REMINERALIZATION AGENTS ON EARLY STAGE OF CARIES COMPARISON WITH DIFFERENT DIAGNOSTIC METHODS AND EVALUATE SURFACE HARDNESS OF REMINERALIZATION AREA

Year 2019, Volume: 29 Issue: 2, 229 - 237, 22.03.2019

Engin Kariper E. Gülşah Göktolga Akın Oğuzhan Alıcı

https://doi.org/10.17567/ataunidfd.526953

Abstract

ABSTRACT

Aim: The aim of this
study was to compare the extent of remineralization of permanent molar enamel
with application of three remineralizing agents by employing QLF, microhardness
and microcomputed tomography machine values.

materials
and Methods: An in vitro
study was performed with 12 sound permanent molar teeth. The teeth were split
in mesio-distal direction and two samples were obtained from each tooth (n=8).
An artificial caries lesion (2x4 mm) was produced on enamel surfaces of sound
molars using a previously reported demineralization model. Specimens were
randomly divided into three groups: first group was treated using Tooth Mousse Plus (GC), the
second group was treated using Clinpro Tooth Crème (3M ESPE) and the last group
was treated using Sensodyne Protection and Repair (GSK). Demineralizing, remineralizing solutions and the tooth pastes were respectively applied
the groups over a period of 14 days. The samples were subjected to QLF, microhardness,
micro-computed tomography machine and electron microscope scanning.

Results: As compared with demineralization and remineralization values, in Tooth
Mousse Plus group, micro-computed tomography showed no statistically
significant difference (p>0,05) but QLF and micro hardness machines showed
statistically significant difference (p<0,05). In Clinpro Tooth Crème and
Sensodyne Repair and Protect groups; micro computed tomography, QLF and
microhardness machines showed statistically significant difference (p>0,05).

Conclusion: Tooth Mousse Plus, Clinpro Tooth Crème
and Sensodyne Repair and Protection are appropriated means of treating caries
at early stages.

Keywords: Reminalization,
CPP-ACP, micro-computed
tomography, microhardness, QLF 

BAŞLANGIÇ ÇÜRÜKLERİNDE
REMİNERALİZE EDİCİ AJANLARIN ETKİSİNİN ÇEŞİTLİ DİAGNOSTİK YÖNTEMLERLE KARŞILAŞTIRILMASI
VE YÜZEY SERTLİKLERİNİN DEĞERLENDİRİLMESİ

ÖZ

Amaç: Bu
çalışmanın amacı daimi molar dişlere uygulanan üç remineralize edici ajanın
etkilerinin QLF, mikrosertlik ve milrobilgisayarlı tomografı cihazları ile elde
edilen değerlerin karşılaştırılmasıdır.

Gereç ve yöntem: Bu in vitro çalışmada sağlam 12 adet daimi
molar diş kullanıldı. Dişler mezio-distal yönde ikiye ayrıldı (n=8). Yapay
çürük lezyonu (2x4 mm) sağlıklı dişlerin minesinde deminalizasyon döngüsü ile
oluşturuldu. Dişler rastgele 3 eşit gruba ayrıldı. 1. gruba Tooth Mousse Plus
(GC), 2. gruba Clinpro Tooth Crème (3M ESPE) ve 3. gruba Sensodyne Onarım ve
Koruma (GSK) uygulandı. 14 gün boyunca demineralizasyon, remineralizasyon
solüsyonları ve diş macunları sırasıyla gruplara uygulandı. Numuneler QLF,
mikrosertlik, mikrobilgisayarlı tomografi cihazları ile ölçüldü ve elektron
mikroskobuyla değerlendirildi.

Bulgular: Tooth Mousse Plus
uygulanan grupta demineralizasyon ve remineralizasyon değerleri
kıyaslandığında, mikrobilgisayarlı tomografi istatistiksel olarak anlamlı
bulunmamıştır (p>0,05) fakat QLF ve mikrosertlik cihazlarının
değerleri istatistiksel olarak anlamlı bulunmuştur (p<0,05). Clinpro Tooth
Crème ve Sensodyne Onarım ve Koruma uygulanan gruplarda; mikrobilgisayarlı
tomografi, QLF ve mikrosertlik değerleri istatistiksel olarak anlamlı
bulunmamıştır (p>0,05).

Sonuç: Tooth Mousse Plus,
Clinpro Tooth Crème
and Sensodyne Onarım ve Koruma erken dönem çürüklerin tedavisinde
kullanılabilir.

Anahtar
kelimeler:
Remineralizasyon, CPP-ACP, mikrobilgisayarlı tomografi, mikrosertlik, QLF

Keywords

Reminalization, CPP-ACP, micro-computed tomography, microhardness

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