FARKLI İÇECEKLER İLE RENKLENDİRİLMİŞ REZİN NANO SERAMİKLER VE NANO HİBRİT KOMPOZİT REZİNLERİN RENK STABİLİTESİNE BEYAZLATICI AĞIZ GARGARALARININ ETKİSİ

Yıl 2020, Cilt: 30 Sayı: 1, 93 - 100, 15.01.2020

İşıl Damla Şener Yamaner

https://doi.org/10.17567/ataunidfd.638990

Öz

Amaç: Bu çalışmanın amacı CAD/CAM rezin nano seramik (Lava Ultimate; 3M ESPE) ve nano hibrit
kompozit rezin (Grandio/VOCO) materyallerin uzun süre renklendirici
içeceklere maruz kalmalarının ve sonrasında 24 ve 72 saatlik beyazlatıcı ağız
gargarası uygulanmasının renk stabilitesi üzerine etkisininin vitro olarak
değerlendirilmesidir.

Gereç ve Yöntem: Bu çalışmada CAD/CAM yöntemi ile üretilen 20 adet RNC (Lava Ultimate; 3M ESPE) ve 20 adet nano
hibrit kompozit rezin (Grandio/VOCO) numune kullanıldı. Tüm
numuneler (n=40) önce 12 gün enerji içeceğinde, sonrasında da yine 12 gün çayda
olmak üzere iki farklı renklendirici içecekte bekletildi. Renklendirme işlemi sonrasında
numunelerin
tümü Listerine Advanced White (Johnson&Johnson,  İngiltere) beyazlatıcı ağız bakım gargarasında bekletilerek beyazlatma
işlemine tabii tutuldu. Başlangıç, renklendirme işlemi
sonrasında ve beyazlatma işlemi sonrasında 24 ve 72 saat sonra  numunelerin renk ölçümleri Vita Easyshade^® V spektrofotometre (Vita Easyshade^® V, Vita Zahnfabrik, Bad Sackingen, Almanya)
kullanılarak yapıldı.
RNC (Lava Ultimate; 3M ESPE) ve
nano hibrit kompozit rezin (Grandio/VOCO) numunelerin renklendirme işlemi
öncesi ve sonrası arasındaki renk farklılıkları (ΔE) ile beyazlatma işlemi öncesi ve 24 ile 72 saat sonrası arasındaki renk
farklılıkları CIELAB ΔE formülü kullanılarak hesaplandı. İstatistiksel analizler
tek yönlü varyans analizi (one-way ANOVA) ile yapıldı. (p=0,05)

Bulgular: Renklendirme sonrası; RNC (Lava Ultimate; 3M ESPE) numunelerin ortalama ΔE değeri klinik olarak kabul edilebilir sınırlar
içerisinde hesaplanırken nano hibrit kompozit (Grandio/VOCO) numunelerin ortalama ΔE değeri klinik olarak kabul edilebilir sınırların
üzerinde yer almaktadır. Her iki grubun ortalama ΔE değerleri
karşılaştırıldığında ise istatistiksel olarak anlamlı farklılık bulunmuştur (p≤0,05).
Her iki grubun ortalama ΔE değerlerinde 24 ve 72 saat beyazlatıcı ağız
gargarasında bekleme sonrasında da istatistiksel olarak anlamlı bir düşüş
görülmüştür (p≤0,05).

Sonuç: Nano-hibrit kompozit rezin (Grandio/VOCO), RNC (Lava Ultimate; 3M
ESPE) ‘e göre klinik
olarak kabul edilemez düzeyde renklenmektedir. 24 ve 72 saatlik beyazlatıcı
ağız gargarası içerisinde bekletilmesi sonucunda her iki malzemede de
istatistiksel olarak (ΔE) değerlerinde
anlamlı düşüş bulunmuştur. Bu sonuç beyazlatıcı ağız gargarasının nano hibrit
kompozit rezin (Grandio/VOCO) ve RNC
(Lava Ultimate; 3M ESPE) malzemelerinde
etkin bir beyazlatma sağladığını göstermektedir.

Anahtar Kelimeler: Nano Hibrit Kompozit, Rezin Nano Seramik,  Renk, Beyazlatıcı Solüsyon

 

The effect of whitening mouth rinse on the color stability of
resin nano ceramic and nano hybrıd composite staıned with colored beverages

Abstract

Aim: The aim
of this study was to determine the effect of application of whitening mouth
rinse for 24 h and 72 h on the color stability of CAD/CAM resin nano ceramic (Lava
Ultimate; 3M ESPE) and nano hybrid composite resin
(Grandio/VOCO) that stained with colored beverages in vitro.

Material and Methods: RNC (Lava
Ultimate; 3M ESPE) (n=20) and nano hybrid composite (Grandio/VOCO) (n=20) were prepared. All specimens were
immersed in energy drink for 12 days and tea for 12 days again. After staining
procedure the stained specimens were immersed in Listerine
Advanced White (Johnson&Johnson, UK) whitening
mouth rinse. İnitially, after staining procedure and two times after bleaching
procedure first 24hours later than 72 hours later, the color was measured with Vita Easyshade^® V spektrofotometer. The color difference before
and after staining and after 24 hours and 72 hours bleaching was evaluated by CIELAB ΔE formula.
The data were analyzed with one-way
ANOVA (p=0,05).

Results: After staining; the calculated
avarage ΔE value of RNC (Lava Ultimate; 3M ESPE) samples’ was clinically acceptable but the calculated
avarage ΔE value of the nano hybrid composite (Grandio/VOCO) samples’ was above the acceptable
level. When the avarage ΔE values of the groups were compared the difference was statistically
significant (p≤0,05). When the avarage ΔE values of the groups were compared after bleaching with the mouth
rinse for 24 and 72 hours, decrease in ΔE values was statistically significant (p≤0,05).

Conclusion: Nano hybrid composite resins (Grandio/VOCO) were stained above the clinical
acceptance level. After bleaching with the mouth rinse for 24 and 72 hours, ΔE values was
statistically significantly decreased that means that whitening mouth rinse
effectively bleached both RNC (Lava Ultimate; 3M ESPE) and nano hybrid composite (Grandio/VOCO).

Key words:
Nano Hybrıd Composite, Resin Nano Ceramic, Color stability,Whitening Mouth Rinse

Anahtar Kelimeler

Nano Hibrit Kompozit, Rezin Nano Seramik, Renk

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