Farklı Tiplerdeki Kök Kanal Yıkama Solüsyonlarının İnsan Osteoblastik Hücre Canlılığı Üzerine Etkileri

Amaç: Kök kanallarının yıkanması, kanal tedavisinin başarılı olabilmesi için uygulanan en önemli basamaklardan biridir. Uygulanan bu işlem sırasında kök dentini ve dişin periapikal dokuları yıkama solüsyonlarıyla sürekli temas halindedirler. Bu solüsyonların içindeki ajanların ideal olarak oral dokulara zarar vermeyerek pulpal dokuları uzaklaştırması gerekmektedir. Bu çalışmanın amacı, 7 farklı yıkama solüsyonunun (Rocanal, BioPure MTAD, SmearClear, klorheksidin glukonat, EDTA, hidrojen peroksit, NaOCl) insan osteoblastik hücre dizisinin (SaOS-2) canlılıkları üzerine etkilerini değerlendirmektir. Gereç ve Yöntemler:Test edilen solüsyonlar kültür ortamı ile seyreltilerek 6 farklı konsantrasyonda (1:2, 1:4, 1:8, 1:16 ve 1:32) hazırlandı. SaOS-2 hücreleri yıkama solüsyonlarının tüm konsantrasyonlarına sırasıyla maruz bırakıldı (n = 12). Kontrol grubu olarak test materyali içermeyen hücre kültür ortamı kullanıldı. Hücre canlılığı MTT sitotoksisite testi ile değerlendirildi. Kontrol grubunun hücre canlılığı %100’e eşitlendi, veriler istatistiksel olarak One-way ANOVA ve post-hoc Tukey’s HSD testleri ile değerlendirildi. Bulgular: Test edilen yıkama solüsyonlarının tüm konsantrasyolarda kontrol grubu ile karşılaştırıldığında SaOS-2 hücreleri üzerine sitotoksik etkileri olduğu gözlenmiştir (P

Effects of Different Types of Root Canal Irrigation Solutions on the Viability of the Human Osteoblastic Cell Line

Objective: Root canal irrigation is very important for successful root canal treatment. During this procedure, root dentin and periapical tissues are in contact with irrigation solutions. These solutions should ideally remove pulpal tissues without damaging the oral tissues. The aim of this study was to evalu- ate the effects of 7 different irrigation solutions (Rocanal, BioPure MTAD, SmearClear, chlorhexidine gluconate, EDTA, hydrogen peroxide, NaOCl) on the viability of human osteoblastic cell lines (SaOS-2). Material and Methods: The tested solutions were diluted with culture medium and prepared in 6 different concentrations (1:2, 1:4, 1:8, 1:16, and 1:32). SaOS-2 cells were exposed to all concentrations of irrigation solutions, respectively (n = 12). Cell culture medium without test material was used as a control group. Cell viability was evaluated with the MTT cytotoxicity test. The cell viability of the control group was equal to 100%, and the data were statistically evaluated by One-way ANOVA and post-hoc Tukey's HSD tests. Results: All tested solutions had cytotoxic effects on SaOS-2 cells at all concentrations (p < 0.05). There was difference in percent- age between the cell viability values of the materials (p

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  • 1. Ricucci D, Siqueira JF. Biofilms and apical periodontitis: study of prevalence and association with clinical and histopathologic findings. J Endod 2010; 36(8): 1277-88.
  • 2. Bystrom A, Sundqvist G. Bacteriologic evaluation of the efficacy of mechanical root-canal instrumentation in endodontic therapy. Scand J Dent Res 1981; 89(4): 321-28.
  • 3. Abou-Rass M, Piccinino MV. The effectiveness of four clinical irrigation methods on the removal of root canal debris. Oral Surg Oral Med Oral Pathol. 1982; 54(3):323-8.
  • 4. Peters LB, Wesselink PR, Buijs JF, van Winkelhoff AJ. Viable bacteria in root dentinal tubules of teeth with apical periodontitis. J Endod. 2001; 27(2):76-81.
  • 5. Nair PN, Henry S, Cano V, Vera J. Microbial status of apical root canal system of human mandibular first molars with primary apical periodontitis after "one-visit" endodontic treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005; 99(2): 231-52.
  • 6. Mohammadi Z, Abbott PV. The properties and applications of chlorhexidine in endodontics. Int Endod J. 2009; 42(4): 288-302.
  • 7. Zehnder M. Root canal irrigants. J Endod. 2006 ;32(5): 389-98.
  • 8. Murray PE, Farber RM, Namerow KN, Kuttler S, Garcia-Godoy F. Evaluation of Morinda citrifolia as an endodontic irrigant. J Endod. 2008; 34(1): 66-70.
  • 9.Eddy RS, Joyce AP, Roberts S, Buxton TB, Liewehr F. An in vitro evaluation of the antibacterial efficacy of chlorine dioxide on E. faecalis in bovine incisors. J Endod. 2005; 31(9): 672-5.
  • 10.Dunavant TR, Regan JD, Glickman GN, Solomon ES, Honeyman AL. Comparative evaluation of endodontic irrigants against Enterococcus faecalis biofilms. J Endod. 2006; 32(6):527-31.
  • 11.Vahabi S, Najafi E, Alizadeh S. In vitro antimicrobial effects of some herbal essences against oral pathogens. J Med Plants Res, 2011; 5(19): 4870-8.
  • 12.Pinheiro ET, Karygianni L, Attin T, Thurnheer T. Antibacterial Effect of Sodium Hypochlorite and EDTA in Combination with High-Purity Nisin on an Endodontic-like Biofilm Model. Antibiotics. 2021; 10(9):1141
  • 13.Dioguardi M, Gioia GD, Illuzzi G, Laneve E, Cocco A, Troiano G. Endodontic irrigants: Different methods to improve efficacy and related problems. Eur J Dent. 2018;12(3):459-466.
  • 14. Garcez AS, Hamblin MR. Methylene Blue and Hydrogen Peroxide for Photodynamic Inactivation in Root Canal- A New Protocol for Use in Endodontics. Eur Endod J. 2017;20;2(1):1-7.
  • 15. Torabinejad M, Khademi AA, Babagoli J, Cho Y, Johnson WB, Bozhilov K, Kim J, Shabahang S. A new solution for the removal of the smear layer. J Endod. 2003 ;29(3):170-5.
  • 16. Torabinejad M, Cho Y, Khademi AA, Bakland LK, Shabahang S. The effect of various concentrations of sodium hypochlorite on the ability of MTAD to remove the smear layer. J Endod. 2003; 29(4):233-9.
  • 17. Lui JN, Kuah HG, Chen NN. Effect of EDTA with and without surfactants or ultrasonics on removal of smear layer. J Endod. 2007; 33(4):472-5.
  • 18. Khedmat S, Shokouhinejad N. Comparison of the efficacy of three chelating agents in smear layer removal. J Endod. 2008; 34(5):599-602.
  • 19. Gainor BJ, Hockman DE, Anglen JO, Christensen G, Simpson WA. Benzalkonium chloride: a potential disinfecting irrigation solution. J Orthop Trauma. 1997 Feb; 11(2):121-5.
  • 20. Perotti S, Bin P, Cecchi R. Hypochlorite accident during endodontic therapy with nerve damage - A case report. Acta Biomed. 2018 Mar; 89(1):104-108.
  • 21. Sen BH, Akdeniz BG, Denizci AA. The effect of ethylenediamine-tetraacetic acid on Candida albicans. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000; 90(5):651-5.
  • 22. Schmalz G. Concepts in biocompatibility testing of dental restorative materials. Clin Oral Invest.1997; 1:154-62.
  • 23. Schmalz G. Use of cell cultures for toxicity testing of dental materials-advantages and limitations. J Dent. 1994; 22 Suppl 2: S6-11.
  • 24. Wataha JC, Hanks CT, Sun Z. Effect of cell line on in vitro metal ion cytotoxicity. Dent Mater. 1994; 10:156-61.
  • 25. Geurtsen W, Lehmann F, Spahl W, Leyhausen G. Cytotoxicity of 35 dental resin composite monomers/additives in permanent 3T3 and three human primary fibroblast cultures. J Biomed Mater Res. 1998; 41:474-80.
  • 26. van Meerloo J, Kaspers GJ, Cloos J. Cell sensitivity assays: the MTT assay. Methods Mol Biol. 2011; 731:237-45.
  • 27. Parboosing R, Mzobe G, Chonco L, Moodley I. Cell-based Assays for Assessing Toxicity: A Basic Guide. Med Chem. 2016;13(1):13-21.
  • 28. Sundqvist G, Figdor D. Endodontic treatment of apical periodontitis. Essential endodontology. Oxford: Blackwell, 1998: 242-69.
  • 29. Alaçam T. Endodonti, 2. Baskı: Ankara, Barış Yayınları Fakülteler Kitabevi, 2000.
  • 30. Wesselink P, Bergenholtz G. Treatment of the necrotic pulp. In: Bergenholtz G, Reit C, eds. Textbook of Endodontology. Wiley, 2003: 352.
  • 31. Ruksakiet K, Hanák L, Farkas N, Hegyi P, Sadaeng W, Czumbel LM, Sang-Ngoen T, Garami A, Mikó A, Varga G, Lohinai Z. Antimicrobial Efficacy of Chlorhexidine and Sodium Hypochlorite in Root Canal Disinfection: A Systematic Review and Meta-analysis of Randomized Controlled Trials. J Endod. 2020; 46(8):1032-1041.e7.
  • 32. Sassone LM, Fidel R, Fidel S, Vieira M, Hirata R Jr. The influence of organic load on the antimicrobial activity of different concentrations of NaOCl and chlorhexidine in vitro. Int Endod J. 2003; 36(12):848-52.
  • 33. Haapasalo M, Endal U, Zandi H, Coil JM. Eradication of endodontic infection by instrumentation and irrigation solutions. Endodontic Topics. 2005; 10(1): 77-102.
  • 34. Wong DT, Cheung GS. Extension of bactericidal effect of sodium hypochlorite into dentinal tubules. J Endod. 2014; 40(6):825-9.
  • 35. Rôças IN, Siqueira JF Jr. Identification of bacteria enduring endodontic treatment procedures by a combined reverse transcriptase-polymerase chain reaction and reverse-capture checkerboard approach. J Endod. 2010; 36(1):45-52.
  • 36. Zhang W, Torabinejad M, Li Y. Evaluation of cytotoxicity of MTAD using the MTT-tetrazolium method. J Endod. 2003; 29(10):654-7.
  • 37. Ercan E, Ozekinci T, Atakul F, Gül K. Antibacterial activity of 2% chlorhexidine gluconate and 5.25% sodium hypochlorite in infected root canal: in vivo study. J Endod. 2004; 30(2):84-7.
  • 38. Slaughter RJ, Watts M, Vale JA, Grieve JR, Schep LJ. The clinical toxicology of sodium hypochlorite. Clin Toxicol (Phila). 2019; 57(5):303-311.
  • 39. Türkün M, Gökay N, Özdemir N. Farklı Endodontik Yıkama Solüsyonlarının Toksik ve Nekrotik Doku Çözücü Etkilerinin Karşılaştırmalı Olarak İncelenmesi-Comparative Investigation of the Toxic and Necrotic Tissue-Dissolving Effects of Different Endodontic Irrigants. İ Ü Diş Hek Fak Der. 1998; 32(2):87-94.
  • 40. Hülsmann M, Hahn W. Complications during root canal irrigation--literature review and case reports. Int Endod J. 2000; 33(3):186-93.
  • 41. de Arruda JAA, Schuch LF, Pereira A, Monteiro JLGC, Melo-Juinor PMR, Mesquita RA, Moreno A, Callou G. Investigation of different sodium hypochlorite volumes, concentrations and times of irrigation in endodontic therapy: a systematic review. Arch Health Invest. 2019; 8(4): 185-91.
  • 42. Martin DE, De Almeida JF, Henry MA, Khaing ZZ, Schmidt CE, Teixeira FB, Diogenes A. Concentration-dependent effect of sodium hypochlorite on stem cells of apical papilla survival and differentiation. J Endod. 2014; 40(1):51-5.
  • 43.Serper A, Calt S, Dogan AL, Guc D, Ozçelik B, Kuraner T. Comparison of the cytotoxic effects and smear layer removing capacity of oxidative potential water, NaOCl and EDTA. J Oral Sci. 2001; 43(4):233-8.
  • 44. Aldemir AB. Farklı irrigasyon solüsyonlarının sitotoksisitelerinin hücre kültürü yöntemi ile karşılaştırılmalı olarak incelenmesi. Doktora tezi. Ankara Üniversitesi Sağlık Bilimleri Enstitüsü, Endodonti Anabilim Dalı. 2009
  • 45. Tanaka T, Masako O, Masayuki O. The relationship between the preservative efficacy and cytotoxicity of two common preservatives used in cosmetics. J Oral Tissue Engin. 2018; 15(3): 186-92.
  • 46. Sreevidya VS, Lenz KA, Svoboda KR, Ma H. Benzalkonium chloride, benzethonium chloride, and chloroxylenol - Three replacement antimicrobials are more toxic than triclosan and triclocarban in two model organisms. Environ Pollut. 2018; 235:814-24.
  • 47. Pappen FG, Souza EM, Giardino L, Carlos IZ, Leonardo MR, de Toledo Leonardo R. Endodontic chelators induce nitric oxide expression by murine-cultured macrophages. J Endod. 2009; 35(6):824-8.
  • 48. Zhang W, Torabinejad M, Li Y. Evaluation of cytotoxicity of MTAD using the MTT-tetrazolium method. J Endod. 2003; 29(10):654-7.
  • 49. Yasuda Y, Tatematsu Y, Fujii S, Maeda H, Akamine A, Torabinejad M, Saito T. Effect of MTAD on the differentiation of osteoblast-like cells. J Endod. 2010; 36(2):260-3.
  • 50. Karkehabadi H, Yousefifakhr H, Zadsirjan S. Cytotoxicity of Endodontic Irrigants on Human Periodontal Ligament Cells. Iran Endod J. 2018; 13(3):390-394.
  • 51. Ozkan HB, Cobankara FK, Sayin Z, Ozer F. Evaluation of the Antibacterial Effects of Single and Combined use of Different Irrigation Solutions Against Intracanal Enterococcus Faecalis. Acta Stomatol Croat. 2020; 54(3):250-262.
  • 52. Ibi H, Hayashi M, Yoshino F, Tamura M, Yoshida A, Kobayashi Y, Shimizu K, Lee MC, Imai K, Ogiso B. Bactericidal effect of hydroxyl radicals generated by the sonolysis and photolysis of hydrogen peroxide for endodontic applications. Microb Pathog. 2017; 103:65-70.
  • 53. Kobayashi Y, Hayashi M, Yoshino F, Tamura M, Yoshida A, Ibi H, Lee MC, Ochiai K, Ogiso B. Bactericidal effect of hydroxyl radicals generated from a low concentration hydrogen peroxide with ultrasound in endodontic treatment. J Clin Biochem Nutr. 2014; 54(3):161-5.
  • 54. Fardal O, Turnbull RS. A review of the literature on use of chlorhexidine in dentistry. J Am Dent Assoc. 1986; 112(6):863-9.
  • 55. Leonardo MR, Tanomaru Filho M, Silva LA, Nelson Filho P, Bonifácio KC, Ito IY. In vivo antimicrobial activity of 2% chlorhexidine used as a root canal irrigating solution. J Endod. 1999; 25(3):167-71.
  • 56. Hauman CH, Love RM. Biocompatibility of dental materials used in contemporary endodontic therapy: a review. Part 1. Intracanal drugs and substances. Int Endod J. 2003; 36(2):75-85.
  • 57. Vahdaty A, Pitt Ford TR, Wilson RF. Efficacy of chlorhexidine in disinfecting dentinal tubules in vitro. Endod Dent Traumatol. 1993; 9(6):243-8.
  • 58. Portenier I, Waltimo T, Ørstavik D, Haapasalo M. Killing of Enterococcus faecalis by MTAD and chlorhexidine digluconate with or without cetrimide in the presence or absence of dentine powder or BSA. J Endod. 2006; 32(2):138-41.
  • 59. Park JB, Park NH. Effect of chlorhexidine on the in vitro and in vivo herpes simplex virus infection. Oral Surg Oral Med Oral Pathol. 1989; 67(2):149-53.
  • 60. Heling I, Chandler NP. Antimicrobial effect of irrigant combinations within dentinal tubules. Int Endod J. 1998 ;31(1):8-14.
  • 61. Okino LA, Siqueira EL, Santos M, Bombana AC, Figueiredo JA. Dissolution of pulp tissue by aqueous solution of chlorhexidine digluconate and chlorhexidine digluconate gel. Int Endod J. 2004; 37(1):38-41.
  • 62. Mohammadi Z, Abbott PV. The properties and applications of chlorhexidine in endodontics. Int Endod J. 2009; 42(4):288-302.
Akdeniz Tıp Dergisi-Cover
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 2015
  • Yayıncı: Akdeniz Üniversitesi Tıp Fakültesi
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