FARKLI ÖZELLİKTEKİ AKIŞKAN REZİN KOMPOZİTLERİN DİŞ DOKULARINA BAĞLANMA DAYANIMININ İNCELENMESİ

Year 2023, , 30 - 35, 27.04.2023

Cem Peşkersoy

https://doi.org/10.15311/selcukdentj.1090173

Abstract

Amaç: Farklı türde akışkan rezin kompozitlerin mine ve dentindeki mikro makaslama bağlanma dayanımını karşılaştırmalı olarak değerlendirmektir.
Gereç ve Yöntem: Yüz sekiz çürüksüz insan alt 3. büyük azı dişinde hazırlanan örnekler rastgele 4 ana grupta ikişer alt grup ve 1 adet kontrol grubu olacak şekilde 9 gruba (n=12) ayrıldı : Grup-VF: Kendinden adezivli akışkan rezin kompozit (Vertise Flow); Grup-GUF: Geleneksel akışkan rezin kompozit (G-ænial Universal Flo); Grup-MEF: Yoğun dolduruculu akışkan rezin kompozit (Majesty Es Flow). Grup TEF: Bulk-fill akışkan rezin kompozit (Tetric Evo Flow) ve Grup-KNTRL: Adezivsiz uygulanan kendinden adezivli akışkan rezin kompozit (Vertise Flow). Adeziv sistem olarak Single Bond Universal her grupta iki farklı yöntemle uygulanarak ikişer alt grup hazırlandı : a) Self-Etch uygulama (SE), b) Etch & Rinse (asitle ve yıka) uygulama (ER) Tüm gruplarda adeziv sistemin uygulanmasından sonra, iç çapı 0.90 mm. olan Tygon tüpler kullanılarak kompozit silindirler oluşturuldu . Örneklerin mikro makaslama bağ dayanımları (μSBS) üniversal bir test cihazı kullanılarak belirlendi. Veriler iki yönlü varyans analizi (ANOVA) ve post-Hoc Tukey testi ile analiz edildi (α=0.05).
Bulgular: MEF+ER grubunun minedeki μSBS değeri diğer gruplara kıyasla daha yüksek (55.86 MPa/cm2) bulunmuş iken, dentin dokusunda en yüksek μSBS değerine GUF+SE grubunda ulaşıldı (31.97 MPa/cm2) (p<0.05). Tüm gruplarda, mine dokusunda etch and rinse (ER) yöntemiyle uygulanan kompozitlerin bağlanma dayanımı self-etch (SE) yönteme kıyasla yüksek bulundu (p<0.05). VF grubunda mine ve dentin dokusunda hem self-etch hem de asitle ve yıka yöntemiyle uygulandığında en düşük μSBS değerlerini gösterdi.
Sonuçlar: Doldurucu oranı artırılmış akışkan rezin kompozitler, bulk-fill ve kendinden adezivli akışkan rezin kompozitlere kıyasla daha iyi bir bağlanma dayanımı sergilemiştir. Kendinden asitli üniversal adeziv sistemin asitle kombine uygulanması akışkan rezin kompozitlerin bağlanma dayanımını olumlu yönde etkilemektedir.

Keywords

Kendinden adezivli akışkan kompozit, bulk-fill akışkan kompozit, mikro-makaslama bağ dayanımı, universal adeziv.

EVALUATION OF THE STRENGTH OF BONDING OF DIFFERENT FLUID RESIN COMPOSITES TO DENTAL TISSUE

Abstract

Aim: To comparatively evaluate the micro-shear bond strength of different types of flowable resin composites in enamel and dentin.
Materials and Methods: 108 caries-free third molars were randomly divided into 9 groups (n=12) as 2 subgroups in 4 main groups and 1 control group: Group-VF: Self-adhering flowable resin composite (Vertise Flow); Group-GUF: Conventional flowable resin composite (G-ænial Universal Flo); Group-MEF: Highly filled flowable resin composite (Majesty Es Flow). Group TEF: Bulk-fill flowable resin composite (Tetric Evo Flow) and Group-CNTRL: Self-adhering flowable resin composite (Vertise Flow) applied without any bonding stage. As an adhesive system, Single Bond Universal was applied with two different methods in each group and two subgroups were prepared: a) Self-Etch application (SE), b) Etch & Rinse application (ER). After the adhesive application phase, composite cylinders were builded-up using Tygon tubes (r=0.90 mm). The microshear bond strength (μSBS) of the samples was determined using a universal tester. Data were analyzed with two-way variance (ANOVA) and post-Hoc Tukey test (α=0.05).
Results: While the μSBS value of the MEF+ER group in enamel was higher (55.86 MPa/cm2) compared to the other groups, the highest μSBS value in the dentin tissue was found in the GUF+SE group (31.97 MPa/cm2) (p<0.05). In all groups, the bond strength of the composites applied with the etch and rinse (ER) method on the enamel tissue was higher than the self-etch (SE) method (p<0.05). The VF group presented the lowest μSBS values when applied with both SE and ER adhesive application methods.
Conclusions: Highly filled flowable resin composite presented better bond strength values than bulk-fill and self-adhering flowable composites. The combined use of self-etch universal adhesive system with an acid application (etching) positively affects the bond strength of flowable resin composites.

Keywords

Self-adhering flowable composite, bulk-fill flowable composite, micro-shear bond strength, universal adhesive.

References

• Terry DA. Restoring with Flowables. 1st edn. Illinois. USA. Quintessence Publ. 2017.
• Lokhande NA, Padmai AS, Rathore VP, Shingane S, Jayashankar DN, Sharma U. Effectiveness of flowable resin composite in reducing microleakage - an in vitro study. J Int Oral Health. 2014;6(3):111-4.
• Mirică IC, Furtos G, Bâldea B, Lucaciu O, Ilea A, Moldovan M. Influence of filler loading on the mechanical properties of flowable resin composites. Materials. 2020;13(6):1477-89.
• Battancs E, Fráter M, Sáry T, Gál E, Braunitzer G, Szabó PB, Fracture behavior and integrity of different direct restorative materials to restore noncarious cervical lesions. Polymers. 2021;13(23):4170-81.
• Mishra P, Jaiswal S, Nikhil V, Gupta S, Jha P, Raj S. Evaluation of marginal sealing ability of self-adhesive flowable composite resin in Class II composite restoration: An in vitro study. J Conserv Dent. 2018;21(4):363-8.
• Cardoso MV, de Almeida Neves A, Mine A, Coutinho E, Van Landuyt K, De Munck J, et al. Current aspects on bonding effectiveness and stability in adhesive dentistry. Aust Dent Jour. 2011;56:31-44.
• Perdigão J, Swift EJ Jr. Critical appraisal: post-op sensitivity with direct composite restorations. J Esthet Restor Dent. 2013;25(4):284-8.
• Bektas OO, Eren D, Akin E, Akin H. Evaluation of a self-adhering flowable composite in terms of micro-shear bond strength and microleakage. Acta Odont Scand. 2013;71:541-6.
• Garcia R, Silva, CS, Silva GG, Mocellin G, Ozelame J, Laís F. Bonding performance of a self-adhering flowable composite to substrates used in direct technique. RSBO Revista Sul-Brasileira de Odontologia. 2014;11(1):6-12.
• Asiri AA, Khan R, Alzahrani SS, Haider S, Khan SUD, Asiri EAM, et al. Comparative analysis of the shear bond strength of flowable self-adhering resin-composites adhesive to dentin with a conventional adhesive. Coatings. 2021;11(3):273-85.
• Tuloglu N, Tunc ES, Sezin Ozer S, Bayrak S. Shear bond strength of self-adhering flowable composite on dentin with and without application of an adhesive system. J Appl Biomater Funct Mater. 2014;12(2):97-101.
• David C, Cardoso de CG, Isolan CP, Piva E, Moraes RR, Cuevas-Suarez CE. Bond strength of self-adhesive flowable composite resins to dental tissues: A systematic review and meta-analysis of in vitro studies. J Prosthet Dent. 2021;3913(21):102-15.
• de Carvalho MA, Lazari-Carvalho PC, Polonial IF, de Souza JB, Magne P. Significance of immediate dentin sealing and flowable resin coating reinforcement for unfilled/lightly filled adhesive systems. J Esthet Restor Dent. 2021;33(1):88-98.
• Sagsoz O, Ilday NO, Karatas O, Cayabatmaz M, Parlak H, Olmez MH. The bond strength of highly filled flowable composites placed in two different configuration factors. J Conserv Dent. 2016;19(1):21-5.
• Kaisarly D, El Gezawi M, Keßler A, Rösch P, Kunzelmann KH. Shrinkage vectors in flowable bulk-fill and conventional composites: bulk versus incremental application. Clin Oral Investig. 2021;25(3):1127-39.
• Jang JH, Park SH, Hwang IN. Polymerization shrinkage and depth of cure of bulk-fill resin composites and highly filled flowable resin. Oper Dent. 2015;40(2):172–80.
• Reis AF, Vestphal M, Amaral RC, Rodrigues JA, Roulet JF. Efficiency of polymerization of bulk-fill composite resins: a systematic review. Braz Oral Res. 2017;31(1):59-68.
• Hirata R, Kabbach W, de Andrade OS, Bonfante EA, Giannini M, Coelho PG. Bulk fill composites: an anatomic sculpting technique. J Esthet Restor Dent. 2015;27(6):335-43.
• Alrobeigy NA, Abed YA. Bond strength and interfacial morphology evaluation of self-adhering flowable composites. Egypt Dent J. 2016;62:1385-95.
• Andrade AM, Moura SK, Reis A, Loguercio AD, Garcia EJ, Grande RH. Evaluating resin-enamel bonds by microshear and microtensile bond strength tests: effects of composite resin. J Appl Oral Sci. 2010;18(6):591-8
• Michaud PL, MacKenzie A. Compatibility between dental adhesive systems and dual-polymerizing composite resins. J Prosthet Dent. 2016;116(4):597-60.
• Samimi P, Alizadeh V, Fathpour K, Mazaheri H, Mortazavi V. In-vitro comparison of the effect of different bonding strategies on the micro-shear bond strength of a silorane-based composite resin to dentin. Dent Res J. 2016;13(2):124-31.
• Milia E, Cumbo E, Cardoso RJ, Gallina G. Current dental adhesives systems. A narrative review. Curr Pharm Des. 2012;18(34):5542-52.
• Langer A, Ilie N. Dentin infiltration ability of different classes of adhesive systems. Clin Oral Investig. 2013;17:205-16.
• Carrilho E, Cardoso M, Marques FM, Marto CM, Paula A, Coelho AS. 10-MDP based dental adhesives: adhesive interface characterization and adhesive stability-a systematic review. Materials. 2019;12(5):790-9.
• Shinkai K, Yoshii D, Koide A, Suzuki M, Suzuki S. Dentin bond strengths of all-in-one adhesives combined with different manufacturers' flowable resin composites. Dent Mater J. 2021;40(5):1094-9.
• Perdigão J. Current perspectives on dental adhesion: (1) Dentin adhesion - not there yet. Jpn Dent Sci Rev. 2020;56(1):190-207.
• Ozer F, Blatz MB. Self-etch and etch-and-rinse adhesive systems in clinical dentistry. Compend Contin Educ Dent. 2013;34(1):12-4.
• Bedran-Russo A, Leme-Kraus AA, Vidal CMP, Teixeira EC. An overview of dental adhesive systems and the dynamic tooth-adhesive interface. Dent Clin North Am. 2017;61(4):713-31.
• Oz FD, Gurgan S. Shear bond strength of a self-adhering flowable resin composite compared to a highly-filled flowable resin composite used with a universal adhesive in different application modes: an in vitro study. Turkiye Klinikleri J Dental Sci. 2022;28(1):188-95.
• Poitevin A, De Munck J, Van Ende A, Suyama Y, Mine A. Bonding effectiveness of self-adhesive composites to dentin and enamel. Dent Mater. 2013;29:221-30.
• Vichi A, Margvelashvili M, Goracci C, Papacchini F, Ferrari M. Bonding and sealing ability of a new self-adhering flowable composite resin in class I restorations. Clin Oral Investig. 2013;17(6):1497-506.
• Şirinsükan N. Farklı adeziv sistemler ile uygulanan çeşitli akışkan kompozit sistemlerinin dentine bağlanma dayanımlarının in vitro değerlendirilmesi. Yüksek lisans tezi. Yeditepe Üniversitesi. 2011.
• Rengo C, Goracci C, Juloski J, Chieffi N, Giovannetti A, Vichi A. Influence of phosphoric acid etching on microleakage of a self-etch adhesive and a self-adhering composite. Aust Dent Jour. 2012;57:220-6.
• Bas K, Uslu-Cender E. Bond strength evaluation of bulk-fill composites to dentin under different surface treatments. Odovtos Intern J Dent Scie. 2021;23(2):90-103
• Francois P, Vennat E, Le Goff S, Ruscassier N, Attal JP, Dursun E. Shear bond strength and interface analysis between a resin composite and a recent high-viscous glass ionomer cement bonded with various adhesive systems. Clin Oral Investig. 2019;23(6):2599-608.
• Tsujimoto A, Irie M, Teixeira ECN, Jurado CA, Maruo Y, Nishigawa G. Relationships between flexural and bonding properties, marginal adaptation, and polymerization shrinkage in flowable composite restorations. Polymers. 2021;13(16):2613-21.
• Kominami N, Shimada Y, Hosaka K, Luong MN, Yoshiyama M, Sadr A, Sumi Y, Tagami J. The effect of flowable composite lining and dentin location on microtensile bond strength and internal fracture formation. Dent Mater J. 2019;38(5):798-805.