Yüksek performanslı polimerlerin bazı dental materyaller ile bağlanma dayanımlarının değerlendirilmesi: Bir derleme

Year 2022, Volume: 32 Issue: 4 - 2022, 32:4, 315 - 323, 21.10.2022

Gülfem Ergün Bahar Tekli

https://doi.org/10.17567/ataunidfd.1032064

Abstract

Polietereterketon ve polieterketonketon, poliarileterketon ailesine ait termoplastik polimerlerdir. Kabul edilebilir kırılma dayanımı ve şok absorbe etme özellikleri nedeniyle, bu yüksek performanslı polimerler diş hekimliğinde alternatif dental alt yapı malzemeleri olarak kullanıma başlanmıştır. Bununla birlikte grimsi beyaz rengi ve düşük yarı saydamlılığı poliarileterketon materyallerinin monolitik diş restorasyonu olarak kullanımını sınırlamaktadır. Estetik kabulü için mutlaka kaplama (veneer) materyali ile birlikte kullanımı gerekmektedir. Fakat veneer materyali ile bağlanması için polietereterketon ve polieterketonketon yüzeylerine mekanik veya kimyasal işlem uygulama gereksinimi ortaya çıkmaktadır. Bu derlemenin amacı, poliarileterketon termoplastik polimerlerin dental materyaller ile bağlanma dayanımlarını değerlendirmek ve bu konuda yapılan çalışmaları irdelemektir. Ocak 1988’den Haziran 2021’e kadar hem Pubmed, Cochrane Library, Evidence Based Dentistry veri tabanlarında hem de ilave olarak el ile arama yöntemi kullanılarak; “PEEK or PEKK” and “surface treatment or surface modification” and bond strength anahtar kelimeleriyle gerçekleştirilen tarama sonucunda; 72 adet literatür bulundu. Bunların incelenmesi sonrası henüz yayınlanmamış 4, tam metin erişimi olmayan 1, poliarileterketon materyallerinin biyomedikal uygulamalarda osseointegrasyon kapasitesini değerlendiren (dental materyallerin bağlanma dayanımı ile ilişkin olmayan) 4 adet olmak üzere toplam 9 adet çalışma elendi. 52 in vitro araştırma makalesi, 1 in vivo araştırma makalesi, 8 derleme ve 2 vaka raporu olmak üzere toplam 63 literatür derlemeye dahil edildi. Yapılan irdelemeler, polietereterketon veya polieterketonketon polimerleri ile dental materyaller arasında bir bağlanma oluşturmak için polietereterketon ve polieterketonketon yüzeylerinin mekanik ve/veya kimyasal bir yüzey işlemi ile pürüz lendi rilme sinin ; ilave olarak da bir adeziv ajanın yüzeye uygulanmasının gerekliliğini ortaya koymaktadır.

Anahtar Kelimeler: Yapıştırıcılar, polietereterketon, polieterketonketon, kayma mukavemeti, gerilme direnci

Keywords

polietereterketon, polieterketonketon, kayma mukavemeti, gerilme direnci, Yapıştırıcılar

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