REÇETESİZ SATILAN FARKLI BEYAZLATMA ÜRÜNLERİNİN RENKLENDİRİLMİŞ NANO VE MİKRO HİBRİT KOMPOZİTLERİN RENK DEĞİŞİMLERİ ÜZERİNE ETKİSİ

Yıl 2021, Cilt: 31 Sayı: 1, 27 - 33, 15.01.2021

Burak Çarıkçıoğlu

https://doi.org/10.17567/ataunidfd.840984

Öz

Amaç: Bu çalışmanın amacı; renklendirici solüsyonlarda bekletilen dört farklı kompozit rezin materyalinin, beyazlatıcı etkili ağız gargarası veya diş macunu uygulamaları ile oluşan renklenmeyi giderme üzerine hangi beyazlatma ürününün daha etkili olduğunun in vitro olarak değerlendirmektir.
Gereç ve Yöntem: Dört farklı kompozit rezinden (bir Nano-seramik (Zenit, President Dental), bir Nano-fil (Filtek Ultimate, 3M-ESPE), bir Nano-hibrit akışkan (Premise, Kerr Corporation) ve bir Mikro-hibrit (Gradia Direct Anterior, GC) 5mm çapında ve 2mm derinliğinde toplam 80 adet (n=20) disk şeklinde örnekler hazırlandı ve başlangıç renk ölçümleri yapıldı. Her bir materyal grubunda hazırlanan örnekler rastgele gargara ve diş macunu grubu olarak iki alt gruba ayrıldı. Tüm örnekler sırasıyla, altı gün çay ve sonrasında altı gün kahve içerisinde renklenmeleri için bekletildi. Gargara alt grubundaki örnekler (n=10) 12 günlük renklendirme periyodu sonrasında Listerine Advanced White (Johnson&Johnson) beyazlatıcı ağız bakım gargarasında 12 saat bekletilerek beyazlatma işlemine tabii tutuldu. Diş macunu alt grubundaki örnekler (n=10) elektrikli diş fırçası kullanılarak günde bir defa beyazlatıcı diş macunu İpana 3D White Luxe Perfection (Procter & Gamble) ile 12 günlük renklendirme periyodu boyunca fırçalandı. Örneklerin renklendirme işlemi öncesi ve beyazlatma işlemleri sonrası arasındaki renk farklılıkları CIEDE2000 formülü kullanılarak hesaplandı. İstatistiksel analizler iki yönlü varyans analizi ve Bonferroni testi ile yapıldı. (p<0,05)
Bulgular: Gargara ve diş macunu alt grubundaki örnekler karşılaştırıldığında aralarında istatistiksel olarak fark bulunmuş (˂0.001), gargara alt grubundaki örneklerin renk değişim değeri (ΔE00), diş macunu alt grubundaki örneklere göre daha yüksek bulunmuştur. Gradia Direct haricinde diğer kompozit rezinlerin renk değişim değerleri kabul edilebilirlik eşik değerinin üzerinde olduğu tespit edilmiştir.
Sonuç: Kompozit rezinlerde diş macununun, gargaraya göre daha etkili bir beyazlatma sağladığı gözlemlenmiştir. Bu çalışma ayrıca nano kompozitlerin mikrohibrit kompozitlere göre daha düşük renk stabilitesine sahip olduğunu göstermiştir.
Anahtar Kelimeler: kompozit rezin, beyazlatıcı etki, ağız gargarası, diş macunu

COMPARISON OF THE COLOR CHANGE EFFECTS OF OVER-THE-COUNTER WHITENING PRODUCTS ON THE DISCOLORED NANO AND MICRO HYBRID COMPOSITE RESINS
ABSTARCT
Aim: The aim of this study was to determine the effect of application of whitening mouth rinse and toothpaste which whitening agents are more effective on remove discoloration of four different composite resins that stained with colored beverages in vitro.
Materials and Methods: Eighty disc-shaped specimens (5 mm diameter, 2 mm deep) of a nano-ceramic (Zenit, President Dental), a nano-filled (Filtek Ultimate, 3M-ESPE), a nano-hybrid flowable (Premise, Kerr Corporation) and a micro-hybrid (Gradia Direct Anterior, GC) resin composites were prepared (20 from each) and initial colors were measured. Specimens of each material were divided into two as random mouth rinse and toothpaste subgroups. All specimens were immersed in tea for six days and coffee for six days respectively. After staining procedure the stained specimens of mouth rinse subgroups were immersed in Listerine Advanced White (Johnson&Johnson, UK) whitening mouth rinse for 12 hours. The specimens in the toothpaste subgroups were brushed with İpana 3D White Luxe Perfection (Procter & Gamble) toothpaste once a day using an electric toothbrush. The color difference before staining and after whitening procedures was evaluated by CIEDE2000 formula. The data were analyzed with two-way ANOVA and Bonferroni test (p<0,05).
Results: A statistically difference was found between mouth rinse and toothpaste subgroups (˂0.001), the color change value (ΔE00) in mouth rinse subgroup was found higher than in toothpaste subgroup. ΔE00 values obtained from all samples were higher than the acceptability threshold value expect Gradia Direct.
Conclusion: Toothpaste is more effective than mouth rinse on remove discoloration of composite resins. The results of this study also showed that nano composites had lower color stability than microhybrid composites.
Keywords: composite resın, color change effects, mouth rinse, toothpaste

Anahtar Kelimeler

kompozit rezin, beyazlatıcı etki, diş macunu

Kaynakça

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