HALOJEN VE LED IŞIK KAYNAKLARIYLA POLİMERİZE EDİLEN VE TOTAL VE SELF-ETCH BAĞLAYICI SİSTEMLERLE SÜT DİŞİ MİNESİNE BAĞLANAN BİR KOMPOZİT REZİN MATERYALİN BAĞLANMA DİRENÇLERİNİN DEĞERLENDİRİLMESİ

Yıl 2013, Cilt: 2 Sayı: 2, 91 - 98, 31.08.2013

Çiğdem Küçükeşmen , Selim Erkut Hakkı Cenker Küçükeşmen

Öz

AMAÇ: Bu çalışmanın amacı; total-etch ve self-etch bağlayıcı sistemlerle süt dişi minesine bağlanan ve halojen ve LED ışık kaynaklarıyla polimerize edilen kompozit rezin örneklerin, süt dişminesine makaslama bağlanma dirençlerinin değerlendirilmesidir.

YÖNTEMLER: Çalışmada, bir total-etch bağlayıcı sistem, bir self-etch bağlayıcı sistem ve bir kompozit rezin materyal kullanılarak hazırlanan ve süt azı dişi minesine bağlanan örnekler, halojen ve LED ışık kaynakları ile polimerize edilmiş ve evrensel bir test cihazı ile makaslama bağlama dirençleri ölçülmüştür.

BULGULAR: Çalışmada total-etch bağlayıcı sistemle süt dişi minesine bağlanan kompozit rezin örneklerden elde edilen makaslama bağlanma direnci değerlerinin, self-etch bağlayıcı sistemle süt dişi minesine bağlanan kompozit rezin örneklere oranla istatistiksel olarak daha yüksek oldukları gözlenmiştir (p<0.05). Işık kaynakları bakımından, makaslama bağlanma direnci değerleri arasında istatistiksel farklılık bulunmamıştır (p>0,05). Bunun yanı sıra hem total-etch bağlayıcı sistemin kullanıldığı hem de self-etch bağlayıcı sistemin kullanıldığı örneklerde, en fazla “adeziv” tipte kırılmaya rastlanmıştır.

SONUÇ: Çalışmada, self-etch bağlayıcı sistemin ve LED ışık kaynağının klinik çalışma süresini kısaltmaları sebebiyle süt dişlerine uygulanacak kompozit restorasyonlarda rahatlıkla kullanılabilecekleri ve çok küçük çocuklarda ve uyum problemi yaşanan engelli çocuk, erişkin veya yaşlı hastalarda tercih edilebilecekleri sonucuna varılmıştır.

Anahtar Kelimeler

Halojen ışık kaynağı, LED ışık kaynağı, Makaslama bağlanma direnci testi, Self-etch bağlayıcı sistemler

DETERMINATION OF BOND STRENGTHS OF A COMPOSITE RESIN MATERIAL POLYMERIZED WITH HALOGEN AND LED LIGHT SOURCES WHICH HAS BONDED TO ENAMEL OF PRIMARY TEETH WITH TOTAL AND SELF-ETCH BONDING SYSTEMS

Öz

OBJECTIVE: The aim of this study was to determine the shear bond strengths of composite samples polymerized with halogen and LED light source when they were bonded to enamel of primary teeth with total-etch and self-etch bonding systems.

METHODS: In the study, a total-etch bonding system a self-etch bonding system and a composite resin material were used. Samples bonded to enamel of primary molar teeth were polymerized with halogen and LED light sources and their shear bond strengths were measured with an universal test device.

RESULTS: The shear bond strength values of composite resin samples bonded to primary teeth’s enamel with the total-etch bonding system were found higher than the shear bond strength values of composite samples bonded to primary teeth’s enamel with self-etch bonding system statistically. There was no statistical difference between shear bond strength values according to light sources. “Adhesive” fracture type was mostly found in both samples bonded with total-etch and self-etch bonding systems.

CONCLUSION: In this study, both bonding systems and both light sources were found successful to get enough shear bond strength values to compare the chewing forces. Furthermore, it was thought that, self-etch bonding system and LED light source may be used to provide a shorter clinical work time for composite restorations applied to primary teeth and also, they may be preferred for very young children and handicapped child, adult or geriatric patients

Anahtar Kelimeler

Halogen ligth source, LED light source, Self-etch bonding systems, Shear bond strength test

Kaynakça

• 1. Jain P, Pershing A. Depth of cure and microleakage with high-intensity and ramped resin-based composite curing lights. J Am Dent Assoc. 2003;134:1215-23.
• 2. Swift EJ, Perdigao J, Heymann HO. Bonding to enamel and dentin: a brief history and state of the art. Ouintessence Int. 1995;26:95-110.
• 3. Swift EJ Jr: Dentin/enamel adhesives: review of the literature. Pediatr Dent. 2002;24:456-61.
• 4. Van Meerbeek B, Vargas M, Inoue S, et al. Adhesives and cements to promote preservation dentistry. Oper Dent (Suppl.). 2001;6:119-44.
• 5. Küçükeşmen Ç. Florozisli daimi insan dişlerinde, iki farklı bağlanma sisteminin, mineye bağlanma üzerine olan etkilerinin, in vitro olarak incelenmesi. A.Ü. Sağlık Bilimleri Enstitüsü, A.Ü Diş Hekimliği Fakültesi Pedodonti Anabilim Dalı, Doktora Tezi. 2004:35-6 (Prof. Dr. Hayriye Sönmez).
• 6. Rahlotis C, Kakaboura A, Loukidis M, Vougiouklakis G. Curing efficiency of various types of light-curing units. Eur J Oral Sci. 2004;112:89-94.
• 7. Vandewalle KS, Roberts HW, Tiba A, Charlton DG. Thermal emission and curing efficiency of LED and halogen curing lights. Oper Dent. 2005;30:257-64.
• 8. Rueggeberg FA, Ergle JW, Mettenburg DJ. Polymerization depths of contemporary light-curing units using microhardness. J Esthet Dent. 2000, 12:340-9.
• 9. Sturdevant CM, Roberson TM, Heymann HO, Sturdevant Jr: The art and science of operative dentistry. 3. Baskı, s.241-6, Mosby-Year Book Inc, St Louis, Baltimore, Berlin (1995).
• 10. Rosa BT, Perdigao J. Bond strength of nonrinsing adhesives. Quintessence Int. 2000;31:353-8.
• 11. Ateyah N, Akpata E: Factors affecting shear bond strength of composite resin to fluorosed human enamel. Oper Dent. 2000;25:216-22
• 12. Woronko GA, St Germain HA, Meiers JC. Effect of dentin primer on the shear bond strength between composite resin and enamel. Oper Dent. 1996;21:116-21.
• 13. Neme AL, Evans DB, Maxson BB. Evaluation of dental adhesive systems with amalgam and resin composite restorations: comparison of microleakage and bond strength results. Oper Dent. 2000;25:512-9.
• 14. Finger J, Balkenhol M. Practitioner variability effects on dentin bonding with an acetone-based one-bottle adhesive. J Adhes Dent. 1999;1:311-4.
• 15. Miyazaki M, Onose H, Moore BK. Effect of operator variability on dentin bond strength of two-step bonding systems. Am J Dent. 2000;13:101-4.
• 16. Dörfer CE, Staehle HJ, Wurst MW, Duschner H, Pioch T. The nanoleakage phenomenon: influence of different dentin bonding agents, thermocycling and etching time. Eur J Oral Sci. 2000; 108:346-51.
• 17. Asmussen E, Peutzfeldt A. Short and long term bonding efficacy of a self-etching, one-step adhesive. J Adhes Dent. 2003;5:41-5.
• 18. Bishara SE, Gordan VV, Vonwald L, Jakobsen JR. Shear bond strength of composite, glass ionomer, and acidic primer adhesive systems. Am J Orthod Dentofacial Orthop. 1999;115:24-8.
• 19. Kanemura N, Sano H, Tagami J. Tensile bond strength to and SEM evaluation of ground and intact enamel surfaces. J Dent. 1999;27:523-30.
• 20. Ateyah NZ, Elhejazi AA. Shear bond strengths and microleakage of four types of dentin adhesive materials. J Contemp Dent Pract. 2004;5:63-73.
• 21. Hannig M, Reinhardt KJ, Bott B. Self-etching primer vs phosphoric acid: An alternative concept for composite-to-enamel bonding. Oper Dent. 1999;24:172-80.
• 22. Fritz UB, Diedrich P, Finger WJ. Self-etching primers-an-alternative to the conventional acid etch technique. J Orofac Orthop. 2001;62:238-45.
• 23. Van Meerbeek B, De Munck J, Mattar, D, Van Landuyt K. Lambrect PMicrotensile bond strengths of an etch&rinse and self-etch adhesive to enamel and dentin as a function of surface treatment. Oper Dent. 2003;28:647-60.
• 24. Perdigao J, Geraldeli S. Bonding characteristics of self-etching adhesives to intact versus prepared enamel. J Esthet Restor Dent. 2003;15:32-41.
• 25. Miyazaki M, Hinoura K, Honjo G, Onose H. Effect of self-etching primer application method on enamel bond strength. Am J Dent. 2002;15:412-6.
• 26. El-Kalla IH, Garcia-Godoy F. Bond strength and interfacial micromorphology of compomers in primary and permanent teeth. Int J Paediatr Dent. 1998;8:103-14.
• 27. Miyazaki M, Iwasaki K, Onose H.Adhesion of single application bonding systems to bovine enamel and dentin. Oper Dent. 2002;27:88-94.
• 28. Al-Sarheed MA. Evaluation of shear bond strength and SEM observation of all-in-one self-etching primer used for bonding of fissure sealants. J Contemp Dent Pract. 2006;7:9-16.
• 29. Özden N, Akaltan F. Bağlantı ajanlarının mine ve dentin yüzeyindeki makaslama bağlantı dirençlerinin değerlendirilmesi. A.Ü. Diş Hek Fak. 2002;29:137-42.
• 30. Frankerberger R, Kramer N, Petschelt A. Long-term effect of dentin primers on enamel bond strength and marginal adaptation. Oper Dent. 2000;25:11-9.