FARKLI POLİSAJ SİSTEMLERİNİN POSTERİOR BÖLGEDE KULLANILAN KOMPOZİT REZİNLERİN YÜZEY PÜRÜZLÜLÜĞÜ ÜZERİNE ETKİSİ

Year 2021, , 373 - 378, 14.07.2021

Meltem Nermin Dursun Cansu Atalay

https://doi.org/10.17567/ataunidfd.915173

Cited By: 1

Abstract

Amaç: Bu in vitro çalışmanın amacı; çok aşamalı polisaj sistemlerinin posterior bölgede kullanılan üç farklı kompozit rezinin yüzey pürüzlülüğü üzerine etkisinin değerlendirilmesidir.
Gereç ve Yöntemler: Çalışmada test edilen kompozit rezin grupları; Grup I: nanohibrit-inkremental kompozit (Filtek Ultimate, 3M ESPE); Grup II: nanohibrit-bulk fill kompozit (Tetric EvoCeram Bulk Fill, Ivoclar/Vivadent); Grup III: kondanse edilebilir kompozit (Solitaire 2, Heraeus Kulzer) şeklinde oluşturuldu. Bir teflon kalıpta, şeffaf bant kullanılarak, her materyalden yirmi dört adet örnek hazırlandı. (10mm çap ve 2mm yükseklik). Örnekler, test öncesinde 36°C’ de 24 saat distile suda bekletildi. Ra değeri, Yüzey Pürüzlülük Cihazı (Mahr Perthometer S4P) ile her örnekten üç farklı noktada ölçüm yapılarak elde edildi. Örnekler bitirme işlemleri sonrasında, polisaj prosedürlerine göre rastgele 2 alt gruba ayrıldı (n=12); (a) OptiDisc (Kerr) /Hiluster Plus polisaj sistemi (Kerr), (b) SwissFlex (Coltène/Whaledent) /Hiluster plus polisaj sistemi (Kerr). Örnek yüzeyleri taramalı elektron mikroskobu ile analiz edildi. Bitirme ve polisaj sonrası örneklerin yüzey pürüzlülükleri ölçüldü. Veriler Kruskal-Wallis ve Mann-Whitney U testleriyle analiz edildi ( 0.05).
Bulgular: Tüm çalışma gruplarında en düzgün yüzeyler şeffaf bant ile elde edildi (p=0.000).
Bitirme ve polisaj sonrasında, gruplar arasında anlamlı farklılık saptandı (p=0.005). Tüm gruplar arasında en yüksek pürüzlülük değeri Grup III’te görüldü. Polisaj sistemleri arasında, yalnızca Grup I’in pürüzlülük değerlerinde istatistiksel olarak anlamlı bir farklılık görüldü (p=0.000). OptiDisc polisaj sistemi uygulanan örneklerin Ra değeri, SwissFlex’e göre daha yüksek bulundu.
Sonuç: Posterior bölgede kullanılan nanohibrit kompozit materyallerin, kondanse edilebilir kompozitlere göre daha iyi polisajlandığı sonucuna varılmıştır. Ayrıca, tek bir polisaj sisteminin tüm kompozit rezinler için aynı yüzey kalitesini oluşturmadığı tespit edilmiştir.
Anahtar Kelimeler: Kompozit rezin, polisaj sistemleri, yüzey pürüzlülüğü

The Effect of Different Polishing Systems on the Surface Roughness of Composite Resins Used in the Posterior Region
ABSTRACT
Purpose: The aim of this in vitro study was to evaluate effect of multi-stage polishing systems on the surface roughness of three different composite resins used in the posterior region.
Material and Methods: The composite resin groups tested in the study were as follows: Group I: nanohybrid-incremental composite (Filtek Ultimate, 3M ESPE); Group II:nanohybrid-bulk fill composite(Tetric EvoCeram Bulk Fill, Ivoclar/Vivadent);Group III:packable composite (Solitaire 2, Heraeus Kulzer). Twenty-four samples of each material were prepared in a Teflon mold using Mylar Strip (10mm diameter,2mm height). Samples were kept in distilled water for 24 hours at 36 °C before testing. Ra value was obtained by measuring at three different points from each sample with the Surface Roughness Tester (Mahr Perthometer S4P). After finishing procedure, they were randomly divided into 2 subgroups according to polishing procedures(n=12): (a)OptiDisc(Kerr)/Hiluster Plus polishing system(Kerr), (b)SwissFlex (Coltène/Whaledent)/Hiluster plus polishing system(Kerr). Following finishing and polishing, surface roughness of the samples was measured. Sample surfaces were analyzed by scanning electron microscopy. Data were analyzed by Kruskal-Wallis and Mann-Whitney U tests ( =0.05).
Results: The smoothest surfaces were obtained with Mylar strip in all study groups (p=0.000). After finishing and polishing, there were significant differences between groups (p=0.005). Among all groups, the highest roughness value was seen in Group III. Among the polishing systems, only a statistically significant difference was observed in roughness values of Group I(p =0.000). The Ra values of the samples applied with OptiDisc polishing system were found to be higher than SwissFlex.
Conclusion: It was concluded that the nanohybrid composite materials used in the posterior area are polished better than condensable composites. It has also been found that a single polishing system does not produce the same surface quality for all composite resins.
Key words: Resin composite, polishing systems, surface roughness

Keywords

Kompozit rezin, polisaj sistemleri, yüzey pürüzlülüğü

References

• 1. Magdy NM, Kola MZ, Alqahtani HH, Alqahtani MD, Alghmlas AS. Evaluation of Surface Roughness of Different Direct Resin-based Composites. J Int Soc Prev Community Dent 2017; 7:104-9.
• 2. Ehrmann E, Medioni E, Brulat-Bouchard N. Finishing and polishing effects of multiblade burs on the surface texture of 5 resin composites: microhardness and roughness testing. Restor Dent Endod 2019; 44:e1.
• 3. Moda MD, Godas AGL, Fernandes JC, Suzuki TYU, Guedes APA, Briso ALF, et al. Comparison of diffe- rent polishing methods on the surface roughness of microhybrid, microfill, and nanofill composite resins. J Investig Clin Dent 2018; 9:1-9.
• 4. Bollen CM, Lambrechts P, Quirynen M. Comparison of surface roughness of oral hard materials to the threshold surface roughness for bacterial plaque retention: a review of the literature. Dent Mater 1997; 13:258-69.
• 5. Gonulol N, Yilmaz F. The effects of finishing and polishing techniques on surface roughness and color stability of nanocomposites. J Dent 2012; 40 Suppl 2:e64-70.
• 6. Rodrigues-Junior SA, Chemin P, Piaia PP, Ferracane JL. Surface Roughness and Gloss of Actual Composites as Polished With Different Polishing Systems. Oper Dent 2015; 40:418-29.
• 7. Janus J, Fauxpoint G, Arntz Y, Pelletier H, Etienne O. Surface roughness and morphology of three nanocomposites after two different polishing treatments by a multitechnique approach. Dent Mater 2010; 26:416-25.
• 8. Marghalani HY. Effect of filler particles on surface roughness of experimental composite series. J Appl Oral Sci 2010; 18:59-67.
• 9. Rizk HM, Al-Ruthea M, Habibullah MA. The effect of three lining materials on microleakage of packable composite resin restorations in young premolars with cavity margins located on enamel and dentin/cementum - An In vitro study. Int J Health Sci (Qassim) 2018; 12:8-17.
• 10. Venhoven BA, de Gee AJ, Werner A, Davidson CL. Influence of filler parameters on the mechanical coherence of dental restorative resin composites. Biomaterials 1996; 17:735-40.
• 11. Khalaj K, Tayefi-Nasrabadi M, Soudi A. The evaluation of surface sealants' effect on the surface roughness of Nano-hybrid composite after polishing with One-Step system (in-vitro). J Clin Exp Dent 2018; 10:e635-e41.
• 12. Stefanski S, van Dijken JW. Clinical performance of a nanofilled resin composite with and without an intermediary layer of flowable composite: a 2-year evaluation. Clin Oral Investig 2012; 16:147-53.
• 13. Gerula-Szymanska A, Kaczor K, Lewusz-Butkiewicz K, Nowicka A. Marginal integrity of flowable and packable bulk fill materials used for class II restorations -A systematic review and meta-analysis of in vitro studies. Dent Mater J 2020; 39:335-44. 14. Ereifej NS, Oweis YG, Eliades G. The effect of polishing technique on 3-D surface roughness and gloss of dental restorative resin composites. Oper Dent 2013; 38:E1-12.
• 15. Scheibe KG, Almeida KG, Medeiros IS, Costa JF, Alves CM. Effect of different polishing systems on the surface roughness of microhybrid composites. J Appl Oral Sci 2009; 17:21-6.
• 16. Kocaagaoglu H, Aslan T, Gurbulak A, Albayrak H, Tasdemir Z, Gumus H. Efficacy of polishing kits on the surface roughness and color stability of different composite resins. Niger J Clin Pract 2017; 20:557-65.
• 17. Turkun LS, Turkun M. The effect of one-step polishing system on the surface roughness of three esthetic resin composite materials. Oper Dent 2004; 29: 203-11.
• 18. St-Pierre L, Martel C, Crepeau H, Vargas MA. Influence of Polishing Systems on Surface Roughness of Composite Resins: Polishability of Composite Resins. Oper Dent 20 19; 44:E122-E32.
• 19. Jefferies SR. Abrasive finishing and polishing in restorative dentistry: a state-of-the-art review. Dent Clin North Am 2007; 51:379-97, ix.
• 20. Jefferies SR. The art and science of abrasive finishing and polishing in restorative dentistry. Dent Clin North Am 1998; 42:613-27.
• 21. Jung M, Eichelberger K, Klimek J. Surface geometry of four nanofiller and one hybrid composite after one-step and multiple-step polishing. Oper Dent 2007; 32:347-55.
• 22. Reis AF, Giannini M, Lovadino JR, dos Santos Dias CT. The effect of six polishing systems on the surface roughness of two packable resin-based composites. Am J Dent 2002; 15: 193-7.
• 23. Jung M. Surface roughness and cutting efficiency of composite finishing instruments. Oper Dent 1997; 22:98-104.
• 24. Roeder LB, Tate WH, Powers JM. Effect of finishing and polishing procedures on the surface roughness of packable composites. Oper Dent 2000; 25:534-43.
• 25. Koh R, Neiva G, Dennison J, Yaman P. Finishing systems on the final surface roughness of com- posites. J Contemp Dent Pract 2008; 9:138-45.
• 26. St-Georges AJ, Bolla M, Fortin D, Muller-Bolla M, Thompson JY, Stamatiades PJ. Surface finish produced on three resin composites by new polishing systems. Oper Dent 2005; 30:593-7.
• 27. Condon JR, Ferracane JL. In vitro wear of composite with varied cure, filler level, and filler treatment. J Dent Res 1997; 76:1405-11.
• 28. Lee YK, Lu H, Oguri M, Powers JM. Changes in gloss after simulated generalized wear of composite resins. J Prosthet Dent 2005; 94:370-6.
• 29. Turssi CP, Ferracane JL, Serra MC. Abrasive wear of resin composites as related to finishing and polishing procedures. Dent Mater 2005; 21:641-8.
• 30. Turssi CP, De Moraes Purquerio B, Serra MC. Wear of dental resin composites: insights into underlying processes and assessment methods--a review. J Biomed Mater Res B Appl Biomater 2003; 65:280-5.
• 31.Filtek ultimate: Technical manual. https://multimedia.3m.com/mws/media/629943O/filtek-ultimate-technical-product-profile-cee.pdf
• 32. Heintze SD, Forjanic M, Rousson V. Surface roughness and gloss of dental materials as a function of force and polishing time in vitro. Dent Mater 2006; 22:146-65.