Efficacy of Different Irrigation Activation Methods on the Amount of Extruded Irrigation Solution in Teeth with Simulated Immature Apex

Merve Ölmez; Zeliha Uğur Aydın; Hulde Korucu

Makale detayları

Efficacy of Different Irrigation Activation Methods on the Amount of Extruded Irrigation Solution in Teeth with Simulated Immature Apex

Yazarlar:

Merve Ölmez | Zeliha Uğur Aydın | Hulde Korucu

Yayıncı:

Aydin Adnan Menderes University

Ana Başlıklar:

Dentistry (Other)

Dergi:

Meandros Medical And Dental Journal Vol.26 Issue 3, pp.263-270

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358686

pISSN:

2149-9063

Anahtar kelimeler:

Özet:

 Objective: The study aimed to quantitatively evaluate the effects of four final irrigation activation methodsstandard needle irrigation SNI, passive ultrasonic irrigation PUI, EndoActivator EA, and EDDYon apical irrigant extrusion in teeth with simulated immature apex. Materials and Methods: Sixty single-rooted teeth with single canals were prepared up to the X3 instrument of the ProTaper Next system. To simulate open apices, Gates Glidden burs 16 were used, standardizing the apical diameter to 1.5 mm. The canals were irrigated with 2.5 NaOCl, 17 EDTA, and distilled water. Each tooth was mounted in the cap of an Eppendorf tube, allowing drainage through a 27G needle positioned at the root tip. The tubes were filled with NaOCl. Samples were randomly divided into four groups n15 based on the irrigation activation method: SNI, PUI, EA, and EDDY. In all groups, 6 ml of 2.5 NaOCl was activated over 3 minutes. The extruded irrigant was collected using an insulin syringe, and the volume was recorded in milliliters. Results: Data normality was assessed with the Kolmogorov-Smirnov test. Statistical analysis was performed using the Kruskal-Wallis and Mann-Whitney U tests p.05. The highest mean irrigant extrusion occurred in the SNI and PUI groups, while the EA group exhibited lower extrusion compared to others. However, no statistically significant difference was found among the methods regarding the mean volume of extruded irrigant p.05. Conclusion: This study highlights that all tested irrigation activation methods perform similarly in controlling apical extrusion in teeth with immature apex.

 Objective: The study aimed to quantitatively evaluate the effects of four final irrigation activation methodsstandard needle irrigation SNI, passive ultrasonic irrigation PUI, EndoActivator EA, and EDDYon apical irrigant extrusion in teeth with simulated immature apex. Materials and Methods: Sixty single-rooted teeth with single canals were prepared up to the X3 instrument of the ProTaper Next system. To simulate open apices, Gates Glidden burs 16 were used, standardizing the apical diameter to 1.5 mm. The canals were irrigated with 2.5 NaOCl, 17 EDTA, and distilled water. Each tooth was mounted in the cap of an Eppendorf tube, allowing drainage through a 27G needle positioned at the root tip. The tubes were filled with NaOCl. Samples were randomly divided into four groups n15 based on the irrigation activation method: SNI, PUI, EA, and EDDY. In all groups, 6 ml of 2.5 NaOCl was activated over 3 minutes. The extruded irrigant was collected using an insulin syringe, and the volume was recorded in milliliters. Results: Data normality was assessed with the Kolmogorov-Smirnov test. Statistical analysis was performed using the Kruskal-Wallis and Mann-Whitney U tests p.05. The highest mean irrigant extrusion occurred in the SNI and PUI groups, while the EA group exhibited lower extrusion compared to others. However, no statistically significant difference was found among the methods regarding the mean volume of extruded irrigant p.05. Conclusion: This study highlights that all tested irrigation activation methods perform similarly in controlling apical extrusion in teeth with immature apex.

 Objective: The study aimed to quantitatively evaluate the effects of four final irrigation activation methodsstandard needle irrigation SNI, passive ultrasonic irrigation PUI, EndoActivator EA, and EDDYon apical irrigant extrusion in teeth with simulated immature apex. Materials and Methods: Sixty single-rooted teeth with single canals were prepared up to the X3 instrument of the ProTaper Next system. To simulate open apices, Gates Glidden burs 16 were used, standardizing the apical diameter to 1.5 mm. The canals were irrigated with 2.5 NaOCl, 17 EDTA, and distilled water. Each tooth was mounted in the cap of an Eppendorf tube, allowing drainage through a 27G needle positioned at the root tip. The tubes were filled with NaOCl. Samples were randomly divided into four groups n15 based on the irrigation activation method: SNI, PUI, EA, and EDDY. In all groups, 6 ml of 2.5 NaOCl was activated over 3 minutes. The extruded irrigant was collected using an insulin syringe, and the volume was recorded in milliliters. Results: Data normality was assessed with the Kolmogorov-Smirnov test. Statistical analysis was performed using the Kruskal-Wallis and Mann-Whitney U tests p.05. The highest mean irrigant extrusion occurred in the SNI and PUI groups, while the EA group exhibited lower extrusion compared to others. However, no statistically significant difference was found among the methods regarding the mean volume of extruded irrigant p.05. Conclusion: This study highlights that all tested irrigation activation methods perform similarly in controlling apical extrusion in teeth with immature apex.

 Amaç: Bu çalışmanın amacı, dört farklı final irrigasyon aktivasyon yöntemininstandart iğne irrigasyonu SNI, pasif ultrasonik irrigasyon PUI, EndoActivator EA ve EDDYsimüle immatür apeksli dişlerde irrigasyon solüsyonlarının apikal ekstrüzyonu üzerindeki nicel etkilerini değerlendirmektir. Materyal ve yöntemler: Tek kanallı, tek köklü 60 diş ProTaper Next sisteminin X3 eğesine kadar genişletildi. İmmatür apeks simülasyonu için Gates Glidden frezleri 16 kullanılarak apikal çap 1,5 mmde standartlaştırıldı. Kanallar sırasıyla 2 NaOCl, 17 EDTA ve distile su ile irrige edildi. Her bir diş, kök ucuna yerleştirilen 27G iğne aracılığıyla drenaja izin verecek şekilde bir Eppendorf tüp kapağına monte edildi. Tüpler NaOCl ile dolduruldu. Örnekler, irrigasyon aktivasyon yöntemine göre rastgele dört gruba ayrıldı n15: SNI, PUI, EA ve EDDY. Tüm gruplarda toplamda 6 ml 2 NaOCl, 3 dakika süreyle aktive edildi. Ekstrüze olan irrigasyon solüsyonu, insülin şırıngası ile toplandı ve mililitre cinsinden kaydedildi. Verilerin dağılımı Kolmogorov-Smirnov testi ile değerlendirildi. İstatistiksel analiz Kruskal-Wallis testi kullanılarak gerçekleştirildi p0,05. Bulgular: En yüksek irrigasyon solüsyonu ekstrüzyon ortalaması SNI ve PUI gruplarında gözlenirken, EA grubu diğer yöntemlere kıyasla daha düşük ekstrüzyon sergiledi. Bununla birlikte, ekstrüze irrigasyon solüsyonu hacmi açısından yöntemler arasında istatistiksel olarak anlamlı bir fark bulunmadı p0,05. Sonuç: Bu çalışma, immatür apeksli dişlerde test edilen tüm irrigasyon aktivasyon yöntemlerinin apikal ekstrüzyon kontrolünde benzer performans gösterdiğini ortaya koymaktadır.

Makale detayları

Efficacy of Different Irrigation Activation Methods on the Amount of Extruded Irrigation Solution in Teeth with Simulated Immature Apex

Yazarlar:

Merve Ölmez | Zeliha Uğur Aydın | Hulde Korucu

Yayıncı:

Aydin Adnan Menderes University

Ana Başlıklar:

Dentistry (Other)

Dergi:

Meandros Medical And Dental Journal Vol.26 Issue 3, pp.263-270

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358686

pISSN:

2149-9063

immature apex

final irrigation activation

EA

EDDY

PUIEA

EDDY

immatür apeks

final irrigasyon aktivasyonu

irrigasyon ekstrüzyonu

PUI

Sayı

Makale detayları

Yazarlar: Merve Ölmez | Zeliha Uğur Aydın | Hulde Korucu

Yayıncı: Aydin Adnan Menderes University

Ana Başlıklar: Dentistry (Other)

Dergi: Meandros Medical And Dental Journal Vol.26 Issue 3, pp.263-270

Belge Tipi: Makale

Yayın Tarihi: 9/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001358686

pISSN: 2149-9063

Sayı

Yazarlar:

Merve Ölmez | Zeliha Uğur Aydın | Hulde Korucu

Yayıncı:

Aydin Adnan Menderes University

Ana Başlıklar:

Dentistry (Other)

Dergi:

Meandros Medical And Dental Journal Vol.26 Issue 3, pp.263-270

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001358686

pISSN:

2149-9063