Perbedaan kebersihan sepertiga apikal saluran akar yang diirigasi sodium hipoklorit 2,5% dengan teknik non agitasi dan agitasi manual dinamik  Differences of one-third radicular apical cleanliness irrigated with non-agitation and manual dynamic agitation technique using 2,5% sodium hypochlorite

Irene Mariani Nurisawati; Anna Muryani; Denny Nurdin

doi:10.24198/jkg.v29i3.15948

Perbedaan kebersihan sepertiga apikal saluran akar yang diirigasi sodium hipoklorit 2,5% dengan teknik non agitasi dan agitasi manual dinamik
Differences of one-third radicular apical cleanliness irrigated with non-agitation and manual dynamic agitation technique using 2,5% sodium hypochlorite

Irene Mariani Nurisawati, Anna Muryani, Denny Nurdin

Abstract

Pendahuluan: Teknik agitasi manual dinamik adalah sebuah metode agitasi menggunakan gutta percha yang dapat membantu irigan untuk mengalir lebih jauh ke bagian apikal saluran akar sehingga pembersihan saluran akar lebih baik. Tujuan penelitian ini adalah untuk mengetahui perbedaan kebersihan sepertiga apikal saluran akar yang diirigasi sodium hipoklorit 2,5% antara teknik non agitasi dan teknik agitasi manual dinamik. Metode: Jenis penelitian yang dilakukan uji eksperimental semu. Sampel terdiri 30 gigi insisif sentral rahang atas terbagi 2 kelompok yaitu kelompok non agitasi (A) dan agitasi manual dinamik (B). Pada kelompok (B), gutta percha digerakkan dengan gerakan dorong dan tarik sedalam panjang kerja sebanyak 200 kali dengan total irigasi. Semua sampel diirigasi menggunakan sodium hipoklorit 2,5% sebanyak 18 ml. Sampel difoto menggunakan mikroskop stereo dengan pembesaran 16 kali. Foto sampel dinilai dengan teknik skor Wu & Wesselink lalu diuji menggunakan uji t dua sampel bebas. Hasil: Rata-rata nilai debris kelompok non agitasi adalah 0,121 dan agitasi manual dinamik 0,055, nilai signifikansi 0,002 (α=0,05). Simpulan: Terdapat perbedaan signifikan antara irigasi dengan menggunakan teknik non agitasi dan agitasi manual dinamik.

Kata kunci: Agitasi manual dinamik, teknik non-agitasi, sodium hipoklorit 2,5%.

ABSTRACT

Introduction: Dynamic manual agitation technique is an agitation method using the gutta-percha that able to help irrigants to flow further into the apical part of the radicular canal thus makes the root canal cleansing better. The purpose of this study was to determine the difference of radicular one-third apical hygiene irrigated with non-agitation and manual dynamic agitation technique using 2,5% sodium hypochlorite. Methods: The research type was quasi-experimental. The sample consisted of 30 maxillary central incisors divided into two groups, namely the non-agitation group (A) and dynamic manual agitation (B). In group (B), gutta-percha was delivered with a total of 200 push-pull strokes. All samples were irrigated using 18 ml of 18% sodium hypochlorite. Samples were photographed using a stereo microscope with a magnification of 16 times. Photographs of samples were assessed with Wu & Wesselink score techniques then tested using the two free samples t-test. Result: The average debris value of the non-agitation group was 0.121, and dynamic manual agitation was 0.055, with the significance value of 0.002 (α = 0.05). Conclusion: There was a significant difference between non-agitation and manual dynamic agitation irrigation technique.

Keywords: Manual dynamic agitation technique, non-agitation technique, 2.5% sodium hypochlorite.

Keywords

Agitasi manual dinamik, teknik non-agitasi, sodium hipoklorit 2,5%, Manual dynamic agitation technique, non-agitation technique, 2.5% sodium hypochlorite.

Full Text:

PDF

References

Pasricha SK, Makkar S, Gupta P. Pressure alteration techniques in endodontics – a review literature. J Clin Diagn Res 2015;9(3):1-6.

Vijaykumar Singamaneni, GunaShekhar Madiraju, Himagiri Sura. In vitro effectiveness of different endodontic irrigants on the reduction of Enterococcus faecalis in root canals. J Clin Exp Dent 2010;2(4):169-72.

Siqueira Jr. José F, Rôças Isabela N, Lopes Hélio P. Treatment of Endodontic Infections. Quintessence: Berlin. 2011. h. 237.

Zahed M, Ali M, Luciano G, Shahriar S. Residual antibacterial activity of a new modified sodium hypochlorite-based endodontic irrigation solution. Med Oral Patol Oral Cir Bucal 2011;16(4):588-92.

Zehnder M. Root canal irrigants, JOE 2006; 32(5):389-98.

Zehnder M, Kosicki D, Luder H, Sener B, Waltimo T. Tissue-dissolving capacity antibacterial effect of buffered and unbuffered hypochlorite solutions. Oral Surgery Oral Medicine Oral Pathology 2002;94(6):756-62.

Gu LS, Kim JR, Ling J, Choi KK, Pashley DH, Tay FR. Review of contemporary irrigant agitation techniques and devices. J Endod. 2009 Jun;35(6):791-804. doi: 10.1016/j.joen.2009.03.010.

Ruddle CJ. Finishing the apical one-third: endodontic considerations. 2002. [Diakses 20 Mei 2016]. Tersedia pada:http://www.endoruddle.com/tc2pdfs/44/ApicalOneThird_May2002.pdf.

Khaord P, Amin A, Shah MB, Uthappa R, Raj N, Kachalia T dkk. Effectiveness of different irrigation techniques on smear layer removal in apical third of mesial root canal of mandibular first molar: A scanning electron microscopic study. J Conser Dentis 2015;18:321-5.

Huang TY, Gulabivala K, Ng YL. A biomolecular film ex-vivo model to evaluate the influence of canal dimensions and irrigation variables in the efficacy of irrigation. Int Endod J. 2008 Jan;41(1):60-71. Epub 2007 Oct 3.

McGill S, Gulabivala K, Mordan N, Ng YL. The efficacy of dynamic irrigation using a commercially available system (RinsEndo) determined by removal of a collagen ‘bio-molecular film’ from an ex vivo model. Int Endod J 2008;41:602–8.

Wu MK, Wesselink PR. Efficacy of three techniques in cleaning the apical portion of curved root canals. Oral Surgery Oral Medicine Oral Pathology 1995;79(4):492-6.

Cohen S, Hargreaves K. Pathways of the Pulp 9th ed. Mosby: St. Louis. 2006. h. 331.

Andrabi SM, Kumar A, Mishra SK, Tewari RK, Alam S, Siddiqui S. Effect of manual dynamic activation on smear layer removal efficacy of ethylenediaminetetraacetic acid and SmearClear: An in vitro scanning electron microscopic study. Austr Endod J 2013;39:131-6.

DOI: https://doi.org/10.24198/jkg.v29i3.15948