Pediatrik besin takviye şuruplarının cam iyonomer restorasyonların renk stabilitesine etkisi

Yıl 2024, , 365 - 371, 23.09.2024

Mustafa Duzyol , Esra Düzyol , Burak Çarıkçıoğlu

https://doi.org/10.21673/anadoluklin.1517503

Öz

Amaç: Bu çalışmanın amacı, pediatrik diş hekimliğinde kullanılan cam iyonomer bazlı restoratif materyallerin (GIC’ler) renk değişiklikleri üzerindeki farklı pediatrik besleyici şurup formülasyonlarının etkilerini değerlendirmekti.

Yöntemler: Üç tür GIC—kompomer (Dyract XP, Dentsply), konvansiyonel cam iyonomer (Equia Forte, GC) ve cam karbomer (Glass Fill, GCP Dental)—test edildi. 120 disk şeklinde örnek (5 mm çapında, 2 mm derinliğinde) hazırlandı. Her tür dört gruba ayrıldı (n=30). Örnekler 24 saat boyunca distile suda bekletildikten sonra üç farklı pediatrik ilaç (demir-Fe+3 [Ferifer, Berko], demir-Fe+2 [Ferro Sanol B, Adeka] ve multivitamin [Polivit, Abdi İbrahim]) ve distile suya daldırıldı. Renk ölçümleri, daldırma öncesi ve sonrası bir spektrofotometre (VITA Easyshade V, VITA Zahnfabrik) kullanılarak alındı. Renk değişiklikleri (ΔE00) CIEDE2000 formülü kullanılarak 30 ve 90 günün sonunda hesaplandı. Veriler two-way ANOVA ve post-hoc Tukey testi ile analiz edildi (p < 0.05).

Bulgular: 30 gün sonra, en yüksek ΔE00 multivitamin içine daldırılan cam karbomer grubunda (7.13 ± 0.77) gözlenirken, en düşük kompomer grubunda distile suya daldırıldığında (0.26 ± 0.13) gözlendi. ΔE00 değerleri cam karbomer gruplarında konvansiyonel cam iyonomer ve kompomer gruplarına göre anlamlı derecede yüksekti (p < 0.05). 90 gün sonunda, konvansiyonel cam iyonomer ve kompomer grupları arasında anlamlı bir fark bulunamadı (p > 0.05). 90 gün sonunda en yüksek ΔE00 multivitamin içine daldırılan cam karbomer grubunda (9.15 ± 0.93), en düşük ise distile suya daldırılan kompomer grubunda (0.38 ± 0.11) bulundu.

Sonuç: Malnütrisyon tedavisinde sıkça kullanılan pediatrik şuruplar, cam karbomerlerde daha fazla renk değişikliğine neden oldu. Sonuçlar, reçine içeriği arttıkça renklenmenin azaldığını gösterdi.

Anahtar Kelimeler

Cam iyonomer, demir, renk, renklenme, renk değişimi

Impact of pediatric nutritional syrups on the color stability of glass ionomer restorations

Öz

Aim: The purpose of this study was to evaluate the effects of different pediatric nutritional syrups’ formulations on the color changes of glass ionomer-based restorative materials (GICs) used in pediatric dentistry.

Methods: Three types of GICs—compomer (Dyract XP, Dentsply), conventional glass ionomer (Equia Forte, GC), and glass carbomer (Glass Fill, GCP Dental)—were tested. 120 disc-shaped specimens (5 mm diameter, 2 mm deep) were prepared. Each type was divided into four groups (n=30). Specimens were stored in distilled water for 24 hours, then immersed in three different pediatric pediatric nutritional syrups (iron-Fe+3 [Ferifer, Berko], iron-Fe+2 [Ferro Sanol B, Adeka], and multivitamin [Polivit, Abdi İbrahim]) and distilled water. Color measurements were taken before and after immersion using a spectrophotometer (VITA Easyshade V, VITA Zahnfabrik). Color changes (ΔE00) were calculated at 30 and 90 days using the CIEDE2000 formula. Data were analyzed using two-way ANOVA and post-hoc Tukey’s test (p < 0.05).

Results: After 30 days, the highest ΔE00 was observed in the glass carbomer group immersed in multivitamins (7.13 ± 0.77), while the lowest was in the compomer group immersed in distilled water (0.26 ± 0.13). ΔE00 values were significantly higher in the glass carbomer groups compared to the conventional glass ionomer and compomer groups (p < 0.05). At 90 days, no significant differences were found between the conventional glass ionomer and compomer groups (p > 0.05). The highest ΔE00 at 90 days was in the glass carbomer group immersed in multivitamins (9.15 ± 0.93), and the lowest was in the compomer group immersed in distilled water (0.38 ± 0.11).

Conclusion: Pediatric syrups, frequently used to treat malnutrition, caused more color changes in glass carbomers. Results indicated that as the resin content increased, the amount of coloration decreased.

Anahtar Kelimeler

Color, discoloration, glass ionomer, iron, staining

Kaynakça

• Almutairi M, Moussa I, Alsaeri N, Alqahtani A, Alsulaiman S, Alhajri M. The Effects of Different Pediatric Drugs and Brushing on the Color Stability of Esthetic Restorative Materials Used in Pediatric Dentistry: An In Vitro Study. Children (Basel). 2022;9(7):1026.
• Nouri S, El-Housseiny AA. Glass Ionomer Cements for Restoration of Primary Molars: A Review. EC Dental Science. 2018;17:644-57.
• Pasricha SR, Tye-Din J, Muckenthaler MU, Swinkels DW. Iron deficiency. Lancet. 2021;397(10270):233-48.
• Mattiello V, Schmugge M, Hengartner H, von der Weid N, Renella R; SPOG Pediatric Hematology Working Group. Diagnosis and management of iron deficiency in children with or without anemia: consensus recommendations of the SPOG Pediatric Hematology Working Group. Eur J Pediatr. 2020;179(4):527-45.
• Mutsaddi S, Kotrashetti VS, Nayak R, Pattanshetty S, Hosmani JV, Babji D. Association of dental caries in children with black stain and non-discolored dental plaque: A microbiological study. J Adv Clin Res Insights. 2018;5(3):59-64.
• Pani SC, Alenazi FM, Alotain AM, Alanazi HD, Alasmari AS. Extrinsic tooth staining potential of high dose and sustained release iron syrups on primary teeth. BMC Oral Health. 2015;15:90.
• Mukundan D, R V. Comparative Evaluation on the Effects of Three Pediatric Syrups on Microhardness, Roughness and Staining of the Primary Teeth Enamel: An In-Vitro Study. Cureus. 2023;15(7):e42764.
• Arat Maden E, Eker İ, Erdem O. Evaluation of the effects of iron containing supplements on primary teeth of children. Int Dent Res. 2019;9(2):46-50.
• Çarıkçıoğlu B. Influence of various mouthrinses on color stability and whiteness of resin-based restorative materials. Color Res Appl. 2021;46:1142-50.
• Paravina RD, Pérez MM, Ghinea R. Acceptability and perceptibility thresholds in dentistry: A comprehensive review of clinical and research applications. J Esthet Restor Dent. 2019;31(2):103-12.
• Yildirim S, Uslu YS. Effects of different pediatric drugs and toothbrushing on color change of restorative materials used in pediatric dentistry. Niger J Clin Pract. 2020;23(5):610-8.
• Yıldırım S, Kaya E. Can the use of surface sealant on restorative materials prevent discoloration related to iron syrup supplements?. Eur Arch Paediatr Dent. 2021;22(4):739-50.
• Alazmah A. Primary teeth stains and discoloration: a review. J Child Sci. 2021;11(01):e20-7.
• Yılmaz N, Baygin O, Tüzüner T, Turgut SN, Erbek ŞM. Evaluation of the effect of pediatric drugs and an oral rinse on primary teeth discoloration. Dent Med Probl. 2022;59(2):225-31.
• Güçyetmez Topal B, Yiğit T, Tıraş M, Gökçe Meydan E, Ünal M. Evaluation of the children with black tooth stain according to the severity of the stain and the number of affected primary teeth: A cross-sectional study. Turkiye Klinikleri J Dental Sci. 2023;29(2):277-85.
• Tayebi S, Esmaeilzade M, Soufi Rezai L, Fotovat F, Najafi Vosogh R, Faregh N. Color Change of Primary Teeth Following Using 4 Types of Iron Supplements Available in the Iranian Pharmacopeia. Avicenna J Dent Res. 2019;11(2):66- 71.
• Candan M, Ünal M. The effect of various inhaled asthma medications on the color stability of paediatric dental restorative materials. BMC Oral Health. 2024;24(1):384.
• Tüzüner T, Turgut S, Baygin O, Yilmaz N, Tuna EB, Ozen B. Effects of Different Pediatric Drugs on the Color Stability of Various Restorative Materials Applicable in Pediatric Dentistry. Biomed Res Int. 2017;2017:9684193.