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Saricam, Esma
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Dentistry

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Comparison of Medicaments Used in Regenerative Endodontics in Terms of Dentin Microhardness and Adhesion of Mineral Trioxide Aggregate Saricam, Esma; Bulak, Neslihan; Özyurt, Esra; Özcan, Suat
Journal of Dentistry Indonesia Vol. 27, No. 3
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Eliminating microorganisms in the root canal system is important for the success of regenerative endodontics. Objective: This study evaluated the effects of different antibiotic pastes used for regenerative endodontic procedures on dentin microhardness and the push-out bond strength of mineral trioxide aggregate (MTA) to root canal dentin. Methods: Sixty-four maxillary central incisors were instrumented and randomly divided into the following four groups (n = 16) for medicament treatment: triple antibiotic paste, amoxicillin+clavulanic acid, cefaclor, and control (no dressing). After 21 days, two root segments were obtained by sectioning the roots horizontally for push-out and microhardness evaluations. MTA was placed into the root canal of the sectioned segment for the push-out test. In the microhardness evaluation, three indentations were made at 500 and 1,000 μm from the canal lumen. The arithmetic mean was then calculated for each distance. ANOVA with post hoc Scheffe test and t test were used for the statistical analyses. The significance level was set at p < 0.05. Results: No significant difference was found between the groups in terms of push-out bond strength (p > 0.05). Cefaclor and amoxicillin+clavulanic acid reduced the microhardness values of the dentin at 500 μm (p < 0.05) while cefaclor had the lowest value at 1,000 μm (p < 0.05). Conclusion: Cefaclor reduced the microhardness value more than the other medicaments did at a depth of 1,000 μm. The pastes provided similar adhesion of MTA.
Comparative Evaluation of Apical Extrusion Debris and Irrigant During Calcium Hydroxide Removal and Endodontic Instrumentation Using Three Types of Instrumentation Systems İnce Yusufoğlu, Selen; Saricam, Esma
Journal of Dentistry Indonesia Vol. 27, No. 3
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Many root canal preparation techniques and instruments produce apically extruded materials to a certain extent depending on the preparation system adopted. The extrusion of debris from the apical foramen during chemomechanical preparation may cause postoperative pain and failure of endodontic treatment. Objective: This study evaluates the differences in the apical extrusion of debris and calcium hydroxide (CH) during endodontic instrumentation by using Reciproc Blue (RB), WaveOne Gold (WOG), and F6 Skytaper (F6). Methods: Six experimental study groups (n = 13) were established. The root canal procedures for all groups were prepared with different methods: Group I: One Shape (OS) instrumentation, CH filling for 21 days, removal of CH using RB; Group II: OS instrumentation, CH filling for 21 days, removal of CH using WOG; Group III: OS, CaOH filling for 21 days, removal of CH using F6; Group IV: root canal instrumentation using RB; Group V: root canal instrumentation using WOG; Group VI: root canal instrumentation using F6. Apically extruded debris was collected into preweighed Eppendorf tubes by using the Myers and Montgomery method. Data were statistically analyzed with one-way ANOVA and Kruskal–Wallis tests. Results: All the tested instruments caused the extrusion of debris and irrigant from the apical foramen. The difference among the six groups was not statistically significant (p > 0.05). Conclusions: The tested instruments caused similar apical extrusions of debris and irrigant during CH removal or instrumentation procedures.
Comparison of EDTA and Boric Acid Irrigation in Terms of Root Canal Dentin Microhardness and Sealer Penetration Depth İnce Yusufoğlu, Selen; Saricam, Esma; Bulak, Neslihan; Güngörmüs, Mustafa; Tulumbacı, Fatih; Özcan, Suat
Journal of Dentistry Indonesia Vol. 30, No. 3
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Chemo mechanical preparation is one of the important stages for successful endodontic treatment, and Boric acid has been proposed as an alternative irrigation solution for root canal treatment. Objective: The purpose of this study was to evaluate the effect of irrigation with boric acid (BA) and EDTA on the mineral content and microhardness of dentin and penetration of the AH Plus root canal sealer. Methods: 63 single-rooted teeth were instrumented. Microhardness analysis, 45 teeth were cut longitudinally and then transversely to obtain dentin. Pre- and post-treatment microhardness values were measured. The samples were randomly assigned into 3 groups (n = 15) for irrigation solution: distilled water, 17% EDTA, and 5% BA. The 18 roots were irrigated with three solutions (n = 6). Nine of the roots were filled with AH-Plus for confocal laser scanning microscopy analysis, and the others were used for XRD analysis. Results: The results were evaluated with the ANOVA test. BA caused a significant decrease in microhardness value in apical and coronal parts (p < 0.05), while EDTA reduced only in coronal parts (p < 0.05). Conclusion: BA provided higher sealer penetration ability. BA reduced the microhardness and provided better sealer penetration.
Co-Authors Bulak, Neslihan Güngörmüs, Mustafa İnce Yusufoğlu, Selen Özcan, Suat Özyurt, Esra Tulumbacı, Fatih