Kemomekanik Çürük Temizleme Yönteminin Farklı Restoratif Materyallerin Adezyonuna Etkisinin İncelenmesi

Year 2024, Volume: 15 Issue: 2, 214 - 225, 28.08.2024

Özge Gülcü Kılınçaslan Derya Ceyhan

https://doi.org/10.22312/sdusbed.1497145

Abstract

Amaç: Bu çalışmanın amacı, kemomekanik yöntem ve atravmatik restoratif tedavi tekniğinin, süt azı dişlerinin yüksek viskoziteli cam iyonomer siman ve kompomer ile restorasyonları üzerinde çalışma süresi, mikro-gerilim bağlanma dayanımı ve mikrosızıntı açısından etkilerinin değerlendirilmesidir.
Materyal-Metot: Toplanan 80 adet süt azı dişi, uygulanan çürük uzaklaştırma yöntemine göre Grup 1: BRIX 3000 ve Grup 2: ART olarak iki ana gruba; kullanılan restorasyon materyaline göre Grup A: Equia Forte HT ve Grup B: Dyract XP olarak iki alt gruba ayrıldı. Dişlerin çürük uzaklaştırma ve restorasyon aşamaları için harcanan süre kaydedildi. Örnekler, deney öncesinde 500 kez termal siklus işlemine tabi tutuldu. Mikro-gerilim testi ile bağlanma dayanım değerleri belirlendi, kopma tipleri değerlendirildi. Mikrosızıntı değerlendirmesi için örneklerin gingival ve okluzal boya penetrasyon derecesi incelendi. Elde edilen veriler istatistiksel olarak analiz edildi.
Bulgular: BRIX 3000 uygulanan gruplarda çürük uzaklaştırma süresi, Equia Forte HT kullanılan gruplarda restorasyon süresi daha fazlaydı (p<0,05). Mikro-gerilim bağlanma dayanımı değerinin, BRIX 3000 kullanılan tüm çalışma gruplarında, ART kullanılan çalışma gruplarına göre daha fazla olduğu saptandı (p<0,05). BRIX+Equia Forte HT çalışma grubunda en sık koheziv tip kopma, diğer çalışma gruplarında ise en sık adeziv tip kopma görüldü. Kopma türüne göre mikro-gerilim bağlanma dayanımı değerlerinin sıralamasının "koheziv>miks>adeziv" olduğu ve yalnızca adeziv ile koheziv tip kopma arasındaki farkın anlamlı olduğu bulundu (p<0,05). En düşük okluzal ve gingival mikrosızıntı skoru BRIX+Equia Forte HT grubunda, en yüksek mikrosızıntı skoru ART+Dyract XP grubunda ölçüldü (p<0,05).
Sonuç: BRIX 3000 kullanılan kemomekanik çürük uzaklaştırma yönteminin, mikro-gerilim bağlanma dayanımını ve sızdırmazlık özelliğini artırdığı görüldü. BRIX+Equia Forte HT kombinasyonu, tüm testlerde en başarılı sonuçları sundu.

Keywords

Atravmatik restoratif tedavi, kemomekanik çürük uzaklaştırma, süt dişi

Ethical Statement

Bu çalışma için Süleyman Demirel Üniversitesi Tıp Fakültesi Klinik Araştırmalar Etik Kurulu Başkanlığı’ndan, ‘’İlaç Dışı Araştırmalar’’ kategorisinde 16/234 sayılı karar ile izin alındı.

Supporting Institution

Süleyman Demirel Üniversitesi Bilimsel Araştırma Projeleri Koordinasyon Birimi

Project Number

Süleyman Demirel Üniversitesi Bilimsel Araştırma Projeleri Koordinasyon Birimi tarafından, Lisansüstü Tez Projesi kapsamında, TDH-2020-8287 numaralı proje desteği sağlandı.

Thanks

Bu çalışmayı destekleyen Süleyman Demirel Üniversitesi Bilimsel Araştırma Projeleri Koordinasyon Birimi’ne ve laboratuvar ve analiz aşaması süresince desteklerini esirgemeyen Selçuk Üniversitesi Diş Hekimliği Fakültesi Araştırma Laboratuvarı sorumlularına teşekkürlerimizi sunarız.

Investigation of the Effect of Chemomechanical Caries Removal Method on the Adhesion of Different Restorative Materials

Abstract

Objective: Aim of this study was to evaluate effects of chemomechanical method and atraumatic restorative treatment technique on working time, micro-tension bond strength and microleakage of restorations of deciduous molars with high viscosity glass ionomer cement and compomer.

Material-Method: Eighty collected deciduous molars were divided into two main groups as Group1:BRIX 3000 and Group2:ART for caries removal method and into two subgroups as GroupA:Equia Forte HT and GroupB:Dyract XP for restorative material. Time spent on caries removal and restoration was recorded. Specimens were thermal cycled 500 times before the experiment. Bond strength values were determined by micro-tension test, fracture types were evaluated. For microleakage evaluation, degree of gingival and occlusal dye penetration was examined. Data obtained were statistically analyzed.

Results: Caries removal time was longer in BRIX 3000-treated groups and restoration time was longer in Equia Forte HT-treated groups(p<0.05). Micro-tensile bond strength value was higher in all study groups using BRIX 3000 than in study groups using ART(p<0.05). In BRIX+Equia Forte HT study group, the most common type of fracture was cohesive, while in other study groups, it was adhesive. Ranking of micro-tensile bond strength values according to fracture type was “cohesive>mix>adhesive” and only difference between adhesive and cohesive fractures was significant(p<0.05). The lowest occlusal and gingival microleakage scores were measured in BRIX+Equia Forte HT group and the highest microleakage score was measured in ART+Dyract XP group(p<0.05).

Conclusion: Chemomechanical caries removal method using BRIX 3000 increased micro-tension bond strength and sealing properties. BRIX+Equia Forte HT combination offered the most successful results in all tests.

Keywords

Atraumatic restorative treatment, chemomechanical caries removal, deciduous tooth

Ethical Statement

For this study, ethical approval was obtained from Clinical Research Ethics Committee of Faculty of Medicine of Suleyman Demirel University with the decision numbered 16/234 in the category of “Non-Drug Research”.

Supporting Institution

Scientific Research Projects Coordination Unit of Suleyman Demirel University

Project Number

Süleyman Demirel Üniversitesi Bilimsel Araştırma Projeleri Koordinasyon Birimi tarafından, Lisansüstü Tez Projesi kapsamında, TDH-2020-8287 numaralı proje desteği sağlandı.

Thanks

We would like to thank Scientific Research Projects Coordination Unit of Suleyman Demirel University for supporting this study and the staff of Research Laboratory of Faculty of Dentistry of Selcuk University for their support during the laboratory and analysis phases.

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