Yeni Nesil Süt Dişi Restorasyon Materyallerinin Mineral Trioksit Agregata Bağlanma Dayanımına Farklı Adeziv Uygulamaların Etkisi

Year 2023, Volume: 6 Issue: 4, 690 - 696, 15.10.2023

İrem Bağ Alper Çamgöz Barkın Işılar Seçil Çalışkan

https://doi.org/10.19127/bshealthscience.1349011

Abstract

Bu araştırmada; süt dişi restorasyonlarında kullanılan yeni nesil restoratif materyaller ile mineral trioksit agregatın (MTA) bağlanma dayanımına farklı adeziv uygulamaların etkisinin karşılaştırmalı olarak değerlendirilmesi amaçlandı. Üretici firmaların talimatları doğrultusunda hazırlanan MTA (ProRoot MTA), silindirik akrilik blokların üst yüzeyinde hazırlanan 4 mm çapında ve 2 mm derinliğinde standart boşluklara yerleştirildi. Hazırlanan 117 adet örnek, üzerine nemli pamuk peletler yerleştirilerek sertleşmeleri için 24 saat süresince %100 ve 37°C sıcaklıkta inkübasyona bırakıldı. Rastgele 3 gruba ayrılan örneklere (n=39) farklı adeziv materyaller (G-Premio Bond, Clearfil SE Bond, Prime Bond NT) üretici firmanın önerileri doğrultusunda uygulandı. Restoratif materyal uygulamaları için örnekler her bir grupta 13 adet yer alacak şekilde tekrar alt gruplara ayrıldı. Restoratif materyaller (Dyract XP, Cention N, ACTIVA Kids) MTA üzerine 3,2 mm çapında ve 3 mm yüksekliğinde silindirik kalıplar yardımıyla firma önerileri doğrultusunda uygulandı. Tüm örnekler 24 saat %100 nem altında 37°C'lik etüvde bekletildikten sonra makaslama bağlanma dayanım değerleri üniversal test cihazı kullanılarak ölçüldü. Gerçekleşen kırılma tipi mikroskop altında değerlendirildi. Elde edilen verilerin istatistiksel değerlendirilmesinde tek yönlü ve çift yönlü varyans analizi (One-way/Two-wayANOVA-PostHoc Tukey) ve ki kare testleri kullanıldı. Her bir restoratif materyalin adeziv gruplarına olan makaslama bağlanma dayanımı değerlendirildiğinde gruplar arasında istatistiksel olarak anlamlı farklılık gözlenmezken, her bir adezivin restoratif materyal gruplarına olan makaslama bağlanma dayanımı değerleri ortalamaları değerlendirildiğinde, SE Bond örneklerinde istatistiksel olarak anlamlı farklılık tespit edildi (P=0.029). Tüm gruplar arasında en yüksek ortalama makaslama bağlanma dayanım değeri adeziv olarak SE Bond kullanılan Cention N örneklerinde gözlendi. Tüm gruplarda çoğunlukla koheziv kırılma tipi tespit edildi. Cention N ve ACTIVA Kids restoratif materyallerinin MTA’ya olan bağlanma dayanımları adeziv tipine göre değişmekle birlikte klinik kullanıma uygun referans değerler göstermektedir.

Keywords

Activa kids, Cention N, Makaslama bağlanma dayanımı, Mineral trioksit agregat

Supporting Institution

Araştırma herhangi bir kurum tarafından desteklenmemiştir.

Project Number

-

Thanks

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The Effect of Different Adhesive Applications on the Bond Strength of New Generation Primary Tooth Restoration Materials to Mineral Trioxide Aggregate

Abstract

The aim of this study was to comparatively evaluate the effect of different adhesive applications on the bond strength of mineral trioxide aggregate (MTA) with new-generation restorative materials used in primary tooth restorations. MTA (ProRoot MTA), prepared according to the manufacturer's instructions, was placed in standard cavities of 4 mm diameter and 2 mm depth prepared on the upper surface of cylindrical acrylic blocks. The 117 prepared samples were placed on moist cotton pellets and incubated at 100% and 37°C for 24 hours to harden. The specimens were randomly divided into 3 groups (n=39) and different adhesive materials (G-Premio Bond, Clearfil SE Bond, Prime Bond NT) were applied according to the manufacturer's recommendations. For restorative material applications, the specimens were again divided into subgroups with 13 specimens in each group. Restorative materials (Dyract XP, Cention N, ACTIVA Kids) were applied on MTA using cylindrical molds with a diameter of 3.2 mm and a height of 3 mm according to the manufacturer's recommendations. All specimens were kept in an oven at 37°C under 100% humidity for 24 hours and then shear bond strength values were measured using a universal testing machine. The fracture type was evaluated under a microscope. One-way and Two-way analysis of variance (One-way/Two-way ANOVA-PostHoc Tukey) and chi-square tests were used for statistical evaluation of the data obtained. No statistically significant difference was observed between the groups when the shear bond strength of each restorative material to the adhesive groups was evaluated, while a statistically significant difference was found in SE Bond specimens when the mean shear bond strength values of each adhesive to the restorative material groups were evaluated (P=0.029). The highest mean shear bond strength value among all groups was observed in Cention N specimens with SE Bond as the adhesive. Mostly cohesive fracture type was detected in all groups. The bond strengths of Cention N and ACTIVA Kids restorative materials to MTA vary according to the type of adhesive, but show reference values suitable for clinical use.

Keywords

Activa kids, Cention N, Shear bond strength, Mineral trioxide aggregate

Project Number

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