Effect of final irrigation procedures on fracture resistance of root filled teeth: an ex vivo study

Aim To evaluate the effect of chlorhexidine (CHX) on fracture resistance of roots treated with different concentrations of ethylenediaminetetraacetic acid (EDTA). Methodology One hundred and twenty intact single‐rooted premolar teeth were sectioned below the cementum–enamel junction to standardize t...

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Veröffentlicht in:International endodontic journal 2017-08, Vol.50 (8), p.799-804
Hauptverfasser: Turk, T., Kaval, M. E., Sarikanat, M., Hülsmann, M.
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container_title International endodontic journal
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creator Turk, T.
Kaval, M. E.
Sarikanat, M.
Hülsmann, M.
description Aim To evaluate the effect of chlorhexidine (CHX) on fracture resistance of roots treated with different concentrations of ethylenediaminetetraacetic acid (EDTA). Methodology One hundred and twenty intact single‐rooted premolar teeth were sectioned below the cementum–enamel junction to standardize the length of the teeth to 12 mm. The canals of one hundred specimens were instrumented with ProTaper Universal rotary instruments up to size F4 and were randomly divided into five groups (n = 20) according to the final irrigating solutions: Group 1: distilled water (DW); Group 2: 5% EDTA and 2.5% NaOCl; Group 3: 17% EDTA and 2.5% NaOCl; Group 4: 5% EDTA, 2.5% NaOCl, DW and 2% CHX; Group 5: 17% EDTA and 2.5% NaOCl, DW and 2% CHX. Root canals were filled with gutta‐percha and epoxy resin‐based root canal sealer using a single‐cone technique. Twenty teeth served as negative controls and were not instrumented nor root filled (Group 6). All specimens were embedded in self‐curing acrylic resin and loaded vertically at 0.5 mm min−1 until fracture occurred. The data were evaluated statistically using one‐way anova test followed by Holm–Sidak's multiple comparison test (P 
doi_str_mv 10.1111/iej.12680
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E. ; Sarikanat, M. ; Hülsmann, M.</creator><creatorcontrib>Turk, T. ; Kaval, M. E. ; Sarikanat, M. ; Hülsmann, M.</creatorcontrib><description>Aim To evaluate the effect of chlorhexidine (CHX) on fracture resistance of roots treated with different concentrations of ethylenediaminetetraacetic acid (EDTA). Methodology One hundred and twenty intact single‐rooted premolar teeth were sectioned below the cementum–enamel junction to standardize the length of the teeth to 12 mm. The canals of one hundred specimens were instrumented with ProTaper Universal rotary instruments up to size F4 and were randomly divided into five groups (n = 20) according to the final irrigating solutions: Group 1: distilled water (DW); Group 2: 5% EDTA and 2.5% NaOCl; Group 3: 17% EDTA and 2.5% NaOCl; Group 4: 5% EDTA, 2.5% NaOCl, DW and 2% CHX; Group 5: 17% EDTA and 2.5% NaOCl, DW and 2% CHX. Root canals were filled with gutta‐percha and epoxy resin‐based root canal sealer using a single‐cone technique. Twenty teeth served as negative controls and were not instrumented nor root filled (Group 6). All specimens were embedded in self‐curing acrylic resin and loaded vertically at 0.5 mm min−1 until fracture occurred. The data were evaluated statistically using one‐way anova test followed by Holm–Sidak's multiple comparison test (P &lt; 0.05). Results Group 1 (only DW) had the lowest vertical fracture strength, followed by Group 3 (17% EDTA and 2.5% NaOCl; P &lt; 0.05). Group 6 (negative control group) had the highest fracture resistance. Final irrigation with CHX following irrigation with 17% EDTA or 5% EDTA and 2.5% NaOCl (groups 4 and 5) significantly increased the fracture resistance of roots (P &lt; 0.05). However, the difference between Group 4 and Group 5 was not significant (P &gt; 0.05). Conclusions Intracanal CHX rinse of EDTA/NaOCl‐treated root dentine enhanced the fracture resistance of roots filled with AH Plus.</description><identifier>ISSN: 0143-2885</identifier><identifier>EISSN: 1365-2591</identifier><identifier>DOI: 10.1111/iej.12680</identifier><identifier>PMID: 27464713</identifier><language>eng</language><publisher>England</publisher><subject>Adolescent ; chlorhexidine ; Dental Stress Analysis ; Dentistry ; Edetic Acid - administration &amp; dosage ; Edetic Acid - pharmacology ; EDTA ; fracture resistance ; Humans ; irrigation ; resin sealer ; Root Canal Irrigants - administration &amp; dosage ; Root Canal Irrigants - pharmacology ; Tooth Fractures - physiopathology ; Tooth Root - drug effects ; Tooth Root - injuries ; Young Adult</subject><ispartof>International endodontic journal, 2017-08, Vol.50 (8), p.799-804</ispartof><rights>2016 International Endodontic Journal. Published by John Wiley &amp; Sons Ltd</rights><rights>2016 International Endodontic Journal. Published by John Wiley &amp; Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2400-32764097407916db71dfcbbabab9dbfd25f2141fab2da91b2311016cdc648de13</citedby><cites>FETCH-LOGICAL-c2400-32764097407916db71dfcbbabab9dbfd25f2141fab2da91b2311016cdc648de13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fiej.12680$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fiej.12680$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27464713$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Turk, T.</creatorcontrib><creatorcontrib>Kaval, M. E.</creatorcontrib><creatorcontrib>Sarikanat, M.</creatorcontrib><creatorcontrib>Hülsmann, M.</creatorcontrib><title>Effect of final irrigation procedures on fracture resistance of root filled teeth: an ex vivo study</title><title>International endodontic journal</title><addtitle>Int Endod J</addtitle><description>Aim To evaluate the effect of chlorhexidine (CHX) on fracture resistance of roots treated with different concentrations of ethylenediaminetetraacetic acid (EDTA). Methodology One hundred and twenty intact single‐rooted premolar teeth were sectioned below the cementum–enamel junction to standardize the length of the teeth to 12 mm. The canals of one hundred specimens were instrumented with ProTaper Universal rotary instruments up to size F4 and were randomly divided into five groups (n = 20) according to the final irrigating solutions: Group 1: distilled water (DW); Group 2: 5% EDTA and 2.5% NaOCl; Group 3: 17% EDTA and 2.5% NaOCl; Group 4: 5% EDTA, 2.5% NaOCl, DW and 2% CHX; Group 5: 17% EDTA and 2.5% NaOCl, DW and 2% CHX. Root canals were filled with gutta‐percha and epoxy resin‐based root canal sealer using a single‐cone technique. Twenty teeth served as negative controls and were not instrumented nor root filled (Group 6). All specimens were embedded in self‐curing acrylic resin and loaded vertically at 0.5 mm min−1 until fracture occurred. The data were evaluated statistically using one‐way anova test followed by Holm–Sidak's multiple comparison test (P &lt; 0.05). Results Group 1 (only DW) had the lowest vertical fracture strength, followed by Group 3 (17% EDTA and 2.5% NaOCl; P &lt; 0.05). Group 6 (negative control group) had the highest fracture resistance. Final irrigation with CHX following irrigation with 17% EDTA or 5% EDTA and 2.5% NaOCl (groups 4 and 5) significantly increased the fracture resistance of roots (P &lt; 0.05). However, the difference between Group 4 and Group 5 was not significant (P &gt; 0.05). Conclusions Intracanal CHX rinse of EDTA/NaOCl‐treated root dentine enhanced the fracture resistance of roots filled with AH Plus.</description><subject>Adolescent</subject><subject>chlorhexidine</subject><subject>Dental Stress Analysis</subject><subject>Dentistry</subject><subject>Edetic Acid - administration &amp; dosage</subject><subject>Edetic Acid - pharmacology</subject><subject>EDTA</subject><subject>fracture resistance</subject><subject>Humans</subject><subject>irrigation</subject><subject>resin sealer</subject><subject>Root Canal Irrigants - administration &amp; dosage</subject><subject>Root Canal Irrigants - pharmacology</subject><subject>Tooth Fractures - physiopathology</subject><subject>Tooth Root - drug effects</subject><subject>Tooth Root - injuries</subject><subject>Young Adult</subject><issn>0143-2885</issn><issn>1365-2591</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1OwzAQhS0EoqWw4ALIS1ikeJzESdghVP5UiQ2sI8ceg1GaFNsBehvOwslwKbBjZjF60veeRo-QQ2BTiHNq8XkKXJRsi4whFXnC8wq2yZhBlia8LPMR2fP-mTGWsxR2yYgXmcgKSMdEz4xBFWhvqLGdbKl1zj7KYPuOLl2vUA8OPY3KOKlCFDRq64PsFK5dru9DtLYtahoQw9MZlR3F98-PV_vaUx8GvdonO0a2Hg9-7oQ8XM7uL66T-d3VzcX5PFE8YyxJeSEyVhUZKyoQuilAG9U0Mm6lG6N5bjhkYGTDtayg4SkAA6G0ElmpEdIJOd7kxs9fBvShXlivsG1lh_3gayi5KNJcVCyiJxtUud57h6ZeOruQblUDq9el1rHU-rvUyB79xA7NAvUf-dtiBE43wJttcfV_Un0zu91EfgERwoJm</recordid><startdate>201708</startdate><enddate>201708</enddate><creator>Turk, T.</creator><creator>Kaval, M. E.</creator><creator>Sarikanat, M.</creator><creator>Hülsmann, M.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201708</creationdate><title>Effect of final irrigation procedures on fracture resistance of root filled teeth: an ex vivo study</title><author>Turk, T. ; Kaval, M. E. ; Sarikanat, M. ; Hülsmann, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2400-32764097407916db71dfcbbabab9dbfd25f2141fab2da91b2311016cdc648de13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>chlorhexidine</topic><topic>Dental Stress Analysis</topic><topic>Dentistry</topic><topic>Edetic Acid - administration &amp; dosage</topic><topic>Edetic Acid - pharmacology</topic><topic>EDTA</topic><topic>fracture resistance</topic><topic>Humans</topic><topic>irrigation</topic><topic>resin sealer</topic><topic>Root Canal Irrigants - administration &amp; dosage</topic><topic>Root Canal Irrigants - pharmacology</topic><topic>Tooth Fractures - physiopathology</topic><topic>Tooth Root - drug effects</topic><topic>Tooth Root - injuries</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Turk, T.</creatorcontrib><creatorcontrib>Kaval, M. E.</creatorcontrib><creatorcontrib>Sarikanat, M.</creatorcontrib><creatorcontrib>Hülsmann, M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International endodontic journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Turk, T.</au><au>Kaval, M. E.</au><au>Sarikanat, M.</au><au>Hülsmann, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of final irrigation procedures on fracture resistance of root filled teeth: an ex vivo study</atitle><jtitle>International endodontic journal</jtitle><addtitle>Int Endod J</addtitle><date>2017-08</date><risdate>2017</risdate><volume>50</volume><issue>8</issue><spage>799</spage><epage>804</epage><pages>799-804</pages><issn>0143-2885</issn><eissn>1365-2591</eissn><abstract>Aim To evaluate the effect of chlorhexidine (CHX) on fracture resistance of roots treated with different concentrations of ethylenediaminetetraacetic acid (EDTA). Methodology One hundred and twenty intact single‐rooted premolar teeth were sectioned below the cementum–enamel junction to standardize the length of the teeth to 12 mm. The canals of one hundred specimens were instrumented with ProTaper Universal rotary instruments up to size F4 and were randomly divided into five groups (n = 20) according to the final irrigating solutions: Group 1: distilled water (DW); Group 2: 5% EDTA and 2.5% NaOCl; Group 3: 17% EDTA and 2.5% NaOCl; Group 4: 5% EDTA, 2.5% NaOCl, DW and 2% CHX; Group 5: 17% EDTA and 2.5% NaOCl, DW and 2% CHX. Root canals were filled with gutta‐percha and epoxy resin‐based root canal sealer using a single‐cone technique. Twenty teeth served as negative controls and were not instrumented nor root filled (Group 6). All specimens were embedded in self‐curing acrylic resin and loaded vertically at 0.5 mm min−1 until fracture occurred. The data were evaluated statistically using one‐way anova test followed by Holm–Sidak's multiple comparison test (P &lt; 0.05). Results Group 1 (only DW) had the lowest vertical fracture strength, followed by Group 3 (17% EDTA and 2.5% NaOCl; P &lt; 0.05). Group 6 (negative control group) had the highest fracture resistance. Final irrigation with CHX following irrigation with 17% EDTA or 5% EDTA and 2.5% NaOCl (groups 4 and 5) significantly increased the fracture resistance of roots (P &lt; 0.05). However, the difference between Group 4 and Group 5 was not significant (P &gt; 0.05). Conclusions Intracanal CHX rinse of EDTA/NaOCl‐treated root dentine enhanced the fracture resistance of roots filled with AH Plus.</abstract><cop>England</cop><pmid>27464713</pmid><doi>10.1111/iej.12680</doi><tpages>6</tpages></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adolescent
chlorhexidine
Dental Stress Analysis
Dentistry
Edetic Acid - administration & dosage
Edetic Acid - pharmacology
EDTA
fracture resistance
Humans
irrigation
resin sealer
Root Canal Irrigants - administration & dosage
Root Canal Irrigants - pharmacology
Tooth Fractures - physiopathology
Tooth Root - drug effects
Tooth Root - injuries
Young Adult
title Effect of final irrigation procedures on fracture resistance of root filled teeth: an ex vivo study
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