Bİ̇YOAKTİ̇F İ̇ÇERİ̇ĞE SAHİ̇P Fİ̇SSÜR ÖRTÜCÜLERİ̇N MAKASLAMA BAĞLANMA DAYANIMLARININ DEĞERLENDİ̇Rİ̇LMESİ̇

Year 2022, Volume: 32 Issue: 1, 11 - 16, 15.02.2022

Zeynep Ekin Kılınç Fevzi Kavrık Ebru Küçükyılmaz

https://doi.org/10.17567/ataunidfd.1013040

Abstract

Amaç: Bu çalışmanın amacı; biyoaktif içeriğe sahip fissür örtücülerin makaslama bağlanma dayanımlarının değerlendirilmesidir.
Yöntemler: Yüz adet çekilmiş insan molar dişi akrilik bloklara gömüldü ve Fissurit FX (Kontrol Grubu), Aegis®, Premier BioCoat®, BeautiSealant ve BeautiSealant+Fosforik asit olmak üzere gruplara ayrıldı. Test materyalleri, dişlerin bukkal yüzeylerine uygulanarak örnekler hazırlandıktan sonra, 0,5 mm/dk’lık hız ile makaslama bağlanma dayanım testi gerçekleştirildi. Elde edilen veriler, tek yönlü varyans analizi ve Tukey testleri ile değerlendirildi, kırılma tipleri ise Ki-kare testi ile 0,05 anlamlılık düzeyinde analiz edildi.
Bulgular: En yüksek (75,78±18,51 MPa) ve en düşük (37,34±8,39 MPa) makaslama bağlanma dayanım değerleri sırasıyla BeautiSealant+Fosforik asit ve BeautiSealant gruplarından elde edildi. Grupların ortalama bağlanma dayanım değerleri sırasıyla fosforik asitle birlikte uygulanan BeautiSealant+Fosforik asit>Aegis®>Fissurit FX>Premier BioCoat®>BeautiSealant olarak belirlendi. Premier BioCoat® ve BeautiSealant arasında istatistiksel olarak anlamlı bir fark tespit edilmedi (P = ,850). Aegis®, Fissurit FX ve BeautiSealant+Fosforik asit grupları arasında istatistiksel olarak anlamlı bir farklılık görülmedi (P > ,05).
Sonuç: Test edilen biyoaktif içerikli fissür örtücülerin mine yüzeyine bağlanma dayanımları, materyalin içeriğinden ve uygulama şeklinden etkilenmektedir. BeautiSealant materyali uygulanırken mineye uygulanan işlem bağlanma değerlerini etkilemektedir. Fosforik asit ile birlikte uygulanan BeautiSealant’ın mine dokusuna olan makaslama bağlanma dayanımı, materyalin tek başına kullanımına göre daha yüksektir.
Anahtar Kelimeler: Makaslama bağlanma dayanımı, fissür örtücü, biyoaktif

Abstract
Objective: The purpose of this study was to evaluate the shear bond strength of fissure sealant materials containing bioactive compounds.
Methods: Hundred extracted human molar teeth were embedded in to acrylic molds and then categorized into five groups: Fissurit FX (Control Group), Aegis®, Premier BioCoat®, BeautiSealant and BeautiSealant+Phosphoric acid. All the test materials were prepared by applying them to the buccal surface of the teeth and then shear bond strength test was performed at a speed of 0.5 mm/min. The shear bond strength data were assessed via analysis of variance (ANOVA) and Tukey’s tests, fracture types were analyzed by the Chi-square test at a significance level of 0.05.
Results: For test materials, the highest shear bond strength (75.78±18.51 MPa) and the lowest shear bond strength (37.34±8.39 MPa) were calculated for BeautiSealant+Phosphoric acid and BeautiSealant group respectively. The mean values of groups were sorted in descending order as BeautiSealant+Phosphoric acid>Aegis®>Fissurit FX>Premier BioCoat®>BeautiSealant. There was no statistically significant difference between Premier BioCoat® and BeautiSealant (P = .850). Furthermore, there was no statistically significant difference among Aegis®, Fissurit FX and BeautiSealant + Phosphoric acid groups (P > .05).
Conclusion: The shear bond strength of the tested fissure sealant materials containing bioactive compounds on enamel surface were affected by the content of the material and the application methods. The treatment applied to the enamel while applying the BeautiSealant material affects the shear bond values. BeautiSealant applied with phosphoric acid has higher shear bond strength to enamel tissue than when the material is used alone.
Keywords: Shear bond strength, fissure sealant, bioactiv

Keywords

Makaslama bağlanma dayanımı, fissür örtücü, biyoaktif

References

• 1. Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C. The global burden of oral diseases and risks to oral health. Bull World Health Organ. 2005;83(9):661-669.
• 2. Demirci M, Tuncer S, Yuceokur AA. Prevalence of caries on individual tooth surfaces and its distribution by age and gender in university clinic patients. Eur J Dent. 2010;4(3):270-279.
• 3. Horowitz HS, Heifetz SB, McClendon BJ, Viegas AR, Guimaraes LOC, Lopez ES. Evalution of selfadministrated prophylaxis and supervised toothbrushing with acidulated phosphate fluoride. Caries Res. 1974;8:39-51.
• 4. Llodra JC, Bravo M, Delgado-Rodriguez M, Baca P, Galvez R. Factors influencing the effectiveness of sealants – A meta-analysis. Community Dent Oral Epidemiol. 1993;21(5):261-268.
• 5. Mejàre I, Lingström P, Petersson LG, et al. Caries-preventive effect of fissure sealants: a systematic review. Acta Odontol Scand. 2003;61(6):321-330.
• 6. Ahovuo-Saloranta A, Hiiri A, Nordblad A, Worthington H, Mäkelä M. Pit and fissure sealants for preventing dental decay in the permanent teeth of children and adolescents. Cochrane Database Syst Rev. 2004;3:CD001830
• 7. Azarpazhooh A, Main PA. Pit and fissure sealants in the prevention of dental caries in children and adolescents: A systematic review. J Can Dent Assoc. 2008;74(2):171-177.
• 8. Ahovuo-Saloranta A, Forss H, Walsh T, et al. Sealants for preventing dental decay in the permanent teeth. Cochrane Database Syst Rev. 201328;(3):CD001830.
• 9. Ünlügenç E, Bolgül B. Güncel Fissür Örtücüler – Literatür Derlemesi. J Dent Fac Atatürk Uni. 2020;30(3):507-518.
• 10. Wright JT, Crall JJ, Fontana M, et al. Evidence-based Clinical Practice Guideline for the Use of Pit-and-Fissure Sealants. American Academy of Pediatric Dentistry, American Dental Association. Pediatr Dent. 2016;38(5):E120-E136.
• 11. Bynum AM, Donly KJ. Enamel de/remineralization on teeth adjacent to fluoride releasing materials without dentifrice exposure. ASDC J Dent Child. 1999;66(2):89-92.
• 12. Mejare I, Mjor IA. Glass ionomer and resin-based fissure sealants: a clinical study. Scand J Dent Res. 1990;98(4):345-350.
• 13. Kuşgöz A, Tüzüner T, Ulker M, Kemer B, Saray O. Conversion degree, microhardness, microleakage and fluoride release of different fissure sealants. J Mech Behav Biomed Mater. 2010;3(8):594-599.
• 14. McCabe JF, Walls A. Applied Dental Materials: Wiley. 8 Ed. Oxford; 1998;p.101-110.
• 15. Geiger SB, Gulayev S, Weiss EI. Improving fissure sealant quality: mechanical preparation and filling level. J Dent. 2000;28(6):407-412.
• 16. Shimazu K, Ogata K, Karibe H. Evaluation of the ion-releasing and recharging abilities of a resin-based fissure sealant containing S-PRG filler. Dent Mater J. 2011;30(6):923-927.
• 17. BeautiSealant-Article-US-Dental-Product-Shopper-Evaluation Available from: https://www.shofu.com/wp-content/uploads/BeautiSealant-Article-US-Dental-Product-Shopper-Evaluation.pdf
• 18. Zawaideh FI, Owais AI, Kawaja W. Ability of Pit and Fissure Sealant-containing Amorphous Calcium Phosphate to inhibit Enamel Demineralization. Int J Clin Pediatr Dent. 2016;9(1):10-14.
• 19. Burbank BD, Cooper RL, Kava A, Hartjes JM, McHale WA, Latta MA, Gross SM. Ion release and in vitro enamel fluoride uptake associated with pit and fissure sealants containing microencapsulated remineralizing agents. Am J Dent. 2017;30(2):59-64.
• 20. Mehta AB, Kumari V, Jose R, Izadikhah V. Remineralization potential of bioactive glass and casein phosphopeptide-amorphous calcium phosphate on initial carious lesion: An in-vitro pH-cycling study. J Conserv Dent. 2014;17(1):3-7.
• 21. Zhong Y, Liu J, Li X, et al. Effect of a novel bioactive glassceramic on dentinal tubule occlusion: An in vitro study. Aust Dent J. 2014;60:96-103.
• 22. Yang SY, Kwon JS, Kim KN, Kim KM. Enamel surface with pit and fissure sealent containing 45S5 bioactive glass. J Dent Res. 2016;95(5):550-557.
• 23. Hicks MJ, Flaitz CM, Garcia-Godoy F. Fluoride-releasing sealant and caries-like enamel lesion formation in vitro. J Clin Pediatr Dent. 2000;24(3):215-219.
• 24. Jensen ME, Wefel JS, Triolo PT, Hammesfahr PD. Effects of a fluoride-releasing fissure sealant on artificial enamel caries. Am J Dent. 1990;3(2):75-78.
• 25. Ripa LW. Dental materials related to prevention-fluoride incorporation into dental materials: reaction paper. Adv Dent Res. 1991;5:56-59.
• 26. Alsaffar A, Tantbirojn D, Versluis A, Beiraghi S. Protective effect of pit and fissure sealants on demineralization of adjacent enamel. Pediatric Dentistry. 2011;33(7):491-495.
• 27. Ulu O, Dörter C. Fissür Örtücüler ve Kullanım Alanları. J Istanbul Univ Fac Dent. 2010;42(3-4):25-30.
• 28. Simonsen RJ. Pit and fissure sealant: review of the literature. Pediatr Dent. 2002;24(5):393-414.
• 29. Lobo MM, Pecharki GD, Tengan C, da Silva DD, da Tagliaferro EP, Napimoga MH. Fluoride-releasing capacity and cariostatic effect provided by sealants. J Oral Sci. 2005;47(1):35-41.
• 30. Morphis TL, Toumba KJ, Lygidakis NA. Fluoride pit and fissure sealants: a review. Int J Paediatr Dent. 2000;10(2):90-98.
• 31. Şişmanoğlu S. Fluoride Release of Giomer and Resin Based Fissure Sealants. Int J Dent Sci. 2019;21(2):45-52.
• 32. Centers for Disease Control and Prevention. Recommendations for using fluoride to prevent and control dental caries in the United States. MMWR Recomm Rep. 2001; 50(RR14):1-42.
• 33. Ahovuo-Saloranta A, Forss H, Walsh T, Nordblad A, Mäkelä M, Worthington HV. Pit and fissure sealants for preventing dental decay in permanent teeth. Cochrane Database of Systematic Reviews. 2017;7(7):1465-1858.
• 34. Fujimoto Y, Iwasa M, Murayama R, Miyazaki M, Nagafuji A, Nakatsuka T. Detection of ions released from S-PRG fillers and their modulation effect. Dent Mater J. 2010;29(4):392–397.
• 35. Kuhn AT, Wilson AD. The dissolution mechanisms of silicate and glass-ionomer dental cements. Biomaterials. 1985;6(6):378–382.
• 36. Czarnecka B, Nicholson JW. Ion release by resin-modified glass-ionomer cements into water and lactic acid solutions. J Dent. 2006;34(8):539–543.
• 37. Amaechi BT, Kasundra H, Joshi D, Abdollahi A, Azees PAA, Okoye LO. Effectiveness of S-PRG Filler-Containing Toothpaste in Inhibiting Demineralization of Human Tooth Surface. Open Dent J. 2018;12:811–819.
• 38. Symons AL, Chu CY, Meyers IA. The Effect of Fissure Morphology and Pretreatment of The Enamel Surface on Penetration and Adhesion of Fissure Sealants. J Oral Rehabil. 1996;23(12):791-798.
• 39. Özer S, Gönülol N, Şen Tunç E, Ay T. Farklı polimerizasyon protokolleri ve yüzey uygulama metodlarının iki farklı fissür örtücünün makaslama bağlanma dayanım kuvveti üzerine etkisi. Acta Odontol Turc. 2016;33(1):18-23.
• 40. Topal BG, Kirzioglu Z. Evaluation of the fissure sealants applied to erupting permanent molars in accordance to eruption stages: A prospective study. Niger J Clin Pract. 2019;22(11):1495-1502.
• 41. BeautSealant Broşür Available from: https://www.shofu.com.sg/wp-content/uploads/2020/02/BeautSealant-BRO.pdf).
• 42. Durham SN, Meyers EJ, Bailey CW, Vandewalle KS. Microleakage and shear bond strength of a new sealant containing prereacted glass ionomer particles. Gen Dent. 2017;65(2):e12-e16.
• 43. Kishor A, Goswami M, Chaudhary S, Manuja N, Arora R, Rallan M. Comparative evaluation of retention ability of amorphous calcium phosphate containing and illuminating pit & fissure sealants in 6-9 year old age group. J Indian Soc Pedod Prev Dent. 2013;31(3):159-164.
• 44. Choudhary P, Tandon S, Ganesh M, Mehra A. Evaluation of the remineralization potential of amorphous calcium phosphate and fluoride containing pit and fissure sealants using scanning electron microscopy. Indian J Dent Res. 2012;23(2):157-163.
• 45. Utneja S, Talwar S, Nawal RR, et al. Evaluation of remineralization potential and mechanical properties of pit and fissure sealants fortified withnano-hydroxyapatite and nano-amorphous calcium phosphate fillers: An in vitro study. J Conserv Dent. 2018;21(6):681-690.
• 46. Selecman JB, Owens BM. Effect of preparation technique, fissure morphology and material characteristics on the in vitro margin permeability and penetrability of pit and fissure sealants. Pediatr Dent. 2007;29(4):308-314.
• 47. Arı T. Farklı Yapıdaki Pit ve Fissür Örtücülerin Bağlanma Kuvvetlerinin ve Mikrosızıntılarının Değerlendirilmesi Doktora Tezi, 2016 Sivas Cumhuriyet Üniversitesi, Sağlık Bilimleri Enstitüsü, Sivas.
• 48. Ünal M, Oznurhan F, Kapdan A, Dürer S. A comparative clinical study of three fissure sealants on primary teeth: 24-month results. J Clin Pediatr Dent. 2015;39(2):113-119.
• 49. Premier BioCoat broşürü 2017. Available from: https://www.premierdentalco.com/wpcontent/uploads/2017/04/BioCoat_Brochure.pdf
• 50. Hewlett ER, Caputo AA, Wrobel DC. Glass ionomer bond strength and treatment of dentin with polyacrylic acid. J Prosthet Dent. 1991;66(6):767-772.
• 51. Nakfoor B, Yaman P, Dennison J, Herrero A. Effect of a light-emitting diode on composite polymerization shrinkage and hardness. J Esthet Restor Dent. 2005;17(2):110-116.
• 52. Jandt KD, Mills RW, Blackwell GB, Ashworth SH. Depth of cure and compressive strength of dental composites cured with blue light emitting diodes (LEDs). Dent Mater. 2000;16(1):41-47.
• 53. Miguez PA, Pereira PN, Foxton RM, Walter R, Nunes MF, Swift EJ Jr. Effects of flowable resin on bond strength and gap formation in Class I restorations. Dent Mater. 2004;20(9):839-845.
• 54. Waggoner WF, Siegal M. Pit and fissure sealant application: updating the technique. J Am Dent Assoc. 1996;127(3):351-356.
• 55. Barrie AM, Stephen KW, Kay EJ. Fissure sealant retention: a comparison of three sealant types under field conditions. Community Dent Health. 1990;7(3):273-277.
• 56. Dhillon JK, Pathak A. Comparative evaluation of shear bond strength of three pit and fissure sealants using conventional etch or self-etching primer. J Indian Soc Pedod Prev Dent. 2012;30(4):288-292.
• 57. Ahovuo-Saloranta A, Forss H, Walsh T, Nordblad A, Mäkelä M, Worthington HV. Pit and fissure sealants for preventing dental decay in permanent teeth. Cochrane Database Syst Rev. 2017;31(7):7.
• 58. Moslemi M, Erfanparast L, Fekrazad R, Tadayon N, Dadjo H, Shadkar MM, Khalili Z. The effect of Er,Cr:YSGG laser and air abrasion on shear bond strength of a fissure sealant to enamel. J Am Dent Assoc. 2010;141(2):157-161.
• 59. Alonso RC, Correr GM, Borges AF, Kantovitz KR, Rontani RM. Minimally invasive dentistry: bond strength of different sealant and filling materials to enamel. Oral Health Prev Dent. 2005;3(2):87-95.
• 60. Sen Tunc E, Bayrak S, Tuloglu N, Ertas E. Evaluation of microtensile bond strength of different fissure sealants to bovine enamel. Aust Dent J. 2012;57(1):79-84.
• 61. Ntaoutidou S, Arhakis A, Tolidis K, Kotsanos N. Clinical evaluation of a surface pre-reacted glass (S-PRG) filler-containing dental sealant placed with a self-etching primer/adhesive. Eur Arch Paediatr Dent. 2018;19(6):431-37.
• 62. Pitchika V, Birlbauer S, Chiang ML, Schuldt C, Crispin A, Hickel R, Kühnisch J. Shear bond strength and microleakage of a new self-etch adhesive pit and fissure sealant. Dent Mater J. 2018;30;37(2):266-271.