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    Comparative analysis of three different filling techniques and the effects of experimental internal resorptive cavities on apical microleakage
    (2014) Keles A.; Ahmetoglu F.; Ocak M.S.; Dayi B.; Bozkurt A.; Orucoglu H.
    Objectives: The aim of this study was to evaluate the sealing abilities of three different gutta-percha techniques in experimentally defective roots (EDR) and non-defective roots (NR). Materials and Methods: Sixty canine teeth were divided into six groups of ten; Group 1, NR + cold lateral condensation (CLC); Group 2, EDR + LC; Group 3, NR + BeeFill; Group 4, EDR + BeeFill; Group 5, NR + Thermafil; and Group 6, EDR + Thermafil. Apical leakage was measured using a computerized fluid filtration meter with a laser system. Results: Statistical analysis revealed that the CLC demonstrated more microleakage in the EDR than in the NR (P < 0.01). Thermafil demonstrated more microleakage in the NR than in the EDR (P < 0.01). No statistically significant differences were found between the BeeFill groups (P > 0.05). Conclusions: The results of this study indicate that internal resorptive cavities can affect the apical sealing properties of different root canal filling techniques, with Thermafil ensuring the lowest apical microleakage. © 2014 Dental Investigations Society.
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    Comparison of different retreatment techniques and root canal sealers: a scanning electron microscopic study.
    (2014) Simsek N.; Keles A.; Ahmetoglu F.; Ocak M.S.; Yologlu S.
    The aim of this study was to evaluate the effectiveness of two retreatment techniques, in terms of the operating time and scanning electron microscopy (SEM) results, in removing three different root canal sealers from root canals that were previously filled with gutta-percha. Sixty extracted single-rooted human premolars were divided into three groups and filled with iRoot SP, MM Seal, and AH Plus sealers, along with gutta-percha, through a lateral compaction technique. Root canal fillings of the samples were removed by ESI ultrasonic tips or R-Endo files. The time to reach the working length was recorded. Longitudinally sectioned samples were examined under SEM magnification. Each picture was evaluated in terms of the residual debris. Data were statistically analyzed with the Kruskall-Wallis test. No statistically significant differences were found in terms of operating time (p>0.05). Significant differences in the number of debris-free dentinal tubules were found among the root canal thirds, but this finding was not influenced by the experimental group (p<0.05). Resin sealer tags were observed inside the dentinal tubules in the MM Seal group. Under the conditions of this study, it may be established that there was no difference among the sealers and retreatment techniques.
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    Effectiveness of different irrigation systems on smear layer removal: A scanning electron microscopic study
    (2014) Ahmetoglu F.; Keles A.; Yalcin M.; Simsek N.
    Objectives: To evaluate effectiveness of the apical negative pressure irrigation (EndoVac), passive ultrasonic irrigation (PUI), and conventional needle irrigation (CI) systems on smear layer (SR) removal. Materials and Methods: Sixty single-rooted canines were prepared using NiTi rotary files and subjected to different irrigation regimens: EndoVac with NaOCl (Group 1) or NaOCl/EDTA (Group 2); PUI with NaOCl (Group 3) or NaOCl/EDTA (Group 4); CI with NaOCl (Group 5) or NaOCl/EDTA (Group 6). The roots were split longitudinally. SEM images were taken to evaluate the amount of residual SR. Results: In Groups 1, 3, and 5, there was no removal of SR (P > 0.05). The coronal thirds within Groups 2, 4, and 6 were cleaned completely, but the middle and the apical thirds was achieved partially or completely (P > 0.05). Conclusion: Regardless of which irrigation system was used, the use of NaOCl alone failed to remove the SR. In NaOCl/EDTA combination groups, the SR was removed partially or completely and no statistical significance. This study demonstrated that in order to remove the SR should be used EDTA solution for final irrigation in the root canal, regardless of the technique in each of the three. © 2014 Dental Investigations Society.
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    Endodontic treatment of hypertaurodontism with multiple bilateral taurodontism
    (2013) Simsek N.; Keles A.; Ocak M.S.
    The term taurodontism is derived from the Latin word tauros, for "bull," and the Greek term odus, for "tooth," or "bull tooth." Taurodontism is a morpho-anatomical developmental anomaly, which is seen infrequently in teeth only. It is characterized by a deficiency in the constriction at the cement-enamel junction, with lengthened pulp chambers and apical displacement of the pulpal floor. This gives the tooth a quadrilateral or cylindrical look. This report presents a case of multiple bilateral taurodontism and the successful endodontic treatment of the tooth that had hypertaurodontism. A male patient was referred to the endodontic clinic with decayed left maxillary first molar. Hypertaurodontism was confirmed after clinical and radiographic examination. Panaromic X-rays revealed that all of the patient?s molar teeth were taurodontic. Taurodontism offers challenges to the practitioner during shaping and disinfection and at the time of filling the root canals.