Fatih TULUMBACI, Volkan ARIKAN, Aylin AKBAY OBA, İşıl SÖNMEZ ŞAROĞLU

Olgunlaşmamış Dişlerde Kullanılan Çeşitli Biyomateryallerin Mikrosızıntısının Değerlendirilmesi

Amaç: Açık apeksli dişlerinin tedavisinde, uzun süreli kalsiyum hidroksit tedavisine alternatif bir yöntem olarak tek aşamalı apeksifikasyon yöntemi bildirilmektedir.Gereç ve Yöntemler:Bu çalışmada, taklit edilen olgunlaşmamış açık apeksli dişlerin endodontik tedavisinde ProRoot MTA (Dentsply) (Grup I), DiaRoot BioAggregate (Diadent) (Grup II) ve Biodentine (Septodont) (Grup III) kullanıldığında dişlerde meydana gelen apikal mikrosızıntı değerlendirildi. Olgunlaşmamış dişlerin taklit edilmesi için, 57 sığır maksiller keser diş kökü hazırlanmış ve rasgele üç gruba ayrılmıştır (grup başına n = 15). Kalan dişler negatif (n = 6) ve pozitif (n = 6) kontrol grubuna dahil edilmiştir. Malzemeler, üretici firma talimatlarına göre hazırlandı ve örneklerin uygun şekilde doldurulduğunu doğrulamak için her örnekten bir radyograf alındı. Apikal mikrosızıntı, boya nüfuz etme tekniği kullanılarak değerlendirildi. Doğrusal boya penetrasyonu 30X büyütmede ölçüldü ve veriler ANOVA kullanılarak analiz edildi.Bulgular:Grup I, ortalama boya penetrasyonu 4.64 mm ile en düşük apikal sızıntıyı gösterirken, sızıntı Grup II'de 5.45 mm boya penetrasyonu ile en yüksekti. Grup I ve II'deki apikal sızıntı arasındaki fark istatistiksel olarak anlamlı (p <0.05), ancak diğer gruplar arasındaki istatistiksel farklar (Grup I-III ve Grup II-III) anlamlı değildi (p> 0.05).Sonuçlar:Bu çalışmanın bulguları, MTA'nın olgunlaşmamış apeksli dişlerin tıkanmasında kullanıldığında en iyi sızdırmazlık kabiliyetine sahip olduğunu düşündürmektedir.Anahtar Kelimeler:Biodentine, BioAggregate, Endodontik tedavi, Mikrosızıntı, MTA

Anahtar Kelimeler:

Biodentine, BioAggregate, Endodontik tedavi, Mikrosızıntı

APICAL MICROLEAKAGE OF VARIOUS BIOMATERIALS IN SIMULATED IMMATURE APICES

Background:: In the treatment of open apex teeth, one-step apexiﬁcation has been reported as an alternative method to the use of long-term calcium hydroxide. Methods:The present study evaluated and compared apical microleakage when ProRoot MTA (Dentsply) (Group I), DiaRoot BioAggregate (Diadent) (Group II) and Biodentine (Septodont) (Group III) were used in the endodontic treatment of the teeth with simulated immature apices. In order to simulate immature teeth, 57 bovine maxillary incisor roots were prepared and randomly divided into three groups (n = 15 per group). The remaining teeth were included in negative (n=6) and positive (n=6) control groups. The materials were prepared according to the manufacturers instructions and a radiograph was taken for each sample to confirm proper obturation of the samples. Apical microleakage was assessed using the dye penetration technique. Linear dye penetration was measured at 30X magnification and the data were analyzed using ANOVA.Results:Group I showed the lowest apical leakage with a mean dye penetration of 4.64 mm, whereas the leakage was highest in Group II with a mean dye penetration of 5.45 mm. The difference between the leakage in Group I and II was statistically signiﬁcant (p<0.05), but the differences between other groups (Group I-III and Group II-III) were not (p > 0.05).Conclusions:The ﬁndings of the present study suggest that MTA has the best sealing ability when used for the obturation of immature apices. Keywords:BioAggregate, Biodentine, Endodontic treatment, Microleakage, MTA

Keywords:

BioAggregate, Biodentine, Endodontic treatment, Microleakage,

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