Investigation of the Effect of Chemomechanical Caries Removal Method on the Adhesion of Different Restorative Materials

Öz

Objective: Aim of this study was to evaluate effects of chemomechanical method and atraumatic restorative treatment technique on working time, micro-tension bond strength and microleakage of restorations of deciduous molars with high viscosity glass ionomer cement and compomer. Material-Method: Eighty collected deciduous molars were divided into two main groups as Group1:BRIX 3000 and Group2:ART for caries removal method and into two subgroups as GroupA:Equia Forte HT and GroupB:Dyract XP for restorative material. Time spent on caries removal and restoration was recorded. Specimens were thermal cycled 500 times before the experiment. Bond strength values were determined by micro-tension test, fracture types were evaluated. For microleakage evaluation, degree of gingival and occlusal dye penetration was examined. Data obtained were statistically analyzed. Results: Caries removal time was longer in BRIX 3000-treated groups and restoration time was longer in Equia Forte HT-treated groups(p<0.05). Micro-tensile bond strength value was higher in all study groups using BRIX 3000 than in study groups using ART(p<0.05). In BRIX+Equia Forte HT study group, the most common type of fracture was cohesive, while in other study groups, it was adhesive. Ranking of micro-tensile bond strength values according to fracture type was “cohesive>mix>adhesive” and only difference between adhesive and cohesive fractures was significant(p<0.05). The lowest occlusal and gingival microleakage scores were measured in BRIX+Equia Forte HT group and the highest microleakage score was measured in ART+Dyract XP group(p<0.05). Conclusion: Chemomechanical caries removal method using BRIX 3000 increased micro-tension bond strength and sealing properties. BRIX+Equia Forte HT combination offered the most successful results in all tests.

Anahtar Kelimeler

• Atraumatic restorative treatment
• chemomechanical caries removal
• deciduous tooth

Kemomekanik Çürük Temizleme Yönteminin Farklı Restoratif Materyallerin Adezyonuna Etkisinin İncelenmesi

Öz

Amaç: Bu çalışmanın amacı, kemomekanik yöntem ve atravmatik restoratif tedavi tekniğinin, süt azı dişlerinin yüksek viskoziteli cam iyonomer siman ve kompomer ile restorasyonları üzerinde çalışma süresi, mikro-gerilim bağlanma dayanımı ve mikrosızıntı açısından etkilerinin değerlendirilmesidir. Materyal-Metot: Toplanan 80 adet süt azı dişi, uygulanan çürük uzaklaştırma yöntemine göre Grup 1: BRIX 3000 ve Grup 2: ART olarak iki ana gruba; kullanılan restorasyon materyaline göre Grup A: Equia Forte HT ve Grup B: Dyract XP olarak iki alt gruba ayrıldı. Dişlerin çürük uzaklaştırma ve restorasyon aşamaları için harcanan süre kaydedildi. Örnekler, deney öncesinde 500 kez termal siklus işlemine tabi tutuldu. Mikro-gerilim testi ile bağlanma dayanım değerleri belirlendi, kopma tipleri değerlendirildi. Mikrosızıntı değerlendirmesi için örneklerin gingival ve okluzal boya penetrasyon derecesi incelendi. Elde edilen veriler istatistiksel olarak analiz edildi. Bulgular: BRIX 3000 uygulanan gruplarda çürük uzaklaştırma süresi, Equia Forte HT kullanılan gruplarda restorasyon süresi daha fazlaydı (p<0,05). Mikro-gerilim bağlanma dayanımı değerinin, BRIX 3000 kullanılan tüm çalışma gruplarında, ART kullanılan çalışma gruplarına göre daha fazla olduğu saptandı (p<0,05). BRIX+Equia Forte HT çalışma grubunda en sık koheziv tip kopma, diğer çalışma gruplarında ise en sık adeziv tip kopma görüldü. Kopma türüne göre mikro-gerilim bağlanma dayanımı değerlerinin sıralamasının "koheziv>miks>adeziv" olduğu ve yalnızca adeziv ile koheziv tip kopma arasındaki farkın anlamlı olduğu bulundu (p<0,05). En düşük okluzal ve gingival mikrosızıntı skoru BRIX+Equia Forte HT grubunda, en yüksek mikrosızıntı skoru ART+Dyract XP grubunda ölçüldü (p<0,05). Sonuç: BRIX 3000 kullanılan kemomekanik çürük uzaklaştırma yönteminin, mikro-gerilim bağlanma dayanımını ve sızdırmazlık özelliğini artırdığı görüldü. BRIX+Equia Forte HT kombinasyonu, tüm testlerde en başarılı sonuçları sundu.

Anahtar Kelimeler

• Atravmatik restoratif tedavi
• kemomekanik çürük uzaklaştırma
• süt dişi

Kaynakça

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