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  1. Article ; Online: Postoperative pain after SWEEPS, PIPS, sonic and ultrasonic-assisted irrigation activation techniques: a randomized clinical trial.

    Erkan, Erhan / Gündoğar, Mustafa / Uslu, Gülşah / Özyürek, Taha

    Odontology

    2022  Volume 110, Issue 4, Page(s) 786–794

    Abstract: To investigate the efficacy of a new laser irrigation activation system [shock wave-enhanced emission photo-acoustic streaming (SWEEPS)] in terms of postoperative pain after primary root canal treatment compared with other techniques, namely photon- ... ...

    Abstract To investigate the efficacy of a new laser irrigation activation system [shock wave-enhanced emission photo-acoustic streaming (SWEEPS)] in terms of postoperative pain after primary root canal treatment compared with other techniques, namely photon-induced photo-acoustic streaming (PIPS), sonic system with EDDY, passive ultrasonic system (PUI), and manual dynamic activation (MDA). Two hundred patients with symptomatic irreversible pulpitis in mandibular premolar teeth were enrolled and randomly allocated to five different irrigation activation groups (n = 40) after chemo-mechanical root canal preparation. For irrigation activation, the SWEEPS and PIPS tips were attached to the Er-YAG laser system in the respective groups, while the Irrisafe tip was used in the PUI group and the EDDY tip in the sonic group. In the MDA group, irrigation was agitated with the master gutta-percha cone. At postoperative hours 8, 24, and 48 and on day 7, pain intensity was evaluated using the 10-mm Visual Analog Scale (VAS) and analgesic intake was recorded. The Kruskal-Wallis test was used to analyze the VAS scores, and pain prevalence and analgesic intake were examined with the Pearson's chi-square test at the 5% significance level. The PIPS and SWEEPS groups had the lowest level and prevalence of pain when compared to the remaining groups (P < 0.001). The PUI, sonic and MDA groups did not differ in terms of pain scores at hours 8 and 48 (P > 0.05). On day 7, the highest score and pain prevalence were recorded in the MDA group (P < 0.001). There was no difference between the groups in terms of analgesic intake (P > 0.05). Laser-activated irrigation systems provided lower postoperative pain scores and levels compared to the other activation systems. The MDA group had the highest pain scores and incidence at the end of the seventh day.
    MeSH term(s) Dental Pulp Cavity ; Humans ; Pain, Postoperative/prevention & control ; Root Canal Irrigants/pharmacology ; Root Canal Irrigants/therapeutic use ; Root Canal Preparation/methods ; Therapeutic Irrigation/methods ; Ultrasonics
    Chemical Substances Root Canal Irrigants
    Language English
    Publishing date 2022-03-10
    Publishing country Japan
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 2092085-4
    ISSN 1618-1255 ; 1618-1247
    ISSN (online) 1618-1255
    ISSN 1618-1247
    DOI 10.1007/s10266-022-00700-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Assessment of the canal anatomy of the premolar teeth in a selected Turkish population: a cone-beam computed tomography study.

    Erkan, Erhan / Olcay, Keziban / Eyüboğlu, Tan Fırat / Şener, Elif / Gündoğar, Mustafa

    BMC oral health

    2023  Volume 23, Issue 1, Page(s) 403

    Abstract: Background: Teeth may have additional roots and a different number of root canals. Overlooked root canals may cause endodontic failure. The aim of this study was to investigate the prevalence of root canals and the number of roots of premolars in a ... ...

    Abstract Background: Teeth may have additional roots and a different number of root canals. Overlooked root canals may cause endodontic failure. The aim of this study was to investigate the prevalence of root canals and the number of roots of premolars in a selected Turkish population.
    Materials and methods: A total of 2,570 teeth from 1,438 patients were evaluated. The cone-beam computed tomography scans of 1,055 maxillary and 1,515 mandibular premolars were examined.
    Results: Type IV root canal morphology was observed most frequently in maxillary first premolars (77%), and the rates of single and double channel formations were very similar (51% and 49%, respectively). Of the second maxillary premolars, 57.4% had Type I morphology, and 89.9% of the teeth were single-rooted, while 68.6% had a single root canal. The most common formation was Type I (85%) among mandibular first premolars, and a single root was observed in 95.6% of these teeth. In addition, 87% of the mandibular first premolars had a single root canal. The second mandibular premolars mostly had Type I (95.4%) formation, and 99.3% of the teeth were single-rooted, while 96.9% had a single root canal.
    Conclusion: According to our findings, 51% of maxillary first premolars had a single root, 79.4% had two root canals, and 77% had Type IV (77%) formation. Maxillary second premolars mostly had Type I formation. In addition, a single root and single root canal formation were most common. Mandibular first premolars generally had a single root and single root canal formation, but 13% had two root canals, and 6.4% had Type V formation. More than 95% of mandibular second premolars had Type I formation.
    MeSH term(s) Humans ; Bicuspid/diagnostic imaging ; Bicuspid/anatomy & histology ; Dental Pulp Cavity/diagnostic imaging ; Dental Pulp Cavity/anatomy & histology ; Tooth Root/diagnostic imaging ; Tooth Root/anatomy & histology ; Root Canal Therapy ; Cone-Beam Computed Tomography/methods
    Language English
    Publishing date 2023-06-19
    Publishing country England
    Document type Journal Article
    ZDB-ID 2091511-1
    ISSN 1472-6831 ; 1472-6831
    ISSN (online) 1472-6831
    ISSN 1472-6831
    DOI 10.1186/s12903-023-03107-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Investigation of the effectiveness of sonic, ultrasonic and new laser-assisted irrigation activation methods on smear removal and tubular penetration.

    Uslu, Gülşah / Gündoğar, Mustafa / Üngör, Mete / Özyürek, Taha / Erkan, Erhan / Keskin, Neslihan Büşra

    Lasers in medical science

    2023  Volume 38, Issue 1, Page(s) 30

    Abstract: The aim of this study was to examine the effectiveness of different irrigation activation methods on smear layer removal and tubular penetration. One hundred-five distal roots of mandibular molar teeth in total; 50 for smear removal efficiency (n = 10) ... ...

    Abstract The aim of this study was to examine the effectiveness of different irrigation activation methods on smear layer removal and tubular penetration. One hundred-five distal roots of mandibular molar teeth in total; 50 for smear removal efficiency (n = 10) analysis using scanning electron microscopy (SEM), and 55 roots were used to examine tubular penetration using confocal laser scanning microscope (CLSM). Five different irrigation activation methods were used in this study; conventional needle irrigation (CNI), sonic irrigation device of EDDY, passive ultrasonic irrigation (PUI), PIPS and SWEEPS techniques, which are two different laser irrigation activation methods. The obtained data were statistically analyzed and the significance level was determined as p < 0.05. At the apical level, the cleanest canal walls were observed when laser methods PIPS and SWEEPS were used, while in the middle third, there was no difference in smear removal efficiencies between all groups except for the CNI (p > 0.05). Penetration depths and percentages increased from apically to coronally in all groups. The PUI and EDDY generally showed similar penetration depths and percentages to the CNI, except at the coronal root level (p > 0.05). In all groups, when PIPS was used, it showed greater penetration depth and percentage (p < 0.05). PIPS and SWEEPS techniques showed lowest and similar smear scores compared to PUI and EDDY in the apical area where access and effectiveness of the irrigation solution are difficult.
    MeSH term(s) Humans ; Root Canal Preparation/methods ; Ultrasonics ; Root Canal Irrigants ; Therapeutic Irrigation/methods ; Smear Layer ; Lasers ; Dental Pulp Cavity
    Chemical Substances Root Canal Irrigants
    Language English
    Publishing date 2023-01-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 632808-8
    ISSN 1435-604X ; 0268-8921
    ISSN (online) 1435-604X
    ISSN 0268-8921
    DOI 10.1007/s10103-022-03697-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: A Root Canal Therapy on the Maxillary First Molar Tooth with Five Canals

    Erkan Erhan / Gundogar Mustafa

    Open Journal of Stomatology, Vol 05, Iss 04, Pp 102-

    A Case Report

    2015  Volume 107

    Abstract: Maxillary first molar usually exhibits a radicular anatomy of three roots and three or four canals. However, different anatomic variations like extra number of roots and canals are possible. For a successful treatment, clinicians must have well equipment ...

    Abstract Maxillary first molar usually exhibits a radicular anatomy of three roots and three or four canals. However, different anatomic variations like extra number of roots and canals are possible. For a successful treatment, clinicians must have well equipment and a thorough knowledge of the external and internal anatomy of teeth and its variation. Using of CBCT may help to locate extra canals by giving a chance to clinicians to see the root canal anatomy in 3-D view. The aim of this study was to present a case report about a diagnosis and treatment in maxillary first molar with three roots and five canals. It is concluded that the diagnosing and the treatment of unusual cases are key factors for successful endodontic treatment of these teeth.
    Keywords Root Canal Therapy ; Maxillary First Molar ; Anatomy ; Dentistry ; RK1-715 ; Medicine ; R
    Language English
    Publishing date 2015-04-01T00:00:00Z
    Publisher Scientific Research Publishing
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Radiographic and Clinical Findings of Single-Visit Root Canal Treatments with Apical Enlargement in Necrotic Teeth: A Retrospective Cohort Study.

    Eyüboğlu, Tan F / Olcay, Keziban / Erkan, Erhan / Özcan, Mutlu

    BioMed research international

    2020  Volume 2020, Page(s) 7912638

    Abstract: This study evaluated the long-term clinical outcomes of single-visit root canal treatments with apical enlargement on patients with necrotic pulp tissue retrospectively. A total of 137 teeth with necrotic pulp tissue which underwent single-visit root ... ...

    Abstract This study evaluated the long-term clinical outcomes of single-visit root canal treatments with apical enlargement on patients with necrotic pulp tissue retrospectively. A total of 137 teeth with necrotic pulp tissue which underwent single-visit root canal treatments were included. The root canals were shaped up until the apical constriction, which was determined by an apex locator. The outcomes were evaluated by two independent and calibrated endodontists clinically and radiographically. Teeth were dichotomized into healed (PAI ≤ 2, no signs or symptoms) and nonhealed (PAI > 2, with/without signs or symptoms) groups. Each patients' preoperative PAI and lesion size were recorded to evaluate the preoperative periapical status as well as several other prognostic factors. Statistical analyses were performed (
    MeSH term(s) Adult ; Dental Pulp Cavity/diagnostic imaging ; Dental Pulp Cavity/pathology ; Dental Pulp Cavity/surgery ; Dental Pulp Necrosis/diagnostic imaging ; Dental Pulp Necrosis/pathology ; Dental Pulp Necrosis/surgery ; Female ; Humans ; Male ; Middle Aged ; Radiography, Dental ; Retrospective Studies ; Root Canal Therapy/adverse effects ; Root Canal Therapy/methods ; Root Canal Therapy/statistics & numerical data ; Tooth Apex/diagnostic imaging ; Tooth Apex/pathology ; Tooth Apex/surgery ; Treatment Outcome
    Language English
    Publishing date 2020-09-28
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2698540-8
    ISSN 2314-6141 ; 2314-6133
    ISSN (online) 2314-6141
    ISSN 2314-6133
    DOI 10.1155/2020/7912638
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: The influence of the irrigant QMix on the push-out bond strength of a bioceramic endodontic sealer.

    Gündoğar, Mustafa / Sezgin, Güzide Pelin / Erkan, Erhan / Özyılmaz, Özgün Yusuf

    European oral research

    2018  Volume 52, Issue 2, Page(s) 64–68

    Abstract: Purpose: The aim of this study was to evaluate the effect of a commercially available irrigant, the Qmix 2 in 1, on the push out bond strength of Endosequence BC which is a bioceramic based root canal sealer.: Material and methods: Sixty extracted ... ...

    Abstract Purpose: The aim of this study was to evaluate the effect of a commercially available irrigant, the Qmix 2 in 1, on the push out bond strength of Endosequence BC which is a bioceramic based root canal sealer.
    Material and methods: Sixty extracted maxillary central incisors were prepared with Protaper Next rotary instrument up to X4 (# 40). The specimens were randomly divided into four groups of equal sample size (n=15), according to the final irrigation regimen as follows: Group 1: 2.5% sodium hypochloride (NaOCl) (control), Group 2: 17% ethylenediaminetetraacetic acid (EDTA), Group 3: 2% Chlorhexidine (CHX), Group 4: QMix 2 in 1. After rinsing, teeth were obturated using gutta-percha with Endosequence BC sealer. Slices were obtained from coronal, middle, and an apical section of the root canal. Push-out test was performed to evaluate the bond strength between the root canal dentin and the sealer. Data was statistically analyzed.
    Results: The push-out bond strength of the root canal sealer was significantly affected by the type of irrigation solution. Highest bond strengths were found in canals irrigated with Qmix solution, and these results were regardless of anatomical section of the root canal (p< 0.05).
    Conclusion: Final irrigation of the root canals with QMix had a positive effect on the bond strength of Endosequence BC sealer throughout the root canal.
    Language English
    Publishing date 2018-05-01
    Publishing country Turkey
    Document type Journal Article
    ZDB-ID 3017973-7
    ISSN 2651-2823 ; 2630-6158
    ISSN (online) 2651-2823
    ISSN 2630-6158
    DOI 10.26650/eor.2018.446
    Database MEDical Literature Analysis and Retrieval System OnLINE

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