Er,Cr:YSGG Lazer ile Çürük Temizlemenin Bir Universal Adezivin Dentine Bağlanma Dayanımı Üzerine Etkisi

Öz

AMAÇ Er,Cr-YSGG çürük gidermenin, üniversal bir adezivin dentine mikrogerilim bağlanma kuvveti (μTBS) üzerindeki etkisini değerlendirmektir. YÖNTEM Bu çalışmada 6 tane oklüzal dentin çürüğü olan ve 2 tane çürüksüz çekilmiş insan azı dişi kullanılmıştır. Dişlerdeki koronal çürük lezyonları, sert bir dentin tabakasına ulaşılana kadar konvansiyonel olarak frezler veya Er,Cr-YSGG lazer (Waterlase MD, Biolase Technology Inc, Irvine, CA, ABD) kullanılarak uzaklaştırılmıştır. Üreticinin talimatlarına uygun olarak üniversal adeziv sistem ( G- Premio Bond,GC Europe N.V., Leuven, Belçika) uygulanan dentin yüzeylerine rezin kompozit (Charisma Smart) uygulanmıştır. Numunelerden µtbs analizleri için 1x1 mm (± 0,2 mm) kalınlığında çubuklar elde edilmiştir. Her bir çürük giderme yöntemi için üç diş kullanılmıştır. Çürükten etkilenmiş dentin çubukları, rengi bozulmuş etkilenmiş dentinin hemen üzerinden elde edilmiştir. Sağlam dentinin μTBS'sini değerlendirmek için çürüksüz çekilmiş dişlerden alınan çubuklar kullanılmıştır. Hazırlanan çubuklar μTBS testi için üniversal test cihazında (Micro Tensile Tester, Bisco, ABD) 1 mm/dk kafa hızında gerilime tabi tutulmuştur. Veriler, One-way ANOVA ve Tukey HSD post-hoc testleri ile analiz edilmiştir. BULGULAR Sağlam dentin, diğer gruplara (Er,Cr-YSGG grubu için 24,34 ± 6,53 MPa, yuvarlak frez grubu için 22,63 ± 5,98 MPa) göre anlamlı derecede daha yüksek bağlanma mukavemeti sonuçlarına (36,71 ± 5,93 MPa) sahipti. (p<0.05) Yuvarlak frezler ile Er,Cr:YSGG grupları arasında istatistiksel olarak fark yoktu (p>0,05). SONUÇ Er,Cr:YSGG lazerle çürük giderme, test edilen üniversal adezivin çürükten etkilenen dentine bağlanma performansını etkilemedi ve çürük giderme için frezlere alternatif olarak kullanılabilir.

Anahtar Kelimeler

• Adezyon
• çürükten etkilenmiş dentin
• lazer
• smear tabakası

Kaynakça

1. 1. Massler M. Changing concepts in the treatment of carious lesions. Br Dent J. 1967;123:547-8.
2. 2. Sattabanasuk V, Burrow M, Shimada Y, Tagami J. Resin adhesion to caries‐affected dentine after different removal methods. Australian Dental Journal. 2006;51(2):162-9.
3. 3. Ordu MA. Farklı çürük temizleme yöntemlerinin (lazer, carisolv, papacarie, konvansiyonel aerator sistemler) klinik başarısının değerlendirilmesi. 2018.
4. 4. Eversole L, Rizoiu I. Pulpal response to cavity preparation by an erbium, chromium: YSGG laser-powered hydrokinetic system. The Journal of the American Dental Association. 1997;128(8):1099-106.
5. 5. Hossain M, Nakamura Y, Yamada Y, Kimura Y, Nakamura G, Matsumoto K. Ablation depths and morphological changes in human enamel and dentin after Er: YAG laser irradiation with or without water mist. Journal of clinical laser medicine & surgery. 1999;17(3):105-9.
6. 6. Eversole LR, Rizoiu IM. Preliminary investigations on the utility of an erbium, chromium YSGG laser. Journal of the California Dental Association. 1995;23(12):41-7.
7. 7. Rizoiu I, Kohanghadosh F, Kimmel AI, Eversole LR. Pulpal thermal responses to an erbium, chromium: YSGG pulsed laser hydrokinetic system. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 1998;86(2):220-3.
8. 8. Carpenter W, Eversole R, Hadley J. Human pulp responses to cavity preparation with a laser powdered hydrokinetic system. J Dent Res. 1999;78:386.

9. 9. Hossain M, Nakamura Y, Yamada Y, Murakami Y, Matsumoto K. Compositional and structural changes of human dentin following caries removal by Er, Cr: YSGG laser irradiation in primary teeth. Journal of Clinical Pediatric Dentistry. 2002;26(4):377-82.
10. 10. Hossain M, Nakamura Y, Tamaki Y, Yamada Y, Murakami Y, Matsumoto K. Atomic analysis and knoop hardness measurement of the cavity floor prepared by Er, Cr: YSGG laser irradiation in vitro. Journal of oral rehabilitation. 2003;30(5):515-21.
11. 11. Aoki A, Ishikawa I, Yamada T, Otsuki M, Watanabe H, Tagami J, et al. Comparison between Er: YAG laser and conventional technique for root caries treatment in vitro. Journal of dental research. 1998;77(6):1404-14.
12. 12. Hossain M, Nakamura Y, Yamada Y, Kimura Y, Matsumoto N, Matsumoto K. Effects of Er, Cr: YSGG laser irradiation in human enamel and dentin: ablation and morphological studies. Journal of clinical laser medicine & surgery. 1999;17(4):155-9.
13. 13. De Munck J, Van Meerbeek B, Yudhira R, Lambrechts P, Vanherle G. Micro‐tensile bond strength of two adhesives to Erbium: YAG‐lased vs. bur‐cut enamel and dentin. European journal of oral sciences. 2002;110(4):322-9.
14. 14. de Oliveira MT, de Freitas PM, de Paula Eduardo C, Ambrosano GMB, Giannini M. Influence of diamond sono-abrasion, air-abrasion and Er: YAG laser irradiation on bonding of different adhesive systems to dentin. European journal of dentistry. 2007;1(03):158-66.
15. 15. Moretto SG, Azambuja Jr N, Arana‐Chavez VE, Reis AF, Giannini M, Eduardo CdP, et al. Effects of ultramorphological changes on adhesion to lased dentin—scanning electron microscopy and transmission electron microscopy analysis. Microscopy Research and Technique. 2011;74(8):720-6.
16. 16. Ceballos L, Toledano M, Osorio R, Tay F, Marshall G. Bonding to Er-YAG-laser-treated dentin. Journal of dental research. 2002;81(2):119-22.
17. 17. Ramos ACB, Esteves-Oliveira M, Arana-Chavez VE, de Paula Eduardo C. Adhesives bonded to erbium: yttrium–aluminum–garnet laser-irradiated dentin: transmission electron microscopy, scanning electron microscopy and tensile bond strength analyses. Lasers in medical science. 2010;25(2):181-9.
18. 18. De Oliveira MT, Arrais CAG, Aranha AC, de Paula Eduardo C, Miyake K, Rueggeberg FA, et al. Micromorphology of resin–dentin interfaces using one‐bottle etch&rinse and self‐etching adhesive systems on laser‐treated dentin surfaces: A confocal laser scanning microscope analysis. Lasers in Surgery and Medicine. 2010;42(7):662-70.
19. 19. van As G. Erbium lasers in dentistry. Dental Clinics. 2004;48(4):1017-59.
20. 20. Taschieri S, Testori T, Francetti L, Del Fabbro M. Effects of ultrasonic root end preparation on resected root surfaces: SEM evaluation. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 2004;98(5):611-8.
21. 21. Van Meerbeek B, Vargas M, Inoue S, Yoshida Y, Peumans M, Lambrechts P, et al. Adhesives and cements to promote preservation dentistry. Operative dentistry. 2001;26:119-44.
22. 22. Nakabayashi N, Kojima K, Masuhara E. The promotion of adhesion by the infiltration of monomers into tooth substrates. Journal of biomedical materials research. 1982;16(3):265-73.
23. 23. Sassi JF, Chimello DT, Borsatto MC, Corona SA, Pecora JD, Palma‐Dibb RG. Comparative study of the dentin/adhesive systems interface after treatment with Er: YAG laser and acid etching using scanning electron microscope. Lasers in Surgery and Medicine: The Official Journal of the American Society for Laser Medicine and Surgery. 2004;34(5):385-90.
24. 24. Niu W, Eto JN, Kimura Y, Takeda FH, Matsumoto K. A study on microleakage after resin filling of Class V cavities prepared by Er: YAG laser. Journal of clinical laser medicine & surgery. 1998;16(4):227-31.
25. 25. Ishikawa H, Sawada N, Kobayashi C, Suda H. Evaluation of root‐end cavity preparation using ultrasonic retrotips. International endodontic journal. 2003;36(9):586-90.
26. 26. Barceleiro MdO, Mello J, Mello G, Dias K, Miranda M, Filho H. Hybrid layer thickness and morphology: the influence of cavity preparation with Er: YAG laser. Operative Dentistry-University Of Washington-. 2005;30(3):304.
27. 27. İşcan Yapar M, Çelik N, Seven N. Farklı Kavite Dezenfektanlarının Bir Posterior Kompozitin Bağlanma Dayanımına Etkisi. Turkiye Klinikleri Journal of Dental Sciences. 2017;23(2).
28. 28. Aranha ACC, Eduardo CDP, Gutknecht N, Marques MM, Ramalho KM, Apel C. Analysis of the interfacial micromorphology of adhesive systems in cavities prepared with Er, Cr: YSGG, Er: YAG laser and bur. Microscopy research and technique. 2007;70(8):745-51.
29. 29. Ceballos L, Osorio R, Toledano M, Marshall G. Microleakage of composite restorations after acid or Er-YAG laser cavity treatments. Dental materials. 2001;17(4):340-6.
30. 30. Arimoto N, Suzaki A, Katada H, Senda A, editors. Acid resistance in lased dentin. Proc International Congress on Laser in Dentistry; 1998.
31. 31. Kameyama A, Koga H, Takizawa M, Takaesu Y, Hirai Y. Effect of Er: YAG laser irradiation on acid resistance to bovine dentin in vitro. The Bulletin of Tokyo Dental College. 2000;41(2):43-8.
32. 32. Schein MT, Bocangel JS, Nogueira GEC, Schein PcAL. SEM evaluation of the interaction pattern between dentin and resin after cavity preparation using Er: YAG laser. Journal of Dentistry. 2003;31(2):127-35.
33. 33. Harnirattisai C, Inokoshi S, Shimada Y, Hosoda H. Interfacial morphology of an adhesive composite resin and etched caries-affected dentin. Operative dentistry. 1992;17(6):222-8.
34. 34. Nakajima M, Ogata M, Okuda M, Tagami J, Sano H, Pashley DH. Bonding to caries-affected dentin using self-etching primers. American Journal of Dentistry. 1999;12(6):309-14.
35. 35. Yoshiyama M, Tay F, Doi J, Nishitani Y, Yamada T, Itou K, et al. Bonding of self-etch and total-etch adhesives to carious dentin. Journal of dental research. 2002;81(8):556-60.
36. 36. Yoshiyama M, Urayama A, Kimochi T, Matsuo T, Pashley DH. Comparison of conventional vs self-etching adhesive bonds to caries-affected dentin. Operative dentistry. 2000;25(3):163-9.
37. 37. Giannini M, Marcelino CA, Figueiredo A, Freire LA. Six‐month storage‐time evaluation of one‐bottle adhesive systems to dentin. Journal of Esthetic and Restorative Dentistry. 2003;15(1):43-9.
38. 38. Xie B, Dickens SH, Giuseppetti AA. Microtensile bond strength of thermally stressed composite-dentin bonds mediated by one-bottle adhesives. American Journal of Dentistry. 2002;15(3):177-84.
39. 39. Abdalla AI, El Zohairy AA, Aboushelib MM, Feilzer AJ. Influence of thermal and mechanical load cycling on the microtensile bond strength of self-etching adhesives. American journal of dentistry. 2007;20(4):250.