THE SMEAR LAYER REMOVAL EFFICIENCY OF DIFFERENT CONCENTRATIONS OF EDTA IN PRIMARY TEETH: A SEM STUDY

Demirel, Akif

doi:10.7126/cumudj.829414

THE SMEAR LAYER REMOVAL EFFICIENCY OF DIFFERENT CONCENTRATIONS OF EDTA IN PRIMARY TEETH: A SEM STUDY

Akif Demirel (Ankara Üniversitesi, Diş Hekimliği Fakültesi, Çocuk Diş Hekimliği, Ankara, Türkiye)

Cumhuriyet Dental Journal

3 0

Yıl: 2021 Cilt: 24 Sayı: 1 Sayfa Aralığı: 57 - 65 Metin Dili: İngilizce DOI: 10.7126/cumudj.829414 İndeks Tarihi: 09-08-2022

THE SMEAR LAYER REMOVAL EFFICIENCY OF DIFFERENT CONCENTRATIONS OF EDTA IN PRIMARY TEETH: A SEM STUDY

Öz:

Objectives: The present study aims to evaluate the effects of different concentrations of ethylenediamine tetraacetic acid (EDTA) on smear layer removal in primary teeth by using scanning electron microscopy (SEM). Materials and Methods: The present study was performed with 28 extracted upper primary incisors assigned into four main groups (n=7) as 5%, 10% and 17% EDTA, and 1% sodium hypochlorite (NaOCl). The root canal surfaces (coronal, middle and apical) were scanned by SEM and scores of smear layer removal were recorded and compared after the root canal irrigation procedures. The results were analyzed using Kruskal–Wallis, Friedman and Dunn tests. Results: In all the root portions, although EDTA groups removed the smear layer more effectively than NaOCl, a statistically significant difference was observed between 17% EDTA and 1% NaOCl only in middle third (p <0.05). Also, smear layer was removed more effectively in coronal than apical in most of the groups (10% EDTA, 17% EDTA and 1% NaOCl) (p <0.05). Erosive defects were seen in 10% EDTA and 17% EDTA groups, mostly in 17% EDTA group. These findings were not detected in 5% EDTA and 1% NaOCl group. Conclusions: It is possible to recommend the use of 5% EDTA irrigation solution in root canal treatment of primary teeth due to its similar smear layer removal efficacy with NaOCl and high concentration EDTA groups, low erosive potential and low concentration for periapical safety.

Anahtar Kelime: EDTA root canal irrigants smear layer

Süt Dişlerinde Farklı EDTA Konsantrasyonlarının Smear Tabakasını Uzaklaştırma Etkinliği: Bir SEM Çalışması

Öz:

Amaç: Bu çalışma farklı konsantrasyonlardaki etilendiamin tetraasetik asitin (EDTA), süt dişlerinde smear tabakasının uzaklaştırılmasına olan etkilerini tarama elektron mikroskopu (TEM) ile değerlendirmeyi amaçlamaktadır. Gereç ve Yöntemler: Bu çalışma 28 adet çekilmiş üst süt kesici diş ile gerçekleştirilmiş ve bu dişler %5, %10, %17 EDTA ve %1 sodyum hipoklorit (NaOCl) olacak şekilde dört ana gruba (n=7) atanmıştır. Kök kanal irrigasyon prosedürlerinin ardından, kök kanal yüzeyleri (koronal, orta ve apikal) SEM ile taranmış ve smear tabakası uzaklaştırma skorları kaydedilmiş ve karşılaştırılmıştır. Sonuçlar Kruskal–Wallis, Friedman ve Dunn testleri kullanılarak analiz edilmiştir. Bulgular: Tüm kök bölümlerinde, EDTA gruplarının smear tabakasını NaOCl’den daha efektif uzaklaştırmasına rağmen, sadece orta üçlüde %17 EDTA ile %1 NaOCl arasında istatistiksel anlamlı fark gözlenmiştir (p<0,05). Smear tabakası, birçok grupta (%10 EDTA, %17 EDTA ve %1 NaOCl) koronalde apikale göre daha efektif uzaklaştırılmıştır (p<0,05). Eroziv defektler en çok %17 EDTA, daha az olarak da %10 EDTA grubunda görülmüş ve bu bulgulara %5 EDTA ve %1 NaOCl gruplarında saptanmamıştır. Sonuç: Smear tabakası uzaklaştırılmasında, NaOCl ve yüksek konsantrasyondaki EDTA grupları ile benzer etkinlik sunması, düşük eroziv potansiyeli ve periapikal güvenlik için düşük konsantrasyonu nedeniyle süt dişi kanal tedavilerinde irrigasyon solüsyonu olarak %5 EDTA kullanımını önermek mümkündür.

Anahtar Kelime: EDTA kök kanalı sulayıcıları smear tabakası

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik

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APA	Demirel A (2021). THE SMEAR LAYER REMOVAL EFFICIENCY OF DIFFERENT CONCENTRATIONS OF EDTA IN PRIMARY TEETH: A SEM STUDY. , 57 - 65. 10.7126/cumudj.829414
Chicago	Demirel Akif THE SMEAR LAYER REMOVAL EFFICIENCY OF DIFFERENT CONCENTRATIONS OF EDTA IN PRIMARY TEETH: A SEM STUDY. (2021): 57 - 65. 10.7126/cumudj.829414
MLA	Demirel Akif THE SMEAR LAYER REMOVAL EFFICIENCY OF DIFFERENT CONCENTRATIONS OF EDTA IN PRIMARY TEETH: A SEM STUDY. , 2021, ss.57 - 65. 10.7126/cumudj.829414
AMA	Demirel A THE SMEAR LAYER REMOVAL EFFICIENCY OF DIFFERENT CONCENTRATIONS OF EDTA IN PRIMARY TEETH: A SEM STUDY. . 2021; 57 - 65. 10.7126/cumudj.829414
Vancouver	Demirel A THE SMEAR LAYER REMOVAL EFFICIENCY OF DIFFERENT CONCENTRATIONS OF EDTA IN PRIMARY TEETH: A SEM STUDY. . 2021; 57 - 65. 10.7126/cumudj.829414
IEEE	Demirel A "THE SMEAR LAYER REMOVAL EFFICIENCY OF DIFFERENT CONCENTRATIONS OF EDTA IN PRIMARY TEETH: A SEM STUDY." , ss.57 - 65, 2021. 10.7126/cumudj.829414
ISNAD	Demirel, Akif. "THE SMEAR LAYER REMOVAL EFFICIENCY OF DIFFERENT CONCENTRATIONS OF EDTA IN PRIMARY TEETH: A SEM STUDY". (2021), 57-65. https://doi.org/10.7126/cumudj.829414

APA	Demirel A (2021). THE SMEAR LAYER REMOVAL EFFICIENCY OF DIFFERENT CONCENTRATIONS OF EDTA IN PRIMARY TEETH: A SEM STUDY. Cumhuriyet Dental Journal , 24(1), 57 - 65. 10.7126/cumudj.829414
Chicago	Demirel Akif THE SMEAR LAYER REMOVAL EFFICIENCY OF DIFFERENT CONCENTRATIONS OF EDTA IN PRIMARY TEETH: A SEM STUDY. Cumhuriyet Dental Journal 24, no.1 (2021): 57 - 65. 10.7126/cumudj.829414
MLA	Demirel Akif THE SMEAR LAYER REMOVAL EFFICIENCY OF DIFFERENT CONCENTRATIONS OF EDTA IN PRIMARY TEETH: A SEM STUDY. Cumhuriyet Dental Journal , vol.24, no.1, 2021, ss.57 - 65. 10.7126/cumudj.829414
AMA	Demirel A THE SMEAR LAYER REMOVAL EFFICIENCY OF DIFFERENT CONCENTRATIONS OF EDTA IN PRIMARY TEETH: A SEM STUDY. Cumhuriyet Dental Journal . 2021; 24(1): 57 - 65. 10.7126/cumudj.829414
Vancouver	Demirel A THE SMEAR LAYER REMOVAL EFFICIENCY OF DIFFERENT CONCENTRATIONS OF EDTA IN PRIMARY TEETH: A SEM STUDY. Cumhuriyet Dental Journal . 2021; 24(1): 57 - 65. 10.7126/cumudj.829414
IEEE	Demirel A "THE SMEAR LAYER REMOVAL EFFICIENCY OF DIFFERENT CONCENTRATIONS OF EDTA IN PRIMARY TEETH: A SEM STUDY." Cumhuriyet Dental Journal , 24, ss.57 - 65, 2021. 10.7126/cumudj.829414
ISNAD	Demirel, Akif. "THE SMEAR LAYER REMOVAL EFFICIENCY OF DIFFERENT CONCENTRATIONS OF EDTA IN PRIMARY TEETH: A SEM STUDY". Cumhuriyet Dental Journal 24/1 (2021), 57-65. https://doi.org/10.7126/cumudj.829414