sistemlerin post-core ile restore edilmiş dişlerin kırılma direnci üzerine etkisi

Amaç: Bu çalışmada, One Shape New Generation (OSNG; MicroMega, Besancon, Fransa), ProTaper Gold (PTG; Dentsply Maillefer, Ballaigues, İsviçre) ve K3XF (SybronEndo) enstrümantasyon sistemlerinin post-core materyallerin yerleştirildiği köklerin kırılma direnci üzerine etkisi karşılaştırıldı.Gereç ve Yöntem: Altmış insan tek köklü mandibular premolar diş rastgele olarak 3 gruba ayrıldı (n=20). Aynı uzunluk ve kalınlıklarda standardize edilen kökler, One-Shape New Generation (OSNG), ProTaper Gold (PTG) and K3XF aletleri kullanılarak prepare edildi. Prepare edilen kök kanalları AH-26 kullanılarak dolduruldu. Daha sonra, post-core materyalleri kök kanallarına yerleştirildi ve kompozit ile restore edildi. Daha sonra örnekler, kökleri kırmak için gereken kuvvetin belirlenmesi amacıyla vertikal yüke maruz bırakıldı. Veriler, tek yönlü ANOVA ve Tukey'in post-hoc testleri kullanılarak istatistiksel olarak analiz edildi.Bulgular: OSNG grubu, diğer tüm gruplarla kıyaslandığında istatistiksel olarak daha yüksek kırılma direnci dereceleri sağlamıştır (P

Effect of different rotary systems on fracture resistance of post-core reconstructed teeth

Objectives: The present study compared the effect of OneShape New Generation (OSNG; MicroMega, Besancon, France), ProTaper Gold (PTG; Dentsply Maillefer, Ballaigues, Switzerland) and K3XF (SybronEndo) instrumentation systems on fracture resistance of roots in which post-core materials were placed.Materials and Methods: Sixty extracted human single-rooted mandibular premolar teeth were randomly assigned to 3 groups (n=20). The root canals that standardized in the same length and thicknesses were instrumented using the OneShape New Generation (OSNG), ProTaper Gold (PTG) and K3XF instruments. The prepared root canals were filled with using AH-26. Then, the post-core materials were placed into the root canals and restored with composite. The specimens were then exposed to a load to determine the force required to fracture the roots. The data were statistically analyzed using one-way ANOVA and Tukey’s post-hoc tests. Results: The OSNG group demonstrated statistically significantly higher degrees of fracture resistance compared to all other groups (P

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  • 1.Peters OA. Current challenges and concepts in the preparation of root canal systems: a review. J Endod 2004; 30: 559-567.
  • 2.Tsesis I, Rosenberg E, Faivishevsky V, Kfir A, Katz M, Rosen E. Prevalence and associated periodontal status of teeth with root perforation: a retrospective study of 2,002 patients’ medical records. J Endod 2010; 36: 797-800.
  • 3.Aydin B, Kose T, Caliskan MK. Effectiveness of HERO 642 versus Hedstrom files for removing gutta-percha fillings in curved root canals: an ex vivo study. Int Endod J 2009; 42: 1050-1056.
  • 4.Cuje J, Bargholz C, Hulsmann M. The outcome of retained instrument removal in a specialist practice. Int Endod J 2010; 43: 545-554.
  • 5.Wilcox LR, Roskelley C, Sutton T. The relationship of root canal enlargement to finger-spreader induced vertical root fracture. J Endod 1997; 23: 533-534.
  • 6.Shemesh H, Roeleveld AC, Wesselink PR, Wu MK. Damage to root dentin during retreatment procedures. J Endod 2011; 37: 63-66.
  • 7.Kim HC, Lee MH, Yum J, Versluis A, Lee CJ, Kim BM. Potential relationship between design of nickel-titanium rotary instruments and vertical root fracture. J Endod 2010; 36: 1195-1199.
  • 8.Shemesh H, Bier CA, Wu MK, Tanomaru-Filho M, Wesselink PR. The effects of canal preparation and filling on the incidence of dentinal defects. Int Endod J 2009; 42: 208-213.
  • 9.Fonzar F, Mollo A, Venturi M, Pini P, Fabian Fonzar R, Trullenque-Eriksson A, Esposito M. Single versus two visits with 1-week intracanal calcium hydroxide medication for endodontic treatment: One-year post-treatment results from a multicentre randomised controlled trial. Eur J Oral Implantol 2017; 10: 29-41.
  • 10.Garlapati TG, Krithikadatta J, Natanasabapathy V. Fracture resistance of endodontically treated teeth restored with short fiber composite used as a core material-An in vitro study. J Prosthodont Res 2017; Mar 6. doi: 10.1016/j.jpor.2017.02.001.
  • 11.Pedullà E, Plotino G, Scibilia M, Grande NM, DE Santis D, Pardo A, Testarelli L, Gambarini G. Cyclic fatigue comparison among endodontic instruments with similar cross section and different surface coating. Minerva Stomatol 2016; Nov 9.
  • 12.Chieruzzi M, Pagano S, Cianetti S, Lombardo G, Kenny JM, Torre L. Effect of fibre posts, bone losses and fibre content on the biomechanical behaviour of endodontically treated teeth: 3D-finite element analysis. Mater Sci Eng C Mater Biol Appl 2017; 74: 334-346.
  • 13.Vadavadagi SV, Dhananjaya KM, Yadahalli RP, Lahari M, Shetty SR, Bhavana BL. Comparison of Different Post Systems for Fracture Resistance: An in vitro Study. J Contemp Dent Pract 2017; 18: 205-208.
  • 14.Mizuno Y, Gonda T, Takahashi T, Tomita A, Maeda Y. Root Fracture of Abutment Teeth for Partial Removable Dental Prostheses. Int J Prosthodont 2016; 29: 461-466.
  • 15.Endodontically treated teeth: Characteristics and considerations to restore them. http://dx.doi.org/10.1016/j. jpor.2010.07.003.
  • 16.Gambarini G, Di Nardo D, Miccoli G, Guerra F, Di Giorgio R, Di Giorgio G, Glassman G, Piasecki L, Testarelli L. The Influence of a New Clinical Motion for Endodontic Instruments on the Incidence of Postoperative Pain. Clin Ter 2017; doi: 10.7417/CT.2017.1977.
  • 17.Khaledi AA, Sheykhian S, Khodaei A. Evaluation of Retention of two Different Cast Post-Core Systems and Fracture Resistance of the Restored Teeth. J Dent (Shiraz) 2015; 16: 121-128.
  • 18.Pereira JR, do Valle AL, Shiratori FK, Ghizoni JS, Bonfante EA. The effect of post material on the characteristic strength of fatigued endodontically treated teeth. J Prosthet Dent 2014; 112: 1225-1230.
  • 19.Jindal S, Jindal R, Gupta K, Mahajan S, Garg S. Comparative evaluation of the reinforcing effect of different post systems in the restoration of endodontically treated human anterior teeth at two different lengths of post space preparation- an in vitro study. J Dent (Tehran) 2013; 10: 124-133.
  • 20.Sangwan B, Rishi R, Seal M, Jain K, Dutt P, Talukdar P. An in vitro Evaluation of Fracture Resistance of endodontically treated Teeth with Different Restorative Materials. J Contemp Dent Pract 2016; 17: 549-552.
  • 21.Tavanafar S, Karimpour A, Karimpour H, Mohammed Saleh A, Hamed Saeed M. Effect of Different Instrumentation Techniques on Vertical Root Fracture Resistance of Endodontically Treated Teeth. J Dent (Shiraz) 2015; 16: 50-55.
  • 22.Koch AT, Binus SM, Holzschuh B, Petschelt A, Powers JM, Berthold C. Restoration of endodontically treated teeth with major hard tissue loss-influence of post surface design on pull-out bond strength of fiber-reinforced composite posts. Dent Traumatol 2014; 30: 270-279.
  • 23.Pereira JR, da Rosa RA, do Valle AL, Ghizoni JS, Só MV, Shiratori FK. The influence of different cements on the pull-out bond strength of fiber posts. J Prosthet Dent 2014; 112: 59-63.
  • 24.Bitter K, Aschendorff L, Neumann K, Blunck U, Sterzenbach G. Do chlorhexidine and ethanol improve bond strength and durability of adhesion of fiber posts inside the root canal? Clin Oral Investig 2014; 18: 927-934.
  • 25.Rocca GT, Rizcalla N, Krejci I. Fiber-reinforced resin coating for endocrown preparations: a technical report. Oper Dent 2013; 38: 242-248.
  • 26.Yoldas O, Yilmaz S, Atakan G, Kuden C, Kasan Z. Dentinal microcrack formation during root canal preparations by different NiTi rotary instruments and the self-adjusting file. J Endod 2012; 38: 232-235.
  • 27.Tamse A, Fuss Z, Lustig J, Kaplavi J. An evaluation of endodontically treated vertically fractured teeth. J Endod 1999; 25: 506-508.
  • 28.Strawn SE, White JM, Marshall GW, Gee L, Goodis HE, Marshall SJ. Spectroscopic changes in human dentine exposed to various storage solutions--short term. J Dent 1996; 24: 417-423.
  • 29.Milani AS, Froughreyhani M, Rahimi S, Jafarabadi MA, Paksefat S. The effect of root canal preparation on the development of dentin cracks. Iran Endod J 2012; 7: 177- 182.
  • 30.Soares CJ, Martins LR, Pfeifer JM, Giannini M. Fracture resistance of teeth restored with indirect-composite and ceramic inlay systems. Quintessence Int 2004; 35: 281- 286.
  • 31.Rosentritt M, Furer C, Behr M, Lang R, Handel G. Comparison of in vitro fracture strength of metallic and tooth-coloured posts and cores. J Oral Rehabil 2000; 27: 595-601.
  • 32.Jamani KD, Harrington E, Wilson HJ. Rigidity of elastomeric impression materials. J Oral Rehabil 1989; 16: 241-248.
  • 33.Yoshida N, Koga Y, Peng CL, Tanaka E, Kobayashi K. In vivo measurement of the elastic modulus of the human periodontal ligament. Med Eng Phys 2001; 23: 567-572.
  • 34.Pascon FM, Kantovitz KR, Sacramento PA, Nobre-dos-Santos M, Puppin-Rontani RM. Effect of sodium hypochlorite on dentine mechanical properties. A review. J Dent 2009; 37: 903-908.
  • 35.Sim TP, Knowles JC, Ng YL, Shelton J, Gulabivala K. Effect of sodium hypochlorite on mechanical properties of dentine and tooth surface strain. Int Endod J 2001; 34: 120-132.
  • 36.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: 654-658.
  • 37.Marending M, Luder HU, Brunner TJ, Knecht S, Stark WJ, Zehnder M. Effect of sodium hypochlorite on human root dentine--mechanical, chemical and structural evaluation. Int Endod J 2007; 40: 786-793
  • 38.Lertchirakarn V, Palamara JE, Messer HH. Load and strain during lateral condensation and vertical root fracture. J Endod 1999; 25: 99-104.
  • 39.Saw LH, Messer HH. Root strains associated with different obturation techniques. J Endod 1995; 21: 314-320.
  • 40.Obermayr G, Walton RE, Leary JM, Krell KV. Vertical root fracture and relative deformation during obturation and post cementation. J Prosthet Dent 1991; 66: 181-187.
  • 41.Mayhew JT, Eleazer PD, Hnat WP. Stress analysis of human tooth root using various root canal instruments. J Endod 2000; 26: 523-524.
  • 42.Ribeiro FC, Souza-Gabriel AE, Marchesan MA, Alfredo E, Silva-Sousa YT, Sousa-Neto MD. Influence of different endodontic filling materials on root fracture susceptibili -ty. J Dent 2008; 36: 69-73.
  • 43.Burklein S, Tsotsis P, Schafer E. Incidence of dentinal defects after root canal preparation: reciprocating versus rotary instrumentation. J Endod 2013; 39: 501-504.
  • 44.Kim HC, Lee MH, Yum J, Versluis A, Lee CJ, Kim BM. Potential relationship between design of nickel-titanium rotary instruments and vertical root fracture. J Endod 2010; 36: 1195-1199.
  • 45.Liu R, Hou BX, Wesselink PR, Wu MK, Shemesh H. The incidence of root microcracks caused by 3 different single-file systems versus the ProTaper system. J Endod 2013; 39: 1054-1056.
  • 46.Liu R, Kaiwar A, Shemesh H, Wesselink PR, Hou B, Wu MK. Incidence of apical root cracks and apical dentinal detachments after canal preparation with hand and ro -tary files at different instrumentation lengths. J Endod 2013; 39: 129-132.
  • 47.Bier CA, Shemesh H, Tanomaru-Filho M, Wesselink PR, Wu MK. The ability of different nickel-titanium rota -ry instruments to induce dentinal damage during canal preparation. J Endod 2009; 35: 236-238.
  • 48.Çapar ID, Ertaş H, Arslan H. Comparison of cyclic fa -tigue resistance of novel nickel -titanium rotary instru -ments. Aust Endod J 2015; 41: 24-28.
  • 49.Bürklein S, Benten S, Schäfer E. Shaping ability of dif -ferent single -file systems in severely curved root canals of extracted teeth. Int Endod J 2013; 46:590-597.
  • 50.Micro Mega. The One Shape Brochure. Available at: http://micro-mega.com/en/one- shape-newgeneration/ documentations/. Accessed March 15, 2016.
7tepe Klinik-Cover
  • ISSN: 2458-9586
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 2005
  • Yayıncı: Yeditepe Üniversitesi Rektörlüğü
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