İNDİREKT KOMPOZİT VE SERAMİK RESTORASYONLARDA YÜZEY HAZIRLIĞI

Yıl 2021, Cilt: 7 Sayı: 1, 57 - 75, 01.04.2021

Özlem Elibol Kanar , Dilek Tağtekin

Öz

Restoratif diş hekimliğinde hastalar tarafından estetik beklentinin artması ve üretimde meydana gelen çeşitlilik, hekimleri estetik ve fonksiyonu birlikte sağlayan güncel materyallere yöneltmiştir. Bu amaçla en sık kullanılan materyallere bilgisayar destekli tasarlanan ve üretilen (CAD/CAM) kompozit ve tam seramik materyaller de dahil olmuştur. Estetik nedenlerle hastaların ilk tercihi olmayan metal destekli porselenlerin aynı zamanda fazla diş preparasyonu gerektirmesi, minimal invaziv diş hekimliğinin pratikte daha fazla yer bulması ve estetik materyallere yönelik yoğun ilgi sonucu adeziv simantasyon, klinik uygulamada ağırlık kazanmaya başlamıştır. Yapılan restorasyonların uzun süreli başarısında materyalin dayanıklılığı kadar güçlü bir bağlanma dayanımı da belirleyici bir faktördür. Adeziv siman ile restorasyon arasında iyi bir bağlantı oluşturmak için iç yüzeylerine mekanik ve kimyasal çeşitli işlemler uygulanmaktadır. Bu derlemede, indirekt kompozit ve seramik restorasyonlarda kullanılabilen yüzey hazırlık ve pürüzlendirme yöntemleri incelenecektir.

Anahtar Kelimeler

kompozit, seramik, yüzey hazırlığı, bağlanma dayanımı

Destekleyen Kurum

Marmara Üniversitesi Diş hekimliği Fakültesi

SURFACE PREPARATION OF INDIRECT COMPOSITE AND CERAMIC RESTORATIONS

Öz

In restorative dentistry, increasing aesthetic expectation by patients and the diversity in production have led physicians to up-to-date materials that provide aesthetics and function together. For this purpose, composite and full ceramic materials which computer-aided desing/ computer-aided manifacturing (CAD / CAM) are also included in the most frequently used materials.. Due to the fact that metal-supported porcelains, which are not the first choice of patients because of aesthetic reasons, also require more dental preparation, minimally invasive dentistry has found more clinical application, and popularity in aesthetic materials, adhesive cementation has started to gain weight in the clinical procedure. A strong bond strength as well as the durability of the material is a determining factor in the long-term success of the restorations. Various mechanical and chemical processes are applied to the inner surfaces to create a reliable connection between the adhesive cement and the restoration. In this review, surface preparation and roughening methods that can be used in indirect composite and ceramic restorations will be examined.

Anahtar Kelimeler

composite, ceramic, surface preparation, bond strenght

Kaynakça

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