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    Effectiveness of Various Irrigation Activation Protocols and the Self-Adjusting File System on Smear Layer and Debris Removal
    (WILEY-HINDAWI, 2014) Capar, Ismail Davut; Aydinbelge, Hale Ari
    The purpose of the present study is to evaluate smear layer generation and residual debris after using self-adjusting file (SAF) or rotary instrumentation and to compare the debris and smear layer removal efficacy of the SAF cleaning/shaping irrigation system against final agitation techniques. One hundred and eight maxillary lateral incisor teeth were randomly divided into nine experimental groups (n=12), and root canals were prepared using ProTaper Universal rotary files, with the exception of the SAF instrumentation group. During instrumentation, root canals were irrigated with a total of 16mL of 5% NaOCl. For final irrigation, rotary-instrumented groups were irrigated with 10mL of 17% EDTA and 10mL of 5% NaOCl using different irrigation agitation regimens (syringe irrigation with needles, NaviTip FX, manual dynamic irrigation, CanalBrush, EndoActivator, EndoVac, passive ultrasonic irrigation (PUI), and SAF irrigation). In the SAF instrumentation group, root canals were instrumented for 4min at a rate of 4mL/min with 5% NaOCl and received a final flush with same as syringe irrigation with needles. The surface of the root dentin was observed using a scanning electron microscope. The SAF instrumentation group generated less smear layer and yielded cleaner canals compared to rotary instrumentation. The EndoActivator, EndoVac, PUI, and SAF irrigation groups increased the efficacy of irrigating solutions on the smear layer and debris removal. The SAF instrumentation yielded cleaner canal walls when compared to rotary instrumentation. None of the techniques completely removed the smear layer from the root canal walls. SCANNING 36:640-647, 2014. (c) 2014 Wiley Periodicals, Inc.
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    Fracture Strength of Roots Instrumented with Self-Adjusting File and the ProTaper Rotary Systems
    (ELSEVIER SCIENCE INC, 2014) Capar, Ismail Davut; Altunsoy, Mustafa; Arslan, Hakan; Ertas, Huseyin; Aydinbelge, Hale Ari
    Introduction: The purpose of this study was to evaluate the fracture strength of roots instrumented with the Self Adjusting File (SAF; ReDent-Nova, Ra'anana, Israel) and the ProTaper system (Dentsply Maillefer, Ballaigues, Switzerland) and filled with the cold lateral compaction technique. Methods: In total, 50 mandibular premolar teeth were sectioned at or below the cementoenamel junction to obtain roots 13 mm in length. The roots were balanced with respect to buccolingual mesiodistal diameters and weight. They were distributed into 4 experimental groups and 1 control group (n = 10): no instrumentation (control group), instrumentation with ProTaper rotary files but no filling (PT), instrumentation with ProTaper rotary files and filling with cold lateral compaction (PT filling), instrumentation with SAF but no filling (SAF), and instrumentation with SAF and filling with cold lateral compaction (SAF filling). AH Plus sealer (Dentsply DeTrey, Konstanz, Germany) was used along with gutta-percha points. One week later, a vertical load was applied to the specimen's canal until fracture occurred. Data were statistically analyzed using 1-way analysis of variance (P =.05). Results: The mean fracture load was 244 +/- 51 N for the control group, 226 +/- 21 N for the PT, 242 +/- 45 N for PT filling, 233 +/- 14 N for the SAF, and 271 +/- 44 N for SAF filling. However, the differences were not statistically significant (P >.05). Conclusions: Instrumentation with the SAF or the ProTaper rotary system did not change the fracture strength of standardized roots with respect to cross-sectional diameter and weight.
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    Influence of eugenol on the push-out bond strengths of fiber posts cemented with different types of resin luting agents
    (SPRINGER, 2013) Ozcan, Erhan; Cetin, Ali Riza; Capar, Ismail Davut; Tuncdemir, Ali Riza; Aydinbelge, Hale Ari
    This study evaluated the influence of eugenol on the push-out bond strengths of fiber posts cemented with different types of resin luting agents. Seventy-two extracted maxillary single-rooted canine teeth were randomly divided into two groups of 36 teeth. Group 1, the control group, was filled with gutta-percha only (i.e., did not receive eugenol), whereas group 2 was filled with a eugenol-containing sealer. All root canals were filled and each group was divided into three subgroups. The posts in each subgroup were cemented with the following materials: subgroup 1 with a 2-step self-etching adhesive system (Clearfil Liner Bond 2V + Panavia F); subgroup 2 with a 1-step self-etching adhesive (Panavia F); and subgroup 3 with a self-adhesive (Clearfil SA Cement). Dislodgement resistance was measured using a universal testing machine. All data were subjected to ANOVA using a factorial design and Tukey test (alpha = 0.05). The use of the eugenol-containing sealer significantly reduced the push-out bond strength of the fiber post (P < 0.05). The push-out bond strength of Panavia F was significantly higher than those of the other groups filled with the eugenol-containing sealer (P < 0.05). The Panavia F group was less susceptible to the inhibiting effect of eugenol than were the other evaluated groups when the fiber post was cemented in the canals filled with the eugenol-containing sealer.
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    Surface change of root canal dentin after the use of irrigation activation protocols: Electron microscopy and an energy-dispersive X-ray microanalysis
    (WILEY, 2013) Capar, Ismail Davut; Aydinbelge, Hale Ari
    This study evaluated the mineral contents of root-canal dentin after treatment with different irrigation activation protocols. One hundred and eight maxillary lateral incisor teeth were randomly divided into eight experimental groups and one control group. Root canals were prepared using ProTaper rotary files, with the exception of the Self-Adjusting File (SAF) group. Canals were irrigated with 2 mL of 5% sodium hypochlorite (NaOCl) at each instrument change, and received a final flush with 10 mL of 17% ethylenediaminetetraacetic acid (EDTA) and 10 mL of 5% NaOCl for 1 min. The control group was irrigated with distilled water. Group I (GI): Needle syringe irrigation; Group II (GII): NaviTip FX; Group III (GIII): CanalBrush; Group IV (GIV): Manual dynamic activation with gutta-percha; Group V (GV): Passive ultrasonic irrigation; Group VI (GVI): EndoActivator; Group VII (GVII): EndoVac; Group VIII (GVIII): SAF. The level of elemental composition was analyzed by a scanning electron microscopy and an energy-dispersive spectrometer (EDS) system. The results were then statistically analyzed by one-way ANOVA and Tukey tests. Ca/P ratio was changed after treatment with SAF and EndoActivator. The Ca, P, Mg, and S level changes were not statistically significant (P > 0.05). Final irrigation activation protocols did not alter the mineral level of root dentin surface. Microsc. Res. Tech. 76:893-896, 2013. (c) 2013 Wiley Periodicals, Inc.