Yeni Nesil Süt Dişi Restorasyon Materyallerinin Mineral Trioksit Agregata Bağlanma Dayanımına Farklı Adeziv Uygulamaların Etkisi

Yıl 2023, Cilt: 6 Sayı: 4, 690 - 696, 15.10.2023

İrem Bağ , Alper Çamgöz , Barkın Işılar , Seçil Çalışkan

https://doi.org/10.19127/bshealthscience.1349011

Öz

Bu araştırmada; süt dişi restorasyonlarında kullanılan yeni nesil restoratif materyaller ile mineral trioksit agregatın (MTA) bağlanma dayanımına farklı adeziv uygulamaların etkisinin karşılaştırmalı olarak değerlendirilmesi amaçlandı. Üretici firmaların talimatları doğrultusunda hazırlanan MTA (ProRoot MTA), silindirik akrilik blokların üst yüzeyinde hazırlanan 4 mm çapında ve 2 mm derinliğinde standart boşluklara yerleştirildi. Hazırlanan 117 adet örnek, üzerine nemli pamuk peletler yerleştirilerek sertleşmeleri için 24 saat süresince %100 ve 37°C sıcaklıkta inkübasyona bırakıldı. Rastgele 3 gruba ayrılan örneklere (n=39) farklı adeziv materyaller (G-Premio Bond, Clearfil SE Bond, Prime Bond NT) üretici firmanın önerileri doğrultusunda uygulandı. Restoratif materyal uygulamaları için örnekler her bir grupta 13 adet yer alacak şekilde tekrar alt gruplara ayrıldı. Restoratif materyaller (Dyract XP, Cention N, ACTIVA Kids) MTA üzerine 3,2 mm çapında ve 3 mm yüksekliğinde silindirik kalıplar yardımıyla firma önerileri doğrultusunda uygulandı. Tüm örnekler 24 saat %100 nem altında 37°C'lik etüvde bekletildikten sonra makaslama bağlanma dayanım değerleri üniversal test cihazı kullanılarak ölçüldü. Gerçekleşen kırılma tipi mikroskop altında değerlendirildi. Elde edilen verilerin istatistiksel değerlendirilmesinde tek yönlü ve çift yönlü varyans analizi (One-way/Two-wayANOVA-PostHoc Tukey) ve ki kare testleri kullanıldı. Her bir restoratif materyalin adeziv gruplarına olan makaslama bağlanma dayanımı değerlendirildiğinde gruplar arasında istatistiksel olarak anlamlı farklılık gözlenmezken, her bir adezivin restoratif materyal gruplarına olan makaslama bağlanma dayanımı değerleri ortalamaları değerlendirildiğinde, SE Bond örneklerinde istatistiksel olarak anlamlı farklılık tespit edildi (P=0.029). Tüm gruplar arasında en yüksek ortalama makaslama bağlanma dayanım değeri adeziv olarak SE Bond kullanılan Cention N örneklerinde gözlendi. Tüm gruplarda çoğunlukla koheziv kırılma tipi tespit edildi. Cention N ve ACTIVA Kids restoratif materyallerinin MTA’ya olan bağlanma dayanımları adeziv tipine göre değişmekle birlikte klinik kullanıma uygun referans değerler göstermektedir.

Anahtar Kelimeler

Activa kids, Cention N, Makaslama bağlanma dayanımı, Mineral trioksit agregat

Destekleyen Kurum

Araştırma herhangi bir kurum tarafından desteklenmemiştir.

Proje Numarası

-

Teşekkür

-

The Effect of Different Adhesive Applications on the Bond Strength of New Generation Primary Tooth Restoration Materials to Mineral Trioxide Aggregate

Öz

The aim of this study was to comparatively evaluate the effect of different adhesive applications on the bond strength of mineral trioxide aggregate (MTA) with new-generation restorative materials used in primary tooth restorations. MTA (ProRoot MTA), prepared according to the manufacturer's instructions, was placed in standard cavities of 4 mm diameter and 2 mm depth prepared on the upper surface of cylindrical acrylic blocks. The 117 prepared samples were placed on moist cotton pellets and incubated at 100% and 37°C for 24 hours to harden. The specimens were randomly divided into 3 groups (n=39) and different adhesive materials (G-Premio Bond, Clearfil SE Bond, Prime Bond NT) were applied according to the manufacturer's recommendations. For restorative material applications, the specimens were again divided into subgroups with 13 specimens in each group. Restorative materials (Dyract XP, Cention N, ACTIVA Kids) were applied on MTA using cylindrical molds with a diameter of 3.2 mm and a height of 3 mm according to the manufacturer's recommendations. All specimens were kept in an oven at 37°C under 100% humidity for 24 hours and then shear bond strength values were measured using a universal testing machine. The fracture type was evaluated under a microscope. One-way and Two-way analysis of variance (One-way/Two-way ANOVA-PostHoc Tukey) and chi-square tests were used for statistical evaluation of the data obtained. No statistically significant difference was observed between the groups when the shear bond strength of each restorative material to the adhesive groups was evaluated, while a statistically significant difference was found in SE Bond specimens when the mean shear bond strength values of each adhesive to the restorative material groups were evaluated (P=0.029). The highest mean shear bond strength value among all groups was observed in Cention N specimens with SE Bond as the adhesive. Mostly cohesive fracture type was detected in all groups. The bond strengths of Cention N and ACTIVA Kids restorative materials to MTA vary according to the type of adhesive, but show reference values suitable for clinical use.

Anahtar Kelimeler

Activa kids, Cention N, Shear bond strength, Mineral trioxide aggregate

Proje Numarası

-

Kaynakça

• AAE 2018. Clinical Considerations for a Regenerative Procedure. URL: https://www.aae.org/specialty/wp-content/uploads/sites/2/2018/06/ConsiderationsForRegEndo_AsOfApril2018.pdf (Erişim tarihi: 21 Ağustos 2023).
• Afutu R, Daddona J, Dunn K, Finkelman M, Tran A, Kugel G. 2019. Shear bond strength of several dental cements. J Dent Sci, 4(000234): 1-5.
• Ajami AA, Jafari Navimipour E, Savadi Oskoee S, Abed Kahnamoui M, Lotfi M, Daneshpooy M. 2013. Comparison of shear bond strength of resin-modified glass ionomer and composite resin to three pulp capping agents. J Dent Res Dent Clin Dent Prospects, 7(3): 164-168.
• Aksoy S, Ünal M. 2017. Shear bond strength of universal adhesive systems to a bioactive dentin substitute (Biodentine®) at different time intervals. Stomatological Dis Sci, 1: 116-122.
• Alzraikat H, Taha NA, Qasrawi D, Burrow MF. 2016. Shear bond strength of a novel light cured calcium silicate based-cement to resin composite using different adhesive systems. Dent Mater J, 35(6): 881-887.
• Amaireh A, Al-Jundi S, Alshraideh H. 2019. In vitro evaluation of microleakage in primary teeth restored with three adhesive materials: ACTIVA™, composite resin, and resin-modified glass ionomer. Eur Arch Paediatr Dent, 20: 359-367.
• Atabek D, Sillelioğlu H, Olmez A. 2012. Bond strength of adhesive systems to mineral trioxide aggregate with different time intervals. J Endod, 38(9): 1288-1292.
• Berkmen B, Yamanel K, Arhun N. 2019. Adeziv Sistemlerin Sınıflandırılması. Ankara Üni Diş Hek Fak Derg, 46(2): 115-126.
• Biçer H, Bayrak Ş. 2019. Vital pulpa tedavisinde kullanılan kalsiyum silikat içerikli biyomateryallerin restoratif materyallere bağlanma dayanımının değerlendirilmesi. Selcuk Dent J, 6(3): 271-279.
• Davidson C, De Gee A, Feilzer A. 1984. The competition between the composite-dentin bond strength and the polymerization contraction stress. J Dent Res, 63(12): 1396-1399.
• De Munck JD, Van Landuyt K, Peumans M, Poitevin A, Lambrechts P, Braem M, Van Meerbeek B. 2005. A critical review of the durability of adhesion to tooth tissue: methods and results. J Dent Res, 84(2): 118-132.
• Duarte, PBPG, Silva EM. 2007. Nanoleakage phenomenon on deproteinized human dentin. J Appl Oral Sci, 15, 285-291.
• Duman S, Çalışkan A, Çalışkan S. 2021. Comparison of Medcem MTA, Medcem Pure Portland Cement and NeoMTA to Pediatric Restorative Materials to Shear Bond Strength. NEU Dent J, 3(3): 115-121.
• Elif Y, Yıldızeli D, Sayıner Z, Erdem A. 2017. İki farklı teknikle uygulanan üniversal bağlayıcı ajanların dentine olan makaslama bağlanma dayanımlarının incelenmesi. Acta Odontol Turc, 34(3): 91-97.
• Jayaraj D, Simon EP, Kumar MR, Ravi S. 2018. Cention N: A review. Dental Bites, 5(4): 14-21.
• Kayahan M, Nekoofar MH, Kazandağ M, Canpolat C, Malkondu O, Kaptan F, Dummer PMH. 2009. Effect of acid‐etching procedure on selected physical properties of mineral trioxide aggregate. Int Endod J, 42(11): 1004-1014.
• Khan S, Fareed MA, Kaleem M, Ud Din S, Iqbal K. 2014. An Updated Rewiew Of Mineral Trioxide Aggregate Part-1: Compositional Analysis, Setting Reaction And Physical Properties. J Pak Dent Assoc, 23(4).
• Navarro L, Minari RJ, Vaillard SE. 2019. Photo-curable poly-(ethylene glycol)–fumarate elastomers with controlled structural composition and their evaluation as eluting systems. RSC advances, 9(1): 482-490.
• Odabaş ME, Bani M, Tirali RE. 2013. Shear bond strengths of different adhesive systems to biodentine. Scientific World J, 2013: 626103.
• Özmen B. 2021. Yeni bir restoratif materyal" Cention N". NEU Dent J, 3(2): 84-90.
• Palma PJ, Marques JA, Antunes M, Falacho RI, Sequeira D, Roseiro L, Santos JM, Ramos JC. 2021. Effect of restorative timing on shear bond strength of composite resin/calcium silicate–based cements adhesive interfaces. Clin Oral Investig, 25: 3131-3139.
• Pedano MS, Li X, Yoshihara K, Landuyt KV, Van Meerbeek B. 2020. Cytotoxicity and bioactivity of dental pulp-capping agents towards human tooth-pulp cells: a systematic review of in-vitro studies and meta-analysis of randomized and controlled clinical trials. Materials, 13(12): 2670.
• Sauro S, Makeeva I, Faus-Matoses V, Foschi F, Giovarruscio M, Maciel Pires P, Martins Moura ME, Almeida Neves A, Faus-Llácer V. 2019. Effects of ions-releasing restorative materials on the dentine bonding longevity of modern universal adhesives after load-cycle and prolonged artificial saliva aging. Materials, 12(5): 722.
• Scientific Documentation. 2016. Cention N: Ivoclar Vivadent AG. Research and development scientific service. URL: https://www.ivoclar.com/tr_tr/products/composites/cention-n (Erişim tarihi: 21 Ağustos 2023).
• Seker A, Arslan B, Chen S. 2019. Recovery of polyphenols from grape pomace using polyethylene glycol (peg)-grafted silica particles and peg-assisted cosolvent elution. Molecules, 24(12): 2199.
• Teixeira CS, Chain MC. 2010. Evaluation of shear bond strength between self-etching adhesive systems and dentin and analysis of the resin-dentin interface. Gen Dent, 58(2): e52-61.
• Tulumbaci F, Almaz ME, Arikan V, Mutluay MS. 2017. Shear bond strength of different restorative materials to mineral trioxide aggregate and Biodentine. J Conserv Dent, 20(5): 292-296.
• Tunç EŞ, Bayrak Ş, Eğilmez T. 2008. The evaluation of bond strength of a composite and a compomer to white mineral trioxide aggregate with two different bonding systems. J Endod, 34(5): 603-605.
• Tyagi N, Chaman C, Tyagi SP, Singh UP, Sharma A. 2016. The shear bond strength of MTA with three different types of adhesive systems: An in vitro study. J Conserv Dent, 19(2): 130-133.
• Van Meerbeek B, De Munck J, Yoshida Y, Inoue S, Vargas M, Vijay P, Van Landuyt K, Lambrechts P, Vanherle G. 2003. Adhesion to enamel and dentin: current status and future challenges. Oper Dent, 28(3): 215-235.
• Wagner A, Wendler M, Petschelt A, Belli R, Lohbauer U. 2014. Bonding performance of universal adhesives in different etching modes. J Dent, 42(7): 800-807.
• Witherspoon DE. 2008. Vital pulp therapy with new materials: new directions and treatment perspectives--permanent teeth. J Endod, 34(7 Suppl): S25-28.
• Yanık D, Er K, Kuştarci A. 2023. Shear bond strength of resin‐modified glass ionomer cement bound to mineral trioxide aggregate after various disinfection protocols. Aust Endod J, 49(1): 159-164.
• Yavuz Y. 2022. Biomateryallerin Üniversal Adeziv sistemlere Bağlanma Dayanımının Karşılaştırılması: İn Vitro Çalışma. Selcuk Dent J, 9(2): 513-519.
• Yoshida Y, Nagakane K, Fukuda R, Nakayama Y, Okazaki M, Shintani H, Inoue S, Tagawa Y, Suzuki K, De Munck J. 2004. Comparative study on adhesive performance of functional monomers. J Dent Res, 83(6): 454-458.
• Zhang W, Yelick PC. 2010. Vital pulp therapy-current progress of dental pulp regeneration and revascularization. Int J Dent, 2010: 856087.