, Wesselink PR. Leakage of four root canal sealers at different thicknesses. Int
Endod J 1994; 27: 304-8.
18. Chu CH, Lo ECM, Cheung GSP. Outcome of root canal treatment using Thermafil and lateral condensation filling techniques. Int Endod J
2005; 38: 179-85.
19. Peters DD. Two-year in vitro solubility evaluation of four gutta-percha sealer obturation techniques. J Endod 1986; 12: 139-45.
20. Yilmaz Z, Deniz D, Ozcelik B, Sahin C, Cimilli H, Cehreli ZC, Kartal N. Sealing efficiency of BeeFill 2in1 and System B/Obtura II versus single-cone and cold lateral compaction techniques. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009; 108: 51-5.
21. Cathro PR, Love RM. Comparison of MicroSeal and System B/Obtura II obturation techniques.
Int Endod J 2003; 36: 876-82.
22.
Günyakt
ı N, Gür G. Değişik kanal dolgu tekniklerinde mikrosızıntının in-vitro olarak araştırılması. A Ü Diş Hek Fak Derg 1988;15:
275-9.
23. Rajeswarı P, Gopikrishna V, Parameswaran A, Gupta T, Kandaswamy D. In-vitro evaluation of apical microleakage of thermafil and obtura II heated gutta percha in Comparison with cold lateral condensation using fluid filtration system. Endodontology 2005; 17: 24-8.
24. Solano F, Hartwell G, Appelstein C. Comparison of apical leakage between immediate versus delayed post space preparation using AH Plus sealer J Endod 2005; 31: 752-4.
25. Fan B, Wu MK, Wesselink PR. Coronal leakage along apical root fillings after immediate and delayed post space preparation. Endod Dent Traumatol 1999;15:124-6.
26. Abramovitz I, Tagger M, Tamse A, Metzger Z.The effect of immediate vs. delayed post space preparation on the apical seal of a root canal filling: a study in an increased-sensitivity pressure-driven system. J Endod 2000; 26: 435¬9.
27. Dalat DM, Spângberg LS. Effect of post preparation on the apical seal of teeth obturated with plastic thermafil obturators. Oral Surg Oral Med Oral Pathol 1993; 76: 760-5.
28. Zmener O. Effect of dowel preparation on the apical seal of endodontically treated teeth. J
Endod 1980; 6: 687-90.
29. Galen WW, Mueller KI. Restoration of the endodontically treated tooth. In:Cohen S, Burns RS, eds. Pathways of the pulp.7th ed.St.Louis: Mosby 1998: 691-717.
30. Cheung W. A review of the management of endodontically treated teeth: Post, core and the final restoration. J Am Dent Assoc 2005; 136:
611-9.
31. Pathomvanich, S., Edmunds, D.H., The sealing ability of thermafil obturators assessed by four different microleakage techniques, Int Endod J
1996; 29, 327-34.
32. Robertson DC, Leeb IJ, Mc Kee M, Brewer E. A clearing technique for the study of root canal system. J Endod 1980; 6: 421.

Thank you for copying data from http://www.arastirmax.com