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Büyük Azı-Keser Diş Hipomineralizasyonunun Tedavi Başarısı Üzerine Deproteinizasyon İşleminin ve Farklı Adeziv Sistemlerin Etkisinin Değerlendirilmesi

Yıl 2022, Cilt: 13 Sayı: 1, 80 - 91, 11.04.2022
https://doi.org/10.22312/sdusbed.1021343

Öz

Amaç: Bu çalışmanın amacı, çocuk hastalarda, dişin mine tabakasında inorganik içerik ve mineralizasyon yetersizliği nedeniyle oluşan büyük azı-keser diş hipomineralizasyonunun (BAKH) tedavi başarısı üzerine, deproteinizasyon işleminin ve farklı adeziv sistemlerin etkisinin değerlendirilmesidir.
Materyal ve Metot: Kliniğimize başvuran ve onamı alınan hastalardan, 7-10 yaş aralığındaki, orta derecede BAKH saptanan 102’sinde, deproteinizasyon ajanı ve self-etch veya total-etch adeziv sistem kullanımına bağlı olarak 4 grup (Grup 1: NaOCl+Clearfil SE Bond+Filtek Z250, Grup 2: Clearfil SE Bond+Filtek Z250, Grup 3: NaOCl+Fosforik Asit+Prime&Bond NT+Filtek Z250, Grup 4: Fosforik Asit+Prime&Bond NT+Filtek Z250) oluşturularak restorasyonlar yapıldı. Deproteinizasyon işlemi, %5’lik NaOCl ile sağlandı. Hastalar, modifiye USPHS kriterleri ile klinik olarak değerlendirildi. Veriler istatistiksel olarak analiz edildi; p<0,05 anlamlı kabul edildi.
Bulgular: Restorasyonlarda, 12 ay sonunda; anatomik form, renk uyumu, yüzey düzgünlüğü ve restorasyon sonrası duyarlılık kriterlerinde başarısızlığa rastlanmadı. Kenar bütünlüğü ve kenar renklenmesi kriterlerinde, en fazla başarı Grup 3’te gözlendi (p<0,05). Sekonder çürük kriterlerinde, Grup 1, 2 ve 3’te tüm restorasyonların başarılı olduğu, Grup 4’te ise 4 restorasyonda başarısızlık olduğu görüldü (p>0,05). Hipomineralize dişlerin tedavisinde, en başarılı grubun, deproteinizasyon işlemi ve total-etch adeziv sistem uygulanan Grup 3 olduğu anlaşıldı (p<0,05).
Sonuç: BAKH tedavisinde, deproteinizasyon ve total-etch adeziv sistemlerdeki asit uygulamasının birlikte kullanımı, başarıyı arttırmaktadır. Konu ile ilgili daha fazla sayıda çalışma yapılmasına ihtiyaç vardır. 

Destekleyen Kurum

Süleyman Demirel Üniversitesi Bilimsel Araştırma Projeleri Koordinasyon Birimi

Proje Numarası

TDK-2018-6805

Teşekkür

Çalışmanın istatistiksel değerlendirmelerini gerçekleştiren Isparta Uygulamalı Bilimler Üniversitesi, Ziraat Fakültesi Öğretim Üyesi Sayın Doç. Dr. Özgür Koşkan’a ve çalışmaya maddi destek sağlayan Süleyman Demirel Üniversitesi, Bilimsel Araştırma Projeleri Koordinasyon Birimi’ne teşekkürlerimizi sunarız.

Kaynakça

  • [1] FDI Commission on Oral Health Research&Epidemiology. A review of the developmental defects of enamel index (DDE Index). Commission on Oral Health, Research & Epidemiology. Report of an FDI Working Group. Int Dent J. 1992;42(6):411-26.
  • [2] Ford D, Seow WK, Kazoullis S, Holcombe T, Newman B. A controlled study of risk factors for enamel hypoplasia in the permanent dentition. Pediatr Dent. 2009;31(5):382-8.
  • [3] Weerheijm KL, Jalevik B, Alaluusua S. Molar-incisor hypomineralisation. Caries Res. 2001;35(5):390-1.
  • [4] Koch G, Hallonsten AL, Ludvigsson N, Nansson BO, Holst A, Ullbro C. Epidemiologic study of idiopathic enamel hypomineralization in permanent teeth of Swedish children. Community Dent Oral Epidemiol. 1987;15(5):279-85.
  • [5] Weerheijm KL, Duggal M, Mejare I, Papagiannoulis L, Koch G, Martens LC, et al. Judgement criteria for molar incisor hypomineralisation (BAKH) in epidemiologic studies: A summary of the European meeting on BAKH held in Athens. Eur J Paediatr Dent. 2003;4(3):110-3.
  • [6] Elhennawy K, Jost-Brinkmann PG, Manton DJ, Paris S, Schwendicke F. Managing molars with severe molar-incisor hypomineralization: A cost-effectiveness analysis within German healthcare. J Dent. 2017;63:65-71.
  • [7] William V, Messer LB, Burrow MF. Molar incisor hypomineralization: Review and recommendations for clinical management. Pediatr Dent. 2006;28(3):224-32.
  • [8] Mast P, Rodrigueztapia MT, Daeniker L, Krejci I. Understanding MIH: Definition, epidemiology, differential diagnosis and new treatment guidelines. Eur J Paediatr Dent. 2013;14(3):204-8.
  • [9] Crombie FA, Manton DJ, Palamara JE, Zalizniak I, Cochrane NJ, Reynolds EC. Characterisation of developmentally hypomineralised human enamel. J Dent. 2013;41(7):611-8.
  • [10] Gandhi S, Crawford P, Shellis P. The use of a ‘bleach-etch-seal’ deproteinization technique on MIH affected enamel. Int J Paediatr Dent. 2012;22(6):427-34.
  • [11] Ekambaram M, Anthonappa RP, Govindool SR, Yiu CKY. Comparison of deproteinization agents on bond¬ing to developmentally hypomineralized enamel. J Dent. 2017;67:94-101.
  • [12] Frankl SN, Shiere FR, Fogels HR. Should the parent remain with the child in the dental operatory? ASDC J Dent Child. 1962;29(2):150-63.
  • [13] Mathu-Muju K, Wright JT. Diagnosis and treatment of molar incisor hypomineralisation. Compend Contin Educ Dent. 2006;27(11):604-10.
  • [14] Ekstrand KR, Ricketts DN, Kidd EA. Reproducibility and accuracy of three methods for assessment of demineralization depth of the occlusal surface: An in vitro examination. Caries Res. 1997;31(3):224-31.
  • [15] Jalevik B, Klingberg GA. Dental treatment, dental fear and behaviour management problems in children with severe enamel hypomineralization of their permanent first molars. Int J Paediatr Dent. 2002;12(1):24-32.
  • [16] Fayle SA. Molar incisor hypomineralisation: restorative management. Eur J Paediatr Dent. 2003;4(3):121-6.
  • [17] William V, Burrow MF, Palamara JE, Messer LB. Microshear bond strength of resin composite to teeth affected by molar hypomineralization using 2 adhesive systems. Pediatr Dent. 2006;28(3):233-41.
  • [18] Sapir S, Shapira J. Clinical solutions for developmental defects of enamel and dentin in children. Pediatr Dent. 2007;29(4):330-6.
  • [19] Kramer N, Bui Khac NN, Lücker S, Stachniss V, Frankenberger R. Bonding strategies for MIH-affected enamel and dentin. Dent Mater. 2018;34(2):331-40.
  • [20] Koshiro K, Inoue S, Tanaka T, Koase K, Fujita M, Hashimoto M, et al. In vivo degradation of resin-dentin bonds produced by a self-etch vs. a total-etch adhesive system. Eur J Oral Sci. 2004;112(4):368-75.
  • [21] Ekambaram M, Yiu CKY. Bonding to hypomineralized enamel-A systematic review. Int J Adhes Adhes. 2016;69:27-32.
  • [22] Leinfelder KF. Evaluation of criteria used for assessing the clinical performance of composite resins in posterior teeth. Quintessence Int. 1987;18(8):531-6.
  • [23] Choi JW, Lee MJ, Oh SH, Kim KM. Changes in the physical properties and color stability of aesthetic restorative materials caused by various beverages. Dent Mater J. 2019;38(1):33-40.
  • [24] Sideridou I, Tserki V, Papanastasiou G. Study of water sorption, solubilita and modulus of elasticity of light-cureddimethacrylate-based dental resins. Biomaterials. 2003;24(4):655-65.
  • [25] Schulze KA, Marshall SJ, Gansky SA, Marshall GW. Color stability and hardness in dental composites after accelerated aging. Dent Mater. 2003;19(7):612-9.
  • [26] Wedad YA, Eftekar SG, Huda AMB. The effect of commonly used types of coffee on surface microhardness and color stability of resin-based composite restorations. Saudi Dent J. 2010;22(4):177-81.
  • [27] Ferrari M, Mason PN, Fabianelli A, Cagidiaco MC, Kugel G, Davidson CL. Influence of tissue characteristics at margins on leakage of Class II indirect porcelain restorations. Am J Dent. 1999;12(3):134-42.
  • [28] Da Rosa Rodolpho PA, Cenci MS, Donassollo TA, Loguercio AD, Demarco FF. A clinical evaluation of posterior composite restorations: 17-year findings. J Dent. 2006;34(7):427-35.
  • [29] Blum IR, Ozcan M. Reparative Dentistry: Possibilities and Limitations. Curr Oral Health Rep. 2018;5(4):264-9.
  • [30] Frankenberger R, Tay FR. Self-etch vs etch-and-rinse adhesives: Effect of thermo-mechanical fatigue loading on marginal quality of bonded resin composite restorations. Dent Mater. 2005;21(5):397-412.
  • [31] Wilder AD, May KN, Bayne SC, Taylor DF, Leinfelder KF. Seventeen-year clinical study of ultraviolet-cured posterior composite Class I and II restorations. J Esthet Dent. 1999;11(3):135-42.
  • [32] Chay PL, Manton DJ, Palamara JE. The effect of resin infiltration and oxidative pre-treatment on microshear bond strength of resin composite to hypomineralised enamel. Int J Paediatr Dent. 2014;24(4):252-67.
  • [33] Sönmez H, Saat S. A clinical evaluation of deproteinization and different cavity designs on resin restoration performance in MIH-affected molars: Two-year results. J Clin Pediatr Dent. 2017;41(5):336-42.
  • [34] Wright JT. The etch-bleach-seal technique for managing stained enamel defects in young permanent incisors. Pediatr Dent. 2002;24(3):249-52.

Evaluation of the Effect of Deproteinization Procedure and Different Adhesive Systems on Treatment Success of Molar Incisor Hypomineralization

Yıl 2022, Cilt: 13 Sayı: 1, 80 - 91, 11.04.2022
https://doi.org/10.22312/sdusbed.1021343

Öz

Objective: The aim of this study was to evaluate the effect of deproteinization procedure and different adhesive systems on treatment success of molar incisor hypomineralization (MIH) caused by inorganic content and mineralization deficiency in the enamel layer of the tooth in pediatric patients.

Materials and Methods: One hundred and two patients who had moderate MIH and were between 7-10 years of age were selected among the patients who applied to our clinic and whose consent was obtained. In these patients, four groups (Group 1:NaOCl+Clearfil SE Bond+Filtek Z250; Group 2:Clearfil SE Bond+Filtek Z250; Group 3:NaOCl+Phosphoric Acid+Prime&Bond NT+Filtek Z250; Group 4:Phosphoric Acid+Prime&Bond NT+Filtek Z250) were created depending on the use of deproteinization agent and self-etch or total-etch adhesive system and restorations were performed. Deproteinization was provided by 5% NaOCl. The patients were evaluated clinically using the modified USPHS criteria. Data were analyzed statistically; p<0.05 was considered significant.

Results: In restorations, at the end of 12 months; there was no failure in anatomical form, color match, surface roughness and postoperative sensitivity criteria. In terms of marginal adaptation and marginal discoloration, the highest success was observed in Group 3 (p<0.05). All restorations were found to be successful in Groups 1, 2 and 3 while 4 restorations were unsuccessful in Group 4 for secondary caries criteria (p>0.05). Group 3 with deproteinization and total-etch adhesive system was found to be the most successful group in the treatment of hypomineralized teeth (p<0.05).

Conclusion: The combined use of deproteinization and acid application of total-etch adhesive systems increases the success in the treatment of MIH. More studies on the subject are needed.

Proje Numarası

TDK-2018-6805

Kaynakça

  • [1] FDI Commission on Oral Health Research&Epidemiology. A review of the developmental defects of enamel index (DDE Index). Commission on Oral Health, Research & Epidemiology. Report of an FDI Working Group. Int Dent J. 1992;42(6):411-26.
  • [2] Ford D, Seow WK, Kazoullis S, Holcombe T, Newman B. A controlled study of risk factors for enamel hypoplasia in the permanent dentition. Pediatr Dent. 2009;31(5):382-8.
  • [3] Weerheijm KL, Jalevik B, Alaluusua S. Molar-incisor hypomineralisation. Caries Res. 2001;35(5):390-1.
  • [4] Koch G, Hallonsten AL, Ludvigsson N, Nansson BO, Holst A, Ullbro C. Epidemiologic study of idiopathic enamel hypomineralization in permanent teeth of Swedish children. Community Dent Oral Epidemiol. 1987;15(5):279-85.
  • [5] Weerheijm KL, Duggal M, Mejare I, Papagiannoulis L, Koch G, Martens LC, et al. Judgement criteria for molar incisor hypomineralisation (BAKH) in epidemiologic studies: A summary of the European meeting on BAKH held in Athens. Eur J Paediatr Dent. 2003;4(3):110-3.
  • [6] Elhennawy K, Jost-Brinkmann PG, Manton DJ, Paris S, Schwendicke F. Managing molars with severe molar-incisor hypomineralization: A cost-effectiveness analysis within German healthcare. J Dent. 2017;63:65-71.
  • [7] William V, Messer LB, Burrow MF. Molar incisor hypomineralization: Review and recommendations for clinical management. Pediatr Dent. 2006;28(3):224-32.
  • [8] Mast P, Rodrigueztapia MT, Daeniker L, Krejci I. Understanding MIH: Definition, epidemiology, differential diagnosis and new treatment guidelines. Eur J Paediatr Dent. 2013;14(3):204-8.
  • [9] Crombie FA, Manton DJ, Palamara JE, Zalizniak I, Cochrane NJ, Reynolds EC. Characterisation of developmentally hypomineralised human enamel. J Dent. 2013;41(7):611-8.
  • [10] Gandhi S, Crawford P, Shellis P. The use of a ‘bleach-etch-seal’ deproteinization technique on MIH affected enamel. Int J Paediatr Dent. 2012;22(6):427-34.
  • [11] Ekambaram M, Anthonappa RP, Govindool SR, Yiu CKY. Comparison of deproteinization agents on bond¬ing to developmentally hypomineralized enamel. J Dent. 2017;67:94-101.
  • [12] Frankl SN, Shiere FR, Fogels HR. Should the parent remain with the child in the dental operatory? ASDC J Dent Child. 1962;29(2):150-63.
  • [13] Mathu-Muju K, Wright JT. Diagnosis and treatment of molar incisor hypomineralisation. Compend Contin Educ Dent. 2006;27(11):604-10.
  • [14] Ekstrand KR, Ricketts DN, Kidd EA. Reproducibility and accuracy of three methods for assessment of demineralization depth of the occlusal surface: An in vitro examination. Caries Res. 1997;31(3):224-31.
  • [15] Jalevik B, Klingberg GA. Dental treatment, dental fear and behaviour management problems in children with severe enamel hypomineralization of their permanent first molars. Int J Paediatr Dent. 2002;12(1):24-32.
  • [16] Fayle SA. Molar incisor hypomineralisation: restorative management. Eur J Paediatr Dent. 2003;4(3):121-6.
  • [17] William V, Burrow MF, Palamara JE, Messer LB. Microshear bond strength of resin composite to teeth affected by molar hypomineralization using 2 adhesive systems. Pediatr Dent. 2006;28(3):233-41.
  • [18] Sapir S, Shapira J. Clinical solutions for developmental defects of enamel and dentin in children. Pediatr Dent. 2007;29(4):330-6.
  • [19] Kramer N, Bui Khac NN, Lücker S, Stachniss V, Frankenberger R. Bonding strategies for MIH-affected enamel and dentin. Dent Mater. 2018;34(2):331-40.
  • [20] Koshiro K, Inoue S, Tanaka T, Koase K, Fujita M, Hashimoto M, et al. In vivo degradation of resin-dentin bonds produced by a self-etch vs. a total-etch adhesive system. Eur J Oral Sci. 2004;112(4):368-75.
  • [21] Ekambaram M, Yiu CKY. Bonding to hypomineralized enamel-A systematic review. Int J Adhes Adhes. 2016;69:27-32.
  • [22] Leinfelder KF. Evaluation of criteria used for assessing the clinical performance of composite resins in posterior teeth. Quintessence Int. 1987;18(8):531-6.
  • [23] Choi JW, Lee MJ, Oh SH, Kim KM. Changes in the physical properties and color stability of aesthetic restorative materials caused by various beverages. Dent Mater J. 2019;38(1):33-40.
  • [24] Sideridou I, Tserki V, Papanastasiou G. Study of water sorption, solubilita and modulus of elasticity of light-cureddimethacrylate-based dental resins. Biomaterials. 2003;24(4):655-65.
  • [25] Schulze KA, Marshall SJ, Gansky SA, Marshall GW. Color stability and hardness in dental composites after accelerated aging. Dent Mater. 2003;19(7):612-9.
  • [26] Wedad YA, Eftekar SG, Huda AMB. The effect of commonly used types of coffee on surface microhardness and color stability of resin-based composite restorations. Saudi Dent J. 2010;22(4):177-81.
  • [27] Ferrari M, Mason PN, Fabianelli A, Cagidiaco MC, Kugel G, Davidson CL. Influence of tissue characteristics at margins on leakage of Class II indirect porcelain restorations. Am J Dent. 1999;12(3):134-42.
  • [28] Da Rosa Rodolpho PA, Cenci MS, Donassollo TA, Loguercio AD, Demarco FF. A clinical evaluation of posterior composite restorations: 17-year findings. J Dent. 2006;34(7):427-35.
  • [29] Blum IR, Ozcan M. Reparative Dentistry: Possibilities and Limitations. Curr Oral Health Rep. 2018;5(4):264-9.
  • [30] Frankenberger R, Tay FR. Self-etch vs etch-and-rinse adhesives: Effect of thermo-mechanical fatigue loading on marginal quality of bonded resin composite restorations. Dent Mater. 2005;21(5):397-412.
  • [31] Wilder AD, May KN, Bayne SC, Taylor DF, Leinfelder KF. Seventeen-year clinical study of ultraviolet-cured posterior composite Class I and II restorations. J Esthet Dent. 1999;11(3):135-42.
  • [32] Chay PL, Manton DJ, Palamara JE. The effect of resin infiltration and oxidative pre-treatment on microshear bond strength of resin composite to hypomineralised enamel. Int J Paediatr Dent. 2014;24(4):252-67.
  • [33] Sönmez H, Saat S. A clinical evaluation of deproteinization and different cavity designs on resin restoration performance in MIH-affected molars: Two-year results. J Clin Pediatr Dent. 2017;41(5):336-42.
  • [34] Wright JT. The etch-bleach-seal technique for managing stained enamel defects in young permanent incisors. Pediatr Dent. 2002;24(3):249-52.
Toplam 34 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makaleleri
Yazarlar

Canan Akdik 0000-0002-6824-9246

Derya Ceyhan 0000-0002-4489-3248

Proje Numarası TDK-2018-6805
Yayımlanma Tarihi 11 Nisan 2022
Gönderilme Tarihi 9 Kasım 2021
Yayımlandığı Sayı Yıl 2022 Cilt: 13 Sayı: 1

Kaynak Göster

Vancouver Akdik C, Ceyhan D. Büyük Azı-Keser Diş Hipomineralizasyonunun Tedavi Başarısı Üzerine Deproteinizasyon İşleminin ve Farklı Adeziv Sistemlerin Etkisinin Değerlendirilmesi. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2022;13(1):80-91.

SDÜ Sağlık Bilimleri Dergisi, makalenin gönderilmesi ve yayınlanması dahil olmak üzere hiçbir aşamada herhangi bir ücret talep etmemektedir. Dergimiz, bilimsel araştırmaları okuyucuya ücretsiz sunmanın bilginin küresel paylaşımını artıracağı ilkesini benimseyerek, içeriğine anında açık erişim sağlamaktadır.