Monolitik CAD/CAM Bloklara Uygulanan Farklı Yüzey Uygulamaları ve Simanlarla Bağlantı Kuvvetine Güncel Bak

Öz

ÖZ Doğal dişi her yönüyle taklit eden materyal arayışları günümüzde monolitik olarak kullanılabilen farklı üreticilere ait cam, reçine infiltre, zirkonya seramikler ile zirkonyayla güçlendirilmiş lityum disilikat seramiklerin ortaya çıkışına yol açmıştır. Bu materyaller kullanılarak yapılan restorasyonların başarısı ise, en başta uygulanan restorasyonun yerinde kalması, diğer bir deyişle bağlantı dayanımı, tarafından belirlenmektedir. Tümü güncel olan ve rutin klinik kullanıma sahip bu materyallerin bağlantı dayanımını artırmak için pek çok yöntem denenmeye devam etmektedir. Bağlantı dayanımını artıran yöntemler arasında mekanik işlemler olarak; kumlama, döner alet ile pürüzlendirme ve lazer uygulama, kimyasal işlemler olarak; hidroflorik asit (HF) ile pürüzlendirme, tribokimyasal silika ile kaplama ve silan bağlayıcı ajan kullanımı üzerinde araştırmalar mevcuttur. Çalışmalara göre mekanik ve kimyasal işlemler sonucunda elde edilen yüzey özelliklerine göre başarıyı etkileyen bağlantı dayanımı da önemli derecede değişmektedir. Bu derlemede farklı yüzey işlemleri sonrası CAD/CAM monolitik seramiklerin reçine siman ile bağlantı dayanımı ve çalışma yöntemleri üzerinde daha önce yapılmış çalışmalar ışığında güncel bir bilgi sunulması amaçlanmıştır. Anahtar Sözcükler: Monolitik restorasyon, Bağlantı dayanımı, Termal döngü

Anahtar Kelimeler

• Monolitik restorasyon
• Bağlantı dayanımı
• Termal döngü

Current Insight into Different Surface Treatments of Monolithic CAD/CAM Blocks and Bond Strength with Cements

Abstract

ABSTRACT Researches to develop the materials mimicking all the features of natural tooth structure have resulted the evolution of monolithic glass, resin infiltrated, zirconia and zirconia reinforced lithium disilicate ceramics. The success of the restorations made of these materials are greatly depends on the staying in place of the restorations, in other words the bond strength. There are many studies to improve the bond strength of these recent and routine clinical materials in the dental literature. According to the studies one of the factor determining the success of restoration, bond strength, is affected from the surfaces created by chemical and mechanical treatments. The surface treatment studies using the mechanical processes such as sandblasting, grinding and laser application and chemical processes such as hydrofluoric acid (HF) application, tribochemical silica coating and the use of silane coupling agent were performed in the past. The aim of the present review was giving a current knowledge to the authors about the bond strength and research methods of resin and CAD/CAM monolithic ceramics in the lights of the previous studies. Key Words: Monolithic restoration, Bond strenght, Termocycling

Keywords

• Monolithic restoration
• Bond strenght
• Termocycling

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