Clinical evaluation of universal adhesives used with different application modes on the restoration of non-carious cervical lesions: preliminary findings of a 12-month randomized, controlled clinical trial

Yıl 2019, Cilt: 36 Sayı: 1, 7 - 15, 02.01.2019

Fatma Dilşad Öz , Esra Ergin Simge Canatan

https://doi.org/10.17214/gaziaot.438002

Öz

Objective: To evaluate the
performances of two different universal adhesives applied with different modes and
an etch&rinse adhesive for the restoration of non-carious cervical lesions.

Materials and Method:
Twenty patients received 155 restorations. The lesions
were divided into 7 groups based on the adhesive systems and application modes:
GSE: Gluma Universal/self-etch, GSL: Gluma Universal/selective-etching,
GER: Gluma Universal/etch&rinse, ASE: All Bond Universal/self etch, ASL:
All Bond Universal/selective-etching, AER: All Bond Universal/etch&rinse,
SB (Control): Single Bond 2/etch&rinse. A nano-hybrid
composite resin was used for the restorations. Then, the restorations were
scored according to USPHS criteria after a week, 6- and 12-months. The data
were statistically analyzed using Chi-square, Cochrane Q and McNemar’s tests (α=0.05).

Results: On the 6th month of the evaluation three restorations from each
of the GSE and ASE groups lost retention, and on the 12th month of the
evaluation cumulative retention loss rate was 23.8%
for the GSE and 20% for the ASE groups (p<0.05,
more restoration loss in these groups were seen compared to the other groups).
On the 6th and 12th month of the evaluations, no statistically significant
differences were found among the groups for marginal adaptation, marginal
discoloration, secondary caries and post-operative sensitivity (p>0.05). Regarding
the intra-group comparisons, compared to the baseline, a significant retention
loss was seen in the ASE and GSE groups as early as 6-months; and significant marginal
adaptation loss and marginal discoloration was detected in all groups on the 12th
month (p<0.05).

Conclusion: Regarding the
retention on the 12th month, Gluma Universal and All-Bond Universal applied
with the etch&rinse and selective-etching modes were similar to the
control, and showed better results than those applied with the self-etch mode. Marginal
adaptation, marginal discoloration, post-operative sensitivity and secondary
caries were similar among all the groups.

Anahtar Kelimeler

Composite dental resin, dentin-bonding agents, tooth wear

Çürüksüz servikal lezyonların restorasyonunda universal adezivlerin farklı uygulama şekillerinin restorasyonların performansı üzerine etkilerinin değerlendirilmesi: 12-aylık randomize kontrollü klinik bir çalışmanın ön raporu

Öz

Amaç:
Çürüksüz servikal lezyonların restorasyonunda iki farklı universal adezivin
farklı yöntemlerle uygulanmasının ve bir etch&rinse adezivin, restorasyonların
performansı üzerine etkilerini değerlendirmektir.

Gereç ve Yöntem: Yirmi katılımcı çalışmaya dahil edildi. Lezyonlar kullanılan adeziv
sistemlere ve uygulama şekillerine göre 7 gruba ayrıldı: GSE: Gluma Universal/self-etch,
GSL: Gluma Universal/selektif-etch, GER: Gluma Universal/etch&rinse,
ASE:All Bond Universal/self-etch, ASL: All Bond Universal/selektif-etch, AER: All
Bond Universal/etch&rinse, SBE (Kontrol): Single Bond2/etch&rinse.
Toplam 155 çürüksüz servikal lezyon bir nanohibrit kompozit rezinle restore
edildi. Restorasyonlar USPHS kriterleri
kullanılarak bir hafta (başlangıç), 6 ay ve 12 ay sonra değerlendirildi.
Veriler istatistiksel olarak Ki-kare, Cochran Q ve McNemar testleri kullanılarak
analiz edildi (α=0.05).

Bulgular: Altıncı ayda,
GSE ve ASE gruplarında 3’er restorasyonda retansiyon kaybı görüldü (p<0.05).
Onikinci ayda kümülatif retansiyon kaybı oranı GSE grubu için %23.8 ve ASE
grubu için %20’ydi; bu gruplarda diğerlerine göre istatistiksel olarak anlamlı
düzeyde daha fazla restorasyon kaybı görüldü (p<0.05). Kenar uyumu, kenar
renklenmesi, dentin duyarlılığı ve ikincil çürük açısından deneysel gruplar
arasında 6. ve 12. ayda istatistiksel olarak anlamlı bir fark tespit edilmedi
(p>0.05). Gruplar
kendi içerisinde başlangıca göre karşılaştırıldığında, GSE ve ASE grupları 6.
ayda retansiyon açısından ve tüm gruplar 12. ayda kenar uyumu ve kenar
renklenmesi açısından anlamlı değişim gösterdi (p<0.05).

Sonuç: Oniki aylık değerlendirme süreci
sonunda, Gluma Universal ve All Bond Universal adeziv sistemleri,
etch&rinse ve selektif-etch yöntemleriyle uygulandığında, kontrol grubuna
benzer şekilde ve self-etch yöntemine kıyasla, retansiyon açısından daha üstün
klinik performans gösterdi. Kenar uyumu, kenar renklenmesi, dentin duyarlılığı
ve ikincil çürük açısından tüm gruplar benzer klinik performans sergiledi.

Anahtar Kelimeler

Dentin yapıştırma ajanları, diş aşınması, kompozit dental rezin

Kaynakça

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