Vital Pulpa Tedavisinde Kullanılan Kalsiyum Silikat İçerikli Biyomateryallerin Restoratif Materyallere Bağlanma Dayanımının Değerlendirilmesi

Year 2019, Volume: 6 Issue: 3, 271 - 279, 17.12.2019

Hüseyin Biçer , Şule Bayrak

https://doi.org/10.15311/selcukdentj.434762

Cited By: 3

Abstract

Amaç: Bu çalışmanın amacı, vital pulpa tedavilerinde kullanılan
kalsiyum silikat içerikli biyomateryallerin rezin modifiye cam iyonomer siman
ve kompozit rezine makaslama bağlanma dayanımlarının karşılaştırmalı olarak
değerlendirilmesidir.

Gereç ve Yöntemler: 4 mm çapında ve
2 mm derinlikte boşlukları bulunan 78 adet akrilik blok hazırlandı. Üretici
firmaların talimatları doğrultusunda hazırlanan kalsiyum silikat içerikli
biyomateryaller (ProRoot MTA, BioAggregate ve Biodentine) akrilik bloklardaki
boşluklara yerleştirildi ve sertleşmeleri için önerilen sürelerde bekletildi.
Biyomateryal örnekleri, rezin modifiye cam iyonomer siman ve kompozit rezin
olarak 2 gruba ayrıldı. Adeziv işlemlerin ardından biyomateryallerin üzerine 2
mm çapında ve 2 mm yüksekliğinde silindirik kalıplar yardımıyla restoratif
materyaller uygulandı. Tüm örnekler 24 saat 37°C'lik etüvde bekletildikten
sonra makaslama bağlanma dayanım değerleri universal test cihazı kullanılarak
ölçüldü. Elde edilen verilerin istatistiksel değerlendirilmesinde tek yönlü
varyans analizi (One-way-ANOVA) ve Tukey testleri kullanıldı.

Bulgular: Tüm biyomateryallerde (ProRoot MTA, BioAggregate ve Biodentine) kompozit
rezinin makaslama bağlanma dayanım değeri, rezin modifiye cam iyonomer simandan
yüksek bulundu. Biyomateryaller karşılaştırıldığında ise, Biodentine’nin
hem rezin modifiye cam iyonomer siman hem de kompozit rezine bağlanma
dayanımının ProRoot MTA ve BioAggregate’den anlamlı olarak yüksek olduğu
saptandı (p<0.05).

Sonuçlar: Sonuç olarak vital pulpa
tedavilerinde kullanılan kalsiyum silikat içerikli biyomateryallerin üzerine
restoratif materyal olarak kompozit rezin tercih edilebilir. Ayrıca Biodentine, hem bağlanma dayanımı
açısından daha iyi değerler sergilemesi, hem de sertleşme süresinin daha kısa
olması, manipülasyonunun daha kolay olması ve daha ucuz olması nedeniyle MTA ve BioAggregate’e iyi bir alternatif olabilir.

Anahtar Kelimeler: Biyomateryal, makaslama bağlanma
dayanımı, vital pulpa tedavisi.

Keywords

Biyomateryal, makaslama bağlanma dayanımı

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