You are here

KOK KANALLARININ GENİŞLETİLMEDEN ÖNCE SODYUM HİPOKLORİT ÎLE YIKANMASININ KANAL TEMİZLİĞİNE ETKİSİ: SEM İNCELEMESİ

CLEANSING EFFECT OF SODIUM HYPOCHLORITE IRRIGATION ON ROOT CANALS BEFORE MECHANICAL INSTRUMENTATION: A SEM EVALUATION

Journal Name:

Publication Year:

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
In this study, 62 extracted human teeth with single roots straight canals were used. Following pulp extirpation, the efficacy of NaOCl and the methods, in root canals irrigated with different volumes of 5.25% NaOCl at varying time periods using different needles were observed by SEM and stereomicroscope. , Except for two serving as controls, 60 teeth were equally divided into 4 groups. In groups 1 and 2, conventional and in groups 3 and 4 perforated needles were used. In groups 1 and 3, the root canals were irrigated with 30 cc 5.25% NaOCl for 3 min, and in groups 2 and 4 with 50 cc 5.25%> NaOCl for 5 min. 5 teeth from each group were irrigated with Pelikan ink either using the conventional or tre perforated needles and rendered transparent. SEM investigation revealedpulpal remnants in control teeth. All experimental groups showed the dissolution of the residual pulp tissue and cleansing of the canal surfaces. 50 cc-5 min 5.25% NaOCl irrigation also displayed the calcospheritic pattern. Some specimens showed pulpal remnants in the apical regions. Stereomicroscope observation of the cleared teeth revealed that both conventional and perforated needles were effective in distributing the dye throughout the entire length of the canals to within the 2-3 mm of the apical region. Dye was denser within the root canals irrigated with 50 cc 5.25% NaOCl for 5 min.
Abstract (Original Language): 
Bu araştırmada, 62 adet tek köklü-düz kanallı çekilmiş insan dişi kullanılmış ve pulpa ekstirpasyonundan sonra farklı yıkama İğneleri kullanılarak, farklı hacim ve sürelerde % 5.25 NaOCİ solüsyonuyla yıkanan kök kanallarında, NaOO'in ve yöntemin etkinliği SEM'de ve stereomik-roskop'da incelenmiştir. 62 dişin 2'sİ kontrol olarak ayrılmış, diğerleri 4 eşit gruba bölünmüştür. 1. ve 2. grupta geleneksel iğne; 3. ve 4. grupta ise delikli iğne kullanılmıştır. 1 ve 3. grupta, kök kanalları 30 cc % 5.25 NaOCİ ile 3 dak. süreyle; 2. ve 4. grupta ise, 50 cc % 5.25 NaOCİ ile 5 dak. süreyle yıkanmışlardır. Her gruptan beşer diş, geleneksel veya delikli iğne kullanılarak Pelikan mürekkebi ile yıkandıktan sonra şeffaflaştı-rılmışlardır. SEM incelemesinde, kontrol dişlerinde pulpa artıklarına rastlanmıştır. Bütün deney gruplarında İse, kalan pulpa dokusunun çözündüğü ve kanal yüzeylerinin temizlendiği; 50 cc-5 dak. % 5.25 NaOCİ uygulamasının kalsosferit yapıyı da ortaya çıkardığı izlenmiştir. Ancak, bazı örneklerin apikal kısımlarından pulpa dokusu tamamen uzaklaştırıla-mamıştır. Şeffaflaştırman dişlerin stereomikroskop incelemesinde; hem geleneksel hem de delikli iğnenin, apikal 2-3 mm'ye dek kanal uzunluğu boyunca boyayı dağıtmada etkin oldukları görülmüştür. 5 dak. 50 cc % 5.25 NaOCİ ile yıkanan dişlerde, kök kanalındaki boyanın daha yoğun olduğu izlenmiştir.
49
56

REFERENCES

References: 

1. Abou-Rass, M-, Oglesby, S.W.: The effects of temperature, concentration and tissue type on the solvent ability of sodium hypochlorite. J.Endod., 1981; 7: 376-377.
2. Baker, N.A., Eleazer, P.D., Averbach, R.E., Seltzer, S.: Scanning electron microscopic study of the efficacy of various irrigating solutions. J.Endod., 1975;!: 127-135.
3. Baumgartner, J.C., Mader, C.L.: A scanning electron microscopic evaluation of four root canal irrigation regimens. J.En-
dod., 1987; 13: 147-157.
4. Bayırlı, G.: Pratik Endodonti. Î.Ü. Basımevi ve Film Merkezi, Istanbul, 1990; 135-138.
5. Bence, R„ Madonia, S.V., Weine, F.S., Smulson, M.H.: A microbiologic evaluation of endodontic instrumentation in pulp-less teeth. Oral Surg., 1973; 35: 676-683.
6. Drobotİj, E., Grower, M.F., Peters, D.D., Lorton, L., Ber-
56
/.
Karagoz-Küçükay
nier, W.E.: Comparison of the flushing effectiveness of four different types of needles after root canal preparation. J£ndod., 1980; 6: 870-875.
7. Goldman, L.B., Goldman, M., Kronman, J.H., Lin, P.S.: Preliminary scanning electron microscope study of a new method of irrigation during endodontic treatment. Oral Surg., 1979; 48: 79-83.
8. Goldman, M., Kronman, J.H., Goldman, L.B., Clausen, H., Grady, J.: New method of irrigation during endodontic treatment. J. Endod^ 1976; 2: 257-260.
9. Grossman, L.I.: Endodontic Practice. 8th. ed., Lea and Fe-biger, Philadelphia, 1974; 164.
10. Hand, R.E., Smith, M.I., Harrison, J.W.: Analysis of the effect of dilution on the necrotic tissue dissolution property of sodium hypochlorite. JJEndod., 1978; 4:60-64.
11. Harrison, J.W., Hand, R.E.: The effect of dilution and organic matter on the antimicrobial property of 5.25% sodium hypochtorite./^nitorf., 1981; 7:128-132.
12. Harrison, J.W., Svec, T.A., Baumgartner, J.C.: Analysis of clinical toxicity of endodontic irrigants. J. Endod., 1978; 4: 6-11.
13. Heuer, M.A.: The biomechanics of endodontic therapy. Dent. Clin. North Am., 1963; 13: 341-350.
14. Koskinen, K.P., Meurman, J.H., Stenvaîl, L.H.: Appearance of chemically treated root canal walls in the scanning electron microscope. Scand. JJ)entJtes., 1980; 88: 397-405.
15. Mc Comb, D., Smith, D.C.: A preliminary scanning electron microscopic study of root canals after endodontic procedures. J. Endod., 1975; 1: 238-242.
16. Nikolaus, B.E., Wayman, B.E., Encinas, E.: The bactericidal effect of citric acid and sodium hypochlorite on anaerobic
bacteria. JEndod., 1988; 14:31-34.
17. Ram, Z.: Effectiveness of root canal irrigation. Oral. Surg., 1977; 44: 306-312.
18. Rosenfeld, Ef, James, G.A., Burch, B.S.: Vital pulp tissue response to sodium hypochlorite. JJSndod., 1978; 4: 140¬146.
19. Salzgeber, R.M., Brilliant, J.D.: An in vivo evaluation of the penetration of an irrigating solution in root canals. JJwwforf., 1977; 3: 394-398.
20. Senia, E.S., Marshall, J.F., Rosen, S.: The solvent action of sodium hypochlorite on pulp tissue of extracted teeth. Oral. Surg., 1971; 31: 96-103.
21. Smith, J J., Wayman, B.E.: An evaluation of the antimicrobial effectiveness of citric acid as a root canal irrigant./JJii-dod., 1986; 12: 54-58.
22. Spangberg, L., Engström, B., Langeland, K,: Biologic effect of dental materials. Toxicity and antimicrobial effect of endodontic antiseptics in vitro. Oral Surg., 1973; 36: 856-871.
23. Stewart, G.G.: The importance of chemomechanical preparation of the root canal. Oral Surg., 1955; 8: 993-997.
24. Svec, T.A., Harrison, J.W.: The effect of effervescence on debridement of the apical region of root canals in single rooted teeth./.Enrforf., 1981; 7: 335-340.
25. The, S.D.: The solvent action of sodium hypochlorite on fixed and unfixed necrotic tissue. Oral Surg., Î979; 47: 558¬561.
26. Trepagnier, CM., Madden, R.M., Lazzari, E.P.: Quantitative study of sodium hypochlorite as an in vitro endodontic irri-gant. J£ndod., 1977; 3:194-196.
27. Weine, F.S.: Endodontic Therapy, 3rd. ed., CV Mosby Co., St. Louis, 1982; 317-324.

Thank you for copying data from http://www.arastirmax.com