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Article ; Online: Comparison of the removal of intracanal medicaments used in regenerative endodontics from root canal system using needle, ultrasonic, sonic, and laser-activated irrigation systems.

Usta, Sıla Nur / Erdem, Berat Akın / Gündoğar, Mustafa

2024 Volume 39, Issue 1, Page(s) 27

Abstract: This study aimed to compare the syringe-needle irrigation (SNI), passive ultrasonic irrigation (PUI), EDDY, and shock wave-enhanced emission photoacoustic streaming (SWEEPS) techniques regarding calcium hydroxide and double antibiotic paste removal from ... ...

Abstract	This study aimed to compare the syringe-needle irrigation (SNI), passive ultrasonic irrigation (PUI), EDDY, and shock wave-enhanced emission photoacoustic streaming (SWEEPS) techniques regarding calcium hydroxide and double antibiotic paste removal from the root canal in regenerative endodontic treatments. Eighty single-rooted human teeth were decoronated and enlarged up to #100 to stimulate the immature tooth model. Root canals were irrigated with 1.5% sodium hypochlorite followed by saline solution according to the regenerative endodontic treatment protocol. Dressed teeth were divided into 2 main groups regarding the used intracanal medicaments. Calcium hydroxide and double antibiotic paste were introduced to the canals, and teeth were stored for 3 weeks. Each medicament group was divided into 4 subgroups according to the activation techniques. Medicaments were removed using a 17% EDTA solution. Teeth were split longitudinally into two parts. The remaining medicaments were evaluated under a stereo microscope with a scoring system. Data were analyzed with the Kruskal-Wallis and Mann-Whitney U tests. Regardless of the used irrigation activation systems, there was no statistically significant difference between the removal of the CH and DAP from the root canal (P>0.05). While SWEEPS had the highest ability regarding the removal of intracanal medicaments, syringe-needle irrigation had the lowest (P<0.05). There was no statistically significant difference between PUI and EDDY (P>0.05). Complete removal of intracanal medicaments could not be achieved with any techniques. SWEEPS technology was more effective in removing intracanal medicaments in regenerative endodontic treatments compared to the sonic and ultrasonic irrigation activation systems.
MeSH term(s)	Humans ; Ultrasonics ; Dental Pulp Cavity ; Calcium Hydroxide ; Regenerative Endodontics ; Root Canal Preparation/methods ; Anti-Bacterial Agents ; Lasers ; Root Canal Irrigants ; Therapeutic Irrigation/methods
Chemical Substances	Calcium Hydroxide (PF5DZW74VN) ; Anti-Bacterial Agents ; Root Canal Irrigants
Language	English
Publishing date	2024-01-12
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/s10103-024-03980-w
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Article: Does minimally invasive canal preparation provide higher fracture resistance of endodontically treated teeth? A systematic review of

Usta, Sıla Nur / Silva, Emmanuel João Nogueira Leal / Falakaloğlu, Seda / Gündoğar, Mustafa

Restorative dentistry & endodontics

2023 Volume 48, Issue 4, Page(s) e34

Abstract: This systematic review aimed to investigate whether minimally invasive root canal preparation ensures higher fracture resistance compared to conventional root canal preparation in endodontically treated teeth (ETT). A comprehensive search strategy was ... ...

Abstract	This systematic review aimed to investigate whether minimally invasive root canal preparation ensures higher fracture resistance compared to conventional root canal preparation in endodontically treated teeth (ETT). A comprehensive search strategy was conducted on the "PubMed, Web of Science, and Scopus" databases, alongside reference and hand searches, with language restrictions applied. Two independent reviews selected pertinent laboratory studies that explored the effect of minimally invasive root canal preparation on fracture resistance, in comparison to larger preparation counterparts. The quality of the studies was assessed, and the risk of bias was categorized as low, moderate, or high. The electronic search yielded a total of 1,767 articles. After applying eligibility criteria, 8 studies were included. Given the low methodological quality of these studies and the large variability of fracture resistance values, the impact of reduced apical size and/or taper on the fracture resistance of the ETT can be considered uncertain. This systematic review could not reveal sufficient evidence regarding the effect of minimally invasive preparation on increasing fracture resistance of ETT, primarily due to the inherent limitations of the studies and the moderate risk of bias.
Language	English
Publishing date	2023-10-17
Publishing country	Korea (South)
Document type	Journal Article ; Review
ZDB-ID	2715357-5
ISSN	2234-7666 ; 2234-7658
ISSN (online)	2234-7666
ISSN	2234-7658
DOI	10.5395/rde.2023.48.e34
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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
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Zs.B 1718: Show issues

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Article ; Online: Evaluation of shaping ability of different glide path instruments: a micro-computed tomography study.

Yeniçeri Özata, Merve / Falakaloğlu, Seda / Keleş, Ali / Adıgüzel, Özkan / Gündoğar, Mustafa

BMC oral health

2023 Volume 23, Issue 1, Page(s) 780

Abstract: Background: This study aimed to compare the shaping ability of different instruments, TruNatomy Glider (TRN-G), WaveOne Gold Glider (WOG-G), and ProGlider (Pro-G) using micro-computed tomography (micro-CT).: Methods: The mesial canals of 27 ... ...

Abstract	Background: This study aimed to compare the shaping ability of different instruments, TruNatomy Glider (TRN-G), WaveOne Gold Glider (WOG-G), and ProGlider (Pro-G) using micro-computed tomography (micro-CT). Methods: The mesial canals of 27 mandibular molars with two separate mesial canals and moderate curvature were included in this study [n = 27 mesiobuccal (MB) and mesiolingual (ML) root canal]. According to the manufacturer's instructions, the glide path was created with TRN-G, WOG-G, and Pro-G glide path instruments (n = 9 MB and ML root canal in each group). Micro-CT scanning was performed before and after preparation. Mesiodistal (MD) and buccolingual (BL) transportation and the centering ratio were measured at three levels within the canal (3, 5 and 7 mm). A three-way robust ANOVA was used to compare the parameters. Results: TRN-G showed significantly greater transportation in the MD direction than the other instruments throughout the root canal (overall root canal) (p < 0.05). The best centering ability in the BL direction was shown by the WOG-G, regardless of level within the canal and canal distinction (MB vs. ML) (p < 0.05). There was no significant difference between groups according to the level within the canal and canal parameters (p > 0.05). Whether the root canal was MB or ML did not affect centering or transportation (p > 0.05). Conclusions: Glide path instruments can be used to shape moderately curved canals with minimal apical transportation and better centering ability. All three tested glide path files can used safely before the shaping file.
MeSH term(s)	Humans ; X-Ray Microtomography/methods ; Root Canal Preparation ; Tooth Root ; Root Canal Therapy ; Dental Pulp Cavity/diagnostic imaging ; Equipment Design
Language	English
Publishing date	2023-10-24
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2091511-1
ISSN	1472-6831 ; 1472-6831
ISSN (online)	1472-6831
ISSN	1472-6831
DOI	10.1186/s12903-023-03529-3
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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
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Article: Mechanical Properties of the New Generation RACE EVO and R-Motion Nickel-Titanium Instruments.

Basturk, Fatima Betul / Özyürek, Taha / Uslu, Gülşah / Gündoğar, Mustafa

Materials (Basel, Switzerland)

2022 Volume 15, Issue 9

Abstract: This study aimed to evaluate and compare the dynamic cyclic fatigue, torsional and bending resistance of two novel RACE EVO (FKG Dentaire SA, La Chaux de Fonds, Switzerland) and R-Motion (FKG) nickel−titanium instruments with traditional RaCe (FKG) ... ...

Abstract	This study aimed to evaluate and compare the dynamic cyclic fatigue, torsional and bending resistance of two novel RACE EVO (FKG Dentaire SA, La Chaux de Fonds, Switzerland) and R-Motion (FKG) nickel−titanium instruments with traditional RaCe (FKG) instruments. RACE EVO, R-Motion and RaCe instruments with a size of 25 and taper of 0.06 were used. A dynamic cyclic fatigue test was used to assess the time to fracture. The fractured surfaces were further analyzed using scanning electron microscopy at ×350 and ×3000 magnifications. A torsional resistance test was performed to measure the maximum torsional strength and angle of rotation. Phase transformations with temperature were evaluated using differential scanning calorimetry. The results were statistically analyzed with a Kruskal−Wallis test at a 5% significance level. R-Motion had the highest time to fracture and the lowest torsional and bending resistance, whereas RaCe had the lowest time to fracture and the highest torsional and bending resistance (p < 0.05). In relation to the angle of rotation, RACE EVO instruments had the highest deformation capacity followed by R-Motion and RaCe instruments (p < 0.05). The greater cyclic fatigue resistance and lower torsional and bending resistance results indicate that the novel R-Motion and RACE EVO instruments are less rigid and more flexible than RaCe instruments.
Language	English
Publishing date	2022-05-06
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2487261-1
ISSN	1996-1944
ISSN	1996-1944
DOI	10.3390/ma15093330
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Article: Shaping ability of modern Nickel-Titanium rotary systems on the preparation of printed mandibular molars.

Falakaloğlu, Seda / Silva, Emmanuel / Topal, Burcu / İriboz, Emre / Gündoğar, Mustafa

Journal of conservative dentistry : JCD

2022 Volume 25, Issue 5, Page(s) 498–503

Abstract: Introduction: This study aimed to evaluate the shaping ability of TruNatomy (Dentsply Maillefer, Ballaigues, Switzerland), VDW.ROTATE (VDW GmbH, Munich, Germany) and ProTaper Gold (Dentsply Maillefer, Ballaigues, Switzerland) during the preparation of ... ...

Abstract	Introduction: This study aimed to evaluate the shaping ability of TruNatomy (Dentsply Maillefer, Ballaigues, Switzerland), VDW.ROTATE (VDW GmbH, Munich, Germany) and ProTaper Gold (Dentsply Maillefer, Ballaigues, Switzerland) during the preparation of resin-printed mandibular molar mesial root canals. Materials and methods: Thirty-three printed resin-based mandibular mesial roots with two canals were obtained from extract tooth cone-beam computed tomography (CBCT) image. The printed teeth were divided into three groups ( Statistical analysis used: Data were statistically analyzed using Shapiro-Wilk for normality, one-way ANOVA, and Tukey or Kruskal-Wallis H tests with alpha set at 5%. Results: No differences were observed for changes in the canal area, volume, untouched canal surface area, and minimum dentine wall wear parameters for the whole canal length ( Conclusions: TruNatomy, VDW.ROTATE, and ProTaper Gold systems showed similar shaping ability in printed resin-based mandibular mesial roots without clinically significant errors. A large amount of untouched canal surface area was observed for all systems.
Language	English
Publishing date	2022-09-12
Publishing country	India
Document type	Journal Article
ZDB-ID	2064481-4
ISSN	0972-0707
ISSN	0972-0707
DOI	10.4103/jcd.jcd_251_22
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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
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Article ; Online: Efficacy of different irrigant activation devices in removing dentin debris from an artificial isthmus connecting curved canals.

Plotino, Gianluca / Özyürek, Taha / Gündoğar, Mustafa / Uslu, Gülşah / Pedullà, Eugenio / Careddu, Roberto / Franco, Vittorio

Australian endodontic journal : the journal of the Australian Society of Endodontology Inc

2023 Volume 49 Suppl 1, Page(s) 353–358

Abstract: The aim of this study was to evaluate the debridement efficacy of sonic irrigation (EDDY; VDW, Munich, Germany and EndoActivator; Dentsply-Sirona, Ballaigues, Switzerland) and ultrasonically activated irrigation (Irrısafe; Satelec Acteon, Merignac, ... ...

Abstract	The aim of this study was to evaluate the debridement efficacy of sonic irrigation (EDDY; VDW, Munich, Germany and EndoActivator; Dentsply-Sirona, Ballaigues, Switzerland) and ultrasonically activated irrigation (Irrısafe; Satelec Acteon, Merignac, France) in a simulated canal isthmus connecting curved canals. Transparent resin blocks were produced containing two curved canals connected with an isthmus. The isthmus was then filled with dentin debris. Three irrigant activation cycles were performed and the amount of remaining debris was compared analysing pictures taken after each activation cycle. Data were statistically analysed using one-way ANOVA and post hoc Tukey tests at a significance level of p < 0.05. EDDY showed greater efficiency in removing dentin debris from the simulated isthmus than the other techniques tested. An increase in the activation time enhanced the efficiency of both EDDY and ultrasonically activated irrigation in debris removal.
MeSH term(s)	Dental Pulp Cavity ; Root Canal Preparation/methods ; Root Canal Irrigants/therapeutic use ; Molar ; Therapeutic Irrigation/methods ; Dentin
Chemical Substances	Root Canal Irrigants
Language	English
Publishing date	2023-03-24
Publishing country	Australia
Document type	Journal Article
ZDB-ID	2146484-4
ISSN	1747-4477 ; 1329-1947
ISSN (online)	1747-4477
ISSN	1329-1947
DOI	10.1111/aej.12748
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Article: Comparison of the cyclic fatigue resistance of VDW.ROTATE, TruNatomy, 2Shape, and HyFlex CM nickel-titanium rotary files at body temperature.

Gündoğar, Mustafa / Uslu, Gülşah / Özyürek, Taha / Plotino, Gianluca

Restorative dentistry & endodontics

2020 Volume 45, Issue 3, Page(s) e37

Abstract: Objectives: This study aims to compare the cyclic fatigue resistance of VDW.ROTATE, TruNatomy, 2Shape, and HyFlex CM nickel-titanium (NiTi) rotary files at body temperature.: Materials and methods: In total, 80 VDW.ROTATE (25/0.04), TruNatomy (26/0 ... ...

Abstract	Objectives: This study aims to compare the cyclic fatigue resistance of VDW.ROTATE, TruNatomy, 2Shape, and HyFlex CM nickel-titanium (NiTi) rotary files at body temperature. Materials and methods: In total, 80 VDW.ROTATE (25/0.04), TruNatomy (26/0.04), 2Shape (25/0.04), and HyFlex CM (25/0.04) NiTi rotary files ( Results: There were significant differences in the cyclic fatigue resistance among the groups ( Conclusions: The VDW.ROTATE files had the highest cyclic fatigue resistance, and the TruNatomy and 2Shape files had the lowest cyclic fatigue resistance in artificial canals at body temperature.
Language	English
Publishing date	2020-06-22
Publishing country	Korea (South)
Document type	Journal Article
ZDB-ID	2715357-5
ISSN	2234-7666 ; 2234-7658
ISSN (online)	2234-7666
ISSN	2234-7658
DOI	10.5395/rde.2020.45.e37
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