Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Influence of Different Irrigation Solutions on the Push-Out Bond Strength of Fiber Posts to Root Dentin and Root Canal Dentin Microhardness: Methodological Study
Farklı İrrigasyon Solüsyonlarının Fiber Postların Kök Kanal Dentinine Bağlanma Mukavemeti ve Dentin Mikrosertliği Üzerindeki Etkisi: Metadolojik Çalışma
Yelda ERDEM HEPŞENOĞLUa, Şeyda ERŞAHANa, Burcu YILMAZb, Aysu AYDINOĞLUc, Kadir SAĞIRd, Afife Binnaz HAZAR YORUÇc
aDepartment of Endodontics, İstanbul Medipol University Faculty of Dentistry, İstanbul, Türkiye b
bDepartment of Prosthetic Dentistry, İstanbul Medipol University Faculty of Dentistry, İstanbul, Türkiye
cDepartment of Metallurgical and Materials Engineering, Yıldız Technical University Faculty of Chemical and Metallurgical Engineering, İstanbul, Türkiye
dDepartment of Materials Science and Technology, Turkish-German University, Faculty of Science, İstanbul, Türkiye
Turkiye Klinikleri J Dental Sci. 2023;29(1):83-91
doi: 10.5336/dentalsci.2022-92121
Article Language: EN
Full Text
ABSTRACT
 Objective: This study aimed to compare the effect of sodium hypochlorite (NaOCl), chlorhexidine (CHX), ethylene daimine tetra acetic acid (EDTA) and etidronic acid (HEBP) solutions and their combinations on a push-out bond strength of fiber posts to root canal dentin and on root dentin microhardness. Material and Methods: Sixty human maxillary central incisors were sectioned below the cementoenamel junction, the roots were endodontically treated and were divided into 6 groups (n=10) according to the final irrigation protocol: (1) Distilled water, (2) CHX, (3) HEBP-NaOCl combination, (4) HEBP, (5) 2.5 % NaOCl, (6) 17% EDTA. The fiber posts were then cemented with self-etching resin cement. Bonded specimens were cut (1-mm-thick), the first slice of the coronal 3rd was used for dentin microhardness analysis, and other slices were used for the push-out bond strength test. The data were statistically analyzed by using Shapiro-Wilk, Oneway ANOVA, and the Games-Howell test. Results: The lowest microhardness was observed in HEBP-NaOCl and NaOCl (p<0.05). CHX, HEBP, and EDTA resulted in less reduction in microhardness as compared to other groups (p<0.05). HEBP-NaOCl and NaOCl showed significantly higher mean bond strength to root dentin in the cervical thirds than in other groups (p<0.05). Conclusion: With regard to the push-out bond strength of the fiber post to dentin, NaOCl and HEBP-NaOCl increased bond strength compared to other groups. NaOCl and HEBP-NaOCl have lower microhardness of dentin. Compared to HEBP, EDTA increases microhardness and does not make a significant difference in push-out bond strength. Therefore, it is recommended to use HEBP alone.

Keywords: Etidronic acid; root canal treatment; sodium hypochlorite
ÖZET
 Amaç: Bu çalışmanın amacı, sodyum hipoklorit (NaOCl), klorheksidin [chlorhexidine (CHX)], etilen diamin tetra asetik asit (EDTA) ve etidronik asit (HEBP) solüsyonlarının fiber postların kök kanalına dentinine bağlanma mukavemeti ve kök dentin mikrosertliğine etkisini değerlendirmektir. Gereç ve Yöntemler: Altmış adet insan üst çene santral kesici dişi mine sement sınırının altından kesilerek, kökler endodontik olarak tedavi edildikten sonra irrigasyon protokolüne göre 6 gruba (n=10) ayrılmıştır: (1) Distile su, (2) CHX, (3) HEBP-NaOCl kombinasyonu, (4) HEBP, (5) %2,5 NaOCl, (6) %17 EDTA. Fiber postlar self-etch rezin siman ile dişlere simante edilmiştir ve örneklerden 1 mm kalınlığında kesitler alınarak, koronal üçlüdeki ilk kesit dentin mikrosertliği analizi için ve diğer kesitler push-out bağlanma gücü testi için kullanılmıştır. Veriler, Shapiro-Wilk, One-way ANOVA, Games-Howell testi kullanılarak istatistiksel olarak analiz edilmiştir. Bulgular: En düşük mikrosertlik HEBP-NaOCl ve NaOCl'de gözlenmiştir (p<0,05). CHX, HEBP ve EDTA, diğer gruplara kıyasla mikrosertlikte daha az azalma ile sonuçlanmıştır (p<0,05). Servikal bölgede HEBP-NaOCl ve NaOCl, diğer gruplara göre anlamlı derecede daha yüksek bağlanma kuvveti göstermiştir (p<0,05). Sonuçlar: Fiber postun dentine bağlanma kuvvetiyle ilgili olarak, NaOCl ve HEBP-NaOCl, diğer gruplara kıyasla bağlanma gücünü artırmıştır. Çalışmanın sonuçları değerlendirildiğinde, NaOCl ve HEBP-NaOCl, daha düşük dentin mikrosertliğine sahip olduğu görülmüştür. HEBP ile karşılaştırıldığında, EDTA kullanımı mikrosertliği artırmış ve push-out bağlanma gücünde önemli bir fark oluşturmamıştır. Bu nedenle HEBP'nin tek başına kullanılması tavsiye edilir.

Anahtar Kelimeler: Etidronik asit; kök kanal tedavisi; sodyum hipoklorit
REFERENCES:
  1. Al-Omiri MK, Mahmoud AA, Rayyan MR, Abu-Hammad O. Fracture resistance of teeth restored with post-retained restorations: an overview. J Endod. 2010;36(9):1439-49. [Crossref]  [PubMed] 
  2. Binus S, Koch A, Petschelt A, Berthold C. Restoration of endodontically treated teeth with major hard tissue loss--bond strength of conventionally and adhesively luted fiber-reinforced composite posts. Dent Traumatol. 2013;29(5):339-54. [Crossref]  [PubMed] 
  3. Cecchin D, Farina AP, Guerreiro CA, Carlini-Júnior B. Fracture resistance of roots prosthetically restored with intra-radicular posts of different lengths. J Oral Rehabil. 2010;37(2):116-22. [Crossref]  [PubMed] 
  4. Ekren O. Farklı post-kor sistemlerinin kırılma dayanımının in-vitro olarak değerlendirilmesi [In-vitro evaluation of fracture resistance of different post-core systems]. Atatürk Üniversitesi Diş Hekim Fakültesi Derg. 2017;27(1):43-7. [Crossref] 
  5. Elnaghy AM. Effect of QMix irrigant on bond strength of glass fibre posts to root dentine. Int Endod J. 2014;47(3):280-9. [Crossref]  [PubMed] 
  6. Görüş Z, Meşe A, Evran OE, Çetindağ MT. Diş hekimliğinde kullanılan fiber post sistemleri [Dental fıber post systems]. Atatürk Üniversitesi Diş Hekim Fakültesi Derg. 2019;29(3):519-25. [Crossref] 
  7. Aleisa K, Alghabban R, Alwazzan K, Morgano SM. Effect of three endodontic sealers on the bond strength of prefabricated fiber posts luted with three resin cements. J Prosthet Dent. 2012;107(5):322-6. [Crossref]  [PubMed] 
  8. Yaman BC, Ozer F, Takeichi T, Karabucak B, Koray F, Blatz MB. Effect of thermomechanical aging on bond strength and interface morphology of glass fiber and zirconia posts bonded with a self-etch adhesive and a self-adhesive resin cement to natural teeth. J Prosthet Dent. 2014;112(3):455-64. [Crossref]  [PubMed] 
  9. Pereira TC, Dijkstra RJB, Petridis X, Sharma PK, van de Meer WJ, van der Sluis LWM, et al. Chemical and mechanical influence of root canal irrigation on biofilm removal from lateral morphological features of simulated root canals, dentine discs and dentinal tubules. Int Endod J. 2021;54(1):112-29. [Crossref]  [PubMed]  [PMC] 
  10. Mamoun J. Post and core build-ups in crown and bridge abutments: Bio-mechanical advantages and disadvantages. J Adv Prosthodont. 2017;9(3):232-7. [Crossref]  [PubMed]  [PMC] 
  11. Coelho A, Amaro I, Rascão B, Marcelino I, Paula A, Saraiva J, et al. Effect of cavity disinfectants on dentin bond strength and clinical success of composite restorations-a systematic review of in vitro, in situ and clinical studies. Int J Mol Sci. 2020;22(1):353. [Crossref]  [PubMed]  [PMC] 
  12. Rath PP, Yiu CKY, Matinlinna JP, Kishen A, Neelakantan P. The effect of root canal irrigants on dentin: a focused review. Restor Dent Endod. 2020;45(3):e39. [Crossref]  [PubMed]  [PMC] 
  13. Baca P, Junco P, Arias-Moliz MT, González-Rodríguez MP, Ferrer-Luque CM. Residual and antimicrobial activity of final irrigation protocols on Enterococcus faecalis biofilm in dentin. J Endod. 2011;37(3):363-6. [Crossref]  [PubMed] 
  14. Mohammadi Z, Yaripour S, Shalavi S, Palazzi F, Asgary S. Root canal irrigants and dentin bonding: an update. Iran Endod J. 2017;12(2):131-6. [PubMed]  [PMC] 
  15. Lantigua Domínguez MC, Feliz Pedrinha V, Oliveira Athaide da Silva LC, Soares Ribeiro ME, Loretto SC, de Almeida Rodrigues P. Effects of different irrigation solutions on root fracture resistance: an in vitro study. Iran Endod J. 2018;13(3):367-72. [PubMed]  [PMC] 
  16. De-Deus G, Zehnder M, Reis C, Fidel S, Fidel RA, Galan J Jr, et al. Longitudinal co-site optical microscopy study on the chelating ability of etidronate and EDTA using a comparative single-tooth model. J Endod. 2008;34(1):71-5. [Crossref]  [PubMed] 
  17. Arias-Moliz MT, Ordinola-Zapata R, Baca P, Ruiz-Linares M, Ferrer-Luque CM. Antimicrobial activity of a sodium hypochlorite/etidronic acid irrigant solution. J Endod. 2014;40(12):1999-2002. [Crossref]  [PubMed] 
  18. Tartari T, Guimarães BM, Amoras LS, Duarte MA, Silva e Souza PA, Bramante CM. Etidronate causes minimal changes in the ability of sodium hypochlorite to dissolve organic matter. Int Endod J. 2015;48(4):399-404. [Crossref]  [PubMed] 
  19. Yadav HK, Yadav RK, Chandra A, Tikku AP. A scanning electron microscopic evaluation of the effectiveness of etidronic acid, SmearClear and MTAD in removing the ıntracanal smear layer. J Dent (Shiraz). 2017;18(2):118-26. [PubMed]  [PMC] 
  20. Zaparolli D, Saquy PC, Cruz-Filho AM. Effect of sodium hypochlorite and EDTA irrigation, individually and in alternation, on dentin microhardness at the furcation area of mandibular molars. Braz Dent J. 2012;23(6):654-8. [Crossref]  [PubMed] 
  21. Akgungor G, Akkayan B. Influence of dentin bonding agents and polymerization modes on the bond strength between translucent fiber posts and three dentin regions within a post space. J Prosthet Dent. 2006;95(5):368-78. [Crossref]  [PubMed] 
  22. Wang L, Pinto TA, Silva LM, Araújo DF, Martins LM, Hannas AR, et al. Effect of 2% chlorhexidine digluconate on bond strength of a glass-fibre post to root dentine. Int Endod J. 2013;46(9):847-54. [Crossref]  [PubMed] 
  23. Moreira DM, Almeida JF, Ferraz CC, Gomes BP, Line SR, Zaia AA. Structural analysis of bovine root dentin after use of different endodontics auxiliary chemical substances. J Endod. 2009 Jul;35(7):1023-7. [Crossref]  [PubMed] 
  24. Taşman F, Cehreli ZC, Oğan C, Etikan I. Surface tension of root canal irrigants. J Endod. 2000;26(10):586-7. [Crossref]  [PubMed] 
  25. Akcay I, Sen BH. The effect of surfactant addition to EDTA on microhardness of root dentin. J Endod. 2012;38(5):704-7. [Crossref]  [PubMed] 
  26. Dineshkumar MK, Vinothkumar TS, Arathi G, Shanthisree P, Kandaswamy D. Effect of ethylene diamine tetra-acetic acid, MTAD?, and HEBP as a final rinse on the microhardness of root dentin. J Conserv Dent. 2012;15(2):170-3. [Crossref]  [PubMed]  [PMC] 
  27. Browne JT, Ng YL, Odlyha M, Gulabivala K, Bozec L. Influence of root maturity or periodontal involvement on dentinal collagen changes following NaOCl irrigation: an ex vivo study. Int Endod J. 2020;53(1):97-110. [Crossref]  [PubMed] 
  28. Navarro-Escobar E, González-Rodríguez MP, Ferrer-Luque CM. Cytotoxic effects of two acid solutions and 2.5% sodium hypochlorite used in endodontic therapy. Med Oral Patol Oral Cir Bucal. 2010;15(1):e90-4. [Crossref]  [PubMed] 
  29. Wright PP, Kahler B, Walsh LJ. Alkaline sodium hypochlorite irrigant and its chemical İnteractions. Materials (Basel). 2017;10(10):1147. [Crossref]  [PubMed]  [PMC] 
  30. Pérez-Heredia M, Ferrer-Luque CM, González-Rodríguez MP, Martín-Peinado FJ, González-López S. Decalcifying effect of 15% EDTA, 15% citric acid, 5% phosphoric acid and 2.5% sodium hypochlorite on root canal dentine. Int Endod J. 2008;41(5):418-23. [Crossref]  [PubMed] 
  31. Stelzer R, Schaller HG, Gernhardt CR. Push-out bond strength of RealSeal SE and AH Plus after using different irrigation solutions. J Endod. 2014;40(10):1654-7. [Crossref]  [PubMed] 
  32. Farag HA, Etman WM, Alhadainy HA, Darrag AM. Effect of different irrigating protocols on push out bond strength of Resilon/Epiphany obturation system. Tanta Dent J. 2015;12(4):241-8. [Crossref] 
  33. Rejula F, Mohan D, Sunith M, Gopal S, Swamy DF, Yadahalli RP, et al. Assessment of root canal smear layer removal efficacy of ethylenediaminetetraacetic acid, etidronic acid, and chlorhexidine using scanning electron microscope. Microscope. 2017;4(4):275-8. [Crossref] 
  34. Bouillaguet S, Troesch S, Wataha JC, Krejci I, Meyer JM, Pashley DH. Microtensile bond strength between adhesive cements and root canal dentin. Dent Mater. 2003;19(3):199-205. [Crossref]  [PubMed] 
  35. Nagas E, Uyanik O, Durmaz V, Cehreli ZC. Effect of plunger diameter on the push-out bond values of different root filling materials. Int Endod J. 2011;44(10):950-5. [Crossref]  [PubMed] 

.: Up To Date

Login

 Forgot your password?

 New Registration  

Contact

Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 2
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 118
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 118
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com