Fırçalama Kuvvetinin Diş Minesinin Yüzey Özelliklerine ve Renk Stabilitesine Etkisi

Yıl 2023, , 167 - 172, 27.12.2023

Mediha Büyükgöze Dindar , Meltem Tekbaş Atay

https://doi.org/10.51122/neudentj.2023.73

Öz

Amaç: Bu çalışmanın amacı, diş fırçalama kuvvetinin diş minesinin yüzey pürüzlülüğü, parlaklığı ve renk değişimi üzerindeki etkilerini incelemektir.
Gereç ve Yöntem: Bu çalışma, periodontal veya ortodontik nedenlerle çekilmiş 16 insan daimî kesici dişinin sağlam vestibüler mine yüzeyleri üzerinde gerçekleştirildi. Dişler rastgele 2 alt gruba ayrıldı (grup başına n=8) ve akrilik bloklara gömüldü. Vestibüler minenin başlangıçtaki yüzey pürüzlülüğü, parlaklığı ve rengi ölçüldü. Numune başına üç ölçüm yapıldı ve ortalaması alındı. 5.000 dairesel döngü (grup 1 ve 2 için sırasıyla 1.5 ve 2.5 N kuvvet ile) (MOD Dental, Türkiye) ile altı aylık diş fırçalama simülasyonu yapıldı. Ardından aynı ölçümler tekrarlandı ve veriler bağımsız örneklem ve eşleştirilmiş örneklem t-testleri ile analiz edildi (p<0.05).
Bulgular: 1.5 ve 2.5 N ile diş fırçalama simülasyonu sonrası ölçülen yüzey pürüzlülük değerleri arasında anlamlı derecede fark gözlendi (p=0,022). 1.5 ve 2.5 N kuvvet uygulandığında yüzey parlaklık değerleri anlamlı derecede azaldı (sırasıyla p=0,001, p=0,002). 2,5 N (3,48±0,83) fırçalama kuvveti ile meydana gelen renk değişimi (ΔE), 1,5 N'dan (2,42±0,86) istatistiksel olarak anlamlı derecede yüksekti (p=0,025).
Sonuç: Bu çalışmanın sonuçları uygulanan fırçalama kuvvetine bağlı olarak yüzey pürüzlülüğü ve renk değişimi değerlerinin arttığını, parlaklık değerlerinin ise azaldığını göstermiştir.

Anahtar Kelimeler

Diş minesi, Ağız hijyeni, Yüzey özellikleri, Diş fırçalama, Diş aşınması

The Effect of Brushing Force on The Surface Properties and Color Stability of Dental Enamel

Öz

Aim: This study aimed to determine the effects of toothbrushing force on the surface roughness, gloss, and color change of dental enamel.
Material and Methods: This study was carried out on the sound vestibular enamel surfaces of 16 human permanent incisors extracted for periodontal or orthodontic reasons. Teeth were randomly divided into 2 subgroups (n=8, per group) and embedded in acrylic blocks. The vestibular enamel's initial surface roughness, gloss, and color were measured. Three measurements per sample were performed and averaged. Six months of toothbrush simulation with 5,000 circular cycles (with a load of 1.5 and 2.5 N for groups 1 and 2, respectively) (MOD Dental, Turkey) was performed. The same measurements were repeated and the data were analyzed with independent samples and paired sample t-tests (p<0.05).
Results: A significant difference was observed between the surface roughness values after the toothbrushing simulation with 1.5 and 2.5 N (p=0.022). Surface gloss values decreased significantly when 1.5 and 2.5 N forces were applied (p=0.001, p=0.002, respectively). Color change (ΔE) for brushing force of 2.5 N (3.48±0.83) was statistically significantly higher than 1.5 N (2.42±0.86), (p=0.025).
Conclusion: Results of this study revealed that the surface roughness and color change values increased depending on the applied brushing force whereas gloss values decreased.

Anahtar Kelimeler

Dental enamel, Oral hygiene, Surface properties, Toothbrushing, Tooth abrasion

Kaynakça

• 1. Kon M, Kakuta K, Ogura H. Effects of occlusal and brushing forces on wear of composite resins. Dent Mater J. 2006;25:183-94.
• 2. Sperber GH. Dental wear: attrition, erosion, and abra-sion-a palaeo-odontological approach. Dent J (Basel). 2017;5:19.
• 3. Yu H, Wegehaupt FJ, Wiegand A, Roos M, Attin T, Buchalla W. Erosion and abrasion of tooth-colored restorative materials and human enamel. J Dent. 2009;37:913-22.
• 4. Shellis RP, Addy M. The interactions between attri-tion, abrasion and erosion in tooth wear. Monogr Oral Sci. 2014;25:32-45.
• 5. Ahmed KE, Whitters J, Ju X, Pierce SG, MacLeod CN, Murray CA. Clinical monitoring of tooth wear prog-ression in patients over a period of one year using CAD/CAM. Int J Prosthodont. 2017;30:153-5.
• 6. Figuero E, Nóbrega DF, García-Gargallo M, Tenuta LM, Herrera D, Carvalho JC. Mechanical and chemical plaque control in the simultaneous management of gingivitis and caries: a systematic review. J Clin Peri-odontol. 2017;44:116-34.
• 7. Heintze SD, Forjanic M. Surface roughness of different dental materials before and after simulated to-othbrushing in vitro. Oper Dent. 2005;30:617-26.
• 8. Wiegand A, Burkhard JP, Eggmann F, Attin T. Brus-hing force of manual and sonic toothbrushes affects dental hard tissue abrasion. Clin Oral Investig. 2013;17:815-22.
• 9. Kumar S, Kumar Singh S, Gupta A, Roy S, Sareen M, Khajuria S. A profilometric study to assess the role of toothbrush and toothpaste in abrasion process. J Dent (Shiraz). 2015;16:267-73.
• 10. Quirynen M, Bollen CM, Papaioannou W, Van Eldere J, van Steenberghe D. The influence of titanium abut-ment surface roughness on plaque accumulation and gingivitis: short-term observations. Int J Oral Maxil-lofac Implants. 1996;11:169-78.
• 11. Jones CS, Billington RW, Pearson GJ. The in vivo per-ception of roughness of restorations. Br Dent J. 2004;196:42-5.
• 12. Addy M, Hunter ML. Can tooth brushing damage your health? Effects on oral and dental tissues. Int Dent J. 2003;53:177-86.
• 13. ISO TR. Dental materials guidance on testing of wear: Part 1:Wear by tooth brushing. Technical Report. ISO TR. 2007;14569:1.
• 14. Hamza B, Tanner M, Körner P, Attin T, Wegehaupt FJ. Effect of toothbrush bristle stiffness and toothbrus-hing force on the abrasive dentine wear. Int J Dent Hyg. 2021;19:355-9.
• 15. AlShehab AH, AlHazoom AA, Alowa MH, AlAli HA, Abdulmohsen AA, Farooq I. Effect of bristle stiffness of manual toothbrushes on normal and deminerali-zed human enamel-An in vitro profilometric study. Int J Dent Hyg. 2018;16:128-32.
• 16. Kon M, Kakuta K, Ogura H. Effects of occlusal and brushing forces on wear of composite resins. Dent Mater J. 2006;25:183-94.
• 17. Addy M, Shellis RP. Interaction between attrition, ab-rasion and erosion in tooth wear. Monogr Oral Sci. 2006;20:17-31.
• 18. Addy M. Tooth brushing, tooth wear and dentine hy-persensitivity--are they associated? Int Dent J. 2005;55:261-7.
• 19. Addy M, Hughes J, Pickles MJ, Joiner A, Huntington E. Development of a method in situ to study toothpaste abrasion of dentine. Comparison of 2 products. J Clin Periodontol. 2002;29:896-900.
• 20. Dyer D, Addy M, Newcombe RG. Studies in vitro of abrasion by different manual toothbrush heads and a standard toothpaste. J Clin Periodontol. 2000;27:99-103.
• 21. Rosema NA, Hennequin-Hoenderdos NL, Versteeg PA, van Palenstein Helderman WH, van der Velden U, van der Weijden GA. Plaque-removing efficacy of new and used manual toothbrushes--a professional brushing study. Int J Dent Hyg. 2013;11:237-43.
• 22. Tangade PS, Shah AF, Ravishankar TL, Tirth A, Pal S. Is plaque removal efficacy of toothbrush related to bristle flaring? A 3-month prospective parallel expe-rimental study. Ethiop J Health Sci. 2013;23:255-64.
• 23. Monteiro B, Spohr AM. Surface roughness of compo-site resins after simulated toothbrushing with diffe-rent dentifrices. J Int Oral Health. 2015;7:1-5.
• 24. Bizhang M, Schmidt I, Chun YP, Arnold WH, Zimmer S. Toothbrush abrasivity in a long-term simulation on human dentin depends on brushing mode and bristle arrangement. PLoS One. 2017;12:e0172060.
• 25. O'Neill C, Price RB, Boyd D. Gloss retention on ena-mel and resin composite surfaces after brushing teeth with commercial and modified dentifrices. J Can Dent Assoc. 2021;87:l6.
• 26. Heintze SD, Forjanic M, Ohmiti K, Rousson V. Surface deterioration of dental materials after simulated to-othbrushing in relation to brushing time and load. Dent Mater. 2010;4:306-19.
• 27. Dutra H, Barbosa I, Câmara JV, Pereira G. Influence of brushing with natural dentifrices on color change: In vitro study. J Clin Exp Dent. 2021;13:809-16.
• 28. Hickl V, Strasser T, Schmid A, Rosentritt M. Effects of storage and toothbrush simulation on color, gloss, and roughness of CAD/CAM, hand-cast, thermofor-ming, and 3D-printed splint materials. Clin Oral In-vestig. 2022;26:4183-94.