GELİŞİMSEL MİNE DEFEKTLERİNİN TEDAVİSİNDE KULLANILAN ÇEŞİTLİ MATERYALLERİN RENK MASKELEME ETKİNLİĞİNİN GÖRSEL ve CİHAZ YÖNTEMİ ile DEĞERLENDİRİLMESİ

Yıl 2019, Cilt: 29 Sayı: 2, 220 - 228, 22.03.2019

Mihriban Dudu Gizem Gençer Zuhal Kırzıoğlu

https://doi.org/10.17567/ataunidfd.443499

Öz

Amaç: Çalışmamızda,
gelişimsel mine defekti bulunan kesici dişlere sahip bireylerin estetik
kaygıları değerlendirilmiştir. Ayrıca, rezin infiltrant tedavisi ve
mikroabrazyon ile birlikte uygulanan trikalsiyum fosfat ve kazeinfosfopeptid
amorf kalsiyum fosfat remineralizasyon ajanlarının renk maskeleme etkinliğinin
görsel ve cihaz yöntemi ile değerlendirilmesi amaçlanmıştır.

Gereç ve Yöntem:
Çalışmaya,
8-17 yaş arası çalışma için belirlenen kriterlere uygun 1. grup Florozis Diş
Yüzey İndeksi 1-4 skor aralığındaki 128 florozis ve 2. grup Modifiye Gelişimsel
Mine Defekti İndeksi 1-5 skor aralığındaki 161 hipomineralizasyon görülen
kesici dişe sahip hastalar dahil edilmiştir. Hastaların dişleri ile ilgili
estetik kaygılarını değerlendirmek için Modifiye Çocuk Ağız ve Diş Sağlığı Etki
Profili anketi uygulanmıştır. Tedavi uygulamasını kabul eden her 2 gruptaki
hastalara, Icon®, Opalustre®+Clinpro White Varnish® ve Opalustre®+Tooth Mousse®
tedavileri 3 alt grup halinde uygulanmıştır. Çalışmaya katılan dişlerin renk
değerlendirmeleri için görsel analog skalası ve spektrofotometre(ΔE değeri)
kullanılmıştır. Sonuçlar istatistiksel olarak değerlendirilmiştir.

Bulgular: Estetik kaygı
ile ilgili yapılan değerlendirmede, 1. grupta (florozis) remineralizasyon
ajanları arasında estetik kaygı ile ilişkinin olmadığı belirlenmiştir (p>0,05).
2. grupta (hipomineralizasyon) ise tüm remineralizasyon ajanlarında uygulamalarının
sonucunda klinik olarak fark edilebilir değişiklik elde edildiği tespit
edilmiştir (p<0,05). Her 2 grupta da görsel analog skor değerleri en yüksek Icon®’da
elde edilmiştir.

ΔE
değerleri ise Grup 1’de (florozis) en yüksek Icon®’da, Grup 2’de
(hipomineralizasyon) ise en yüksek Icon®’da ve en düşük Opalustre®+Tooth
Mousse®' da bulunmuştur.

Sonuç: Hipomineralizasyon
grubunda estetik kaygı ön plana çıkmıştır. Gelişimsel mine defekti görülen
dişlerde rezin infiltrant ve mikroabrazyon uygulamalarının sonucunda, hem
görsel analog skalası hem de spektrofotometre kullanılarak klinik olarak fark
edilebilir değişiklik olduğu belirlenmiştir. Çalışmalarda görsel ve cihaz ile
değerlendirmelerin sağlıklı yapılabilmesi için standardizasyonun sağlanması
gerekmektedir.

 Anahtar
Kelimeler: Renk
maskeleme, spektrofotometre, görsel analog skalası, estetik kaygı

 

EVALUATION OF
COLOR MASKING EFFECTIVENESS BY VISUAL AND INSTRUMENTAL METHODS OF VARIOUS
MATERIALS USED IN THE TREATMENT OF DEVELOPMENTAL ENAMEL DEFECTS

Abstract

Aim: In our study,
the aesthetic concerns of the individuals with incisors with developmental
enamel defects were evaluated. Also, it was aimed to evaluate the color masking
effect of resin infiltrant treatment and 2 different remineralization agents
tricalcium phosphate and caseinphosphopeptide amorphous calcium phosphate
applied with microabrasion by visual and instrumental methods.

Material and
method:
Incisors tooth detected for the research of 8-17 ages are included in the
study. The study is carried out by 2 groups based on the teeth 128 fluorosis
observed between the scores of 1-4 within Tooth Surface Index of Fluorosis and
161 hypomineralization observed between the scores of 1-5 within Modified Developmental
Defects of Dental Enamel Index. Modified Children's Oral and Dental Health
Impact Profiles Questionnaire was applied to evaluate the aesthetic concerns of
patients about their teeth. Patients in each of the two groups who accepted the
treatment, Icon®, Opalustre®+Clinpro White Varnish® and Opalustre®+Tooth
Mousse® treatments were applied in 3 subgroups.Visual analogue scale and
spectrophotometer (ΔE value) were used for the color evaluations of the teeth
participating in the study. The results were evaluated statistically.

Results: In evaluating
the aesthetic concerns, it was determined that there was no relationship
between fluorosis groups and aesthetic concerns.

It
has been found that clinically noticeable changes are obtained as a result of
all treatment applications in incisor teeth with developmental enamel defect.
In both groups, visual analogue scores were obtained in the highest group A.

ΔE
values were found in the highest group Icon® in the fluorosis group, in the
highest group Icon® and the lowest group Opalustre®+Tooth Mousse®  in the hypomineralization group.

Conclusions: Aesthetic
corcens has come to the forefront in the hypomineralization group. It has been
determined that the teeth with developmental enamel defects are clinically noticeable
changes, both by visual analogue scale and spectrophotometer, as a result of
resin infiltrant and microabrasion applications. Standardization must be
ensured so that visual and instrumental evaluations can be carried out in a
healthy way during the studies.

Keywords: Color masking,
spectrophotometer, visual analog scale, aesthetic concern

 

Anahtar Kelimeler

Renk maskeleme, spektrofotometre, görsel analog skalası

Kaynakça

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