Protez Temizleme Ajanlarının Diş Eti Karakterizasyonunda Kullanılan Farklı Materyallerin Yüzey Pürüzlülüğüne Etkisinin Değerlendirilmesi

Year 2022, Volume: 9 Issue: 3, 831 - 838, 26.12.2022

Hatice Nalan Bozoğulları , Özlem Üstün

https://doi.org/10.15311/selcukdentj.1133231

Abstract

Amaç: Çalışmanın amacı; farklı protez temizleme ajanlarının, total protezlerin diş eti modifikasyonunda kullanılan indirekt kompozit rezinler ve ısı ile polimerize olan akrilik kaide materyalinin yüzey pürüzlülüğüne etkisini değerlendirmektir.
Gereç ve Yöntemler: Çalışmada iki farklı indirekt diş eti kompoziti (Gradia Plus Gum ve SR Nexco Paste Gingiva) ve bir adet ısı ile polimerize olan polimetil metakrilat akrilik rezin (PMMA) (Meliodent) test edildi. Her materyalden 30 adet olmak üzere çapı 10 mm, yüksekliği 2 mm olan disk şeklinde toplam 90 adet örnek hazırlandı. Örnekler temizleme solüsyonlarına göre 3 alt gruba ayrılarak (n = 10) distile su (kontrol) ve iki farklı protez temizleme solüsyonunda (% 1’lik NaOCl ve Corega) 90 günlük kullanım süresine eşit olacak şekilde bekletildi. Örneklerin başlangıç (Ra0) ve 90 gün sonra (Ra1) yüzey pürüzlülüğü ölçümleri profilometre ile yapıldı. Elde edilen veriler Kruskal-Wallis ve Mann-Whitney U testleri kullanılarak analiz edildi. Wilcoxon Signed Rank testi her materyalin Ra0 ve Ra1 değerlerini kıyaslamada kullanıldı (p < 0.05).
Bulgular: Farklı protez temizleme solüsyonlarının, materyallerin yüzey pürüzlülük değerlerine etkisi istatistiksel olarak anlamlıydı (p < 0.001). Tüm materyaller için, Ra0 ve Ra1 değerleri arasındaki farklılık % 1’lik NaOCl’de istatistiksel olarak anlamlı iken (p < 0.05) Corega için istatistiksel bir fark gözlenmedi. % 1’lik NaOCl PMMA’nın yüzey pürüzlülüğünde istatistiksel olarak anlamlı azalmaya sebep olurken, kompozit materyallerinde artışa sebep olmuştur.
Sonuç: % 1’lik NaOCl protez temizleme solüsyonu, PMMA akrilik rezinlerin kimyasal temizliği için önerilebilir ancak kompozit rezinlerle modifiye edilen total protezlerde yüzey pürüzlülüğünü arttırdığı dikkate alınmalıdır. Alkalen peroksit içerikli Corega efervesan tabletin ise test edilen tüm materyaller için uygun bir temizleme solüsyonu olduğu söylenebilir.

Keywords

diş eti kompozitleri, PMMA, protez temizleme ajanları, yüzey pürüzlülüğü

References

• 1. Yen YY, Lee HE, Wu YM, Lan SJ, Wang WC, Du JK, Huang ST, Hsu KJ. Impact of removable dentures on oral health-related quality of life among elderly adults in Taiwan. BMC Oral Health 2015;5:15:1.
• 2. J.M. Silva, J.F.F. Santos, L. Marchini Factors influencing patients’ satisfaction with complete dentures: a qualitative study Braz. Dent Sci 2014;17:83-88.
• 3. Bedrossian EA, Chung KH, Ramos V Jr. Effect of layering gingiva-shade composite resin on the strength of denture base polymers. J Prosthet Dent 2019;122:153.e1-153.e8.
• 4. Zafar MS. Prosthodontic Applications of Polymethyl Methacrylate (PMMA): An Update. Polymers (Basel) 2020; 8;12:2299.
• 5. Bidra AS, Taylor TD, Agar JR. Computer-aided technology for fabricating complete dentures: systematic review of historical background, current status, and future perspectives. J Prosthet Dent 2013;109:361-6.
• 6. Choi JJE, Uy CE, Plaksina P, Ramani RS, Ganjigatti R, Waddell JN. Bond Strength of Denture Teeth to Heat-Cured, CAD/CAM and 3D Printed Denture Acrylics. J Prosthodont 2020;29:415-421.
• 7. Park BW, Kim NJ, Lee J, Lee HH. Technique for fabricating individualized dentures with a gingiva-shade composite resin. J Prosthet Dent 2016;115:547-50.
• 8. Coachman C, Salama M, Garber D, Calamita M, Salama H, Cabral G. Prosthetic gingival reconstruction in fixed partial restorations. Part 3: laboratory procedures and maintenance. Int J Periodontics Restorative Dent 2010;30:19-29.
• 9. An HS, Park JM, Park EJ. Evaluation of shear bond strengths of gingiva-colored composite resin to porcelain, metal and zirconia substrates. J Adv Prosthodont 2011;3:166-71.
• 10. Axe AS, Varghese R, Bosma M, Kitson N, Bradshaw DJ. Dental health professional recommendation and consumer habits in denture cleansing. J Prosthet Dent 2016;115:183-8.
• 11. Peracini A, Davi LR, de Queiroz Ribeiro N, de Souza RF, Lovato da Silva CH, de Freitas Oliveira Paranhos H. Effect of denture cleansers on physical properties of heat-polymerized acrylic resin. J Prosthodont Res 2010;54:78-83.
• 12. Felton D, Cooper L, Duqum I, Minsley G, Guckes A, Haug S, Meredith P, Solie C, Avery D, Deal Chandler N. American College of Prosthodontists. Evidence-based guidelines for the care and maintenance of complete dentures: a publication of the American College of Prosthodontists. J Prosthodont 2011;20:1:S1-S12.
• 13. Neppelenbroek KH, Pavarina AC, Vergani CE, Giampaolo ET. Hardness of heat-polymerized acrylic resins after disinfection and long-term water immersion. J Prosthet Dent 2005;93:171-6.
• 14. Davi LR, Peracini A, Ribeiro Nde Q, Soares RB, da Silva CH, Paranhos Hde F, de Souza RF. Effect of the physical properties of acrylic resin of overnight immersion in sodium hypochlorite solution. Gerodontology 2010;27:297-302.
• 15. Paranhos Hde F, Peracini A, Pisani MX, Oliveira Vde C, de Souza RF, Silva-Lovato CH. Color stability, surface roughness and flexural strength of an acrylic resin submitted to simulated overnight immersion in denture cleansers. Braz Dent J 2013;24:152-6.
• 16. Kuhar M, Funduk N. Effects of polishing techniques on the surface roughness of acrylic denture base resins. J Prosthet Dent 2005;93:76-85.
• 17. Morgan TD, Wilson M. The effects of surface roughness and type of denture acrylic on biofilm formation by Streptococcus oralis in a constant depth film fermentor. J Appl Microbiol 2001;91:47-53.
• 18. Charman KM, Fernandez P, Loewy Z, Middleton AM. Attachment of Streptococcus oralis on acrylic substrates of varying roughness. Lett Appl Microbiol 2009;48:472-7.
• 19. Abuzar MA, Bellur S, Duong N, Kim BB, Lu P, Palfreyman N, Surendran D, Tran VT. Evaluating surface roughness of a polyamide denture base material in comparison with poly (methyl methacrylate). J Oral Sci 2010;52:577-81.
• 20. Goiato MC, Dos Santos DM, Baptista GT, Moreno A, Andreotti AM, Bannwart LC, Dekon SF. Effect of thermal cycling and disinfection on colour stability of denture base acrylic resin. Gerodontology 2013;30:276-82.
• 21. Artopoulos A, Juszczyk AS, Rodriguez JM, Clark RK, Radford DR. Three-dimensional processing deformation of three denture base materials. J Prosthet Dent 2013;110:481-7.
• 22. Choi JJE, Ramani RS, Ganjigatti R, Uy CE, Plaksina P, Waddell JN. Adhesion of Denture Characterizing Composites to Heat-Cured, CAD/CAM and 3D Printed Denture Base Resins. J Prosthodont 2021;30:83-90.
• 23. Alves PB, Brandt WC, Neves AC, Cunha LG, Silva-Concilio LR. Mechanical properties of direct and indirect composites after storage for 24 hours and 10 months. Eur J Dent 2013;7:117-22.
• 24. Bollen CM, Lambrechts P, Quirynen M. Comparison of surface roughness of oral hard materials to the threshold surface roughness for bacterial plaque retention: a review of the literature. Dent Mater 1997;13:258-69.
• 25. Borchers L, Tavassol F, Tschernitschek H. Surface quality achieved by polishing and by varnishing of temporary crown and fixed partial denture resins. J Prosthet Dent 1999;82:550-6.
• 26. Gungor H, Gundogdu M, Yesil Duymus Z. Investigation of the effect of different polishing techniques on the surface roughness of denture base and repair materials. J Prosthet Dent 2014;112:1271-7.
• 27. Işeri U, Uludamar A, Ozkan YK. Effectiveness of different cleaning agents on the adherence of Candida albicans to acrylic denture base resin. Gerodontology 2011;28:271-6.
• 28. Pisani MX, Macedo AP, Paranhos Hde F, Silva CH. Effect of experimental Ricinus communis solution for denture cleaning on the properties of acrylic resin teeth. Braz Dent J 2012;23:15-21.
• 29. Arruda CN, Sorgini DB, Oliveira Vde C, Macedo AP, Lovato CH, Paranhos Hde F. Effects of Denture Cleansers on Heat-Polymerized Acrylic Resin: A Five-Year-Simulated Period of Use. Braz Dent J 2015;26:404-8.
• 30. Papadiochou S, Polyzois G. Hygiene practices in removable prosthodontics: A systematic review. Int J Dent Hyg 2018;16:179-201.
• 31. Vasconcelos LR, Consani RL, Mesquita MF, Sinhoreti MA. Effect of chemical and microwave disinfection on the surface microhardness of acrylic resin denture teeth. J Prosthodont 2013;22:298-303.
• 32. Ayaz EA, Altintas SH, Turgut S. Effects of cigarette smoke and denture cleaners on the surface roughness and color stability of different denture teeth. J Prosthet Dent 2014;112:241-8.
• 33. Harrison Z, Johnson A, Douglas CW. An in vitro study into the effect of a limited range of denture cleaners on surface roughness and removal of Candida albicans from conventional heat-cured acrylic resin denture base material. J Oral Rehabil 2004;31:460-7.
• 34. Al-Thobity AM, Gad M, ArRejaie A, Alnassar T, Al-Khalifa KS. Impact of Denture Cleansing Solution Immersion on Some Properties of Different Denture Base Materials: An In Vitro Study. J Prosthodont 2019;28:913-919.
• 35. Paranhos Hde F, Davi LR, Peracini A, Soares RB, Lovato CH, Souza RF. Comparison of physical and mechanical properties of microwave-polymerized acrylic resin after disinfection in sodium hypochlorite solutions. Braz Dent J 2009;20:331-5.
• 36. Robinson JG, McCabe JF, Storer R. Denture bases: the effects of various treatments on clarity, strength and structure. J Dent 1987;15:159-65.
• 37. da Silva FC, Kimpara ET, Mancini MN, Balducci I, Jorge AO, Koga-Ito CY. Effectiveness of six different disinfectants on removing five microbial species and effects on the topographic characteristics of acrylic resin. J Prosthodont 2008;17:627-33.
• 38. Sharma P, Garg S, Kalra NM. Effect of Denture Cleansers on Surface Roughness and Flexural Strength of Heat Cure Denture Base Resin-An In vitro Study. J Clin Diagn Res 2017;11:ZC94-ZC97.
• 39. Marghalani HY. Effect of filler particles on surface roughness of experimental composite series. J Appl Oral Sci 2010;18:59-67.
• 40. Rinastiti M, Özcan M, Siswomihardjo W, Busscher HJ. Effects of surface conditioning on repair bond strengths of non-aged and aged microhybrid, nanohybrid, and nanofilled composite resins. Clin Oral Investig. 2011;15:625-33.
• 41. Wattanapayungkul P, Yap AU. Effects of in-office bleaching products on surface finish of tooth-colored restorations. Oper Dent 2003;28:15-9.
• 42. Cakan U, Kara O, Kara HB. Effects of various denture cleansers on surface roughness of hard permanent reline resins. Dent Mater J 2015;34:246-51.
• 43. Durkan R, Ayaz EA, Bagis B, Gurbuz A, Ozturk N, Korkmaz FM. Comparative effects of denture cleansers on physical properties of polyamide and polymethyl methacrylate base polymers. Dent Mater J 2013;32:367-75.
• 44. Ozyilmaz OY, Akin C. Effect of cleansers on denture base resins' structural properties. J Appl Biomater Funct Mater 2019;17:2280800019827797.
• 45. Machado AL, Breeding LC, Vergani CE, da Cruz Perez LE. Hardness and surface roughness of reline and denture base acrylic resins after repeated disinfection procedures. J Prosthet Dent 2009;102:115-22.