VAKUMLA ŞEKİLLENDİRİLEN ORTODONTİK PEKİŞTİRME APAREYLERİNİN KOMPOZİT RESTORASYONLARIN KLİNİK BAŞARISINA ETKİSİ

Year 2020, Volume: 30 Issue: 3, 360 - 365, 15.07.2020

Serdar Akarsu Sultan Aktuğ Karademir Süleyman Kutalmış Büyük

https://doi.org/10.17567/ataunidfd.706727

Abstract

Amaç: Anterior bölgede görülen diastemalar hem estetik hem de psikososyal problemlere neden olabilmektedir. Bu çalışmanın amacı üst anterior bölgedeki diastemaların kapatılmasında kullanılan direkt kompozit restorasyonların klinik başarısına vakumla şekillendirilen ortodontik pekiştirme apereylerinin etkisini değerlendirmektir.
Gereç ve Yöntem: Bu retrospektif çalışmaya ortodontik tedavi yapılmamış veya ortodontik tedavi sonrası anterior bölgede diastemaya sahip 40 hastadaki 102 restorasyon dahil edilmiştir. Restorasyonlar Clearfil MajestyTM ES-2 (Kuraray, Okoyama, Japonya) kullanılarak aynı hekim tarafından yapılmıştır. Hastalar, diastema kapaması sonrası vakumla şekillendirilen pekiştirme apareyi kullananlar (Grup 1: 20 hasta 45 restorasyon) ve kullanmayanlar (Grup 2: 20 hasta 47 restorasyon) olarak iki gruba ayrılmıştır. Restorasyonlar 1 yıl sonra modifiye United States Public Health Service (USPHS) kriterleri kullanılarak değerlendirilmiştir. Veriler Ki-Kare testi kullanılarak değerlendirilmiştir.
Bulgular: Retansiyon, renk uyumu ve yüzey pürüzlülüğü açısından gruplar arasında istatistiksel olarak anlamlı bir fark bulunamamıştır (p>0,05). Grup 1’de polisajla düzeltilemeyen, daha fazla kenar renklenmesi görülürken, Grup 2 de anatomik form kaybı Grup 1’e göre daha fazladır. Gruplar arasında kenar renklenmesi ve anatomik form açısından istatistiksel olarak anlamlı bir fark vardır (p<0,05).
Sonuç: Ortodontik tedavi sonrasında kullanılacak vakumla şekillendirilen pekiştirme apereyleri diastema kapamasında kullanılan direkt kompozit restorasyonların anatomik formunu korurken, restorasyon-diş sınırında kenar renklenmesine neden olabilmektedir. Bu nedenle ortodontik tedavi sonrasında pekiştirme apareyi kullanan hastaların oral hijyen konusunda bilinçlendirilmesi gerekmektedir.
Anahtar Kelimeler: Diastema, Kompozit restorasyon, Pekiştirme apareyi
ABSTRACT
Aim: Diastemas in the anterior region can cause both aesthetic and psychosocial problems. The aim of this study was to evaluate the effect of vacuum-formed orthodontic retainer on the clinical success of direct composite restorations used in the closure of diastemas.
Material and Methods: In this retrospective study, 102 restorations in 40 patients with diastema in the anterior region without orthodontic treatment or after orthodontic treatment were included. Restorations were performed by the same operator using Clearfil MajestyTM ES-2 (Kuraray, Okoyama, Japan). The patients was divided into two groups: Those using vacuum-formed orthodontic retainer after diastema closure (Group 1: 20 patients, 45 restorations) and those who did not using vacuum-formed orthodontic retainer after diastema closure (Group 2: 20 patients, 47 restorations). Restorations were evaluated using modified United States Public Health Service (USPHS) criteria. Data were analyzed using Chi-square test.
Results: No statistically significant difference was found between the groups in terms of retention, color matching and surface roughness (p>0.05). In Group 1, there was more marginal discoloration which could not be corrected by polishing, whereas in Group 2, anatomic form loss was higher than in Group 1. There was a statistically significant difference between the groups in terms of marginal discoloration and anatomic form (p<0.05).
Conclusion: Vacuum-formed orthodontic retainer appliances to be used after orthodontic treatment may maintain the anatomical form of direct composite restorations used in diastema closure and may cause marginal discoloration at the restoration-tooth interface. Therefore, patients after orthodontic treatment should be made conscious about oral hygiene.
Keywords: Diastema, Composite restoration, Vacuum- formed retainer

Keywords

Diastema, Kompozit restorasyon, Pekiştirme apareyi

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