BAŞLANGIÇ OKLUZAL ÇÜRÜKLERE UYGULANAN İKİ FARKLI NANO KOMPOZİTİN İKİ YILLIK KLİNİK PERFORMANSI

Year 2021, Volume: 31 Issue: 4, 547 - 555, 14.10.2021

Aslı Berber Meserret Başeren

https://doi.org/10.17567/ataunidfd.990083

Abstract

Amaç: Bu çalışmada; başlangıç okluzal çürüklerin tedavisinde kullanılan nanokompozitlerin 2 yıllık klinik performanslarının değerlendirilmesi amaçlanmıştır.
Bireyler ve Yöntem: Araştırmaya katılan bireyler, Hacettepe Üniversitesi Diş Hekimliği Fakültesi Restoratif Diş Tedavisi Kliniğine başvuran, en az 2 adet başlangıç okluzal çürüğü bulunan hastalar arasından seçildi (yaş aralığı 18-30). Restore edilecek dişler görsel muayene yöntemi ile değerlendirildi. Radyografilerin incelenmesinden sonra DIAGNodent pen ile ölçümler yapıldı. Dişlere; minimal invaziv okluzal kavite preparasyonu yapıldıktan sonra kondanse edilebilen bir nanokompozit (Quixfil, Dentsply) ve akışkan nanokompozit (SureFil SDR Flow, Dentsply) üretici firmanın önerileri doğrultusunda uygulandı. Çalışmaya katılan 23’ü kadın 20’si erkek olmak üzere 43 gönüllü bireye 356 adet restorasyon yapıldı. Kompozit restorasyonlar, başlangıç, 6., 12., 18., 24. aylarda modifiye USPHS kriterlerine göre değerlendirildi. İstatistiksel değerlendirme için “Pearson Chi-square”, “Fisher Exact” ve “Cochran Q” testleri kullanıldı (p<0.05).
Bulgular: 24 ay sonunda 38 hastada 316 adet restorasyon değerlendirildi. Tüm modifiye USPHS kriterleri için restorasyon grupları arasında istatistiksel olarak anlamlı fark bulunmadı (p>0.05). Her grubun kendi içinde, kenar uyumu, kenar renklenmesi, anatomik form ve hassasiyet kriterlerinin zaman içindeki değişimi anlamlıyken (p<0.001); retansiyon, renk uyumu, sekonder çürük, yüzey yapısı, kriterlerinin değişimi anlamlı bulunmadı (p>0.05)
Sonuç: Bu çalışmada her iki rezin kompozitin başlangıç okluzal çürüklerin tedavisinde klinik olarak kabul edilebilir bir performans gösterdiği sonucuna varılmıştır.
Anahtar kelime: Nanokompozit, Başlangıç Okluzal Çürük, Klinik Performans, Dıagnodent Pen.

CLINICAL PERFORMANCE OF TWO DIFFERENT NANO COMPOSITES IN INITIAL OCCLUSAL CARIES : TWO YEARS RESULTS
ABSTRACT
Aim: The purpose of this study was to evaluate the two-year clinical performance of one condansable nano composite and one flowable nanocomposite in minimal occlusal cavities. Material and methods: Patients were selected from who visiting the Hacettepe University School of Dentistry Department of Restorative Dentistry for the teratment of occlusal caries (age range 18-30 years). At the beginning of treatment, teeth were diagnosed by visual inspection with a mirror and lesions were evaluated with periapical and bitewing radiographs. After that to achieve standardization measurements were made with the DIAGNOdent Pen. 20 male and 23 female subjects participated to study. A total of 356 occlusal cavities were restored with condansable nano composite (Quixfil, Dentsply) and flowable nano composite (SureFil SDR Flow, Dentsply) according to manufacturers’ instructions. All restorations were placed by one operator. The restorations were evaluated clinically within 1 week after placement and after 6., 12., 18., 24. months using modified USPHS criteria by one examiner. Statistical analysis was completed using Pearson Chi-square, Fisher- Exact and Cochran Q tests (p<0,05).
Results: At the end of 24 months; in 38 patients 316 restorations were evaluated. No statistically significant differences were found between two resin composites (p>0.05). There were significant differences between time zones with each restoration group for marginal adaptaion, marginal discoloration, anatomic form, post operative sensitivity (p<0.001). Interms of Retantion, color match, seconder caries, surface texture no significant differences have been found in each restorative materials groups (p>0,05).
Conclusion: It was concluded that; different types of resin composites demonstrated acceptable clinical performance in initial occlusal caries.
Keywords: nanocomposite, initial occlusa caries, clinical performance, DIAGNOdent Pen

Keywords

Nanokompozit, Başlangıç Okluzal Çürük, Klinik Performans, Dıagnodent Pen

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