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    Duration of ultrasonic activation causing secondary fractures during the removal of the separated instruments with different tapers
    (SPRINGER HEIDELBERG, 2020) Arslan, Hakan; Yildiz, Ezgi Doganay; Tas, Gizem; Akbiyik, Nuray; Topcuoglu, Huseyin Sinan
    Objectives The aim of the present study was to determine the effect of taper (.08, .06, and .04) of separated K3XF instruments on duration taken for the secondary fracture formation during ultrasonic activation. Materials and methods Ten 25/.08 K3XF (SybronEndo, Orange, CA, USA), ten 25/.06 K3XF, and ten 25/.04 K3XF instruments were used for the study. The apical 5 mm of the instruments was cut to simulate the fragments in root canals. Fragments of the instruments were sandwiched between two straight dentin blocks. An ultrasonic tip was used to cause a secondary fracture of the fragment. The time needed for the secondary fracture was recorded for each instrument. The data were statistically analyzed using the Kruskal-Wallis H test (alpha = 0.05). Results Secondary fractures occurred in all instruments. In the .08 taper group, secondary fractures took longer than in the case of the .06 and the .04 taper groups (P < 0.05). There were no significant differences between the .06 and the .04 taper groups in terms of the time required for the occurrence of a secondary fracture (P > 0.05). Conclusions In the .08 taper group, secondary fracture took longer time than in the case of the .06 and the .04 taper groups due to its larger cross-sectional area involved.
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    Success of maintaining apical patency in teeth with periapical lesion: a randomized clinical study
    (Quintessence Publishing Co Inc, 2019) Arslan, Hakan; Yildiz, Ezgi Doganay; Topcuoglu, Huseyin Sinan; Tepecik, Ebru; Ayaz, Nilay
    Objective: The aim of this study was to evaluate the effect of maintaining apical patency on periapical healing and postoperative pain levels in teeth with necrotic pulp and apical periodontitis. Method and materials: Fifty mature teeth with periapical lesions were randomly distributed into two treatment groups: patency, and nonpatency (n = 25). Patients were followed up over a 12-month period using clinical and radiographic assessments.The data were statistically analyzed using independent-samples t test and chi-square tests at a 95% confidence level (P = .05). Results: Seventeen teeth in the patency group (85.0%) and 19 teeth in the nonpatency group (86.4%) were classified as being successfully treated (P = .900). Conclusions: Within the limitations of the present study, maintaining apical patency did not affect endodontic treatment outcomes.