Farklı adeziv uygulama tekniklerinin dentine mikrogerilim bağlanma dayanımlarının değerlendirilmesi

Year 2023, , 210 - 217, 15.06.2023

Gülşah Yenier Yurdagüven , Berna Tarım

https://doi.org/10.15311/selcukdentj.1235999

Abstract

Amaç: Bu çalışmanın amacı, basitleştirilmiş adeziv sistemlerde farklı adeziv uygulama tekniklerinin dentine olan mikrogerilim bağlanma dayanımına (μTBS) etkisini değerlendirmektir.
Gereç ve Yöntemler: Yetmiş iki adet çekilmiş çürüksüz insan üçüncü büyük azı dişi rastgele 18 gruba ayrıldı (n=4). Dentin yüzeyleri #600-grit silikon-karbit kağıt ile cilalandı. Kontrol grubunu Clearfil SE Bond [SE] (Kuraray), deney gruplarını iki aşamalı etch&rinse Adper Single Bond2 [SB] (3M ESPE) ve tek aşamalı self-etch Clearfil S3 Bond [S3] (Kuraray) oluşturdu. Test edilen adezivler, üretici firmanın talimatları [Kontrol] veya %2 Klorheksidin ile [CHX], veya iki kat adeziv uygulaması ile [x2K] veya ilave hidrofobik reçine tabaka [HR] ile uygulandı. Kompozit blok (Filtek Ultimate, 3M ESPE) tabaklama yöntemiyle oluşturuldu ve distile suda bekletildi (24 saat/37°C). 1mm2 reçine-dentin çubuklarına (Isomet) ayrılarak hemen [24sa] veya 37°C’de altı ay [6.ay] suda bekletildikten sonra μTBS testine tabi tutuldu (Bisco) (Çapraz kafa hızı 0.5 mm/dk). Veriler Three-way ANOVA ve post-hoc Tukey testleri kullanılarak analiz edildi (p<0.05).
Bulgular: Dentine μTBS değerleri; adeziv sisteme (p:0.001), adeziv uygulama tekniklerine (p:0.001), zamana (p:0.001) göre anlamlı farklılık göstermiştir. SE-Kontrol en yüksek μTBS gösterirken (p:0.001), SB-Kontrol ve S3-Kontrol arasında anlamlı farklılık bulunmamaktadır (p>0.05). Tüm grupların 6.ay µTBS değerleri anlamlı düzeyde azalmıştır (p<0.01). HR ve x2K, CHX ve Kontrol gruplarından anlamlı düzeyde daha yüksek μTBS sergilerken (p<0.01), CHX ve Kontrol arasında anlamlı bir fark bulunmamıştır (p>0.05). Adezivler karşılaştırıldığında 6.ayda, x2K ve HR uygulaması S3’de anlamlı düzeyde yüksektir (p<0.01).
Sonuçlar: HR ve x2K dentine μTBS değerlerini arttırırken; CHX ile anlamlı düzeyde bir artış gözlenmemiştir.
Anahtar kelimeler: Dental adezivler, dentin, dentin yapıştırma ajanları, klorheksidin, uzun ömürlülük

Keywords

dental adezivler, dentin, dentin yapıştırma ajanları, klorheksidin, uzun ömürlülük

Supporting Institution

İstanbul Üniversitesi Bilimsel Araştırma Projeleri Birimi

Project Number

40735

Thanks

Bu çalışmayı destekleyen İstanbul Üniversitesi Bilimsel Araştırma Projeleri Birimi' ne (Proje No: 40735) teşekkür ederiz.

Evaluation of different adhesive applications on dentine microtensile bond strength

Abstract

Background: The aim of this study was to evaluate the effect of different adhesive applications on dentine microtensile bond strength (μTBS) in simplified adhesive systems.
Methods: Seventy-two extracted non-carious human third molars were randomly divided 18 groups (n=4). Dentin surfaces were polished with #600-grit silicon-carbide paper. Two-step etch&rinse Adper Single Bond2 [SB](3M ESPE) and one-step self-etch Clearfil S3 Bond [S3](Kuraray) were tested, two-step self-etch Clearfil SE Bond [SE](Kuraray) was used as control. The tested adhesives were applied according to the manufacturer’s instructions [MI] or with 2% Chlorhexidine [CHX] or double application of the adhesive [DA] or with hydrophobic resin layer [HR]. Composite build-up (Filtek Ultimate,3MESPE) was restored incrementally and stored in distilled water (24h/37°C). Teeth were sectioned as 1mm2 resin-dentin sticks (Isomet) and subjected to μTBS test (Bisco) immediately [24h] or after six months of water-storage [6M] (Crosshead speed:0.5mm/min.) Data were analyzed by Three-way ANOVA and post-hoc Tukey’s tests (p<0.05).
Results: The dentine µTBS was significantly influenced by the adhesive system (p:0.001), adhesive applications (p:0.001), and storage time (p:0.001). The highest μTBS was found in SE-MI (p<0.05), while the interaction between SB-MI and S3-MI was not significant (p>0.05). The µTBS of all groups decreased significantly at 6M (p<0.01). HR and DA showed significantly higher μTBS than CHX and MI (p<0.01), while no significant difference was found between CHX and MI (p>0.05). When adhesives were compared, DA and HR were significantly higher μTBS in S3 (p<0.01).
Conclusion: HR and DA improved the μTBS while no significant enhancement was observed by CHX.
Keywords: Chlorhexidine, dental adhesives, dentin, dentin bonding agents, longevity.

Keywords

chlorhexidine, dental adhesives, dentin, dentin bonding agents, longevity

Project Number

40735

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