Tannik asitle irrigasyonun kök kanal dentininin mikrosertliğine ve epoksi rezin esaslı patın bağlanma dayanımına etkisi

Amaç: Tannik asit (TA)  içeren final irrigasyon protokollerinin dentin miksrosertliğine  ve epoksi rezin içerikli patın kök kanal dentinine push-out bağlanma dayanımına etksinin incelenmesiGereç ve Yöntemler: 50 adet yarım kök mikrosertlik ölçümü için akrilik rezine gömüldü. İşlem öncesi miksrosertlik değerleri elde edildikten sonra örnekler kullanılacak olan final irrigasyon protokolüne göre rastgele 5 gruba dağıtıldı (n=10): distile su (kontrol), % 10 TA 2 dk, %10 TA 5dk, % 20 TA 2 dk, ve %20 TA 5 dk. Dentin yüzeyleri irrigasyon solüsyonları ile muamele edildikten sonra başlangıç ölçümlerinin yapıldığı noktalara yakın olacak şekilde mikrosertlik değerleri tekrar ölçülüp kaydedildi. Push-out bağlanma dayanımı testi için 75 adet tek köklü mandibular premolar dişin kanalı genişletildi ve final irrigasyon protokolü yukarıda bahsedildiği şekilde uygulandı (n = 15). Örneklerin kanalları tek kon yöntemi kullanılarak uyumlu gütaperka konlar ve AH Plus- epoksi rezin içerikli patla doldurulduktan sonra köklerin orta üçlü bölümünden 1-mm kalınlığında kesitler elde edildi. Push-out bağlanma testi uygulandı. Veriler tek yönlü varyans analizi (ANOVA) ve Tukey HSD testleri kullanılarak değerlendirildi (p=0.05).Bulgular: TA uygulanmış gruplarda mikrosertlik değerleri kontrol grubuna gore anlamlı artış gösterirken (p<0.05), TA uygulanmış grupların mikrosertlik değerleri kendi aralarında anlamlı bir fark göstermedi (p>0.05). Push-out bağlanma dayanımı testi sonucunda % 10 TA 2 dak. grubu ile kontrol grubu arasında anlamlı fark bulunamadı (p>0.05). Diğer TA grupları kontrol grubuna gore daha yüksek bağlanma dayanımı değerleri gösterirken (p<0.05), aralarında anlamlı fark bulunamadı (p>0.05). Sonuç: TA ile final irrigasyon yapılması dentin mikrosertliğini ve epoksi rezin içerikli kanal dolgu patının kök kanal dentinine bağlanma dayanımını arttırdı. TA’nın bağlanma dayanımı üzerindeki etkisi zaman ve konsantrasyon bağımlıdır.

Effect of tannic acid irrigation on microhardness of root canal dentin and bond strength of epoxy resin based sealer

Background:To investigate the effects of final irrigation protocols with tannic acid (TA) on dentin microhardness and push-out bond strength of an epoxy resin based sealer to root canal dentin.Methods: The 50 root halves were embedded in an acrylic resin for the microhardness measurement. After the initial baseline microhardness measurement, the root halves were randomly divided into 5 groups according to the final irrigation protocol used (n=10): distilled water (control), 10% TA for 2 min, 10% TA for 5 min, 20% TA for 2 min, and 20% TA for 5 min. After surface treatment, dentin microhardness values were recorded at close proximity to the initial indentation areas. For push-out bond strength test the root canals of 75 single-rooted mandibular premolars were instrumented and the final irrigation protocols were applied as described above (n = 15). Following root canal obturation with single cone technique using matched-taper  gutta percha cones and an AH Plus- epoxy resin based root canal sealer, 1 mm-thick slices were obtained from the middle third of the root canals. Push-out bond strength test was applied. The data were analyzed using One way ANOVA and Tukey HSD tests (p=0.05).Results:In TA-treated groups, there was a significant increase in the microhardness values compared with the control group (p<0.05). Regarding the push-out bond strength test, there was no significant difference between the bond strength values of 10% TA for 2 min and the control group (p>0.05). The remaining groups presented higher bond strength values than the control group (p<0.05).Conclusions: TA increased dentin microhardness and the bond strength of the epoxy resin based sealer to root canal dentin. The effect on the bond strength was time and concentration dependent. Keywords: bond strength, dentin, microhardness, epoxy resin based sealer, tannic acid

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