Farklı Marka Kullanıma Hazır Dental EDTA Solüsyonlarının pH Değerlerinin İncelenmesi: İn Vitro Çalışma
Öz
Amaç
Smear tabakasının uzaklaştırılması, kök kanal tedavisinin başarısında kritik bir aşamadır. EDTA solüsyonlarının etkinliğinin, özellikle pH değerine bağlı olarak değişebildiği bilinmektedir. Bu çalışmanın amacı, Türkiye piyasasında satışta olan sekiz farklı markaya ait %17'lik EDTA solüsyonlarının oda sıcaklığındaki pH değerlerini ve litre başı maliyetlerini karşılaştırmaktır.
Gereç ve Yöntemler
Çalışmada, piyasadan temin edilen sekiz farklı %17 EDTA solüsyonunun pH değerleri, oda sıcaklığında bir pH metre kullanılarak üç ayrı ölçümle belirlenmiş ve ortalama değerler hesaplanmıştır. Ayrıca her ürünün litre başı fiyatı da tespit edilmiştir. Elde edilen veriler karşılaştırmalı olarak analiz edilmiştir.
Bulgular
Woolin Endo, Promida, Cool & EDTA ve Werax markalarının pH değerleri 13,00 ± 0,4 olarak ölçülmüştür. Imicryl ve Saver markalarının pH değeri 10,00 ± 0,8, AQUA Solution ve Cerkamed Endo-Solution markalarının ise 7,4 ± 0,1 olarak bulunmuştur. Fiyat analizinde, en düşük litre başı maliyet Cool & EDTA markasında belirlenmiştir. Nötr pH değerine sahip en ekonomik ürünün AQUA Solution olduğu tespit edilmiştir.
Sonuç
Piyasadaki firmaların solüsyonun fiziksel özelliklerini etkilendiğinden pH değeri beyan etmesi önem arz etmektedir.
Anahtar Kelimeler
Kaynakça
- 1. Beltz RE, Torabinejad M, Pouresmail M. Quantitative analysis of the solubilizing action of MTAD, sodium hypochlorite, and EDTA on bovine pulp and dentin. J Endod. 2003; 29 (5): 334-7.
- 2. Torabinejad M, Handysides R, Khademi AA, et al. Clinical implications of the smear layer in endodontics: a review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002; 94: 658-66.
- 3. Calt S, Serper A. Smear layer removal by EGTA. J Endod. 2000; 26: 459-461.
- 4. Qian W, Shen Y, Haapasalo M. Quantitative analysis of the effect of irrigant solution sequences on dentin erosion. J Endod. 2011; 37: 1437-1441.
- 5. Fortea L, Sanz-Serrano D, Luz LB, et al. Update on chelating agents in endodontic treatment: a systematic review. J Clin Exp Dent. 2024; 16: E516-38.
- 6. Hulsmann M, Heckendorff M, Lennon A. Chelating agents in root canal treatment: mode of action and indications for their use. Int Endod J. 2003; 36: 810-30.
- 7. Sen BH, Wesselink PR, Turkun M. The smear layer: a phenomenon in root canal therapy. Int Endod J. 1995; 28: 141-8.
- 8. Calvo Perez V, Medina Cardenas ME, Sanchez Planells U. The possible role of pH changes during EDTA demineralization of teeth. Oral Surg Oral Med Oral Pathol. 1989; 68: 220-22.
- 9. Cury JA, Bragotto C, Valdrighi L. The demineralizing efficiency of EDTA solutions on dentin. I. Influence of pH. Oral Surg Oral Med Oral Pathol. 1981; 52: 446-8.
- 10. Calt S, Serper A. Dentinal tubule penetration of root canal sealers after root canal dressing with calcium hydroxide. J Endod. 1999; 25: 431-3.
- 11. White RR, Goldman M, Lin PS. The influence of the smeared layer upon dentinal tubule penetration by plastic filling materials. J Endod. 1984; 10: 558-62.
- 12. White RR, Goldman M, Lin PS. The influence of the smeared layer upon dentinal tubule penetration by endodontic filling materials. Part II. J Endod. 1987; 13: 369-74.
- 13. Pang NS, Lee SJ, Kim E, et al. Effect of EDTA on attachment and differentiation of dental pulp stem cells. J Endod. 2014; 40: 811-817.
- 14. Serper A, Calt S. The demineralizing effects of EDTA at different concentrations and pH. J Endod. 2002; 28: 501-2.
- 15. Perez F, Rouqueyrol-Pourcel N. Effect of a low-concentration EDTA solution on root canal walls: a scanning electron microscopic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005; 99: 383-387.
- 16. Orhan EO, Bahadir D, Akgun C, et al. Scanning electron microscopic evaluation of the efficacy of 5% ethylenediaminetetraacetic acid for smear layer removal. Microsc Res Tech. 2021; 84: 253-260.
- 17. Endodontists. AAo. Clinical considerations for a regenerative procedure. 2017 [Available from: https://www.aae.org/specialty/wp-content/uploads/sites/2/2017/06/currentregenerativeendodonticconsiderations.pdf.
- 18. Galler KM, Krastl G, Simon S, et al. European Society of Endodontology position statement: Revitalization procedures. Int Endod J. 2016; 49: 717-23.
- 19. Yilmaz Z, Aktemur S, Buzoglu HD, et al. The effect of temperature and pH variations on the surface tension of EDTA solutions. J Endod. 2011; 37: 825-7.
- 20. Calt S, Serper A. Time-dependent effects of EDTA on dentin structures. J Endod. 2002; 28: 17-9.
- 21. Bramante CM, Betti LV. Comparative analysis of curved root canal preparation using nickel-titanium instruments with or without EDTA. J Endod. 2000; 26: 278-80.
- 22. Whitbeck ER, Swenson K, Tordik PA, et al. Effect of EDTA preparations on rotary root canal instrumentation. J Endod. 2015; 41: 92-6.
- 23. Uzunoglu E, Aktemur S, Uyanik MO, et al. Effect of ethylenediaminetetraacetic acid on root fracture with respect to concentration at different time exposures. J Endod. 2012; 38: 1110-13.
- 24. Chandler N, Chellappa D. Lubrication during root canal treatment. Aust Endod J. 2019; 45: 106-10.
- 25. Peters OA, Boessler C, Zehnder M. Effect of liquid and paste-type lubricants on torque values during simulated rotary root canal instrumentation. Int Endod J. 2005; 38: 223-9.
Investigation of pH Values of Ready to Use Dental EDTA Solutions of Different Brands: In Vitro Study
Öz
Aim
The removal of the smear layer is a critical step in the success of root canal treatment. It is known that the effectiveness of EDTA solutions can vary, particularly depending on their pH levels. The aim of this study was to compare the room temperature pH values and cost per liter of eight different brands of 17% EDTA solutions available on the Turkish market.
Material and Methods
In this study, eight different commercially available 17% EDTA solutions were procured from the market. The pH values of the solutions were measured at room temperature using a pH meter, with three separate measurements taken for each solution, and the average values were calculated. Additionally, the cost per liter of each product was determined. The collected data were analyzed comparatively.
Results
The pH values of Woolin Endo, Promida, Cool & EDTA, and Werax brands were measured as 13.00 ± 0.4. The pH values of Imicryl and Saver brands were found to be 10.00 ± 0.8, while those of AQUA Solution and Cerkamed Endo-Solution brands were measured as 7.4 ± 0.1. In terms of price analysis, Cool & EDTA had the lowest cost per liter. AQUA Solution was identified as the most economical
product among those with a neutral pH value.
Conclusion
It is important for companies in the market to declare the pH value as it affects the physical properties of the solution.
Anahtar Kelimeler
Kaynakça
- 1. Beltz RE, Torabinejad M, Pouresmail M. Quantitative analysis of the solubilizing action of MTAD, sodium hypochlorite, and EDTA on bovine pulp and dentin. J Endod. 2003; 29 (5): 334-7.
- 2. Torabinejad M, Handysides R, Khademi AA, et al. Clinical implications of the smear layer in endodontics: a review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002; 94: 658-66.
- 3. Calt S, Serper A. Smear layer removal by EGTA. J Endod. 2000; 26: 459-461.
- 4. Qian W, Shen Y, Haapasalo M. Quantitative analysis of the effect of irrigant solution sequences on dentin erosion. J Endod. 2011; 37: 1437-1441.
- 5. Fortea L, Sanz-Serrano D, Luz LB, et al. Update on chelating agents in endodontic treatment: a systematic review. J Clin Exp Dent. 2024; 16: E516-38.
- 6. Hulsmann M, Heckendorff M, Lennon A. Chelating agents in root canal treatment: mode of action and indications for their use. Int Endod J. 2003; 36: 810-30.
- 7. Sen BH, Wesselink PR, Turkun M. The smear layer: a phenomenon in root canal therapy. Int Endod J. 1995; 28: 141-8.
- 8. Calvo Perez V, Medina Cardenas ME, Sanchez Planells U. The possible role of pH changes during EDTA demineralization of teeth. Oral Surg Oral Med Oral Pathol. 1989; 68: 220-22.
- 9. Cury JA, Bragotto C, Valdrighi L. The demineralizing efficiency of EDTA solutions on dentin. I. Influence of pH. Oral Surg Oral Med Oral Pathol. 1981; 52: 446-8.
- 10. Calt S, Serper A. Dentinal tubule penetration of root canal sealers after root canal dressing with calcium hydroxide. J Endod. 1999; 25: 431-3.
- 11. White RR, Goldman M, Lin PS. The influence of the smeared layer upon dentinal tubule penetration by plastic filling materials. J Endod. 1984; 10: 558-62.
- 12. White RR, Goldman M, Lin PS. The influence of the smeared layer upon dentinal tubule penetration by endodontic filling materials. Part II. J Endod. 1987; 13: 369-74.
- 13. Pang NS, Lee SJ, Kim E, et al. Effect of EDTA on attachment and differentiation of dental pulp stem cells. J Endod. 2014; 40: 811-817.
- 14. Serper A, Calt S. The demineralizing effects of EDTA at different concentrations and pH. J Endod. 2002; 28: 501-2.
- 15. Perez F, Rouqueyrol-Pourcel N. Effect of a low-concentration EDTA solution on root canal walls: a scanning electron microscopic study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005; 99: 383-387.
- 16. Orhan EO, Bahadir D, Akgun C, et al. Scanning electron microscopic evaluation of the efficacy of 5% ethylenediaminetetraacetic acid for smear layer removal. Microsc Res Tech. 2021; 84: 253-260.
- 17. Endodontists. AAo. Clinical considerations for a regenerative procedure. 2017 [Available from: https://www.aae.org/specialty/wp-content/uploads/sites/2/2017/06/currentregenerativeendodonticconsiderations.pdf.
- 18. Galler KM, Krastl G, Simon S, et al. European Society of Endodontology position statement: Revitalization procedures. Int Endod J. 2016; 49: 717-23.
- 19. Yilmaz Z, Aktemur S, Buzoglu HD, et al. The effect of temperature and pH variations on the surface tension of EDTA solutions. J Endod. 2011; 37: 825-7.
- 20. Calt S, Serper A. Time-dependent effects of EDTA on dentin structures. J Endod. 2002; 28: 17-9.
- 21. Bramante CM, Betti LV. Comparative analysis of curved root canal preparation using nickel-titanium instruments with or without EDTA. J Endod. 2000; 26: 278-80.
- 22. Whitbeck ER, Swenson K, Tordik PA, et al. Effect of EDTA preparations on rotary root canal instrumentation. J Endod. 2015; 41: 92-6.
- 23. Uzunoglu E, Aktemur S, Uyanik MO, et al. Effect of ethylenediaminetetraacetic acid on root fracture with respect to concentration at different time exposures. J Endod. 2012; 38: 1110-13.
- 24. Chandler N, Chellappa D. Lubrication during root canal treatment. Aust Endod J. 2019; 45: 106-10.
- 25. Peters OA, Boessler C, Zehnder M. Effect of liquid and paste-type lubricants on torque values during simulated rotary root canal instrumentation. Int Endod J. 2005; 38: 223-9.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Endodonti |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 30 Nisan 2025 |
| Gönderilme Tarihi | 17 Mart 2025 |
| Kabul Tarihi | 21 Mart 2025 |
| Yayımlandığı Sayı | Yıl 2025 Cilt: 4 Sayı: 1 |
Başlangıç: 2022
Yayın Aralığı: Yılda 3 sayı
Yayıncı: Akdeniz Üniversitesi