COMPARISON OF APICAL LEAKAGE VALUE BETWEEN EUCALYPTOL AND ORANGE OIL AS GUTTA PERCA SOLVENT

S. Diana, Rizki Sri Yuliati, B. Sukmana
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Abstract

Background: The success or failure of root canal treatment is influenced by anatomical factors of the root canal, bacterial infection that causes inadequate hygiene, formation and filling of root canals, iatrogenic factors and several other factors. The average success of root canal treatment is 86-95%, while the failure of canal treatment ranges from 5-14%. Root canal re-treatment can be performed in the event of failure of root canal treatment. The method that can be used is gutta percha solvent. The gutta percha solvents used were Chloroform, Eucalyptol, Orange Oil, and Xylene, but chloroform has been categorized as a carcinogenic substance. Guta percha solvent can cause the intercrystalline distance to be larger, so that it can damage the apical density at obturation. This can create a gap between the gutta percha and the sealer which can cause apical leakage. Objective: To compare the value of apical leakage after root canal re-treatment between gutta percha solvent eucalyptol and orange oil. Method: The research method used is True Experimental with post-test only with control group design. A minimum sample of 8 teeth in a group. Total samples from all groups were 24 teeth. The teeth were stained using methylene blue and measured using stereomycroscopes. Results: the highest mean apical leakage was eucalyptol (4.55±2.59), xylene (2.77±1.94), and the lowest was citrus oil (2.20 ±1.06). The results of One-Way ANOVA test showed that there were no significant differences between orange oil, eucalyptol, and xylene (positive control). Conclusion: Eucalyptol has a higher average apical leakage value compared to orange oil and Xylene after root canal re-treatment as a gutta percha solvent. There was no significant difference between orange oil, Eucalyptol, and Xylene.Keywords: Apical leakage, eucalyptol, orange oil
桉叶精油与橙油作为过胶溶剂的根尖泄漏值比较
背景:根管治疗的成功或失败受根管解剖因素、引起不卫生的细菌感染、根管的形成和填充、医源性因素等多种因素的影响。根管治疗的平均成功率为86-95%,而根管治疗的失败率为5-14%。如果根管治疗失败,可以重新进行根管治疗。可采用的方法是杜仲胶溶剂。使用的杜仲胶溶剂是氯仿、桉油、橙油和二甲苯,但氯仿已被归类为致癌物质。杜仲胶溶剂会使结晶间距离变大,从而破坏封闭时的根尖密度。这可能会在杜仲胶和封口剂之间产生间隙,从而导致根尖渗漏。目的:比较杜仲胶溶剂桉叶精油与橙油对根管再治疗后根尖渗漏的疗效。方法:采用单纯后验的真实实验方法,采用对照组设计。一组至少有8颗牙齿。两组共24颗牙。牙齿用亚甲蓝染色,用立体显微镜测量。结果:桉树油(4.55±2.59)、二甲苯(2.77±1.94)的平均根尖渗漏最高,柑橘油(2.20±1.06)的平均根尖渗漏最低。单因素方差分析结果表明,橙油、桉油和二甲苯(阳性对照)之间无显著差异。结论:桉树精油作为胶浆溶剂,根管再治疗后的平均根尖渗漏值高于橙油和二甲苯。橙油、桉树油和二甲苯之间没有显著差异。关键词:根尖渗漏,桉叶精油,橙油
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