Berkan ÇELİKTEN, Pınar KAYNAR, Fatmagül ZIRAMAN, Hatice YALNIZ

Üç farklı rezin bazlı kök kanal dolgu patının koronal bakteriyel sızıntısının değerlendirilmesi

Amaç: Bu çalışmada rezin esaslı iki farklı kök kanal dolgu patı olan AH Plus ve MM Seal ile rezin esaslı kök kanal dolgu sistemi olan Resilon/Epiphany dolgu materyalinin in-vitro koşullarda Enterococcus feacalis kullanılarak koronal bakteriyel sızıntı yönünden 30 gün değerlendirilmeleri amaçlanmıştır. Gereç ve Yöntem: Çalışmamızda 55 adet tek köklü üst santral dişler üç deneysel n=15 ve iki kontrol n=5 gruba ayrılmıştır. Grup 1; AH Plus patı ve güta perka ile Grup 2; MM Seal patı ve gütaperka ile Grup 3 ise Epiphany ve Resilon ile soğuk lateral kompaksiyon yöntemi ile doldurulmuştur. Daha sonra bakteriyel sızıntı modeli hazırlanmış ve dişler bu modele yerleştirilmiştir. Elde edilen sistem etilen oksit gazı ile 12 saat boyunca steril edilmiştir. Elde edilen bu sisteme E. feacalis inokulumu ilave edilmiş ve her gün tüpler kontrol edilerek BKI besi yerinin bulanıklaşması sızıntı günü olarak kaydedilmiştir. Tüp içerisindeki BKI besi yerinin bulanıklaşması E. feacalis suşunun sızıntısı ve üremesi olarak değerlendirilmiştir. Koronal bakteriyel sızıntı oranları Z testi ile ikişerli olarak karşılaştırılmıştır. P

Anahtar Kelimeler:

AH Plus, Bakteriyel sızıntı, Epiphany-Resilon, MM-Seal

Evaluation of Three Different Resin Based Root Canal Sealers Regarding Coronal Bacterial Leakage

Aim: To evaluate the penetration of Enterococcus feacalis through obturated root canals and to compare coronal leakage of AH Plus + gutta percha, MM-Seal + gutta percha and resin-based Epiphany-Resilon root canal filling system during a 30-day period. Material and Methods: Fifty-five central teeth with single root canals were divided into three experimental groups n =15 each and two control groups n=5 . In the first experimental group was obturated with AH Plus root canal sealer and gutta percha using cold lateral compaction technique. In the second experimental group was obturated with MM-Seal root canal sealer and gutta percha using cold lateral compaction technique. In the third experimental group was obturated with Epiphany sealer and Resilon tips using cold lateral compaction technique. Then a bacterial leakage model was prepared and the teeth were placed in this model. This system was sterilized with ethylene oxide gas for 12 hours. E. faecalis inoculum was added to bacterial model system and blurring was recorded every day. Blurring was indicated to proliferation of E. faecalis. Data was subjected to statistical analysis using Z test. A p0.05 . Conclusion: Any of these materials could not totally prevent bacterial leakage. Therefore, it has been revealed that a permanent restoration has a significant importance in preventing the bacterial coronal leakage

Keywords:

AH Plus, Bacterial Leakage, Epiphany-Resilon, MM-Seal,

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