CAD/CAM SİSTEMİYLE HAZIRLANAN İKİ YÜZLÜ SINIF 2 NANO SERAMİK REZİN İNLEY RESTORASYONLARIN BİR YILLIK KLİNİK PERFORMANSININ DEĞERLENDİRİLMESİ

Yıl 2017, Cilt: 27 Sayı: 2, 79 - 87, 14.06.2017

Ayşe Tuğçe Tunaç , Esra Uzer Çelik Bilal Yaşa

https://doi.org/10.17567/ataunidfd.321454

Öz

Amaç: Bu randomize, kontrollü ve tek merkezli
klinik çalışmanın amacı, CAD/CAM sistemiyle hazırlanan iki yüzlü sınıf 2 nano
seramik rezin inley restorasyonların 1 yıllık klinik performansını direkt
kompozit rezin restorasyonlarla karşılaştırmaktır.

Gereç ve Yöntem: İki yüzlü (MO veya OD) çürük lezyonu veya değiştirilmesi gereken eski
restorasyona sahip 120 adet diş çalışmaya dahil edildi ve rastgele iki gruba
ayrıldı. Deney grubundaki restorasyonlar CAD/CAM sistemi kullanılarak nano
seramik rezin bloklar (Lava Ultimate, 3M ESPE, ABD) ile üretilirken, kontrol
grubundaki direkt kompozit rezin restorasyonlar için üç aşamalı etch-and-rinse
dentin adeziv sistemiyle (Optibond
FL, Kerr, ABD) birlikte posterior nanohibrit bir kompozit rezin
(Clearfil Majesty Posterior, Kuraray, Japonya) kullanıldı. Test edilen tüm restoratif materyaller üretici firmaların
önerileri doğrultusunda uygulandı. Klinik değerlendirmeler 1. haftada, 6. ayda
ve 1. yılda FDI kriterleri kullanılarak yapıldı. Veriler  Friedman’s ANOVA ve Mann-Whitney U testleri
ile analiz edildi (a = 0.05).

Bulgular: Birinci yılın sonunda tüm restorasyonlar ideal veya klinik girişim
gerektirmeyen kabul edilebilir klinik performans gösterdi. Tüm kriterlerde iki
grup arasında istatistiksel olarak herhangi bir fark gözlenmedi. Sadece 1.
yılda direkt kompozit rezin restorasyonların yüzey parlaklığında 2 skoruna
doğru anlamlı bir azalma görüldü (p =0,046).

Sonuç: CAD/CAM sistemiyle hazırlanan nano seramik rezin inley restorasyonların
1 yıllık klinik performansı FDI kriterlerine göre başarılı bulunmuştur.

Anahtar
kelimeler: CAD/CAM, inleyler, rezin nano seramik, klinik
performans

EVALUATION
OF THE CLINICAL PERFORMANCE OF CAD/CAM FABRICATED TWO SURFACE CLASS II RESIN
NANO CERAMIC INLAY RESTORATIONS

ABSTRACT

 

Aim: The aim of this
randomized, controlled, single centre clinical trial was to evaluate the one
year clinical performance of CAD/CAM fabricated resin nano-ceramic inlay
restorations in two surface class II cavities in comparison with direct
posterior composite restorations.

Materials and Methods:
One hundred and twenty 2-surface (MO/OD) carious lesions or old restorations
that needed to be replaced were included and randomly assigned into two groups.
The restorations in experimental group were fabricated by a CAD/CAM system with
resin nano ceramic blocks (Lava Ultimate, 3M ESPE, USA), while a posterior
nanohybrid composite resin (Clearfil Majesty Posterior, Kuraray,
Japan) was used for
direct posterior composite restorations in control group with a three-step etch
& rinse dentin adhesive system (Optibond FL, Kerr, USA). All tested restorative materials were used according
to the manufacturers’ instructions. Clinical evaluation was performed after 1
week, 6 months and 1 year according to the FDI criteria. The data were analysed
using Friedman’s ANOVA and Mann-Whitney U tests (a = 0.05).

Results: After 1 year, all restorations were clinically
acceptable with no need for clinical attempt. Considering all criteria, the
differences between two groups were not statistically significant. Only surface
lustre of direct composite restorations significantly reduced to score 2 after
1 year (p =0.046).

Conclusion: The
clinical performance of CAD/CAM fabricated resin nano ceramic inlay
restorations was found successful according to FDI criteria after 1 year.

Key words: CAD/CAM,
inlays, resin nano ceramic, clinical performance

Anahtar Kelimeler

CAD/CAM, inleyler, rezin nano seramik

Kaynakça

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