Yıl: 2017 Cilt: 27 Sayı: 3 Sayfa Aralığı: 130 - 138 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

NİKEL TİTANYUM ALETLERİN KIRILMALARININ SEBEP VE ÇÖZÜMLERİNE YÖNELİK ANKET ÇALIŞMASI

Öz:
Amaç: Bu anket çalışmasının amacı NiTi döner alet kırıklarının nedenlerini araştırmak ve bu önemli tedavi komplikasyonunun önüne geçebilecek çözümler bulmaktır. Gereç ve yöntemler: Türkiye'deki Diş Hekimliği Fakültelerinin Endodonti Anabilim Dallarında görev yapan akademisyen diş hekimlerine şu soruları içeren anket e-posta yoluyla iletilmiştir: Eğitim seviyesi, haftada bakılan ortalama hasta sayısı, kullanılan döner alet sistemi, kulanım sıklığı, kırık komplikasyonuyla karşılaşma sıklığı, alet kırılma sebebi, kırıkları önlemek için öneriler. Veriler yine elektronik posta yolu ile toplanmıştır. Veriler SPSS programında değerlendirilmiş ve verilerin analizinde tanımlayıcı istatistikler ve Pearson korelasyonu kullanılmıştır (P < .05). Bulgular: Alet kırılma sıklığı ile kullanılan döner alet sistemi arasında istatistiksel olarak anlamlı bir korelasyon bulunmamıştır (P > 0.05). Alet kırılma sıklığı ile haftalık bakılan ortalama hasta sayısı arasında istatistiksel olarak anlamlı bir korelasyon bulunmuştur (P < 0.05). Sonuç: Kök kanal aletlerinin kırılmasının en sık sebebi olarak "firmanın önerdiği sayıda kullanılmaması" bildirilmiştir ve bu duruma çözüm olarak ise "ya üniversite ya da hasta tarafından alınarak her bir hasta için yeni nikel titanyum aletlerin kullanılması" önerilmiştir.
Anahtar Kelime:

Konular: Diş Hekimliği

A QUESTIONNAIRE STUDY RELATED TO REASONS AND SOLUTIONS OF SEPERATION OF NICKEL TITANIUM INSTRUMENTS

Öz:
Aim: The aim of this questionnaire study was to investigate the reasons of NiTi rotary instruments' fracture and to find out the solutions, which can prevent this important treatment complication. Material and methods: The questionnaire which contains these questions: Education level, average number of treated patients in a week, instruments used, usage frequency, the frequency of fracture complication, the reason of fracture, suggestions to prevent fracture; was delivered by e-mail to academician dentists serve in Department of Endodontics, Faculty of Dentistry, Turkey. Data was taken again by e-mail. The analysis of the data was obtained by using descriptive statistics and Pearson's correlation in SPSS software (P < .05). Results: It was not found a statistically significant correlation between which rotary system used and frequency of instrument fracture (P > 0.05). It was found a statistically significant correlation between frequency of instrument fracture and average number of treated patients in a week (P < 0.05). Conclusion: In conclusion, "not to be used according to the manufacturer's instructions" is declared as the most reason of root canal instruments' fracture, and "to use a new nickel titanium instruments for every patients by buying either the university or the patients" is suggested as solution to this situation.
Anahtar Kelime:

Konular: Diş Hekimliği
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Hülsmann M, Peters OA, Dummer PM. Mechanical preparation of root canals: shaping goals, techniques and means. Endodontic Topics 2005;10:30-76.
  • 2. Bilgili D, Yilmaz S, Dumani A, Yoldas O. Retracted: Postoperative pain after irrigation with Vibringe versus a conventional needle: a randomized controlled trial. International Endodontic Journal 2016;49:813.
  • 3. Walia H, Brantley WA, Gerstein H. An initial investigation of the bending and torsional properties of nitinol root canal files. Journal of Endodontics 1988;14:346-51.
  • 4. Iqbal MK, Maggiore F, Suh B, Edwards KR, Kang J, Kim S. Comparison of apical transportation in four Ni-Ti rotary instrumentation techniques. Journal of Endodontics 2003;29:587-91.
  • 5. Schäfer E, Zapke K. A comparative scanning electron microscopic investigation of the efficacy of manual and automated instrumentation of root canals. Journal of Endodontics 2000;26:660-4.
  • 6. Short JA, Morgan LA, Baumgartner JC. A comparison of canal centering ability of four instrumentation techniques. Journal of Endodontics 1997;23:503-7.
  • 7. Kazemi RB, Stenman E, Spångberg LS. A comparison of stainless steel and nickel-titanium H-type instruments of identical design: torsional and bending tests. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 2000;90:500-6.
  • 8. Schäfer E, Schulz-Bongert U, Tulus G. Comparison of hand stainless steel and nickel titanium rotary instrumentation: a clinical study. Journal of Endodontics 2004;30:432-5.
  • 9. Cheung GS, Liu CS. A retrospective study of endodontic treatment outcome between nickeltitanium rotary and stainless steel hand filing techniques. Journal of Endodontics 2009;35:938- 43
  • 10. Guelzow A, Stamm O, Martus P, Kielbassa A. Comparative study of six rotary nickel-titanium systems and hand instrumentation for root canal preparation. International Endodontic Journal 2005;38:743-52.
  • 11. Sattapan B, Nervo GJ, Palamara JE, Messer HH. Defects in rotary nickel-titanium files after clinical use. Journal of Endodontics 2000;26:161-5.
  • 12. Haikel Y, Serfaty R, Bateman G, Senger B, Allemann C. Dynamic and cyclic fatigue of enginedriven rotary nickel-titanium endodontic instruments. Journal of Endodontics 1999;25:434- 40.
  • 13. Li U-M, Lee B-S, Shih C-T, Lan W-H, Lin C-P. Cyclic fatigue of endodontic nickel titanium rotary instruments: static and dynamic tests. Journal of Endodontics 2002;28:448-51.
  • 14. Pruett JP, Clement DJ, Carnes DL. Cyclic fatigue testing of nickel-titanium endodontic instruments. Journal of Endodontics 1997;23:77-85.
  • 15. Cheung GS. Instrument fracture: mechanisms, removal of fragments, and clinical outcomes. Endodontic Topics 2007;16:1-26.
  • 16. Parashos P, Messer HH. Rotary NiTi instrument fracture and its consequences. Journal of Endodontics 2006;32:1031-43.
  • 17. Pedulla E, Grande NM, Plotino G, Gambarini G, Rapisarda E. Influence of continuous or reciprocating motion on cyclic fatigue resistance of 4 different nickel-titanium rotary instruments. Journal of Endodontics 2013;39:258-61.
  • 18. You SY, Bae KS, Baek SH, Kum KY, Shon WJ, Lee W. Lifespan of one nickel-titanium rotary file with reciprocating motion in curved root canals. Journal of Endodontics 2010;36:1991-4.
  • 19. Parashos P, Messer H. Questionnaire survey on the use of rotary nickel-titanium endodontic instruments by Australian dentists. International Endodontic Journal 2004;37:249-59.
  • 20. Azarpazhooh A, Fillery ED. Prion disease: the implications for dentistry. Journal of Endodontics 2008;34:1158-66.
  • 21. Spili P, Parashos P, Messer HH. The impact of instrument fracture on outcome of endodontic treatment. Journal of Endodontics 2005;31:845-50.
  • 22. Shemesh H, Roeleveld AC, Wesselink PR, Wu MK. Damage to root dentin during retreatment procedures. Journal of Endodontics 2011;37:63-6.
  • 23. Güler B, Uzun G, Özyürek T, Karabulut C. Maksiler ikinci premolar diGin apikal üçlüsünde kırılan resiproc eğenin masserann kit ile çıkartılması: olgu sunumu. Atatürk Üniversitesi DiG Hekimliği Fakültesi Dergisi 2015;10:37-40.
  • 24. Hülsmann M. Methods for removing metal obstructions from the root canal. Dental Traumatology 1993;9:223-37.
  • 25. Di Fiore P, Genov K, Komaroff E, Li Y, Lin L. Nickel-titanium rotary instrument fracture: a clinical practice assessment. International Endodontic Journal 2006;39:700-8.
  • 26. Anusavice KJ, Brantley W. Physical properties of dental materials. Phillips' Science of Dental Materials" 11th ed, Anusavice KJ ed, Saunders Co, St Louis 2003:57.
  • 27. Arens FC, Hoen MM, Steiman HR, Dietz GC. Evaluation of single-use rotary nickel-titanium instruments. J of Endodontics 2003;29:664-6.
  • 28. Patiño PV, Biedma BM, Liébana CR, Cantatore G, Bahillo JG. The influence of a manual glide path on the separation rate of NiTi rotary instruments. Journal of Endodontics 2005;31:114-6.
  • 29. Alapati SB, Brantley WA, Svec TA, Powers JM, Mitchell JC. Scanning electron microscope observations of new and used nickel-titanium rotary files. Journal of Endodontics 2003;29:667-9.
  • 30. Iqbal MK, Kohli MR, Kim JS. A retrospective clinical study of incidence of root canal instrument separation in an endodontics graduate program: a PennEndo database study. Journal of Endodontics 2006;32:1048-52.
  • 31. Sotokawa T. A systematic approach to preventing intracanal breakage of endodontic files. Dental Traumatology 1990;6:60-2.
  • 32. Al-Fouzan K. Incidence of rotary ProFile instrument fracture and the potential for bypassing in vivo. International Endodontic Journal 2003;36:864-7.
  • 33. Pettiette M, Conner D, Trope M. Procedural errors with the use of nickel-titanium rotary instruments in undergraduate endodontics. Journal of Endodontics 2002;28:259.
  • 34. Shen Y, Haapasalo M, Cheung GS, Peng B. Defects in nickel-titanium instruments after clinical use. Part 1: Relationship between observed imperfections and factors leading to such defects in a cohort study. Journal of Endodontics 2009;35:129-32.
  • 35. Yared G, Bou Dagher F, Machtou P. Influence of rotational speed, torque and operator's proficiency on ProFile failures. International Endodontic Journal 2001;34:47-53.
  • 36. Yared G, Bou Dagher F, Machtou P, Kulkarni G. Influence of rotational speed, torque and operator proficiency on failure of Greater Taper files. International Endodontic Journal 2002;35:7-12.
  • 37. Yared G, Dagher FB, Kulkarni K. Influence of torque control motors and the operator's proficiency on ProTaper failures. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 2003;96:229-33.
  • 38. Mesgouez C, Rilliard F, Matossian L, Nassiri K, Mandel E. Influence of operator experience on canal preparation time when using the rotary Ni-Ti ProFile system in simulated curved canals. International Endodontic Journal 2003;36:161-5.
  • 39. Mandel E, Adib-Yazdi M, Benhamou LM, Lachkar T, Mesgouez C, Sobel M. Rotary Ni-Ti profile systems for preparing curved canals in resin blocks: influence of operator on instrument breakage. International Endodontic Journal 1999;32:436-43.
  • 40. Parashos P, Gordon I, Messer HH. Factors influencing defects of rotary nickel-titanium endodontic instruments after clinical use. Journal of Endodontics 2004;30:722-5.
  • 41. Sonntag D, Delschen S, Stachniss V. Root-canal shaping with manual and rotary Ni-Ti files performed by students. International Endodontic Journal 2003;36:715-23.
  • 42. Gambarini G. Cyclic fatigue of nickel-titanium rotary instruments after clinical use with low-and hightorque endodontic motors. Journal of Endodontics 2001;27:772-4.
  • 43. Gambarini G. Cyclic fatigue of ProFile rotary instruments after prolonged clinical use. International Endodontic Journal 2001;34:386-9.
  • 44. Plotino G, Grande N, Sorci E, Malagnino V, Somma F. A comparison of cyclic fatigue between used and new Mtwo Ni-Ti rotary instruments. International Endodontic Journal 2006;39:716-723.
  • 45. Yared G. In vitro study of the torsional properties of new and used ProFile nickel titanium rotary files. Journal of Endodontics 2004;30:410-2.
  • 46. Yared G, Kulkarni GK. An in vitro study of the torsional properties of new and used rotary nickeltitanium files in plastic blocks. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology 2003;96:466-71.
  • 47. Wolcott S, Wolcott J, Ishley D, et al. Separation incidence of protaper rotary instruments: a large cohort clinical evaluation. Journal of Endodontics 2006;32:1139-41.
  • 48. Yared G, Dagher F, Machtou P. Cyclic fatigue of ProFile rotary instruments after clinical use. International Endodontic Journal 2000;33:204-7.
  • 49. Di Fiore PM. A dozen ways to prevent nickeltitanium rotary instrument fracture. Journal of the American Dental Association (1939) 2007;138:196- 201; quiz 249.
  • 50. Ounsi HF, Salameh Z, Al-Shalan T, et al. Effect of clinical use on the cyclic fatigue resistance of ProTaper nickel-titanium rotary instruments. Journal of Endodontics 2007;33:737-41.
  • 51. Spili P, Parashos P, Messer HH. The impact of instrument fracture on outcome of endodontic treatment. Journal of Endodontics 2005;31:845-50.
  • 52. Peters OA. Current challenges and concepts in the preparation of root canal systems: a review. Journal of Endodontics 2004;30:559-67.
  • 53. Wu J, Lei G, Yan M, Yu Y, Yu J, Zhang G. Instrument separation analysis of multi-used ProTaper Universal rotary system during root canal therapy. Journal of Endodontics 2011;37:758-63.
  • 54. Berutti E, Negro AR, Lendini M, Pasqualini D. Influence of manual preflaring and torque on the failure rate of ProTaper rotary instruments. Journal of Endodontics 2004;30:228-30.
  • 55. Smith A, McHugh S, Bagg J. A study of visual and blood contamination on reprocessed endodontic files from general dental practice. British Dental Journal 2005;199:522-5.
APA GÜNDOĞDU E, DOĞANAY YILDIZ E, Arslan H (2017). NİKEL TİTANYUM ALETLERİN KIRILMALARININ SEBEP VE ÇÖZÜMLERİNE YÖNELİK ANKET ÇALIŞMASI. , 130 - 138.
Chicago GÜNDOĞDU EYÜP CANDAŞ,DOĞANAY YILDIZ EZGİ,Arslan Hakan NİKEL TİTANYUM ALETLERİN KIRILMALARININ SEBEP VE ÇÖZÜMLERİNE YÖNELİK ANKET ÇALIŞMASI. (2017): 130 - 138.
MLA GÜNDOĞDU EYÜP CANDAŞ,DOĞANAY YILDIZ EZGİ,Arslan Hakan NİKEL TİTANYUM ALETLERİN KIRILMALARININ SEBEP VE ÇÖZÜMLERİNE YÖNELİK ANKET ÇALIŞMASI. , 2017, ss.130 - 138.
AMA GÜNDOĞDU E,DOĞANAY YILDIZ E,Arslan H NİKEL TİTANYUM ALETLERİN KIRILMALARININ SEBEP VE ÇÖZÜMLERİNE YÖNELİK ANKET ÇALIŞMASI. . 2017; 130 - 138.
Vancouver GÜNDOĞDU E,DOĞANAY YILDIZ E,Arslan H NİKEL TİTANYUM ALETLERİN KIRILMALARININ SEBEP VE ÇÖZÜMLERİNE YÖNELİK ANKET ÇALIŞMASI. . 2017; 130 - 138.
IEEE GÜNDOĞDU E,DOĞANAY YILDIZ E,Arslan H "NİKEL TİTANYUM ALETLERİN KIRILMALARININ SEBEP VE ÇÖZÜMLERİNE YÖNELİK ANKET ÇALIŞMASI." , ss.130 - 138, 2017.
ISNAD GÜNDOĞDU, EYÜP CANDAŞ vd. "NİKEL TİTANYUM ALETLERİN KIRILMALARININ SEBEP VE ÇÖZÜMLERİNE YÖNELİK ANKET ÇALIŞMASI". (2017), 130-138.
APA GÜNDOĞDU E, DOĞANAY YILDIZ E, Arslan H (2017). NİKEL TİTANYUM ALETLERİN KIRILMALARININ SEBEP VE ÇÖZÜMLERİNE YÖNELİK ANKET ÇALIŞMASI. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 27(3), 130 - 138.
Chicago GÜNDOĞDU EYÜP CANDAŞ,DOĞANAY YILDIZ EZGİ,Arslan Hakan NİKEL TİTANYUM ALETLERİN KIRILMALARININ SEBEP VE ÇÖZÜMLERİNE YÖNELİK ANKET ÇALIŞMASI. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 27, no.3 (2017): 130 - 138.
MLA GÜNDOĞDU EYÜP CANDAŞ,DOĞANAY YILDIZ EZGİ,Arslan Hakan NİKEL TİTANYUM ALETLERİN KIRILMALARININ SEBEP VE ÇÖZÜMLERİNE YÖNELİK ANKET ÇALIŞMASI. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, vol.27, no.3, 2017, ss.130 - 138.
AMA GÜNDOĞDU E,DOĞANAY YILDIZ E,Arslan H NİKEL TİTANYUM ALETLERİN KIRILMALARININ SEBEP VE ÇÖZÜMLERİNE YÖNELİK ANKET ÇALIŞMASI. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2017; 27(3): 130 - 138.
Vancouver GÜNDOĞDU E,DOĞANAY YILDIZ E,Arslan H NİKEL TİTANYUM ALETLERİN KIRILMALARININ SEBEP VE ÇÖZÜMLERİNE YÖNELİK ANKET ÇALIŞMASI. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2017; 27(3): 130 - 138.
IEEE GÜNDOĞDU E,DOĞANAY YILDIZ E,Arslan H "NİKEL TİTANYUM ALETLERİN KIRILMALARININ SEBEP VE ÇÖZÜMLERİNE YÖNELİK ANKET ÇALIŞMASI." Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi, 27, ss.130 - 138, 2017.
ISNAD GÜNDOĞDU, EYÜP CANDAŞ vd. "NİKEL TİTANYUM ALETLERİN KIRILMALARININ SEBEP VE ÇÖZÜMLERİNE YÖNELİK ANKET ÇALIŞMASI". Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 27/3 (2017), 130-138.