Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Kalsiyum Silikat Esaslı Kök Kanal Patlarının Bulkfill veya Kor Materyali ile Kullanımının Köklerin Kırılma Direncine Etkisi: Deneysel Araştırma (İn Vitro Değerlendirme)
The Effects of Calcium Silicate Based Sealers Tested in Bulk or with Gutta-Percha on Fracture Resistance of Roots:Experimental Research (In Vitro Design)
Merve SARIa, Pelin TÜFENKÇİa , Zeynep Sena GÜNGÖRDÜa , Şule PEKUZa , Koray YILMAZa
aHatay Mustafa Kemal Üniversitesi Diş Hekimliği Fakültesi, Endodonti ABD, Hatay, Türkiye
Turkiye Klinikleri J Dental Sci. 2023;29(3):446-52
doi: 10.5336/dentalsci.2022-93389
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmada, epoksi-rezin içerikli kanal patı ile karşılaştırmalı olarak tek başına veya guta-perka ile birlikte kullanılan kalsiyum silikat içerikli kanal dolgu patlarının köklerin kırılma direnci üzerindeki etkisini değerlendirmek amaçlanmıştır. Gereç ve Yöntemler: Altmış adet tek köklü, tek ve düz kanallı mandibular premolar diş seçilmiştir. Diş kökleri 13 mm kalacak şekilde kron kısımları uzaklaştırılmıştır. Örnekler rastgele 6 gruba ayrılmıştır (n=10). Grup 1 (negatif kontrol): Preparasyon yapılmış ancak kanal dolgusu yapılmamıştır. Grup 2 (pozitif kontrol): AH Plus patı ve tek kon tekniği ile kanallar doldurulmuştur. Grup 3a: GuttaFlow Bioseal (GFB) patı kor materyali olmadan (bulkfill) kullanılmıştır. Grup 3b: GFB patı ve tek kon tekniği ile kanallar doldurulmuştur. Grup 4a: Tech Biosealer (TB) patı kor materyali olmadan kullanılmıştır. Grup 4b: TB patı ve tek kon tekniği ile kanallar doldurulmuştur. Akrilik rezine gömülen dişlerin kırılma direnci Universal Test Cihazı ile değerlendirilmiştir. Kırılmaya neden olan maksimum yük değerleri belirlenmiş ve Newton cinsinden (maksimum-kuvvet) kaydedilmiştir. Sonuçlar tek yönlü varyans analizi ve Tukey çoklu karşılaştırma testi kullanılarak p<0,05 anlamlılık düzeyinde istatistiksel olarak analiz edilmiştir. Bulgular: Kökleri kırmak için gereken en zayıf kuvvet negatif kontrol grubunda görülürken, en yüksek kuvvet TB-Bulkfill grubunda görülmüştür (p<0,05). GFB ve TB kanal patları bulkfill olarak kullanıldığında tek kon tekniğine kıyasla anlamlı olarak daha yüksek kırılma dayanımı elde edilmiştir (p<0,05). Tek kon tekniğinin kullanıldığı gruplarda TB patı, GFB ve AH Plus'a kıyasla daha yüksek kırılma dayanımı göstermiştir (p<0,05). Sonuç: Tüm kök kanal dolgu patları, prepare edilmiş kök kanallarının kırılmaya karşı direncini artırmıştır. GFB ve TB patları bulkfill olarak kullanıldığında, tek kon tekniğine kıyasla daha yüksek kırılma direnci göstermiştir.

Anahtar Kelimeler: AH Plus; GuttaFlow Bioseal; Tech Biosealer; kırılma dayanımı
ABSTRACT
 Objective: This study was aimed to evaluate the influence of calcium silicate-based sealers, with or without gutta-percha, on fracture resistance of roots, in comparison with epoxy-resin basedsealer. Material and Methods: Sixty single rooted, single and straight canal mandibular premolar teeth were selected. The samples were decoronated to obtain roots with a standardized length of 13 mm. The samples were randomly divided into 6 groups (n=10). Group 1 (negative control): Root canals were prepared and left unfilled. Group 2 (positive control): Root canals were filled with AH Plus and single cone technique (SC). Group 3a: GuttaFlow Bioseal (GFB) was used without a core material (bulkfill). Group 3b: Root canals were filled with GFB and SC. Group 4a: Tech Biosealer (TB) was used without a core material. Group 4b: Root canals were filled with TB and SC. The fracture resistance of teeth embedded in acrylic resin wasevaluated with the Universal Test Machine. The maximum load values that cause fracture in the samples were determined and recorded in Newtons. The results were statistically analyzed at p<0.05 significance level using one-way analysis of variance and Tukey multiple comparison test. Results: The minimum and highests forces were seen in the negative control and the TB-Bulkfill groups, respectively (p<0.05). When GFB and TB sealers were used as bulkfill, higher fracture resistance were obtained compared to the SC. Conclusion: All root canal sealers examined in this study increased the fracture resistance of prepared root canals. When GFB and TB were used as bulkfill, showed higher fracture resistance compared to SC.

Keywords: AH Plus; GuttaFlow Bioseal; Tech Biosealer; Fracture Resistance
REFERENCES:
  1. Lam PP, Palamara JE, Messer HH. Fracture strength of tooth roots following canal preparation by hand and rotary instrumentation. J Endod. 2005;31(7):529-32. [Crossref]  [PubMed] 
  2. Sabeti M, Kazem M, Dianat O, Bahrololumi N, Beglou A, Rahimipour K, et al. Impact of access cavity design and root canal taper on fracture resistance of endodontically treated teeth: an ex vivo investigation. J Endod. 2018;44(9):1402-6. [Crossref]  [PubMed] 
  3. Uzunoglu Ozyurek E, Aktemur Turker S. Evaluation of fracture resistance of roots-filled with various root canal sealers at different time periods. Eur Oral Res. 2019;53(1):6-11. [Crossref]  [PubMed]  [PMC] 
  4. Sagsen B, Er O, Kahraman Y, Akdogan G. Resistance to fracture of roots filled with three different techniques. Int Endod J. 2007;40(1):31-5. [Crossref]  [PubMed] 
  5. Ribeiro FC, Souza-Gabriel AE, Marchesan MA, Alfredo E, Silva-Sousa YT, Sousa-Neto MD. Influence of different endodontic filling materials on root fracture susceptibility. J Dent. 2008;36(1):69-73. [Crossref]  [PubMed] 
  6. Balguerie E, van der Sluis L, Vallaeys K, Gurgel-Georgelin M, Diemer F. Sealer penetration and adaptation in the dentinal tubules: a scanning electron microscopic study. J Endod. 2011;37(11):1576-9. [Crossref]  [PubMed] 
  7. Shipper G, Ørstavik D, Teixeira FB, Trope M. An evaluation of microbial leakage in roots filled with a thermoplastic synthetic polymer-based root canal filling material (Resilon). J Endod. 2004;30(5):342-7. [Crossref]  [PubMed] 
  8. Ureyen Kaya B, Keçeci AD, Orhan H, Belli S. Micropush-out bond strengths of gutta-percha versus thermoplastic synthetic polymer-based systems - an ex vivo study. Int Endod J. 2008;41(3):211-8. [Crossref]  [PubMed] 
  9. Tanomaru-Filho M, Torres FFE, Chávez-Andrade GM, de Almeida M, Navarro LG, Steier L, et al. Physicochemical properties and volumetric change of silicone/bioactive glass and calcium silicate-based endodontic sealers. J Endod. 2017;43(12):2097-101. [Crossref]  [PubMed] 
  10. Dem K, Wu Y, Kaminga AC, Dai Z, Cao X, Zhu B. The push out bond strength of polydimethylsiloxane endodontic sealers to dentin. BMC Oral Health. 2019;19(1):181. [Crossref]  [PubMed]  [PMC] 
  11. Topçuoğlu HS, Tuncay Ö, Karataş E, Arslan H, Yeter K. In vitro fracture resistance of roots obturated with epoxy resin-based, mineral trioxide aggregate-based, and bioceramic root canal sealers. J Endod. 2013;39(12):1630-3. [Crossref]  [PubMed] 
  12. Marciano MA, Guimarães BM, Ordinola-Zapata R, Bramante CM, Cavenago BC, Garcia RB, et al. Physical properties and interfacial adaptation of three epoxy resin-based sealers. J Endod. 2011;37(10):1417-21. [Crossref]  [PubMed] 
  13. Nagas E, Cehreli Z, Uyanik MO, Durmaz V. Bond strength of a calcium silicate-based sealer tested in bulk or with different main core materials. Braz Oral Res. 2014;28:S1806-83242014000100256. [Crossref]  [PubMed] 
  14. Chadha R, Taneja S, Kumar M, Sharma M. An in vitro comparative evaluation of fracture resistance of endodontically treated teeth obturated with different materials. Contemp Clin Dent. 2010;1(2):70-2. [Crossref]  [PubMed]  [PMC] 
  15. Patil P, Banga KS, Pawar AM, Pimple S, Ganeshan R. Influence of root canal obturation using gutta-percha with three different sealers on root reinforcement of endodontically treated teeth. An in vitro comparative study of mandibular incisors. J Conserv Dent. 2017;20(4):241-4. [Crossref]  [PubMed]  [PMC] 
  16. Vishwanath V, Rao HM. Gutta-percha in endodontics-A comprehensive review of material science. J Conserv Dent. 2019;22(3):216-22. [Crossref]  [PubMed]  [PMC] 
  17. Collins J, Walker MP, Kulild J, Lee C. A comparison of three gutta-percha obturation techniques to replicate canal irregularities. J Endod. 2006;32(8):762-5. [Crossref]  [PubMed] 
  18. Alaçam T. Endodonti. 2. Baskı. Ankara: Özyurt Matbaacılık; 2012. Alaçam T. Ankara: Endodonti. Özyurt Matbaacılık; 2012, 2. Baskı.
  19. Robberecht L, Colard T, Claisse-Crinquette A. Qualitative evaluation of two endodontic obturation techniques: tapered single-cone method versus warm vertical condensation and injection system: an in vitro study. J Oral Sci. 2012;54(1):99-104. [Crossref]  [PubMed] 
  20. Chybowski EA, Glickman GN, Patel Y, Fleury A, Solomon E, He J. Clinical outcome of non-surgical root canal treatment using a single-cone technique with endosequence bioceramic sealer: a retrospective analysis. J Endod. 2018;44(6):941-5. Erratum in: J Endod. 2018;44(7):1199. [Crossref]  [PubMed] 
  21. Washio A, Morotomi T, Yoshii S, Kitamura C. Bioactive glass-based endodontic sealer as a promising root canal filling material without semisolid core materials. Materials (Basel). 2019;12(23):3967. [Crossref]  [PubMed]  [PMC] 
  22. Zandbiglari T, Davids H, Schäfer E. Influence of instrument taper on the resistance to fracture of endodontically treated roots. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;101(1):126-31. [Crossref]  [PubMed] 
  23. Tay FR, Loushine RJ, Monticelli F, Weller RN, Breschi L, Ferrari M, et al. Effectiveness of resin-coated gutta-percha cones and a dual-cured, hydrophilic methacrylate resin-based sealer in obturating root canals. J Endod. 2005;31(9):659-64. [Crossref]  [PubMed] 
  24. Aktemur Türker S, Uzunoğlu E, Deniz Sungur D, Tek V. Fracture resistance of teeth with simulated perforating internal resorption cavities repaired with different calcium silicate-based cements and backfilling materials. J Endod. 2018;44(5):860-3. [Crossref]  [PubMed] 
  25. Ersoy I, Evcil MS. Evaluation of the effect of different root canal obturation techniques using two root canal sealers on the fracture resistance of endodontically treated roots. Microsc Res Tech. 2015;78(5):404-7. [Crossref]  [PubMed] 
  26. Ersev H, Yilmaz B, Pehlivanoğlu E, Ozcan-Çalişkan E, Erişen FR. Resistance to vertical root fracture of endodontically treated teeth with MetaSEAL. J Endod. 2012;38(5):653-6. [Crossref]  [PubMed] 
  27. Osiri S, Banomyong D, Sattabanasuk V, Yanpiset K. Root reinforcement after obturation with calcium silicate-based sealer and modified gutta-percha cone. J Endod. 2018;44(12):1843-8. [Crossref]  [PubMed] 
  28. Shokouhinejad N, Gorjestani H, Nasseh AA, Hoseini A, Mohammadi M, Shamshiri AR. Push-out bond strength of gutta-percha with a new bioceramic sealer in the presence or absence of smear layer. Aust Endod J. 2013;39(3):102-6. [Crossref]  [PubMed] 
  29. McMichael GE, Primus CM, Opperman LA. Dentinal tubule penetration of tricalcium silicate sealers. J Endod. 2016;42(4):632-6. [Crossref]  [PubMed]  [PMC] 
  30. Banphakarn N, Yanpiset K, Banomyong D. Shear bond strengths of calcium silicate-based sealer to dentin and calcium silicate-impregnated gutta-percha. J Investig Clin Dent. 2019;10(4):e12444. [Crossref]  [PubMed] 
  31. Hegde V, Arora S. Fracture resistance of roots obturated with novel hydrophilic obturation systems. J Conserv Dent. 2015;18(3):261-4. [Crossref]  [PubMed]  [PMC] 
  32. Sağsen B, Ustün Y, Pala K, Demirbuğa S. Resistance to fracture of roots filled with different sealers. Dent Mater J. 2012;31(4):528-32. [Crossref]  [PubMed] 
  33. Jainaen A, Palamara JE, Messer HH. Push-out bond strengths of the dentine-sealer interface with and without a main cone. Int Endod J. 2007;40(11):882-90. [Crossref]  [PubMed] 
  34. Akcay M, Arslan H, Durmus N, Mese M, Capar ID. Dentinal tubule penetration of AH Plus, iRoot SP, MTA fillapex, and guttaflow bioseal root canal sealers after different final irrigation procedures: a confocal microscopic study. Lasers Surg Med. 2016;48(1):70-6. [Crossref]  [PubMed] 
  35. Eymirli A, Sungur DD, Uyanik O, Purali N, Nagas E, Cehreli ZC. Dentinal tubule penetration and retreatability of a calcium silicate-based sealer tested in bulk or with different main core material. J Endod. 2019;45(8):1036-40. [Crossref]  [PubMed] 

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