ÜÇ FARKLI YAPIDAKİ CAD/CAM MATERYALLER İLE KOMPOZİT REZİNLER ARASINDA OLUŞAN BAĞLANTININ İNCELENMESİ

Yıl 2024, , 78 - 84, 28.08.2024

Rümeysa Angın , Neslihan Tekçe

https://doi.org/10.21306/dishekimligi.1300414

Öz

Amaç: Üç farklı yapıdaki CAD/CAM materyallerle bu materyallerin tamirinde kullanılan akışkan/tepilebilir kompozit rezinler arasında oluşan bağlantı dayanımının değerlendirilmesidir.
Yöntem: IPS e.max CAD (Ivoclar), Cerasmart (GC), Vita Enamic (Vita Zahnfabric) CAD/CAM materyallerden (7×7×2 mm) hazırlanan örnekler, otopolimerizan akrilikle sabitlendi (n=10). Örneklerin üst yüzeyleri 600-1200 SIC zımparayla 60 sn zımparalandı. Örnek yüzeyleri yeşil kuşaklı elmas frezle 10 sn pürüzlendirildi. Hazırlanan CAD/CAM yüzeylere G-Aenial Posterior (GC) veya G-Aenial Universal Flo (GC) 2-mm yüksekliğinde üretici firma önerileri doğrultusunda uygulandı. Tüm CAD/CAM yüzeylerde silan olarak G-Multi Primer; bonding ajan olarak G-2 Bond Universal kullanıldı. Tüm CAD/CAM yüzeylerinde kompozitler bir teflon kalıp kullanılarak tepildi ve polimerize edildi. Örneklere bağlanma dayanım testi (Shear Bond Test) uygulandı. Örnek yüzeyleri stereomikroskop altında incelenilerek kırılma tipleri belirlendi. Başarısızlık tipleri adeziv/CAD/CAM koheziv/kompozit koheziv/miks olarak sınıflandırıldı. Veriler tek yönlü varyans analizi (ANOVA) ve Tukey HSD testi kullanılarak analiz edildi (P < .05). Kırılma tipleri Ki-kare testi kullanılarak değerlendirildi.
Bulgular: CAD/CAM materyaller arası kıyaslamada, Vita Enamic ve Cerasmart yüzeylerinde benzer bağlanma dayanım değerleri elde edildi, IPS e.max CAD’de ise diğer CAD/CAM materyallereden daha düşük bağlanma dayanım değerleri elde edildi. G-Aenial Posterior veya G-Aenial Universal Flo’nun CAD/CAM yüzeylere bağlanması arasında benzer değerler tespit edildi. Kırılma tipi değerlendirilmesinde, IPS e.max CAD materyalinde adeziv tipte kırılma, Vita Enamic ve Cerasmart materyalinde ise CAD/CAM koheziv tipte kırılmalar görüldü.
Sonuç: Tamirde kullanılan kompozit rezinlerin, rezin bazlı CAD/CAM materyallere bağlanması seramik yapıdaki CAD/CAM materyaline bağlanmadan daha iyidir. Her iki kompozit rezinde tamir prosedüründe kullanılabilir.

Anahtar Kelimeler

Kompozit, CAD/CAM, Bağlanma

INVESTIGATION OF THE BOND STRENGTH BETWEEN THREE DIFFERENT STRUCTURE CAD/CAM MATERIALS AND COMPOSITE RESINS

Öz

Objective: The aim of this study is to evaluate the bond strength between CAD/CAM materials in three different structures and the flowable or paste composite resins used in their repair.
Method: Samples prepared IPS e.max CAD (Ivoclar)/Cerasmart (GC)/Vita Enamic (Vita Zahnfabric) CAD/CAM materials (7×7×2 mm) were fixed with autopolymerizing acrylic. A total of 60 samples were prepared (n=10). The surfaces of the samples were sanded with 600-1200 SIC sandpaper for 60 seconds. The sample surfaces were roughened with a green belted diamond bur for 10 seconds. The samples were first divided into 3 groups as IPS e.max CAD/Vita Enamic/Cerasmart. Each separated group was divided into 2 subgroups as G-Aenial Posterior (GC)/G-Aenial Universal Flo (GC) according to the type of resin. A silane G-Multi Primer (GC) and a bonding G-2 Bond Universal (GC) were applied to all sample surfaces at the manufacturer's recommendation. The repair process was completed with a packable/flowable composite using a mold on the sample surfaces. Bond strength test was performed on the samples. Fracture types were determined by looking at the sample surfaces under a stereomicroscope. Failure types were classified and recorded as adhesive/CAD/CAM cohesive/composite cohesive/mixed. Data were analyzed with one way Analysis of Variance (ANOVA) and Tukey HSD tests (P < .05). Fracture types were evaluated using the Chi-square test.
Result: In comparison between CAD/CAM materials; Vita Enamic/Cerasmart had similar MPa values, but lower MPa values for IPS e.max CAD than other CAD/CAM materials. Similar binding values were determined between G-Aenial Posterior/G-Aenial Universal Flo used in the repair of Cerasmart/IPS e.max CAD/Vita Enamic materials. In the evaluation of the fracture type; Adhesive type breakage was observed in IPS e.max CAD material, CAD/CAM cohesive type breakage was observed in Vita Enamic/Cerasmart material.
Conclusions: The bonding of composite resins used for repair to resin-based CAD/CAM materials is better than bonding to ceramic CAD/CAM materials. The use of a touchable composite or flowable composite is similar in repairing resin-based CAD/CAM materials.

Anahtar Kelimeler

Composite, CAD/CAM, Adhesion

Kaynakça

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