Emre Bayram

Fluid flow evaluation of coronal microleakage intraorifice barrier materials in endodontically treated teeth

Objective: The objective of this study was to compare the coronal microleakage intraorifice barrier materials, called CoroSeal (CS), fissur sealant (FS), flowable composite FC, and policarboksilate cement (PC), by using the computerized fluid filtration method. Materials and Methods: Fifty freshly extracted, single-canal human maxillary central teeth were used in this study. The teeth were decoronated to a standardized root length of 15 mm. After preparation and irrigation, all the teeth were obturated with gutta-percha and AH-Plus. In all teeth, the coronal 2 mm of root filling was removed and replaced with one of the intraorifice barriers. According to intraorifice barriers, teeth were divided randomly into 4 experimental groups (n = 10) and 2 control groups (n = 5). Group 1: CS; Group 2: FS; Group 3: FC; and Group 4: PC. Positive Control Group: No barrier material was used. Negative Control Group: Roots were completely coated with the nail polish, including the orifice. Leakage was evaluated by using a computerized fluid filtration model. Differences in fluid filtration among groups were subjected to statistical analysis using the Kruskal-Wallis Test and multiple comparisons test. Results: A value of P < 0.05 was statistically significant. Statistical analysis has indicated that the CS leaked significantly less than other groups (P < 0.05). There was a significant difference between FS and PC (P < 0.05), in contrast there was no significant difference between FS and FC (P > 0.05). Conclusions: Using the CS material as an intraorrifice barrier material reduced amount of microleakage as compared with FS, FC, and PC.

Evaluation of calcium silicate cement bond strength after using gutta-percha solvents

Objectives: To determine the effect of different gutta-percha solvents (chloroform, Endosolv E, orange oil, and eucalyptol) on the push-out bond strength of calcium silicate cements (CSCs; white mineral trioxide aggregate [WMTA]; capsule-form mineral trioxide aggregate [CMTA], and Biodentine). Materials and Methods: One hundred and fifty extracted single-rooted human mandibular premolars were sectioned into 3-mm-thick slices. The canal lumens were enlarged for 1.35-mm-diameter standardized cavities. The samples were randomly divided into five groups (n = 30) according to the solvent type: G1, chloroform; G2, Endosolv E; G3, eucalyptol; G4, orange oil; G5, no solvent (control). After application of the solvents for 5 min, the specimens were divided into three subgroups (n = 10): (i) WMTA, (ii) CMTA, and (iii) Biodentine. The push-out bond strength was measured. Two-way ANOVA analysis of variance and post hoc Tukey tests were used for analyses (P = 0.05). Results: The highest push-out bond strength was observed in the Biodentine (P < 0.05), and the values of WMTA and CMTA were not significantly different in all solvent groups (P > 0.05). There were no statistically significant differences among the gutta-percha solvents and control group in WMTA (P > 0.05). Conclusions: Gutta-percha solvents used during retreatment decreased the bond strength of Biodentine and CMTA to root dentin. The bond strength of WMTA was not affected by the use of gutta-percha solvents.

Fracture resistance of immature teeth filled with mineral trioxide aggregate, bioaggregate, and biodentine.

Objective: The purpose of this study was to evaluate fracture resistance of teeth with immature apices treated with coronal placement of mineral trioxide aggregate (MTA), bioaggregate (BA), and Biodentine. Materials and Methods: Forty-one freshly extracted, single-rooted human premolar teeth were used for the study. At first, the root length was standardized to 9 mm. The crown-down technique was used for the preparation of the root canals using the rotary ProTaper system (Dentsply Maillefer, Ballaigues, Switzerland) of F3 (30). Peeso reamer no. 6 was stepped out from the apex to simulate an incompletely formed root. The prepared roots were randomly assigned to one control (n = 5) and three experimental (n = 12) groups, as described below. Group 1: White MTA (Angelus, Londrina, Brazil) was prepared as per the manufacturers instructions and compacted into the root canal using MAP system (Dentsply Maillefer, Ballaigues, Switzerland) and condensed by pluggers (Angelus, Londrina, Brazil). Group 2: The canals were filled with DiaRoot-BA (DiaDent Group International, Canada). Group 3: Biodentine (Septodont, Saint Maur des Fosses, France) solution was mixed with the capsule powder and condensed using pluggers. Instron was used to determine the maximum horizontal load to fracture the tooth, placing the tip 3 mm incisal to the cementoenamel junction. Mean values of the fracture strength were compared by ANOVA followed by a post hoc test. P < 0.05 was considered statistically significant. Results: No significant difference was observed among the MTA, BA, and biodentine experimental groups. Conclusion: All the three materials tested, may be used as effective strengthening agents for immature teeth.

Effect of intracanal medicament on bond strength of fibre posts

ABSTRACT The aim of this study was to evaluate the effect of calcium hydroxide (CH), triple antibiotic paste (TAP) and double antibiotic paste (DAP) on the push-out bond strengths of three different self-adhesive resin cements. Forty-eight single-rooted human maxillary central incisors were selected. The crowns were removed and the root canals were performed. After the irrigation protocols, the post space was prepared. The teeth were then randomly divided into a control group (no intracanal medicament) and three medicament groups (n = 12 for each group). After three weeks, the medicaments were removed using 17% ethylenediaminetetraacetic acid, 2.5% sodium hypochlorite and EndoActivator agitation. The teeth were divided into three subgroups according to the fibre-post luting cement: Maxcem Elite, RelyX Unicem and BisCem. The specimens were sectioned and the push-out test was performed. One-way analysis of variance and Tukeys post hoc tests were used for statistical analyses. Regarding the type of cement, BisCem had significantly lower bond strength values than Maxcem and RelyX. There was no significant difference between the bond strength values of Maxcem and RelyX (p > 0.05). The TAP-RelyX group had the highest bond strength value and the DAP-BisCem group had the lowest bond strength value. RelyX and Maxcem had higher bond strength to root canal dentin than BisCem. The bond strength of BisCem, RelyX and Maxcem was not negatively affected by the use of DAP, CH and TAP as intracanal medicaments.

A diagnostic dilemma: Vertical fracture case

A vertical root fracture (VRF) in an endodontically treated tooth is one of the most frustrating complications of dental therapy. VRFs are a particularly significant clinical problem because they are associated with a poor prognosis for the affected tooth and often lead to tooth extraction. This report presents a case of a VRF in a nonendodontically treated mandibular second premolar, for which the displaced fractured fragment appeared to be that of a mandibular molar in the radiograph.

Bioaggregate ile kapatılan kök ucu dolgularının kalınlığının apikal sızdırmazlığa etkisi

Objectives: The purpose of this study was tocompare the ability of different cavity thickness ofBioaggragate to prevent microleakage usingcomputerized fluid filtration method.Materials and Methods: Fifty single- rootedhuman teeth were selected for this study. The rootcanals were prepared with Ni-Ti rotary files with5% Sodium hypocloride (NaOCl) solution as theirrigant. Then sealed with gutta-perchapoints(DiaDent®GuttaPercha Points, Seul, SouthCorea) and AH Plus (Dentsply Maillefer,Ballaigues, Isvicre). After root end resection, fiftytheeth were randomly selected into 1 of 4 testgroups containing 10 teeth each, and positive andnegative control groups containing 5 teeth each.Group 1: 1mm, Group 2: 2mm, Group 3: 3mm,Group 4: 6mm cavity thickness. And then allprepared root-end cavities filled with Bioaggregate.Leakage was evaluated using with a computarizedfluid filtration model.Results: Statistical analysis showed that group1 leaked more than all other groups (p 0.001).Conclusions: According to this study, thethickness of root end cavity must be minimum 3mm and more when Bioaggregate root end fillingmaterial is used.