Pediatrik besin takviye şuruplarının cam iyonomer restorasyonların renk stabilitesine etkisi

Year 2024, , 365 - 371, 23.09.2024

Mustafa Duzyol , Esra Düzyol , Burak Çarıkçıoğlu

https://doi.org/10.21673/anadoluklin.1517503

Abstract

Amaç: Bu çalışmanın amacı, pediatrik diş hekimliğinde kullanılan cam iyonomer bazlı restoratif materyallerin (GIC’ler) renk değişiklikleri üzerindeki farklı pediatrik besleyici şurup formülasyonlarının etkilerini değerlendirmekti.

Yöntemler: Üç tür GIC—kompomer (Dyract XP, Dentsply), konvansiyonel cam iyonomer (Equia Forte, GC) ve cam karbomer (Glass Fill, GCP Dental)—test edildi. 120 disk şeklinde örnek (5 mm çapında, 2 mm derinliğinde) hazırlandı. Her tür dört gruba ayrıldı (n=30). Örnekler 24 saat boyunca distile suda bekletildikten sonra üç farklı pediatrik ilaç (demir-Fe+3 [Ferifer, Berko], demir-Fe+2 [Ferro Sanol B, Adeka] ve multivitamin [Polivit, Abdi İbrahim]) ve distile suya daldırıldı. Renk ölçümleri, daldırma öncesi ve sonrası bir spektrofotometre (VITA Easyshade V, VITA Zahnfabrik) kullanılarak alındı. Renk değişiklikleri (ΔE00) CIEDE2000 formülü kullanılarak 30 ve 90 günün sonunda hesaplandı. Veriler two-way ANOVA ve post-hoc Tukey testi ile analiz edildi (p < 0.05).

Bulgular: 30 gün sonra, en yüksek ΔE00 multivitamin içine daldırılan cam karbomer grubunda (7.13 ± 0.77) gözlenirken, en düşük kompomer grubunda distile suya daldırıldığında (0.26 ± 0.13) gözlendi. ΔE00 değerleri cam karbomer gruplarında konvansiyonel cam iyonomer ve kompomer gruplarına göre anlamlı derecede yüksekti (p < 0.05). 90 gün sonunda, konvansiyonel cam iyonomer ve kompomer grupları arasında anlamlı bir fark bulunamadı (p > 0.05). 90 gün sonunda en yüksek ΔE00 multivitamin içine daldırılan cam karbomer grubunda (9.15 ± 0.93), en düşük ise distile suya daldırılan kompomer grubunda (0.38 ± 0.11) bulundu.

Sonuç: Malnütrisyon tedavisinde sıkça kullanılan pediatrik şuruplar, cam karbomerlerde daha fazla renk değişikliğine neden oldu. Sonuçlar, reçine içeriği arttıkça renklenmenin azaldığını gösterdi.

Keywords

Cam iyonomer, demir, renk, renklenme, renk değişimi

Impact of pediatric nutritional syrups on the color stability of glass ionomer restorations

Abstract

Aim: The purpose of this study was to evaluate the effects of different pediatric nutritional syrups’ formulations on the color changes of glass ionomer-based restorative materials (GICs) used in pediatric dentistry.

Methods: Three types of GICs—compomer (Dyract XP, Dentsply), conventional glass ionomer (Equia Forte, GC), and glass carbomer (Glass Fill, GCP Dental)—were tested. 120 disc-shaped specimens (5 mm diameter, 2 mm deep) were prepared. Each type was divided into four groups (n=30). Specimens were stored in distilled water for 24 hours, then immersed in three different pediatric pediatric nutritional syrups (iron-Fe+3 [Ferifer, Berko], iron-Fe+2 [Ferro Sanol B, Adeka], and multivitamin [Polivit, Abdi İbrahim]) and distilled water. Color measurements were taken before and after immersion using a spectrophotometer (VITA Easyshade V, VITA Zahnfabrik). Color changes (ΔE00) were calculated at 30 and 90 days using the CIEDE2000 formula. Data were analyzed using two-way ANOVA and post-hoc Tukey’s test (p < 0.05).

Results: After 30 days, the highest ΔE00 was observed in the glass carbomer group immersed in multivitamins (7.13 ± 0.77), while the lowest was in the compomer group immersed in distilled water (0.26 ± 0.13). ΔE00 values were significantly higher in the glass carbomer groups compared to the conventional glass ionomer and compomer groups (p < 0.05). At 90 days, no significant differences were found between the conventional glass ionomer and compomer groups (p > 0.05). The highest ΔE00 at 90 days was in the glass carbomer group immersed in multivitamins (9.15 ± 0.93), and the lowest was in the compomer group immersed in distilled water (0.38 ± 0.11).

Conclusion: Pediatric syrups, frequently used to treat malnutrition, caused more color changes in glass carbomers. Results indicated that as the resin content increased, the amount of coloration decreased.

Keywords

Color, discoloration, glass ionomer, iron, staining

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