THE EFFECT OF BONDING AND SURFACE SEALANT APPLICATION ON POSTOPERATIVE SENSITIVITY FROM POSTERIOR COMPOSITES

Yıl 2015, Cilt: 49 Sayı: 3, 1 - 10, 19.02.2015

Neslihan Tekçe , Mustafa Demirci , Sultan Göktürk Safa Tuncer , Emre Özel Kanşad Pala Canan Baydemir

https://doi.org/10.17096/jiufd.33921

Öz

Purpose: The purpose of the study was to evaluate
the postoperative sensitivity of posterior Class I
composite restoration at short-term, restorated
with two different all-in-one self-etch adhesives
with or without surface sealant application.
Materials and Methods: 44 restorations were
inserted in 11 patients who required Class I
restorations in their molars. Each patient received
4 restorations, thus four groups were formed; (1)
G-Aenial Bond (GC, Japan); (2) Clearfil S3 Bond
(Kuraray, Japan); (3) G-Aenial Bond+Fortify Plus
(Bisco, USA), (4) Clearfil S3 Bond+Fortify Plus.
Sensitivity was evaluated at 24h, 7, 15, and 30
days using cold air, ice, and pressure stimuli using
a visual analog scale. Comparisons of continuous
variables between the sensitivity evaluations were
performed using the Friedman’s One-Way Analysis
of Variance with repeated measures test (p<0.05).
Results: The type of adhesive used and the
application of a surface sealant had no significant
effects in postoperative sensitivity (p>0.05). The
use of Clearfil S3 Bond resulted in almost the same
level of postoperative sensitivity as did the use
of G-Aenial Bond. The highest sensitivity scores
were observed for the surface sealant applied
teeth without any statistical significance (p>0.05).
Conclusion: Self etch adhesives displayed
postoperative sensitivity. The sensitivity scores slightly
decreased at the end of 30 days (p>0.05). Surface
sealant application did not result in a decrease
in sensitivity scores for either dentin adhesives.

Anahtar Kelimeler

All-in-one adhesives; surface sealant; postoperative sensitivity

Yüzey Örtücü Uygulaması ve Bonding’in Arka Bölge Restorasyonlarda Oluşan Postoperatif Hassasiyet Üzerine Etkisi

Öz

Amaç: Bu çalışmanın amacı iki farklı all-in-one self etch adezif ile yüzey örtücü uygulamasının arka bölge sınıf I restorasyonlarda oluşan postoperatif hassasiyet üzerine etkisini değerlendirmektir.Gereç ve Yöntem: Arka bölge azı dişlerinde sınıf I restorasyon endikasyonu bulunan 11 hastada 44 restorasyon bu çalışmaya dahil edilmiştir. Her bir hastaya 4 restorasyon yapılmıştır. Restorasyonların tamamlanmasında bonding olarak G-Aenial Bond (GC, Japan) ve Clearfil S3 Bond (Kuraray, Japan), kompozit materyali olarak Clearfil Majesty Posterior (Kuraray, Japan) kullanılmıştır. Restorasyonların tamamlanmasının arkasından her bir bağlayıcının uygulandığı iki dişten rastgele seçilen bir tanesine yüzey örtücü (Fortify Plus, Bisco, USA) uygulanmıştır. Hassasiyet değerlendirmesi soğuk hava uygulaması, buz ve basınç uygulaması ile 24 saat, 7, 15 ve 30 gün sonunda VAS skalası kullanılarak yapılmıştır. Hassasiyet değerlerinin karşılaştırmasında Friedmen Tek yönlü varyans analizi kullanılmıştır (p < 0.05). Bulgular: 30 gün sonunda 44 restorasyon incelenmiştir. Çalışmada incelenen adezif veya yüzey örtücü, restorasyonların hassasiyet skorlarında anlamlı bir değişikliğe sebep olmamıştır. Clearfil S3 Bond ve G-Aenial bond hemen hemen aynı hassasiyet skorları sergilemişlerdir. En yüksek hassasiyet, yüzey örtücü uygulanmış dişlerden elde edilmiştir. Sonuç: Self etch adezif sistemler restorasyonlarda hassasiyete sebep olmuşlardır. Restorasyonlardaki hassasiyet 30 gün sonunda hafif düzeyde azalmıştır. Yüzey örtücü uygulaması hassasiyet skorlarında azalmaya sebep olmamıştır

Anahtar Kelimeler

All-in-one adezifler, yüzey örtücü, postoperatif hassasiyet

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