Microleakage evaluation of giomer flowable composites and adhesive systems in Class V cavities

Yıl 2014, Cilt: 31 Sayı: 1, 18 - 22, 25.02.2014

Nihan Gönülol , Sezin Özer Neslihan Demirel

https://doi.org/10.17214/aot.80802

Öz

OBJECTIVE: To evaluate the microleakage of a giomer-based flowable composite resin and an adhesive system, and their combination with a conventional flowable composite resin and an adhesive system in Class V cavities.

MATERIALS AND METHOD: Standardized Class V cavities (mesial-distal width: 4 mm, occlusal-gingival width: 3 mm, depth: 2 mm) were prepared on the buccal and lingual sides of 20 human third molars. The teeth were randomly divided into 4 groups containing 10 cavities each. Giomer adhesive system FL-Bond II and flowable composite Beautifil Flow Plus and conventional adhesive system Clearfil SE Bond and flowable composite Filtek Ultimate were used as follows; Group FLB: FL-Bond II+Beautifil Flow Plus, Group FLU: FL-Bond II+Filtek Ultimate, Group SEB: Clearfil SE Bond+Beautifil Flow Plus, Group SEU: Clearfil SE Bond+Filtek Ultimate. The teeth were subjected to 1000 thermal cycles between 5-55 ^oC and then immersed in 0.5% basic fuchsin solution for 24 h. The dye penetration was examined under a stereomisroscope and scored. The results were statistically analyzed by using Kruskal-Wallis and Mann-Whitney U tests.

RESULTS: Significant differences were detected both in enamel and in dentin (p<0.05). In dentin, Group FLB exhibited significantly higher microleakage scores than the other groups (p<0.05). In enamel, Group SEU exhibited significantly higher microleakage scores than Group FLB and Group SEB (p<0.05).

CONCLUSION: In dentin, combination of both type of flowable composites with the 10-MDP-containing conventional adhesive system (Clearfil SE Bond) caused less microleakage. In enamel, regardless of the type of the adhesive system groups restored with the giomer composite exhibited less microleakage.

Anahtar Kelimeler

Composite Resins, Dental Leakage, Flowable Hybrid Composite, Giomer, Fluoride

Giomer yapıdaki akışkan kompozit ve adeziv sistemin Sınıf V kavitelerde mikrosızıntı açısından değerlendirilmesi

Öz

AMAÇ: Giomer yapıdaki akışkan kompozit rezin ve adeziv
sistemin ve bunların geleneksel yapıdaki akışkan kompozit
rezin ve adeziv sistemle kombinasyonunun Sınıf V kavitelerde
mikrosızıntı açısından karşılaştırılmasıdır.
GEREÇ VE YÖNTEM: Yirmi adet insan 3. büyük azı dişlerinin
bukkal ve lingual yüzeylerine standart Sınıf V kaviteler
(mezio-distal genişlik: 4 mm, okluzo-gingival genişlik: 3 mm,
derinlik: 2 mm) açıldı. Dişler her grupta 10 kavite olacak şekilde
rastgele dört gruba ayrıldı. Giomer yapıdaki FL-Bond
II adeziv sistem ve Beautifil Flow Plus akışkan kompozit ile
geleneksel yapıdaki Clearfil SE Bond adeziv sistem ve Filtek
Ultimate akışkan kompozit kullanılarak dişler şu şekilde restore
edildi; Grup FLB: FL-Bond II+Beautifil Flow Plus, Grup
FLU: FL-Bond II+Filtek Ultimate, Grup SEB: Clearfil SE
Bond+Beautifil Flow Plus, Grup SEU: Clearfil SE Bond+Filtek
Ultimate. Dişler, 5-55 oC’de 1000 kere termal eskitmenin
ardından %0.5 lik bazik fuksin çözeltisi içinde 24 saat süresince
bekletildi. Boya sızıntısı stereomikroskop altında de-
ğerlendirilerek skorlandı. Verilerin değerlendirilmesinde
Kruskal-Wallis Testi ve Mann-Whitney U testleri kullanıldı.
BULGULAR: Gruplar arasında mikrosızıntı değerlerinde hem
minede hem de dentinde fark bulundu (p < 0.05). Grup FLB,
dentinde diğer gruplardan anlamlı bir şekilde daha fazla sızıntı gösterdi (p < 0.05). Grup SEU, minede Grup FLB ve
Grup SEB’den anlamlı bir şekilde daha fazla sızıntı gösterdi
(p < 0.05).
SONUÇ: Her iki kompozit grubunun, yapısında 10-MDP monomeri
içeren geleneksel tipteki adeziv sistemle (Clearfil
SE Bond) kombinasyonu dentinde daha az mikrosızıntıya
sebep oldu. Minede ise giomer kompozitin uygulandığı
gruplarda adezivin tipi fark etmeksizin daha az mikrosızıntı
olduğu sonucuna varıldı.

Anahtar Kelimeler

Akışkan Hibrid Kompozit, Florit, Giomer, Kompozit Rezinler, Dental Sızıntı

Kaynakça

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