Influence of access cavity design on calcium hydroxide removal using different cleaning protocols: a confocal laser scanning microscopy study
ObjectivesThe purpose of this study was to evaluate the influence of endodontic access cavities design on the removal of calcium hydroxide medication of the apical third of mandibular incisor root canal walls and dentinal tubules with different cleaning protocols: EDDY sonic activation, Er,Cr:YSGG l...
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Korean Academy of Conservative Dentistry
2023-08-01
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| Series: | Restorative Dentistry & Endodontics |
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| Online Access: | http://www.rde.ac/upload/pdf/rde-48-e25.pdf |
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| author | Seda Falakaloğlu Merve Yeniçeri Özata Betül Güneş Emmanuel João Nogueira Leal Silva Mustafa Gündoğar Burcu Güçyetmez Topal |
| author_facet | Seda Falakaloğlu Merve Yeniçeri Özata Betül Güneş Emmanuel João Nogueira Leal Silva Mustafa Gündoğar Burcu Güçyetmez Topal |
| author_sort | Seda Falakaloğlu |
| collection | DOAJ |
| description | ObjectivesThe purpose of this study was to evaluate the influence of endodontic access cavities design on the removal of calcium hydroxide medication of the apical third of mandibular incisor root canal walls and dentinal tubules with different cleaning protocols: EDDY sonic activation, Er,Cr:YSGG laser-activated irrigation, or conventional irrigation with IrriFlex.Materials and MethodsSeventy-eight extracted human mandibular incisors were assigned to 6 experimental groups (n = 13) according to the endodontic access cavity and cleaning protocol for calcium hydroxide removal: traditional access cavity (TradAC)/EDDY; ultraconservative access cavity performed in the incisal edge (UltraAC.Inc)/EDDY; TradAC/Er,Cr:YSGG; UltraAC.Inc/Er,Cr:YSGG; TradAC/IrriFlex; or UltraAC.Inc/IrriFlex. Confocal laser scanning microscopy images were used to measure the non-penetration percentage, maximum residual calcium hydroxide penetration depth, and penetration area at 2 and 4 mm from the apex. Data were statistically analyzed using Shapiro-Wilk and WRS2 package for 2-way comparison of non-normally distributed parameters (depth of penetration, area of penetration, and percentage of non-penetration) according to cavity and cleaning protocol with the significance level set at 5%.ResultsThe effect of cavity and cleaning protocol interactions on penetration depth, penetration area and non-penetration percentage was not found statistically significant at 2 and 4 mm levels (p > 0.05).ConclusionsThe present study demonstrated that TradAC or UltraAC.Inc preparations with different cleaning protocols in extracted mandibular incisors did not influence the remaining calcium hydroxide at 2 and 4 mm from the apex. |
| format | Article |
| id | doaj-art-9387d814e6e04558b294b33e56d3131c |
| institution | Kabale University |
| issn | 2234-7658 2234-7666 |
| language | English |
| publishDate | 2023-08-01 |
| publisher | Korean Academy of Conservative Dentistry |
| record_format | Article |
| series | Restorative Dentistry & Endodontics |
| spelling | doaj-art-9387d814e6e04558b294b33e56d3131c2025-08-20T03:30:37ZengKorean Academy of Conservative DentistryRestorative Dentistry & Endodontics2234-76582234-76662023-08-01483e2510.5395/rde.2023.48.e251067Influence of access cavity design on calcium hydroxide removal using different cleaning protocols: a confocal laser scanning microscopy studySeda Falakaloğlu0Merve Yeniçeri Özata1Betül Güneş2Emmanuel João Nogueira Leal Silva3Mustafa Gündoğar4Burcu Güçyetmez Topal5Department of Endodontics, School of Dentistry, İstanbul Health and Technology University, İstanbul, TurkeyDepartment of Endodontics, School of Dentistry, Dicle University, Diyarbakır, TurkeyDepartment of Endodontics, School of Dentistry, Eskişehir Osmangazi University, Eskişehir, TurkeyDepartment of Endodontics, School of Dentistry, Universidade do Estado do Rio de Janeiro – UERJ, Rio de Janeiro, RJ, BrazilDepartment of Endodontics, School of Dentistry, İstanbul Medipol University, İstanbul, TurkeyDepartment of Pedodontics, School of Dentistry, Afyonkarahisar Health Sciences University, Afyonkarahisar, TurkeyObjectivesThe purpose of this study was to evaluate the influence of endodontic access cavities design on the removal of calcium hydroxide medication of the apical third of mandibular incisor root canal walls and dentinal tubules with different cleaning protocols: EDDY sonic activation, Er,Cr:YSGG laser-activated irrigation, or conventional irrigation with IrriFlex.Materials and MethodsSeventy-eight extracted human mandibular incisors were assigned to 6 experimental groups (n = 13) according to the endodontic access cavity and cleaning protocol for calcium hydroxide removal: traditional access cavity (TradAC)/EDDY; ultraconservative access cavity performed in the incisal edge (UltraAC.Inc)/EDDY; TradAC/Er,Cr:YSGG; UltraAC.Inc/Er,Cr:YSGG; TradAC/IrriFlex; or UltraAC.Inc/IrriFlex. Confocal laser scanning microscopy images were used to measure the non-penetration percentage, maximum residual calcium hydroxide penetration depth, and penetration area at 2 and 4 mm from the apex. Data were statistically analyzed using Shapiro-Wilk and WRS2 package for 2-way comparison of non-normally distributed parameters (depth of penetration, area of penetration, and percentage of non-penetration) according to cavity and cleaning protocol with the significance level set at 5%.ResultsThe effect of cavity and cleaning protocol interactions on penetration depth, penetration area and non-penetration percentage was not found statistically significant at 2 and 4 mm levels (p > 0.05).ConclusionsThe present study demonstrated that TradAC or UltraAC.Inc preparations with different cleaning protocols in extracted mandibular incisors did not influence the remaining calcium hydroxide at 2 and 4 mm from the apex.http://www.rde.ac/upload/pdf/rde-48-e25.pdfaccess cavitycalcium hydroxideconfocal laser scanning microscopyirrigationlaser |
| spellingShingle | Seda Falakaloğlu Merve Yeniçeri Özata Betül Güneş Emmanuel João Nogueira Leal Silva Mustafa Gündoğar Burcu Güçyetmez Topal Influence of access cavity design on calcium hydroxide removal using different cleaning protocols: a confocal laser scanning microscopy study Restorative Dentistry & Endodontics access cavity calcium hydroxide confocal laser scanning microscopy irrigation laser |
| title | Influence of access cavity design on calcium hydroxide removal using different cleaning protocols: a confocal laser scanning microscopy study |
| title_full | Influence of access cavity design on calcium hydroxide removal using different cleaning protocols: a confocal laser scanning microscopy study |
| title_fullStr | Influence of access cavity design on calcium hydroxide removal using different cleaning protocols: a confocal laser scanning microscopy study |
| title_full_unstemmed | Influence of access cavity design on calcium hydroxide removal using different cleaning protocols: a confocal laser scanning microscopy study |
| title_short | Influence of access cavity design on calcium hydroxide removal using different cleaning protocols: a confocal laser scanning microscopy study |
| title_sort | influence of access cavity design on calcium hydroxide removal using different cleaning protocols a confocal laser scanning microscopy study |
| topic | access cavity calcium hydroxide confocal laser scanning microscopy irrigation laser |
| url | http://www.rde.ac/upload/pdf/rde-48-e25.pdf |
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