‘Self-Cure’ Üniversal Adezivin Dentine Olan Mikrogerilim Bağlanma Dayanımı: İn Vitro çalışma

Year 2022, , 53 - 60, 27.04.2022

Tuğba Serin Kalay , Beyza Zaim

https://doi.org/10.15311/selcukdentj.907461

Abstract

Amaç: Farklı yüzey hazırlama prosedürleri ve yaşlandırma sonrası, kendi kendine polimerize olabilen (self-cure) bir adezivin, iki farklı üniversal adeziv ile dentine olan mikrogerilim bağlanma dayanımının (µGBD) karşılaştırmalı olarak değerlendirilmesidir.
Gereç ve Yöntemler: Çalışmada, 18 adet çekilmiş insan üçüncü azı dişi kullanıldı. Dişlerin okluzal mine yüzeyleri uzaklaştırıldı ve orta-koronaldeki dentin yüzeyleri elde edildi. Örnekler kullanılan yüzey hazırlama prosedürlerine göre iki gruba (Etch&Rinse ve Self-Etch), ardından uygulanacak adeziv sisteme göre üç alt gruba ayrıldı: 1) Clearfil Universal Bond Quick, 2) G-Premio Bond, 3) Tokuyama Universal Bond. Adeziv uygulanan dentin yüzeyine 4 mm yükseklikte kompozit rezin uygulandı ve polimerize edildi. Örnekler 24 saat 37 °C nemli ortamda bekletildikten sonra düşük hızlı kesme cihazı (Micracut 125, Metkon, Bursa, Türkiye) kullanılarak yaklaşık 1 mm2’lik kesitler elde edildi (n=15). 24 saat veya 6 ay suda yaşlandırma sonrası örneklerin mikrogerilim bağlanma testi (Microtensile Tester, Bisco, IL, ABD) 0.5 mm/dk bir hızda gerçekleştirildi ve veriler MPa cinsinden kaydedildi. Veriler Kruskal-Wallis, Mann-Whitney U ve bağımsız örneklem t-test kullanılarak analiz edildi. Kopma tipleri stereomikroskop altında incelendi.
Bulgular: Tüm adezivlerde ER prosedürü istatistiksel olarak anlamlı şekilde yüksek μGBD gösterdi (p<0.001). SE prosedürü uygulanan gruplarda yaşlandırma sonrası adezivlerin μGBD değerleri arasında anlamlı fark görülmedi. (p>0.05). ER prosedürü uygulanan gruplarda yaşlandırma sonrası, TUB hariç (p=0.282) diğer adezivlerde istatistiksel olarak anlamlı olarak düşüş görüldü (p<0.001).
Sonuç: SE prosedürü ile kullanılan üniversal adezivlerin yaşlandırma sonrası µGBD değerleri anlamlı fark göstermedi. ‘Self-cure’ adeziv TUB diğer adezivlerden daha düşük µGBD değerleri gösterse de hem ER hem SE prosedüründe yaşlandırma sonrası µGBD değerleri anlamlı fark göstermeyen tek adezivdi.

Keywords

dentin bağlanma dayanımı, mikrogerilim bağlanma dayanımı, üniversal adeziv, self-cure adeziv

Microtensile Bond Strength of 'Self-Cure' Universal Adhesive to Dentin: in vitro study

Abstract

Aim: The purpose of this study is to compare the microtensile dentin bond strength (µTBS) of the 'self-cure' adhesive to dentin with two universal adhesives after different surface preparation procedures and aging.
Methods: In the study, 18 extracted human third molars were used. The occlusal enamel surfaces of the teeth were removed and the mid-coronal dentin surfaces were obtained. The samples were divided into two groups (Etch&Rinse and Self-Etch) according to the surface preparation procedures used, and then into three sub-groups according to the adhesive system to be applied: 1) Clearfil Universal Bond Quick, 2) G-Premio Bond, 3) Tokuyama Universal Bond. 4 mm composite resin was applied to the adhesive applied dentin surface and polymerized. After the samples were kept at 37 ° C for 24 hours, sections of approximately 1 mm2 (n=15) were obtained by using a low speed cutting device (Micracut 125, Metkon, Bursa, Turkey). Microtensile bond strength were performed at a crosshead speed of 0.5 mm/min using a test device (Microtensile Tester, Bisco, IL, USA) after 24 hours or 6 months of water aging and data were recorded in MPa. Data were analyzed using the Kruskal–Wallis test, Mann–Whitney U and independent samples t-test. Failure modes were analyzed under a stereomicroscope.
Results: The ER procedure showed a statistically significant difference in all adhesives (p<0.001). There was no significant difference in µTBS values of adhesives after aging in the SE procedure groups (p>0.05). After aging in the ER procedure groups, a statistically significant decrease was observed in adhesives (p<0.001) except TUB (p=0.282).
Conclusions: After aging µTBS values of the universal adhesives used with the SE procedure did not show a significant difference. Although 'self-cure' adhesive TUB showed lower µTBS values than other adhesives, it was the only adhesive that did not show a significant difference in µTBS values after aging in both ER and SE procedures.

Keywords

dentin bond strength, microtensile bond strength, self-cure adhesive, universal adhesive

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