Protetik Diş Tedavisi Uygulamalarında Adezyonun Önemi

Yıl 2024, Cilt: 34 Sayı: 3, 216 - 223, 28.07.2024

Büşra Tosun Nuran Yanıkoğlu

https://doi.org/10.17567/ataunidfd.946382

Öz

Diş hekimliğinde kullanılan materyaller gün geçtikçe değişmekte ve çeşitlilik kazanmaktadır. Bu gelişmelere rağmen klinikte görülen başarısızlıkların büyük bir kısmı siman bağlantısındaki problemlerden kaynaklanmaktadır. Günümüzde yüksek sıkışma ve gerilme dayanıklılığına sahip rezin simanlar bu olumlu özelliklerinden ötürü retansiyon gereksinimi olan ve estetik beklentinin fazla olduğu vakalarda sıklıkla tercih edilmektedir.
Farklı materyaller arasındaki bağlanma ''adezyon'' olarak tanımlanmaktadır. Yüzey geriliminin artmasıyla, yüzey enerjisi artar, yüzey enerjisinin artmasıyla da adezyon kuvveti artar. Simantasyon işleminde kullanılan rezin simanlar, restorasyonun uzun süre başarı gösterebilmesi için diş ve restoratif materyalin her ikisine de kuvvetli bir şekilde bağlanmalıdır.
Materyallerin diş ile olan bağlantısını güçlü hale getirmek için yüzeyin ıslanabilirliği, kimyasal bağlanma ve mikromekanik kilitlenme oluşturmak önemlidir. Uygulanacak bir takım yüzey modifikasyon yöntemleriyle de bağlantıyı artırmak mümkündür. Yüzey işlemleri, materyallerin genel özelliklerini değiştirmeden, yüzey özelliklerini etkileyerek, biyolojik ve mekanik özelliklerinin güçlendirilmesi işlemidir. Materyallerin olumlu özellikleri, bu işlemler esnasında korunmaktadır. Bu amaçla simantasyon işlemi öncesi, restorasyonlara bir takım yüzey işlemleri uygulanarak adezyon kuvveti artırılmaya çalışılmaktadır.
Bu derlemenin amacı protetik diş tedavisi uygulamalarında büyük önem arz eden adezyon kavramları, adeziv sistemler ve rezin içerikli simanlar hakkında detaylı bilgi sunmaktır.

Anahtar Kelimeler

Adezyon, rezin siman, yüzey işlemleri.

Kaynakça

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