Periodontal Tedavide Kullanılan Diode ve Er,Cr: YSGG Lazerin Çeşitli Protetik Dental Materyallerin Yüzey Pürüzlülüğü Üzerine Etkisi

Öz

Amaç: Bu çalışmanın amacı periodontal cerrahide kullanılan er,Cr:YsGG ve diode lazerin çeşitli restoratif materyaller üzerine etkilerini incelemekti.Gereç ve Yöntemler: araştırma kapsamında üç farklı restoratif materyal kullanıldı. Bunlar rezin blok, zirkon blok, ve porselen. her materyalden 30 adet 8 mm çapında, 2 mm kalınlığında silindirik örnekler hazırlandı. Örnekler 10 diskten oluşan üç gruba ayrıldı. 1. Gruptaki örneklere; herhangi bir yüzey işlemi yapılmadı kontrol grubu . 2. Gruptaki örneklere; er,Cr:YsGG lazer Waterlase iplus, Biolase, ırvine, Ca 20 sn 30hz frekans ile 1.5 W güç kullanarak uygulandı. 3. Gruptaki örneklere; 810 nm dalga boyuna sahip diode lazer epici Biolase, ırvine, Ca 20 sn 1 W güç kullanılarak uygulandı. lazer uygulandıktan sonra, örnekler yüzey pürüzlülüğü profilometre kullanılarak ölçüldü. elde edilen veriler tek yönlü anoVa ve Tukey’in post hoc testi kullanılarak analiz edilmiştir. Yüzey deformasyonu incelemek için sem analizi uygulandı.Bulgular: rezin blok lazer uygulamasında en çok etkilenen materyal oldu. Kontrol grubu ile lazer uygulanmış gruplar arasında belirgin fark vardı. er,Cr:YsGG lazer diode lazere göre daha etkili oldu. porselen gruplarında lazer uygulaması yüzey pürüzlülüğünü arttırmış olmasına rağmen lazer uygulanmış gruplar arasında belirgin bir fark yoktu. lazer uygulanmış zirkon gruplar arasında fark olmasına rağmen her iki lazer grubunun kontrol grubu ile anlamlı bir fark bulunamadı.Sonuç: er,Cr:YsGG lazerin restoratif materyaller üzerine etkili olduğu görüldü

Anahtar Kelimeler

• protetik dental materyaller, Yüzey pürüzlülüğü, lazer

effects of Diode and er,Cr: YsGG laser used in periodontal Treatment on the surface roughness of Various prosthetic Dental materials

Abstract

Objective: The aim of this study was to evaluate the effects of the Er,Cr:YSGG laser and diode laser, used in periodontal surgery, on the surface roughness of various restorative materials. Material and Methods: Three different restorative materials were used in this study. Resin Block, Zirconium Block and Veneering Ceramic. Thirty cylindrical samples 8 mm diameter, 2 mm height were prepared for each restorative material. The samples were assigned to 3 experimental groups n=10 . Group 1: no surface treatment control group ; Group 2: Er, Cr: YSGG laser Waterlase iPlus, Biolase, Irvine, CA application at settings of 1.5 W with 35 Hz laser irradiation for 20 sn; and Group 3: 810 nm diode laser Epici Biolase, Irvine, CA application at a setting of 1 W with continuous phase laser irradiation for 20 s. After laser irradiation, roughness of the sample surfaces was measured using a profilometer. Data were analyzed using 1-way ANOVA and Tukey’s Post Hoc test. Scanning electron microscopy SEM analyses were performed to evaluate the surface deformations of the restorative materials.Results: Resin block was the most affected material following the application of the laser. There was a significant difference the between control group and laser irradiation group. Er,Cr:YSGG laser was more effective than diode laser. Although laser treatment increased the surface roughness of porcelain, there was no significant difference between the laser-treated groups. Laser-treated zirconium groups were significantly different compared to each other but there was no significant difference between the control group and the laser groups. Conclusion: Er,Cr:YSGG laser was found to be effective on restorative materials.

Keywords

• prosthetic dental materials, surface roughness, laser

References

1. Coluzzi DJ. an overview of laser wavelengths used in dentistry. Dent Clin north am 2000; 44: 753-65.
2. aoki a, sasaki Km, Watanabe h, ıshikawa ı. lasers in nonsurgical periodontal therapy. periodontol 2000 2004; 36(1):59-97.
3. Güler Ç, uysal D. Diş hekimliğinde lazer: Bir literatür Derlemesi (laser ın Dentistry: a literature review). atatürk Üniv. Diş hek. Fak. Derg. J Dent Fac atatürk uni 2012; 44-53.
4. Kuru B, Y_lmaz s. lazer ve periodontoloji. Türk Dişhekimleri Birliği Dergisi 2005; 89: 68-79.
5. Yenen z, Görücü J. Dental kliniklerde lazer kullanımı sırasında karşılaşılabilecek risk faktörleri. Türk Dişhekimliği Dergisi 2005; 62: 240-2.
6. romanos G, nentwig Gh. Diode laser (980 nm) in oral and maxillofacial surgical procedures: Clinical observations based on clinical applications. J Clin laser med surg 1999; 17:193-7.
7. Kato T, Kusakari h, hoshino e. Bactericidal efficacy of carbon dioxide laser against bacteria-contaminated titanium implant and subsequent cellular adhesion to irradiated area. lasers surg med 1998;23:299-309.
8. Yiğit ŞB, Gürsel m. periodontolojide lazer. sÜ Dişhek Fak Derg 2007;16(1):67-73.

9. Goultschin J, Gazit D, Bichacho n, Bab ı. Changes in teeth and gingiva of dogs following laser surgery: a block surface light microscope study. lasers surg med 1988;8:402-8.
10. pick rm, pecaro BC, silberman CJ. The laser gingivectomy. The use of the Co2 laser for the removal of phenytoin hyperplasia. J periodontol 1985;56:492-6.
11. Kuramitsu hK, he X, lux r, anderson mh, shi W. ınterspecies interactions within oral microbial communities. microbiol mol Biol rev 2007; 71:653-70.
12. Barone a, Covani u, Crespi r, romanos Ge. root surface morphological changes after focused versus defocused Co2 laser irradiation: a scanning electron microscopy analysis. J periodontol 2002; 73:370-73.
13. moritz a, u schoop, K Goharkhay, p schauer, o Doertbudak, J Wernisch, W sperr. Treatment of periodontal pockets with a diode laser. lasers surg med. 1998; 22(5): 302-11.
14. Caruso u, nastri l, piccolomini r, d’ercole s, mazza C, Guida l. use of diode laser 980 nm as adjunctive therapy in the treatment of chronic periodontitis. a randomized controlled clinical trial. new microbiol. 2008; 31(4): 513- 8.
15. moritz a, Gutknecht n, Doertbudak o, Goharkhay K, schoop u, schauer p, sperr W. Bacterial reduction in periodontal pockets through irradiation with a diode laser: a pilot study. J Clin laser med surg. 1997; 15(1): 33-7.
16. eversole lr, rizoiu ı, Kimmel aı. pulpal response to cavity preparation by an erbium, chromium: YsGG laser-powered hydrokinetic system. J am Dent assoc 1997;128:1099-106.
17. hadley J, Young Da, eversole lr, Gornbein Ja. a laser-powered hydrokinetic system for caries removal and cavity preparation. J am Dent assoc 2000;131:777-85.
18. Jetter C. soft-tissue management using an er, Cr: YsGG laser during restorative procedures. Compend Contin educ Dent 2008;29:46-9.
19. Theodoro lh, haypek p, Bachmann l, Garcia VG, sampaio Je, zezell Dm, eduardo Cde p. effect of er:YaG and diode laser irradiation on the root surface: morphological and thermal analysis. J periodontol 2003; 74:838-43.
20. Dyer B, sung eC. minimally invasive periodontal treatment using the er,Cr: YsGG laser. a 2-year retrospective preliminary clinical study. open Dent J 2012; 6:74-8.
21. hakki ss, Korkusuz p, Berk G, Dundar n, saglam m, Bozkurt B, purali n. Comparison of er,Cr:YsGG laser and hand instrumentation on the attachment of periodontal ligament fibroblasts to periodontally diseased root surfaces: an in vitro study. J periodontol 2010; 81:1216-25.
22. mazouri z, Walsh lJ. Damage to dental composite restorations following exposure to Co2 laser radiation. J Clin laser med surg 1995; 13:73-6.
23. mirzaei m, Yasini e, Tavakoli a, Chiniforush n. effect of Different power of er,Cr:YsGG laser Treatment on surface morphology of microhybride Composite resin: scanning electron microscope (sem) evaluation. J lasers med sci 2015;6(2):62-6.
24. Kursoglu p, motro pF, Yurdaguven h. shear bond strength of resin cement to an acid etched and a laser irradiated ceramic surface J adv prosthodont. 2013 may; 5(2): 98-103.
25. akpinar Yz, ırgin C, Yavuz T, aslan ma, Kilic hs, usumez a effect of femtosecond laser treatment on the shear bond strength of a metal bracket to prepared porcelain surface. photomed laser surg. 2015 apr; 33(4):206-12.
26. ersu B, Yuzugullu B, ruya Yazici a, Canay s. surface roughness and bond strengths of glass-infiltrated alumina- ceramics prepared using various surface treatments. J Dent 2009; 37:848-56.
27. Cavalcanti an, pilecki p, Foxton rm, Watson TF, oliveira mT, Gianinni m, evaluation of the surface roughness and morphologic features of Y-Tzp ceramics after different surface treatments. photomed laser surg 2009;27:473-9.
28. Kirmali o, Kapdan a, Kustarci a, er K. Veneer Ceramic to Y-Tzp Bonding: Comparison of Different surface Treatments. J prosthodont. (Basılmak üzere kabul edildi.)