FARKLI İRRİGASYON SİSTEMLERİNİN KANAL İÇİ İLAÇLARIN UZAKLAŞTIRILMASINA ETKİSİNİN İNCELENMESİ

Q3 Dentistry Cumhuriyet Dental Journal Pub Date : 2023-06-23 DOI:10.7126/cumudj.1237798

Cihan Hasçi̇zmeci̇, Burak Buldur

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Abstract

Objectives: This study aimed to evaluate the effects of different irrigation systems on the removal of intracanal medicament used in regenerative endodonti treatment. Materials and Methods: Following standardized preparation to obtain an immature tooth model, modified triple antibiotic paste (mTAP) consisting of metronidazole, ciprofloxacin and clindamycin was applied to the root canals of single-rooted human maxillar teeth and waited for three weeks. A total of 50 teeth with standardized preparation and intracanal medicament were randomly divided into five groups according to the irrigation method to be applied (n=10); Group 1: Conventional Syringe Irrigation (CSI), Group 2: Passive Ultrasonic Irrigation (PUI), Group 3: EndoActivator (EA), Group 4: EndoVac (EV) Group 5: Nd:YAG laser (LSR). Following the removal of the mTAP with different irrigation systems, the teeth were divided along their bukko-lingual axis. The impact roots were examined under the stereomicroscope with the 4-grade scoring scale for the presence of residual intracanal medicaments. Scores for coronal, middle and apical regions of each root were recorded. Results: In terms of total scores, PUI group showed higher intracanal medicament removal efficacy compared to the other groups (p

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目的:本研究旨在评价再生牙髓治疗中不同灌洗系统对管内药物清除的影响。材料与方法:标准化制备未成熟牙模型后，将甲硝唑、环丙沙星、克林霉素组成的改良三抗生素糊剂(mTAP)应用于单根人上颌牙根管，等待3周。50颗牙经标准化准备并经管内给药，按冲洗方式随机分为5组(n=10);1组:常规注射器灌洗(CSI)， 2组:被动超声灌洗(PUI)， 3组:EndoActivator (EA)， 4组:EndoVac (EV)， 5组:Nd:YAG激光(LSR)。用不同的冲洗系统去除mTAP后，沿其颊舌轴将牙齿分开。在体视显微镜下检查冲击根，用4级评分量表检查是否存在残留的管内药物。记录每根冠状区、中区和根尖区的评分。结果:从总分上看，PUI组肛管内药物清除效果明显高于其他组(p

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