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01-11-2018 | Original Article

Resistance to vertical root fracture of apicoected teeth using different devices during two root canal irrigation procedures

Authors: Ferhat Ayrancı, Leyla Benan Ayrancı, Alper Özdoğan, Serkan Özkan, Mutlunur Önder Peker, Mutan Hamdi Aras

Published in: Lasers in Medical Science | Issue 8/2018

Abstract

The aim of the present work was to measure the fracture resistance of endodontically treated teeth that were apicoected with different procedures. Seventy-two extracted human maxillary anterior teeth were included in this study. The specimens were randomly assigned to three main groups according to the apical surgery procedures and then two subgroups according to the irrigation protocols during root canal treatment and total of six groups were obtained (n = 12). Group 1: served as a control and apical surgery process was not performed in this group. Group 2: apical surgery process was performed with tungsten carbide fissure bur Group 3: apical surgery process was performed with Er:YAG laser. Subgroup a: In this group, the specimens were irrigated with %5 NaOCl. Subgroup b: 15% EDTA solution was filled into the root canal and then agitated using a 1.5 W/100 Hz diode laser. The specimens were filled and mounted in acrylic resin blocks and compression strength test was performed. Statistical analysis was performed using two-way ANOVA. The statistical analysis revealed that there were no statistical significant differences between apical surgery procedures (groups 1, 2, and 3) (p < 0.05). Apical resection procedures did not affect the fracture resistance Significant differences were determined between the subgroups (p < 0.05). Agitation of the EDTA with the diode laser reduced the fracture resistance of the specimens. The different canal irrigation techniques altered resistance to fracture; however, apical surgery procedures did not altered the resistance to fracture when compared with the control group.

Haapasalo M, Shen Y, Qian W, Gao Y (2010) Irrigation in endodontics. Dent Clin N Am 54:291–312. https://doi.org/10.1016/j.cden.2009.12.001 CrossRefPubMed

Zmener O, Pameijer CH, Banegas G (2005) Effectiveness in cleaning oval-shaped root canals using Anatomic Endodontic Technology, ProFile and manual instrumentation: a scanning electron microscopic study. Int Endod J 38:356–363. https://doi.org/10.1111/j.1365-2591.2005.00938.x CrossRefPubMed

Heard F, Walton RE (1997) Scanning electron microscope study comparing four root canal preparation techniques in small curved canals. Int Endod J 30:323–331. https://doi.org/10.1111/j.1365-2591.1997.tb00718.x CrossRefPubMed

Peters OA, Barbakow F (2000) Effects of irrigation on debris and smear layer on canal walls prepared by two rotary techniques: a scanning electron microscopic study. J Endod 26:6–10. https://doi.org/10.1097/00004770-200001000-00002 CrossRefPubMed

Violich DR, Chandler NP (2010) The smear layer in endodontics—a review. Int Endod J 43:2–15. https://doi.org/10.1111/j.1365-2591.2009.01627.x CrossRefPubMed

Gu LS, Kim JR, Ling J, Choi KK, Pashley DH, Tay FR (2009) Review of contemporary irrigant agitation techniques and devices. J Endod 35:791–804. https://doi.org/10.1016/j.joen.2009.03.010 CrossRefPubMed

Lagemann M, George R, Chai L, Walsh LJ (2014) Activation of ethylenediaminetetraacetic acid by a 940 nm diode laser for enhanced removal of smear layer. Aust Endod J 40:72–75. https://doi.org/10.1111/aej.12039 CrossRefPubMed

Torabinejad M, Handysides R, Khademi AA, Bakland LK (2002) Clinical implications of the smear layer in endodontics: a review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 94:658–666. https://doi.org/10.1067/moe.2002.128962 CrossRefPubMed

de Souza EB, Cai S, Simionato MR, Lage-Marques JL (2008) High-power diode laser in the disinfection in depth of the root canal dentin. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 106:e68–e72. https://doi.org/10.1016/j.tripleo.2008.02.032 CrossRefPubMed

10.

Wang X, Sun Y, Kimura Y, Kinoshita J, Ishizaki NT, Matsumoto K (2005) Effects of diode laser irradiation on smear layer removal from root canal walls and apical leakage after obturation. Photomed Laser Surg 23:575–581. https://doi.org/10.1089/pho.2005.23.575 CrossRefPubMed

11.

Arslan H, Ayranci LB, Karatas E, Topcuoglu HS, Yavuz MS, Kesim B (2013) Effect of agitation of EDTA with 808-nanometer diode laser on removal of smear layer. J Endod 39:1589–1592. https://doi.org/10.1016/j.joen.2013.07.016 CrossRefPubMed

12.

Lieblich SE (2012) Endodontic surgery. Dent Clin North Am 56:121–132, viii-ix. https://doi.org/10.1016/j.cden.2011.08.005 CrossRefPubMed

13.

Kim S (1997) Principles of endodontic microsurgery. Dent Clin N Am 41:481–497PubMed

14.

Hibst R, Keller U (1989) Experimental studies of the application of the Er:YAG laser on dental hard substances: I. Measurement of the ablation rate. Lasers Surg Med 9:338–344CrossRef

15.

Keller U, Hibst R (1989) Experimental studies of the application of the Er:YAG laser on dental hard substances: II. Light microscopic and SEM investigations. Lasers Surg Med 9:345–351CrossRef

16.

Komori T, Yokoyama K, Matsumoto Y, Matsumoto K (1997) Erbium:YAG and holmium:YAG laser root resection of extracted human teeth. J Clin Laser Med Surg 15:9–13. https://doi.org/10.1089/clm.1997.15.9 CrossRefPubMed

17.

Wilcox LR, Roskelley C, Sutton T (1997) The relationship of root canal enlargement to finger-spreader induced vertical root fracture. J Endod 23:533–534. https://doi.org/10.1016/S0099-2399(97)80316-0 CrossRefPubMed

18.

Cobankara FK, Ungor M, Belli S (2002) The effect of two different root canal sealers and smear layer on resistance to root fracture. J Endod 28:606–609. https://doi.org/10.1097/00004770-200208000-00011 CrossRefPubMed

19.

Karapinar Kazandag M, Sunay H, Tanalp J, Bayirli G (2009) Fracture resistance of roots using different canal filling systems. Int Endod J 42:705–710. https://doi.org/10.1111/j.1365-2591.2009.01571.x CrossRefPubMed

20.

Uzunoglu E, Aktemur S, Uyanik MO, Durmaz V, Nagas E (2012) Effect of ethylenediaminetetraacetic acid on root fracture with respect to concentration at different time exposures. J Endod 38:1110–1113. https://doi.org/10.1016/j.joen.2012.04.026 CrossRefPubMed

21.

Aydemir S, Cimilli H, Mumcu G, Chandler N, Kartal N (2014) Crack formation on resected root surfaces subjected to conventional, ultrasonic, and laser root-end cavity preparation. Photomed Laser Surg 32:351–355. https://doi.org/10.1089/pho.2013.3696 CrossRefPubMed

22.

Karatas E, Arslan H, Topcuoglu HS, Yilmaz CB, Yeter KY, Ayranci LB (2016) The effect of diode laser with different parameters on root fracture during irrigation procedure. Artif Organs 40:604–609. https://doi.org/10.1111/aor.12608 CrossRefPubMed

23.

Alfredo E, Marchesan MA, Sousa-Neto MD, Brugnera-Junior A, Silva-Sousa YT (2008) Temperature variation at the external root surface during 980-nm diode laser irradiation in the root canal. J Dent 36:529–534. https://doi.org/10.1016/j.jdent.2008.03.009 CrossRefPubMed

24.

Faria MI, Sousa-Neto MD, Souza-Gabriel AE, Alfredo E, Romeo U, Silva-Sousa YT (2013) Effects of 980-nm diode laser on the ultrastructure and fracture resistance of dentine. Lasers Med Sci 28:275–280. https://doi.org/10.1007/s10103-012-1147-7 CrossRefPubMed

25.

Rahimi S, Yavari HR, Shahi S, Zand V, Shakoui S, Reyhani MF et al (2010) Comparison of the effect of Er, Cr-YSGG laser and ultrasonic retrograde root-end cavity preparation on the integrity of root apices. J Oral Sci 52:77–81. https://doi.org/10.2334/josnusd.52.77 CrossRefPubMed

26.

Batista de Faria-Junior N, Tanomaru-Filho M, Guerreiro-Tanomaru JM, de Toledo Leonardo R, Camargo Villela Berbert FL (2009) Evaluation of ultrasonic and ErCr:YSGG laser retrograde cavity preparation. J Endod 35:741–744. https://doi.org/10.1016/j.joen.2009.02.007 CrossRefPubMed

27.

Duarte MA, Domingues R, Matsumoto MA, Padovan LE, Kuga MC (2007) Evaluation of apical surface roughness after root resection: a scanning electron microscopic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104:e74–e76. https://doi.org/10.1016/j.tripleo.2007.07.012 CrossRefPubMed

28.

Karlovic Z, Pezelj-Ribaric S, Miletic I, Jukic S, Grgurevic J, Anic I (2005) Erbium:YAG laser versus ultrasonic in preparation of root-end cavities. J Endod 31:821–823. https://doi.org/10.1097/01.don.0000158234.33581.e9 CrossRefPubMed

29.

Reyhanian A, Parker S, Moshonov J (2008) The use of the erbium yttrium aluminium garnet (2,940 nm) in a laser-assisted apicectomy procedure. Br Dent J 205:319–323. https://doi.org/10.1038/sj.bdj.2008.804 CrossRefPubMed

30.

Wallace JA (2006) Effect of Waterlase laser retrograde root-end cavity preparation on the integrity of root apices of extracted teeth as demonstrated by light microscopy. Aust Endod J 32:35–39. https://doi.org/10.1111/j.1747-4477.2006.00006.x CrossRefPubMed

31.

Winik R, Araki AT, Negrao JA, Bello-Silva MS, Lage-Marques JL (2006) Sealer penetration and marginal permeability after apicoectomy varying retrocavity preparation and retrofilling material. Braz Dent J 17:323–327CrossRef

32.

Angiero F, Benedicenti S, Signore A, Parker S, Crippa R (2011) Apicoectomies with the erbium laser: a complementary technique for retrograde endodontic treatment. Photomed Laser Surg 29:845–849. https://doi.org/10.1089/pho.2011.3046 CrossRefPubMed

33.

Ayranci F, Ayranci LB, Arslan H, Omezli MM, Topcu MC (2015) Assessment of root surfaces of apicected teeth: a scanning electron microscopy evaluation. Niger J Clin Pract 18:198–202. https://doi.org/10.4103/1119-3077.151041 CrossRefPubMed

34.

Gagliani M, Taschieri S, Molinari R (1998) Ultrasonic root-end preparation: influence of cutting angle on the apical seal. J Endod 24:726–730. https://doi.org/10.1016/S0099-2399(98)80162-3 CrossRefPubMed

35.

Linsuwanont P, Kulvitit S, Santiwong B (2018) Reinforcement of simulated immature permanent teeth after mineral trioxide aggregate apexification. J Endod 44:163–167. https://doi.org/10.1016/j.joen.2017.08.031 CrossRefPubMed

36.

Cicek E, Yilmaz N, Kocak MM, Saglam BC, Kocak S, Bilgin B (2017) Effect of mineral trioxide aggregate apical plug thickness on fracture resistance of immature teeth. J Endod 43:1697–1700. https://doi.org/10.1016/j.joen.2017.05.007 CrossRefPubMed

37.

Bortoluzzi EA, Souza EM, Reis JM, Esberard RM, Tanomaru-Filho M (2007) Fracture strength of bovine incisors after intra-radicular treatment with MTA in an experimental immature tooth model. Int Endod J 40:684–691. https://doi.org/10.1111/j.1365-2591.2007.01266.x CrossRefPubMed

38.

Aksel H, Askerbeyli-Ors S, Deniz-Sungur D (2017) Vertical root fracture resistance of simulated immature permanent teeth filled with MTA using different vehicles. J Clin Exp Dent 9:e178–e181. https://doi.org/10.4317/jced.53121 CrossRefPubMedPubMedCentral

39.

White JD, Lacefield WR, Chavers LS, Eleazer PD (2002) The effect of three commonly used endodontic materials on the strength and hardness of root dentin. J Endod 28:828–830. https://doi.org/10.1097/00004770-200212000-00008 CrossRefPubMed

Title: Resistance to vertical root fracture of apicoected teeth using different devices during two root canal irrigation procedures
Authors: Ferhat Ayrancı
Leyla Benan Ayrancı
Alper Özdoğan
Serkan Özkan
Mutlunur Önder Peker
Mutan Hamdi Aras
Publication date: 01-11-2018
Publisher: Springer London
Published in: Lasers in Medical Science / Issue 8/2018
Print ISSN: 0268-8921
Electronic ISSN: 1435-604X
DOI: https://doi.org/10.1007/s10103-018-2517-6

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Resistance to vertical root fracture of apicoected teeth using different devices during two root canal irrigation procedures

Abstract

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Abstract

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