FARKLI ÜNİVERSAL BAĞLAYICI AJANLARIN CAD/CAM SERAMİKLERİN KOMPOZİT REZİN İLE TAMİRİ SONRASI BAĞLANMA KUVVETİNE ETKİSİ

Yıl 2019, Cilt: 29 Sayı: 3, 381 - 386, 16.07.2019

Kübra Cantürk Buket Karalar Ömer Sağsöz , Nilgün Seven Nurdan Polat Sağsöz Yusuf Ziya Bayındır

https://doi.org/10.17567/ataunidfd.528323

Cited By: 2

Öz

AMAÇ: Bu çalışmada
iki farklı CAD/CAM seramiğe bir primer ve iki farklı bağlayıcı ajan uygulanarak kompozit rezinle tamir
sonrası bağlanma kuvvetinin değerlendirilmesi amaçlandı.

YÖNTEM: CAD/CAM seramik
materyallerden (VITA Suprinity ve IPS e.max CAD) 30’ar adet örnek hazırlandı.
Örnekleri elde etmek için yavaş hızlı testere (ISOMET 1000) kullanılarak
seramik bloklardan 1 mm kalınlığında kesitler alındı. Daha sonra seramikler
soğuk akriliğe sabitlenerek yüzeylerine 1dk boyunca %10’luk hidroflorik asit
uygulandı. Primer uygulamasına göre seramikler iki gruba ayrıldı: BISCO
Z-Prime-ZP ve primer kullanılmayan kontrol grubu-K. Uygulanan bağlayıcı
ajanlara göre de seramikler 2 alt gruba daha ayrıldı: 3M ESPE Single Bond Universal-Sb,
KURARAY Clearfil Universal Bond Quick -Qb (n=5). 3M ESPE Single Bond Universal-Sb
  seramiklere 20 sn boyunca ovalama
hareketi ile uygulanıp 5 sn hava ile seyreltildi ve LED ışık cihazı ile 10
sn  polimerize edildi. KURARAY Clearfil Universal Bond
Quick-Qb  ise seramiklere 10 sn
boyunca ovalama hareketi ile uygulanıp 5 sn hava ile seyreltildi ve LED ışık
cihazı ile 10 sn  polimerize edildi.  Bir kompozit rezin (VOCO Xtra-fil) 4 mm
çapında ve 4 mm yüksekliğinde plastik kalıplar kullanılarak bir LED ışık cihazı
ile seramik yüzeylerde polimerize edildi. Elde edilen örnekler 24 saat 37°C saf
suda bekletildi. Bağlanma kuvvetleri bir universal test cihazı kullanılarak
makaslama testi ile ölçüldü. Kaydedilen değerler tek yönlü varyans analizi (ANOVA)  kullanılarak
analiz edildi (p<0.05). Kırılma tipleri bir stereo mikroskop yardımıyla
tespit edildi.

BULGULAR: En yüksek
bağlanma dayanımı Suprinity+K+Qb (20.15 MPa) grubunda, en düşük bağlanma
dayanımı e.max CAD+ZP+Qb (10.85 MPa) grubunda bulundu. Primer ve bağlayıcı
ajanlar arasında herhangi bir fark bulunmazken (p>0.05), seramikler arasında
önemli derecede fark bulundu (p<0.05). e.max CAD örneklerin bağlanma değerleri
Suprinity ye göre anlamlı derecede daha düşük bulundu (p<0.05).

SONUÇ: Bu çalışmanın sınırları dahilinde; üniversal bağlayıcı ajanların tek
başına kullanıldığı kontrol grubunun, BISCO Z-Prime Plus kullanılan gruplara
benzer bağlanma sonuçları gösterdiği ve iki uygulamanın da klinik olarak
yeterli bağlanma dayanımı sağladıkları belirlenmiştir. Üniversal bağlayıcı
ajanlar, CAD/CAM seramiklerin kompozit rezin ile tamirinde klinik olarak tek
başlarına kullanılabilir.

Anahtar Kelimeler: Bağlanma
Kuvveti, Kompozit, Üniversal Bond, Seramik

• THE EFFECT OF DIFFERENT UNIVERSAL BONDING AGENTS ON THE BOND STRENGTH OF
  CAD/CAM CERAMICS REPAIRED WITH COMPOSITE RESIN

AIM: In this study, a
primer and two bonding agents were used on two different CAD / CAM ceramics to
evaluate the bond strength after repairing with composite resin.

METHODS: 30 samples were prepared from CAD/CAM ceramic materials (VITA Suprinity and IPS e.max CAD). 1 mm
thick sections were cut from the ceramic blocks using a low speed diamond saw
(ISOMET 1000) to obtain  the samples.
Then the ceramics were fixed to with cold cured acrylic and the surfaces were
treated with 10% hydrofluoric acid for 1 min. According to the primer
application, ceramics were divided into two groups: BISCO Z-Prime-ZP and control group without
primer-K. According to the bonding agents applied, ceramics were further
divided into 2 subgroups: 3M ESPE Single Bond Universal-Sb and KURARAY Clearfil
Universal Bond Quick-Qb (n = 5). 3M ESPE Single Bond Universal-Sb was applied
to ceramics with a scrubbing for 20 seconds and thinned with air for 5 seconds and polymerized with LED device for 10
seconds. KURARAY Clearfil Universal Bond Quick-Qb was applied to ceramics with
a scrubbing  for 10 seconds and thinned with air for 5 seconds and polymerized with LED device for 10
seconds. A composite resin (VOCO Xtra-fil) was polymerized on ceramic surfaces
with a LED device using 4 mm diameter and 4 mm height plastic molds. The obtained
samples were stored for 24 hours at 37 ° C in distilled water. Bond strength
values were measured by a shear bond test using a universal tester. The
recorded values were analyzed using
Univariate Analysis of Variance (ANOVA). (p<0.05) The
fracture types were detected using a stereo
microscope.

RESULTS: The highest bond strength was found in the group Suprinity + K +
Qb (20.15 MPa), with the lowest bond strength in the group of e.max CAD + ZP +
Qb (10.85 MPa). There was no significant difference between the primer groups
and bonding agent groups (p>0.05), but there was a significant difference
between the ceramics (p<0.05). The bond strength values of e.max CAD samples
were significantly lower than Suprinity samples. (p<0.05)

CONCLUSION: Within the limits of this study; The control
group using the universal bonding agents were shown to exhibit similar bonding
results to those group used BISCO Z-Prime Plus and that both applications provided
clinically sufficient bond strength. Universal bonding
agents can be used alone in the clinical repair of CAD/CAM ceramics with
composite resin.

Keywords: Bond Strength, Ceramics, Composite, Universal Bond

Anahtar Kelimeler

Bağlanma Kuvveti, Kompozit, Üniversal Bond

Kaynakça

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