DİŞ FIRÇALAMANIN ÇOCUK DİŞ HEKİMLİĞİNDE KULLANILAN FARKLI RESTORATİF MATERYALLERDE YÜZEY PÜRÜZLÜLÜĞÜ ÜZERİNE ETKİSİ

Year 2022, Volume: 32 Issue: 1, 23 - 28, 15.02.2022

Berna Ertürk Ebru Hazar Bodrumlu

https://doi.org/10.17567/ataunidfd.1013048

Abstract

Amaç: Yüzey pürüzlülüğü, kullanılan materyallerin dayanıklılık ve uzun dönem performanslarını doğrudan etkilemektedir. Diş fırçalamanın abraziv etkisi de restoratif materyallerin yüzey pürüzlülüğünde etkendir. Çalışmamızın amacı, diş fırçalamanın çocuk diş hekimliğinde sıklıkla kullanılan rezin modifiye cam iyonomer siman, kompomer ve kompozit materyallerinin yüzey pürüzlülüğü üzerine etkisinin incelenmesidir.
Yöntemler: Çalışmamızda rezin modifiye cam iyonomer siman [Fuji II LC (GC Corp., Tokyo, Japonya)], kompomer [Dyract XP (Dentsply detrey, Konstanz, Almanya)] ve suprananofil yapıda kompozit rezin [Palfique Estelite Paste (Tokuyama Dental Co., Tokyo, Japonya)] kullanıldı. Üç farklı restoratif materyalden diskler hazırlanarak 3 farklı deney grubu oluşturuldu. Her grup için 20 örnek hazırlandıktan sonra, örneklerin yüzey pürüzlülük değerleri profilometre cihazı kullanılarak ölçüldü. Ardından fırçalama simülatörü kullanılarak, örneklere 1 yıllık diş fırçalamaya eşdeğer fırçalama siklusu uygulandı ve fırçalama sonrası yüzey pürüzlülük değerleri kaydedilerek, fırçalama öncesi ve sonrası yüzey pürüzlülük değerleri karşılaştırıldı. Verilerin istatistiksel değerlendirmesi, tek yönlü varyans analizi ve Tamhane’s T2 çoklu karşılaştırma testi ile yapıldı (P < ,05).
Bulgular: 1 yıllık fırçalama sonucunda, rezin modifiye cam iyonomer siman grubunda kompomer ve kompozit gruplarına göre istatistiksel olarak anlamlı düzeyde daha fazla yüzey pürüzlülüğü artışı gözlendi (P < ,05). Ancak kompozit ve kompomer grupları arasında yüzey pürüzlülüğü değişimi açısından anlamlı fark gözlenmedi (P > ,05). Bir yıllık fırçalamanın ardından rezin modifiye cam iyonomer simanların klinik açıdan pürüzlü yüzey gösterdikleri ve plak birikimi açısından risk oluşturabileceği gözlendi.
Sonuç: Çocuk diş hekimliğinde restoratif tedavi amacıyla rezin modifiye cam iyonomer simanlar kullanıldığında, düzenli aralıklarla kontrollerin yapılması ve oluşabilecek yüzey pürüzlülüğünün uygun bitirme ve cila sistemleriyle azaltılması önemlidir.
Anahtar kelimeler: Çocuk diş hekimliği, dental materyaller, diş fırçalama, yüzey özellikleri

Abstract
Objective: Surface roughness, directly affects the durability and long-term performance of the materials used. The abrasive effect of tooth brushing can impact the surface roughness of the materials. Our study aimed to examine the effect of tooth brushing on the surface roughness of resin-modified glass ionomer cement, compomer, and composite, which are frequently used in pediatric dentistry.
Methods: Resin-modified glass ionomer cement [Fuji II LC (GC Corp., Tokyo, Japan)], compomer [Dyract XP (Dentsply detrey, Konstanz, Germany)] and supra-nano filled resin composite; [Palfique Estelite Paste (Tokuyama Dental Co., Tokyo, Japan)] were used. Three different experimental groups were formed by preparing discs from the three different restorative materials. After preparing 20 samples for each group, the surface roughness values of the samples were measured using a profilometer device. Then, using a brushing simulator, corresponding to 1 year of brushing were applied to the samples, and the surface roughness values after brushing were recorded and the surface roughness values before and after brushing were compared. The results were statistically evaluated by one-way analysis of variance and Tamhane’s T2 multiple comparison test (P < .05).
Results: As a result of brushing for 1 year, statistically significantly higher surface roughness change were observed in the resin-modified glass ionomer cement group in comparison to the compomer and composite groups (P < ,05). But no statistically significant difference was observed in the surface roughness change between the composite and compomer groups (P > ,05). After 1 year of brushing, the resin-modified glass ionomer cements were found to have a clinically rough surface and could pose a risk in terms of plaque accumulation.
Conclusion: When using resin-modified glass ionomer cements for restorative treatment in pediatric dentistry, it is important to use appropriate finishing and polishing systems and to regularly check the treated teeth to reduce the surface roughness that may occur.
Keywords: Pediatric dentistry, dental materials, toothbrushing, surface properties

Keywords

Çocuk diş hekimliği, dental materyaller, diş fırçalama, yüzey özellikleri

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