FARKLI HASSASİYET GİDERİCİ AJANLARIN TEK AŞAMALI BİR SELF-ETCH ADEZİV SİSTEMİN DENTİNE MAKASLAMA BAĞLANMA DAYANIMINA ETKİSİ

Yıl 2019, Cilt: 29 Sayı: 2, 213 - 219, 22.03.2019

Keziban Olcay Tan Fırat Eyüboğlu

https://doi.org/10.17567/ataunidfd.482746

Öz

Amaç: Bu çalışmanın amacı, üç farklı hassasiyet
giderici uygulamasını takiben tek aşamalı self-etch adeziv sistemin, dentine
bağlanmada makaslama dayanımı üzerine etkisinin karşılaştırılmasıdır. Gereç ve Yöntem: Bu çalışmada 40 adet
çekilmiş, sağlam, insan küçük azı dişi kullanılmıştır. Dişlerin okluzal
yüzeyleri dentin tamamen ortaya çıkacak şekilde uzaklaştırılmış ve her örnekten
2 mm kalınlığında okluzal kesitler elde edilmiştir. Tüm örnekler özel olarak hazırlanmış
akrilik bloklara gömüldükten sonra, yüzeyleri sırasıyla 320, 600, 800, 1200
gren kalınlığında silikon karbid zımparalar ile parlatılmıştır. Örnekler
rasgele 4 gruba ayrılmıştır (n=10). Kontrol grubu dışında, tüm gruplarda
hassasiyet gidericiler üretici firmaların talimatları doğrultusunda uygulanmıştır.
Grup 1: Bifluorid 12 (Voco GmbH, Cuxhaven, Almanya); Grup 2: Desen (Spident
Co., LTD. Incheon, Kore); Grup 3: Gluma (Heraeus Kulzer GmbH, Hanau, Almanya);
Grup 4: Kontrol. Kontrol grubuna herhangi bir hassasiyet giderici ajan uygulanmamıştır.
Tüm gruplara adeziv ajan olarak Clearfil S³ (Kuraray Noritake Dental
Inc. Okayama, Japonya) uygulanmış ve daha sonra 2 mm çap ve 3 mm yüksekliğinde
polietilen tüpler yardımıyla kompozit rezin dolgu (3M ESPE Filtek^TM
Z250 St. Paul, MN, ABD) yapılmıştır. Örnekler 37°C’de, %100 nemlilikte, 24 saat
bekletilmiştir. Makaslama dayanım testi universal test cihazı (Shimadzu
Autograph, AGS-J 5kN, Shimadzu Corporation, Tokyo, Japonya) kullanılarak
1mm/dak çapraz hızda gerçekleştirilmiştir. İstatistiksel analizler için Tek
Yönlü Varyans Analizi kullanılmıştır. Bulgular:
Grup 1 ve kontrol grubu en yüksel makaslama dayanım değerleri göstermesine
rağmen gruplar arasında anlamlı bir fark bulunamamıştır (p>0.05). Sonuç: Kullanılan tek aşamalı adeziv
sistem göz önünde bulundurulduğunda, bu çalışmada kullanılan hassasiyet
gidericilerin dentine olan bağlanmada makaslama dayanımı üzerinde negatif bir
etkisinin bulunmadığı sonucuna varılabilir.

Anahtar
Kelimeler: Dentin hassasiyeti
giderici ajan, makaslama dayanımı, Adeziv
Sistem, Dentin.

The Effect of Different desensitizing Agents on the Shear Bond Strength
of a one-step Self-etch
Adhesive System to dentin

Aim: The
purpose of this study was to compare the effect of a one-step self-etch adhesive
system on the shear bond strength of dentin following three different dentin
desensitizers’ applications. Materials and
Methods: Forty extracted intact human premolars were used in this study. Occlusal
surfaces of the teeth were removed so that the dentin was completely exposed
and 2 mm thick occlusal slices were obtained from each sample. After all
specimens were embedded in specially prepared acrylic blocks, surface polishing
was carried out with silicon carbide papers at 320, 600, 800, 1200 grit,
respectively. Specimens were divided randomly into 4 groups (n=10). Except the
control group, in all groups the desensitizers were applied in accordance with
the instructions of the manufacturer instructions. Group 1: Bifluorid 12 (Voco
GmbH, Cuxhaven, Germany); Group 2: Desen (Spident Co., LTD. Incheon, Korea);
Group 3: Gluma (Heraeus Kulzer GmbH, Hanau, Germany); Group 4: Control. No
desensitizer was applied to the control group. All groups were treated with
Clearfil S³ (Kuraray Noritake Dental Inc. Okayama, Japan) as an
adhesive agent and then composite resin filler (3M ESPE Filtek Z250 St. Paul,
MN, USA) with the help of 2 mm diameter and 3 mm height polyethylene tubing.
The samples were incubated at 37 C°, 100% humidity for 24 hours. The shear bond
strength test was performed at a cross speed of 1 mm/min using a universal
testing machine (Shimadzu Autograph, AGS-J 5kN, Shimadzu Corporation, Tokyo,
Japan). One way ANOVA was used for statistical analysis. Results: Although Group 1 and control group showed the highest
shear bond strength values, no significant difference was found between the
groups (p>0.05). Conclusion:
Considering the all-in-one adhesive system used in this study, it can be
concluded that, the desensitizers used in this study have no negative effect on
shear bonding strength to dentin. 

Key Words: Dentin
desensitizing agent; shear bond strength; Clearfil S³ Bond; Dentin
bonding agents.

Anahtar Kelimeler

Dentin hassasiyeti giderici ajan, makaslama dayanımı, Adeziv Sistem

Kaynakça

• 1. Davari A, Ataei E, Assarzadeh H. [Dentin hypersensitivity: etiology, diagnosis and treatment; a literature review]. J Dent (Shiraz) 2013;14(3):136-45.
• 2. Gillam DG, Bulman JS, Eijkman MA, Newman HN. [Dentists’ perceptions of dentine hypersensitivity and knowledge of its treatment]. J Oral Rehabil 2002;29(3):219-25.
• 3. Yang H, Pei D, Chen Z, Lei J, Zhou L, Huang C. [Effects of the application sequence of calcium-containing desensitising pastes during etch-and-rinse adhesive restoration]. J Dent 2014;42(9):1115-23.
• 4. Brännström M, Åström A. [A study on the mechanism of pain elicited from the dentin]. J Dent Res 1964; Jul-Aug;43:619-25.
• 5. Ling TY, Gillam DG. [The effectiveness of desensitizing agents for the treatment of cervical dentine sensitivity (CDS)—a review]. J West Soc Periodontol Periodontal Abstr 1996;44(1):5-12.
• 6. Perdigao J, Lopes M. [Dentin bonding-Questions for the new millennium]. J Adhes Dent 1999;1(3):191-209.
• 7. Rosenthal MW. [Historic review of the management of tooth hypersensitivity]. Dent Clin North Am 1990;34(3):403-27.
• 8. Renton-Harper P, Midda M. [Nd:YAG laser treatment of dentinal hypersensitivity]. Br Dent J 1992;172(1):13-6.
• 9. Pashley EL, Tao L, Pashley DH. [Effects of oxalate on dentin bonding]. Am J Dent 1993;6(3):116-8.
• 10. Perdigao J, Van Meerbeek B, Lopes MM,Ambrose WW. [The effect of a re-wetting agent on dentin bonding]. Dent Mater 1999;15(4):282-95.
• 11. Xu J, Stangel I, Butler IS, & Gilson DF. [An FT-Raman spectroscopic investigation of dentin and collagen surfaces modified by 2-hydroxyethylmethacrylate]. J Dent Res 1997;76(1):596-601.
• 12. Van Meerbeek B, Yoshida Y, Lambrechts P, Vanherle G, Duke ES, Eick JD, et al. [A TEM study of two water-based adhesive systems bonded to dry and wet dentin]. J Dent Res 1998;77(1):50-9.
• 13. Sarac D, Kulunk S, Sarac YS, & Karakas O. [Effect of fluoride-containing desensitizing agents on the bond strength of resin-based cements to dentin]. J Appl Oral Sci 2009;17(5):495-500.
• 14. Itota T, Torii Y, Nakabo S, & Yoshiyama M. [Effect of fluoride application on tensile bond strength of selfetching adhesive systems to demineralized dentin]. J Prosthet Dent 2002;88(5):503-10.
• 15. Soeno K, Taira Y, Matsumura H, & Atsuta M. [Effect of desensitizers on bond strength of adhesive luting agents to dentin]. J Oral Rehabil 2001;28(12):1122-8.
• 16. Qin C, Xu J, & Zhang Y. [Spectroscopic investigation of the function of aqueous 2-hydroxyethylmethacrylate/ glutaraldehyde solution as a dentin desensitizer]. Eur J Oral Sci 2006;114(4):354-9.
• 17. Reinhardt JW, Stephens NH, Fortin D. [Effect of Gluma desensitization on dentin bond strength]. Am J Dent 1995;8(4):170-2.
• 18. Sabatini C, Wu Z. [Effect of Desensitizing Agents on the Bond Strength of Mild and Strong Self-etching Adhesives]. Oper Dent 2015;40(5):548-57.
• 19. Eyüboglu GB, Yeşilyurt C. [Dentin hassasiyet giderici ajanların tek aşamalı bir self-etch adezivin makaslama bağlanma dayanımına etkisi]. Cumhuriyet Dental Journal 2014;17(4):334-49.
• 20. Kobler A, Schaller HG, Gernhardt CR. [Effects of the desensitizing agents Gluma and Hyposen on the tensile bond strength of dentin adhesives]. Am J Dent 2008;21:388-92.
• 21. Tay FR, Pashley DH, Suh BI, Carvalho RM, Itthagarun A. [Single-step adhesives are permeable membranes]. J Dent 2002;30(7-8):371-82.
• 22. Van Meerbeek B, Yoshihara K, Yoshida Y, Mine A, De Munck J, Van Landuyt KL. [State of the art of self-etch adhesives]. Dent Mater 2011;27(1):17-28.
• 23. Perdigao J, Geraldeli S, Hodges JS. [Total-etch versus self-etch adhesive: effect on postoperative sensitivity]. J Am Dent Assoc 2003;134(12):1621-9.
• 24. Unemori M, Matsuya Y, Akashi A, Goto Y, Akamine A. [Self-etching adhesives and postoperative sensitivity]. Am J Dent 2004;17(3):191-5.
• 25. Peumans M, Munck J, Van Landuyt K, Lambrechts P, Van Meerbeek B. [Three-year clinical effectiveness of a two-step self-etch adhesive in cervical lesions]. Eur J Oral Sci 2005;113(6):512-8.
• 26. Munksgaard EC. [Amine-induced polymerization of aqueous HEMA/aldehyde during action as a dentin bonding agent]. J Dent Res 1990;69(6):1236-9..
• 27. Lin BA, Jaffer F, Duff MD, Tang YW, & Santerre JP. [Identifying enzyme activities within human saliva which are relevant to dental resin composite biodegradation]. Biomaterials. 2005;26(20):4259-64.
• 28. Finer Y, Santerre JP. [Salivary esterase activity and its association with the biodegradation of dental composites]. J Dent Res 2004;83(1):22-6.
• 29. Ingman T, Tervahartiala T, Ding Y, Tschesche H, Haerian A, Kinane DF, et al. [Matrix metalloproteinases and their inhibitors in gingival crevicular fluid and saliva of periodontitis patients]. J Clin Periodontol 1996;23(12):1127-32.
• 30. Hernandez CC, Donadi EA, Reis ML. [Kallikreins and kininogens in saliva and plasma of patients presenting with rheumatoid arthritis]. Scand J Rheumatol 2002;31(1):38-40.
• 31. Avila MY, Navia JL. [Effect of genipin collagen crosslinking on porcine corneas]. J Cataract Refract Surg 2010;36(4):659-64.
• 32. Ma DH, Lai JY, Cheng HY, Tsai CC, Yeh LK. [Carbodiimide cross-linked amniotic membranes for cultivation of limbal epithelial cells]. Biomaterials 2010;31(25):6647-58.
• 33. Barutcugil Ç, Kürklü D, Barutcugil K, Arslan H. [Farklı yüzey işlemleri uygulanmış dentine universal bağlayıcı ajanın bağlanma dayanımının incelenmesi]. Atatürk Üniv Dis Hek Fak Derg 2013;23(3):324-30.