Evaluation of Color Masking Effectiveness by Visual and Instrumental Methods of Various Materials Used In the Treatment of Developmental Enamel Defects

Year 2018, Volume: 1 Issue: 3, 46 - 53, 01.09.2018

Mihriban Dudu Gizem Gençer , Zuhal Kırzıoğlu

Abstract

 In our study, the aesthetic concerns of the individuals with incisors with developmental enamel defects were evaluated. Also, it was aimed to evaluate the color masking effect of resin infiltrant treatment and 2 different remineralization agents, tricalcium phosphate and caseinphosphopeptide amorphous calcium phosphate, applied with microabrasion by visual and instrumental methods. Incisors tooth detected for the research of 8-17 ages are included in the study. The study is carried out by 2 groups based on the teeth 128 fluorosis observed between the scores of 1-4 within Tooth Surface Index of Fluorosis and 161 hypomineralization observed between the scores of 1-5 within Modified Developmental Defects of Dental Enamel Index. Modified Children's Oral and Dental Health Impact Profiles Questionnaire was applied to evaluate the aesthetic concerns of patients about their teeth. Group A: Icon®, Group B: Opalustre® + Clinpro White Varnish® and Group C: Opalustre® + Tooth Mousse® treatments were applied to the 1st and 2nd groups, respectively. Visual analogue scale and spectrophotometer (ΔE value) were used for the color evaluations of the teeth participating in the study. The results were evaluated statistically. In evaluating the aesthetic concerns, it was determined that there was no relationship between fluorosis groups and aesthetic concerns. It has been found that clinically noticeable changes are obtained as a result of all treatment applications in the anterior incisor teeth with developmental enamel defect. In both groups, visual analogue scores were obtained in the highest group A. ΔE values were found in the highest group A in the fluorosis group and the lowest group C in the hypomineralization group. Aesthetic corcens has come to the forefront in the hypomineralization group. It has been determined that the teeth with developmental enamel defects are clinically noticeable changes, both by visual analogue scale and spectrophotometer, as a result of resin infiltrant and microabrasion applications. Standardization must be ensured so that visual and instrumental evaluations can be carried out in a healthy way during the studies. 

Keywords

Color masking, Spectrophotometer, Visual analog scale, Aesthetic concern

GELİŞİMSEL MİNE DEFEKTLERİNİN TEDAVİSİNDE KULLANILAN ÇEŞİTLİ MATERYALLERİN RENK MASKELEME ETKİNLİĞİNİN GÖRSEL VE CİHAZ YÖNTEMİ İLE DEĞERLENDİRİLMESİ

Abstract

Çalışmamızda, gelişimsel mine defekti bulunan kesici dişlere sahip bireylerin estetik kaygıları değerlendirilmiştir. Ayrıca, rezin infiltrant tedavisi ve mikroabrazyon ile birlikte uygulanan 2 farklı trikalsiyum fosfat ve kazeinfosfopeptid amorf kalsiyum fosfat remineralizasyon ajanlarının renk maskeleme etkinliğinin görsel ve cihaz yöntemi ile değerlendirilmesi amaçlanmıştır. Çalışmaya, 8-17 yaş arası çalışma için belirlenen kriterlere uygun 1. grup Florozis Diş Yüzey İndeksi 1-4 skor aralığındaki 128 florozis ve 2. grup Modifiye Gelişimsel Mine Defekti İndeksi 1-5 skor aralığındaki 161 hipomineralizasyon görülen kesici dişe sahip hastalar dahil edilmiştir. Hastaların dişleri ile ilgili estetik kaygılarını değerlendirmek için Modifiye Çocuk Ağız ve Diş Sağlığı Etki Profili anketi uygulanmıştır. Tedavi uygulamasını kabul eden 1. ve 2. gruplara sırasıyla Grup A: Icon®, Grup B: Opalustre®+Clinpro White Varnish® ve Grup C: Opalustre®+Tooth Mousse® tedavileri uygulanmıştır. Çalışmaya katılan dişlerin renk değerlendirmeleri için görsel analog skalası ve spektrofotometre (ΔE değeri) kullanılmıştır. Sonuçlar istatistik olarak değerlendirilmiştir.
Estetik kaygı ile ilgili yapılan değerlendirmede, florozis grupları arasında estetik kaygı ile ilişkinin olmadığı belirlenmiştir.Gelişimsel mine defekti görülen ön kesici dişlerde tüm tedavi uygulamalarının sonucunda klinik olarak fark edilebilir değişiklik elde edildiği tespit edilmiştir. Her 2 grupta görsel analog skor değerleri en yüksek A grubunda elde edilmiştir. ΔE değerleri ise florozis grubunda en yüksek A grubunda, hipomineralizasyon grubunda en düşük C grubunda bulunmuştur. Hipomineralizasyon grubunda estetik kaygı ön plana çıkmıştır. Gelişimsel mine defekti görülen dişlerde rezin infiltrant ve mikroabrazyon uygulamalarının sonucunda, hem görsel analog skalası hem de spektrofotometre kullanılarak klinik olarak fark edilebilir değişiklik olduğu belirlenmiştir. Çalışmalarda görsel ve cihaz ile değerlendirmelerin sağlıklı yapılabilmesi için standardizasyonun sağlanması gerekmektedir.

Keywords

Renk maskeleme, Spektrofotometre, Görsel analog skalası, Estetik kaygı

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