Farklı adeziv sistemler uygulanarak yerleştirilen fissür örtücülerin 6 aylık klinik takibi: randomize kontrollü çalışma

Yıl 2015, Cilt: 32 Sayı: 3, 106 - 11, 15.07.2015

Emel Karaman , Emine Özdemir Taştan Eda Güler

https://doi.org/10.17214/aot.93887

Öz

AMAÇ: Bu çalışmada, pürüzlendirip yıkamalı (etch&rinse) adeziv sistem (Adper Single Bond 2) ve hem kendinden pürüzlendirmeli (self-etch) hem de pürüzlendirip yıkamalı olarak kullanılabilen bir adeziv sistem (Single Bond Universal) kullanılarak uygulanan fissür örtücülerin retansiyon ve çürük oluşumu açısından 6 aylık sonuçlarının değerlendirilmesi amaçlanmıştır.

GEREÇ VE YÖNTEM: Bu klinik çalışmada yaşları 19-22 arasında değişen, 13 bireye uygulanan non-invaziv fissür örtücüler değerlendirildi. Dişler plaktan temizlendikten sonra fissür örtücü Fissurit FX (Voco, Cuxhaven, Almanya), rastgele sayılar tablosu yardımıyla Grup A: %35 fosforik asit + Adper Single Bond 2 (3M ESPE, St Paul MN, ABD), Grup B: %35 fosforik asit + Single Bond Universal adeziv (3M ESPE, St Paul MN, ABD), Grup C: Single Bond Universal adeziv uygulandıktan sonra tek bir hekim tarafından yerleştirildi ve polimerize edildi. Tüm materyaller üretici firmanın önerileri doğrultusunda kullanıldı. Her bir grupta 48 adet olacak şekilde, toplamda 144 dişe fissür örtücü uygulandı. Fissür örtücülerin retansiyonu ve çürük oluşumu birbirleriyle kalibre iki hekim tarafından 1 hafta ve 6 ay sonra reflektör ışığı altında, ayna ve sond yardımıyla değerlendirildi. Fissür örtücülerin değerlendirilme kriterleri: 1=tam retansiyon, 2=kısmi kayıp, 3=total kayıp şeklinde idi. Elde edilen veriler Pearson ki-kare testi ile analiz edildi.

BULGULAR: Çalışmaya dahil edilen tüm bireyler 6. ay kontrolüne geldi. A grubunda uygulanan 48 fissür örtücünün %93.75’i tam retansiyon, %6.25’i total kayıp olarak değerlendirildi. B grubunda ise fissür örtücülerin tamamında tam retansiyon gözlendi. C grubunda uygulanan fissür örtücülerde %29.2 tam retansiyon, %68.8 tam kayıp, %2.1 kısmi kayıp gözlendi ve bu grupta retansiyon oranları diğer gruplardan istatistiksel olarak anlamlı düzeyde düşük bulundu (p<0.001). Grupların hiçbirinde çürük oluşumuna rastlanmadı.

SONUÇ: Single Bond Universal adezivin kendinden pürüzlendirmeli olarak uygulandığı grupta daha düşük klinik performans gözlendi

Anahtar Kelimeler

Dental adezivler, diş çürükleri, fissür örtücüler

Six-month clinical evaluation of fissure sealants placed with different adhesive systems: a randomized controlled trial

Öz

OBJECTIVE: To compare the retention and caries formation rates of fissure sealants applied with an etch&rinse adhesive system (Adper Single Bond 2) or with an universal adhesive system (Single Bond Universal) used with etch&rinse mode or self-etch mode after 6 months.

MATERIALS AND METHOD: Non-invasive fissure sealants of 13 patients (19-22 age) were evaluated. The fissure sealant (Fissurit FX, Voco, Cuxhaven, Germany) was placed after three different pretreatment procedure and then polymerized; Group A: 35% phosphoric acid gel + Adper Single Bond 2 (3M ESPE, St Paul MN, USA), Group B: 35% phosphoric acid gel + Single Bond Universal adhesive (3M ESPE, St Paul MN, USA), Group C: Single Bond Universal adhesive. All the materials were used according to the manufacturers’ recommendations. A total of 144 teeth were sealed (n=48 in each group). The retention of fissure sealants and caries formation was evaluated by two calibrated examiners at one week and six month recalls. The evaluation criteria for retention were 1=full retention, 2=partial loss, 3=total loss. Data were analyzed with Pearson chi square test.

RESULTS: The recall rate was 100% at the 6-month control. Retention rates at 6-months were as follows: Group A: full retention: 93.75% and total loss: 6.25% of the sealants; Group B: all sealants were recorded to exhibit full retention; Group C: full retention: 29.2%, partial loss: 2.1% and total loss: 68.8% of the sealants. Differences between Group C and the other groups were statistically significant (p<0.001). No caries was detected at the 6-month control.

CONCLUSION: Single Bond Universal adhesive used in a selfetch mode showed a clinically low performance

Anahtar Kelimeler

Dental adhesives, dental caries, fissure sealants

Kaynakça

• 1. Newbrun E. Preventing dental caries: current and prospective strategies. J Am Dent Assoc 1992;123:68-73.
• 2. Pardi V, Sinhoreti MA, Pereira AC, Ambrosano GM, Meneghim Mde C. In vitro evaluation of microleakage of different materials used as pitand-fissure sealants. Braz Dent J 2006;17:49-52.
• 3. Kaste LM, Selwitz RH, Oldakowski RJ, Brunelle JA, Winn DM, Brown LJ. Coronal caries in the primary and permanent dentition of children and adolescents 1-17 years of age: United States, 1988-1991. J Dent Res 1996;75 Spec No:631-41.
• 4. Hicks MJ, Flaitz CM. Epidemiology of dental caries in the pediatric and adolescent population: a review of past and current trends. J Clin Pediatr Dent 1993;18:43-9.
• 5. Cehreli SB, Gungor HC, Karabulut E. Er,Cr:YSGG laser pretreatment of primary teeth for bonded fissure sealant application: a quantitative microleakage study. J Adhes Dent 2006;8:381-6.
• 6. Pereira A, Castellanos R, da Silva S, Watanabe M, Queluz D, Meneghim M. Oral health and periodontal status in Brazilian elderly. Braz Dent J 1996;7:97-102.
• 7. Matalon S, Slutzky H, Mazor Y, Weiss EI. Surface antibacterial properties of fissure sealants. Pediatr Dent 2003;25:43-8. 8. Simonsen RJ. Pit and fissure sealant: review of the literature. Pediatr Dent 2002;24:393-414.
• 9. Ripa LW. Sealants revisted: an update of the effectiveness of pit-andfissure sealants. Caries Res 1993;27 Suppl 1:77-82.
• 10. Surmont P, Martens L, D'Hauwers R. A decision tree for the treatment of caries in posterior teeth. Quintessence Int 1990;21:239-46.
• 11. Pope BD Jr, Garcia-Godoy F, Summitt JB, Chan DD. Effectiveness of occlusal fissure cleansing methods and sealant micromorphology. ASDC J Dent Child 1996;63:175-80.
• 12. Garcia-Godoy F, de Araujo FB. Enhancement of fissure sealant penetration and adaptation: the enameloplasty technique. J Clin Pediatr Dent 1994;19:13-8.
• 13. Mertz-Fairhurst EJ, Adair SM, Sams DR, Curtis JW Jr, Ergle JW, Hawkins KI, et al. Cariostatic and ultraconservative sealed restorations: nine-year results among children and adults. ASDC J Dent Child 1995;62:97-107.
• 14. Simonsen RJ. Retention and effectiveness of dental sealant after 15 years. J Am Dent Assoc 1991;122:34-42.,
• 15. Yazici AR, Karaman E, Baseren M, Tuncer D, Yazici E, Unlüer S. Clinical evaluation of a nanofilled fissure sealant placed with different adhesive systems: 24-month results. Oper Dent 2009;34:642-7.
• 16. Cueto EI, Buonocore MG. Sealing of pits and fissures with an adhesive resin: its use in caries prevention. J Am Dent Assoc 1967;75:121- 8.
• 17. Burrow MF, Burrow JF, Makinson OF. Pits and fissures: etch resistance in prismless enamel walls. Aust Dent J 2001;46:258-62.
• 18. Breschi L, Mazzoni A, Ruggeri A, Cadenaro M, Di Lenarda R, De Stefano Dorigo E. Dental adhesion review: aging and stability of the bonded interface. Dent Mater 2008;24:90-101.
• 19. Sano H. Microtensile testing, nanoleakage, and biodegradation of resin-dentin bonds. J Dent Res 2006;85:11-4.
• 20. Peumans M, De Munck J, Van Landuyt KL, Poitevin A, Lambrechts P, Van Meerbeek B. Eight-year clinical evaluation of a 2-step self-etch adhesive with and without selective enamel etching. Dent Mater 2010;26:1176-84.
• 21. Hanabusa M, Mine A, Kuboki T, Momoi Y, Van Ende A, Van Meerbeek B, et al. Bonding effectiveness of a new 'multi-mode' adhesive to enamel and dentine. J Dent 2012;40:475-84.
• 22. Perdigao J, Sezinando A, Monteiro PC. Laboratory bonding ability of a multi-purpose dentin adhesive. Am J Dent 2012;25:153-8.
• 23. Barutcugil Ç, Kürklü D, Barutcigil K, Arslan H. Bond strength of the universal adhesive to dentin with different surface treatments. J Dent Fac Atatürk Uni 2013;21:324-30.
• 24. Weintraub JA. The effectiveness of pit and fissure sealants. J Public Health Dent 1989;49:317-30.
• 25. Gwinnett AJ, Smith DC. Fissure sealants. Smith DC, Williams DF, eds. Biocompatibility of Dental Materials. 1sted. Boca Raton, FL: CRC Press; 1982. p.15-49.
• 26. Manhart J, Huth KC, Chen HY, Hickel R. Influence of the pretreatment of occlusal pits and fissures on the retention of a fissure sealant. Am J Dent 2004;17:12-8.
• 27. American Dental Association. Council on Dental Materials and Devices and the Council on Dental Therapeutics: Pit and fissure sealants. J Am Dent Assoc 1976;93:134.
• 28. Ganesh M, Shobha T. Comparative evaluation of the marginal sealing ability of Fuji VII and Concise as pit and fissure sealants. J Contemp Dent Pract 2007;8:10-8.
• 29. Erickson RL, Barkmeier WW, Latta MA. The role of etching in bonding to enamel: a comparison of self-etching and etch-and-rinse adhesive systems. Dent Mater 2009;25:1459-67.
• 30. Pit and fissure sealants. Council on Dental Health and Health Planning. Council on Dental Materials, Instruments, and Equipment. J Am Dent Assoc 1987;114:671-2.
• 31. Kumaran P. Clinical evaluation of the retention of different pit and fissure sealants: a 1-year study. Int J Clin Pediatr Dent 2013;6:183-7.
• 32. Beloica M, Goracci C, Carvalho CA, Radovic I, Margvelashvili M, Vulicevic ZR, et al. Microtensile vs microshear bond strength of all-inone adhesives to unground enamel. J Adhes Dent 2010;12:427-33.
• 33. Luhrs AK, Guhr S, Schilke R, Borchers L, Geurtsen W, Günay H. Shear bond strength of self-etch adhesives to enamel with additional phosphoric acid etching. Oper Dent 2008;33:155-62.
• 34. Devarasa GM, Subba Reddy VV, Chaitra NL, Swarna YM. Self-etching adhesive on intact enamel, with and without pre-etching. Microsc Res Tech 2012;75:650-4.
• 35. Van Meerbeek B, Kanumilli P, De Munck J, Van Landuyt K, Lambrechts P, Peumans M. A randomized controlled study evaluating the effectiveness of a two-step self-etch adhesive with and without selective phosphoric-acid etching of enamel. Dent Mater 2005;21:375-83.
• 36. Venker DJ, Kuthy RA, Qian F, Kanellis MJ. Twelve-month sealant retention in a school-based program using a self-etching primer/adhesive. J Public Health Dent 2004;64:191-7.
• 37. Burbridge L, Nugent Z, Deery C. A randomized controlled trial of the effectiveness of a one-step conditioning agent in fissure sealant placement: 12 month results. Eur Arch Paediatr Dent 2007;8:49-54.
• 38. Yoshida Y, Yoshihara K, Nagaoka N, Hayakawa S, Torii Y, Ogawa T, et al. Self-assembled Nano-layering at the adhesive interface. J Dent Res 2012;91:376-81.
• 39. Mitra SB, Lee CY, Bui HT, Tantbirojn D, Rusin RP. Long-term adhesion and mechanism of bonding of a paste-liquid resin-modified glassionomer. Dent Mater 2009;25:459-66.
• 40. Lin A, McIntyre NS, Davidson RD. Studies on the adhesion of glassionomer cements to dentin. J Dent Res 1992;71:1836-41.
• 41. Mena-Serrano A, Kose C, De Paula EA, Tay LY, Reis A, Loguercio AD, et al. A new universal simplified adhesive: 6-month clinical evaluation. J Esthet Restor Dent 2013;25:55-69.