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Öğe The efficacy of laser, ultrasound and self-adjustable file in removing smear layer debris from oval root canals following retreatment: A scanning electron microscopy study(Wiley, 2016) Keles, Ali; Kamalak, Aliye; Keskin, Cangul; Akcay, Merve; Uzun, IsmailThis study aims to compare the efficacy of different irrigation activation methods to remove smear layer and debris from oval-shaped root canals following retreatment. Ninety mandibular canines with oval-shaped root canals were selected. Retreatment was performed with R-Endo retreatment files. The samples were randomly divided into six groups (n=15). Groups were assigned according to agitation technique: R-Endo with classic irrigation, with self-adjustable file, with passive ultrasonic irrigation, R-Endo+Er:YAG, R-Endo+PIPS and R-Endo+Nd:YAG. Compared with the classic irrigation (R-Endo+CI) group, all other groups were more successful in reducing smear layer and debris (P<0.05). The least amount of residual smear layer and debris was detected in the Er:YAG laser group (P<0.05). Additional use of different agitation methods contributes to removal of debris and smear layer following root canal filling removal with rotary instruments; however, none of the techniques tested render root canal walls completely free of smear layer or debris.Öğe The efficacy of laser, ultrasound and self-adjustable file in removing smear layer debris from oval root canals following retreatment: A scanning electron microscopy study(Wıley, 111 rıver st, hoboken 07030-5774, nj usa, 2016) Keles, Ali; Kamalak, Aliye; Keskin, Cangul; Akcay, Merve; Uzun, IsmailThis study aims to compare the efficacy of different irrigation activation methods to remove smear layer and debris from oval-shaped root canals following retreatment. Ninety mandibular canines with oval-shaped root canals were selected. Retreatment was performed with R-Endo retreatment files. The samples were randomly divided into six groups (n=15). Groups were assigned according to agitation technique: R-Endo with classic irrigation, with self-adjustable file, with passive ultrasonic irrigation, R-Endo+Er:YAG, R-Endo+PIPS and R-Endo+Nd:YAG. Compared with the classic irrigation (R-Endo+CI) group, all other groups were more successful in reducing smear layer and debris (P<0.05). The least amount of residual smear layer and debris was detected in the Er:YAG laser group (P<0.05). Additional use of different agitation methods contributes to removal of debris and smear layer following root canal filling removal with rotary instruments; however, none of the techniques tested render root canal walls completely free of smear layer or debris.Öğe Quality of different gutta-percha techniques when filling experimental internal resorptive cavities: A micro-computed tomography study(Wiley-Blackwell, 2014) Keles, Ali; Ahmetoglu, Fuat; Uzun, IsmailThe purpose of this ex vivo study was to determine the quality of root fillings in experimental internal resorptive cavities filled using cold lateral condensation (CLC), vertical condensation and Thermafil techniques. Forty-five extracted maxillary canine teeth were selected. After root canal instrumentation, the roots were sectioned horizontally and experimental internal resorption cavities were prepared. The root sections were re-approximated with a luting agent and randomly assigned to three groups (n = 15) to be filled using CLC, vertical condensation and Thermafil, respectively. Assessment of obturation quality in the internal resorptive cavity was performed using a desktop X-ray micro focus computed tomography scanner, and the percentage of gutta-percha (GP), sealer and voiding was calculated for each specimen. Data were statistically analysed using non-parametric tests, with P < 0.05 denoting a statistically significant difference. Vertical condensation filled 96.25 +/- 8.31% of the total artificial cavity, and was superior to CLC (63.20 +/- 16.87%) and Thermafil (59.26 +/- 18.47%). The mean percentage of voids was 3.75 +/- 8.31% in the vertical condensation group, 37.09 +/- 17.13% in the CLC group and 41.06 +/- 18.60% in the Thermafil group. We conclude that obturation of experimental resorption cavities is significantly better when using vertical condensation than when using other GP-based techniques.