Öz
Objective: The aim of this in vitro study was to evaluate and compare the effect of using different base materials on microleakage of class V restorations.
Materials and Method: In this study 60 extracted non-cavitated human molar teeth were used. Class V cavities were prepared on the buccal surfaces in 4 mm mesio-distal, 3 mm gingivo-occlusal width and 3 mm depth. The teeth were randomly divided into five groups: Group 1: resin-modified calcium silicate material (TheraCal LC), Group 2: self-adhesive flowable composite resin (Fusio Liquid Dentin), Group 3: flowable composite resin liner (Tetric N Flow), Group 4: resin-modified glass ionomer liner (Ketac N100), Group 5: control group. Materials in the experimental groups were placed in 1 mm thickness as liner. Then, a nanohybrid composite resin (Grandio) was placed and restorations were completed. In the control group, no base material was applied. After finishing and polishing procedures, thermocycling was performed 5000 times between 5-55 °C. Microleakage of restorations was evaluated by using dye penetration method (basic fuchsin). Results were analyzed by Kruskal Wallis with Bonferroni correction and Mann-Whitney U tests.
Results: Regarding occlusal microleakage, no statistically significant difference was found between the groups (p=0.267); however significant difference was found between the gingival microleakage scores (p=0.004). Compared to Fusio Liquid Dentin and control groups, significantly less dye penetration was found in Theracal LC, Tetric N-Flow and Ketac N-100 groups (p<0.01). No significant difference was found between the occlusal and gingival sides of the restorations in any of the test group (p>0.01).
Conclusion: Within the limitation of this study, the conclusion was that the use of a liner (except Fusio Liquid Dentin) under composite resin in a class V cavity reduced the microleakage of the restoration.Anahtar Kelimeler
Kaynakça
- Demirci M, Özer F, Kuşdemir M, Şar Sancaklı H, Karakaya Ş. Adeziv sistemlerin farklı uygulama şekillerinin V. Sınıf kavitelerdeki mikrosızıntı üzerine etkileri. Selcuk Dent J 2007;16:29-38.
- Nguyen C. A new in vitro method for the study of micro-leakage of dental restorative materials [tez]. Adelaide: The University of Adelaide; 2007.
- Larson TD. The clinical significance of marginal fit. Northwest Dent 2012;91:22-9.
- Oliveira LC, Duarte S, Araujo CA, Abrahão A. Effect of low-elastic modulus liner and base as stress-absorbing layer in composite resin restorations. Dent Mater 2010;26:159-69.
- Hilton TJ. Keys to clinical success with pulp capping: a review of the literature. Oper Dent 2009;34:615-25.
- Gupta, PK, Garg G, Kalita C, Saikia A, Srinivasa TS, Satish G. Evaluation of sealing ability of biodentine as retrograde filling material by using two different manipulation methods: An in vitro study. J Int Oral Health 2015;77:111-4.
- Larson TD. The clinical significance and management of microleakage. Part two. Northwest Dent 2005;84:15-9.
- Kidd EA. Microleakage: a review. J Dent 1976;4:199-206.
- Erdemir U, Yaman BC. Diş hekimliğinde mikrosızıntı ve mikrosızıntı araştırma yöntemleri. J Istanbul Univ Fac Dent 2011;45:25-35.
- Kaplan I, Mincer HH, Harris EF, Cloyd JS. Microleakage of composite resin and glass ionomer cement restorations in retentive and nonretentive cervical cavity preparations. J Prosthet Dent 1992;68:616-23.
- Sidhu SK. Sealing effectiveness of light-cured glass ionomer cement liner. J Prosthet Dent 1992;68:891-4.
- Senawongse P, Pongprueksa P, Tagami J. The effect of the elastic modulus of low-viscosity resins on the microleakage of Class V resin composite restorations under occlusal loading. Dent Mater J 2010;29:324-9.
- Vichi A, Margvelashvili M, Goracci C, Papacchini F, Ferrari M. Bonding and sealing ability of a new self-adhering flowable composite resin in class I restorations. Clin Oral Investig 2013;17:1497-506.
- Mahrous AI, Eltiti HA, Ahmed IM, Alagha EI. Effect of different gingival margin restorations of class II cavities on microleakage: an in-vitro study. Electron Physician 2015;77:1435-40.
- Celik EU, Kucukyilmaz E, Savas S. Effect of different surface pre-treatment methods on the microleakage of two different self-adhesive composites in Class V cavities. Eur J Paediatr Dent 2015;16:33-8.
- He Z, Shimada Y, Sadr A, Ikeda M, Tagami J. The effects of cavity size and filling method on the bonding to Class I cavities. J Adhes Dent 2008;10:447-53.
- Sampaio PC, Almeida Júnior AA, Francisconi LF, Casas-Apayco LC, Pereira JC, Wang L. Effect of conventional and resin-modified glass-ionomer liner on dentin adhesive interface of Class I cavity walls after thermocycling. Oper Dent 2011;36:403-13.
- Estrela C, Holland R. Calsium hydroxide: study based on scientific evidences. J Appl Oral Sci 2003;11:269-82.
- Gandolfi MG, Siboni F, Prati C. Chemical-physical properties of TheraCal, a novel light-curable MTA-like material for pulp capping. Int Endod J 2012;45:571-9.
- Cantekin K. Bond strength of different restorative materials to light-curable mineral trioxide aggregate. J Clin Pediatr Dent 2015;39:143-8.
- Alonso RC, Sinhoreti MA, Correr Sobrinho L, Consani S, Goes MF. Effect of resin liners on the microleakage of Class V dental composite restorations. J Appl Oral Sci 2004;12:56-61.
- Awliya WY, El-Sahn AM. Leakage pathway of Class V cavities restored with different flowable resin composite restorations. Oper Dent 2008;33:31-6
- Lin A, McIntyre N, Davidson R. Studies on the adhesion of glass ionomer cements to dentin. J Dent Res 1992;71:1831-41
- Poitevin A, De Munck J, Van Ende A, Suyama Y, Mine A, Peumans M, et al. Bonding effectiveness of self-adhesive composites to dentin and enamel. Dent Mater 2013;29:221-30.
- Vichi A, Margvelashvili M, Goracci C, Papacchini F, Ferrari M. Bonding and sealing ability of a new self-adhering flowable composite resin in class I restorations. Clin Oral Investig 2013;17:1497-506.
- Fu J, Kakuda S, Pan F, Hoshika S, Ting S, Fukuoka A, et al. Bonding performance of a newly developed step-less all-in-one system on dentin. Dent Mater J 2013;32:203-11.
- El-Damanhoury HM, Gaintantzopoulou M. Effect of thermocycling, degree of conversion, and cavity configuration on the bonding effectiveness of all-in-one adhesives. Oper Dent 2015;40:480-91.
Öz
Amaç: Bu çalışmanın amacı, sınıf V restorasyonların mikrosızıntısı üzerine farklı kaide materyallerinin kullanımının etkisini in vitro olarak incelemektir.
Gereç ve Yöntem: Çalışmada 60 adet çekilmiş, çürüksüz büyük azı dişi kullanıldı. Dişlerin bukkal yüzeyinde mezio-distal genişliği 4 mm, okluzo-gingival genişliği 3 mm ve derinliği 3 mm olan sınıf V kaviteler hazırlandı. Daha sonra, dişler rastgele beş gruba ayrıldı: Grup 1: rezin modifiye kalsiyum silikat materyal (TheraCal LC), Grup 2: kendinden pürüzlendirmeli akışkan kompozit rezin (Fusio Liquid Dentin), Grup 3: akışkan kompozit rezin (Tetric N-Flow), Grup 4: nanodolduruculu rezin modifiye cam iyonomer siman (Ketac N100), Grup 5: kontrol grubu. Deney gruplarında, kaide materyalleri kavite tabanlarına 1 mm kalınlığında yerleştirildi. Üzerlerine A2 renginde nanohibrit dolduruculu kompozit rezin (Grandio) yerleştirilerek restorasyonlar tamamlandı. Kontrol grubunda ise herhangi bir kaide materyali kullanılmadı. Bitim ve polisaj işlemlerinden sonra, dişlere 5-55 °C’de 5000 defa ısısal döngü uygulandı. Dişlerin mikrosızıntı değerlendirmeleri boya sızıntı yöntemi (%0.5 bazik fuksin) kullanılarak gerçekleştirildi. Elde edilen skorlar, Bonferroni düzeltmeli Kruskal Wallis ve Mann-Whitney U testleri kullanılarak istatistiksel olarak incelendi.
Bulgular: Çalışmadaki tüm deney gruplarında, restorasyonların okluzal bölgelerindeki mikrosızıntı skorları arasında istatistiksel olarak anlamlı fark bulunmazken (p=0.267), gingival bölgedeki mikrosızıntı skorları arasında istatistiksel olarak anlamlı farklılık olduğu görüldü (p=0.004). Buna göre, Fusio Liquid Dentin ve kontrol gruplarına göre sırasıyla, Theracal LC, Tetric N-Flow ve Ketac N-100 gruplarının sızdırmazlıklarının anlamlı olarak daha iyi olduğu görüldü (p<0.01). Tüm deney gruplarında okluzal ve gingival bölgelerde gözlenen mikrosızıntı skorları arasında istatistiksel olarak anlamlı farklılığın olmadığı tespit edildi (p>0.01).
Sonuç: Bu çalışmanın sınırları dahilinde sınıf V restorasyonlarda kaide materyali kullanımının (Fusio Liquid Dentin hariç) gingival bölgedeki mikrosızıntıyı azalttığı görüldü.
Anahtar Kelimeler
Dental kavite kaplayıcıları dental sızıntı kompozit dental rezin
Kaynakça
- Demirci M, Özer F, Kuşdemir M, Şar Sancaklı H, Karakaya Ş. Adeziv sistemlerin farklı uygulama şekillerinin V. Sınıf kavitelerdeki mikrosızıntı üzerine etkileri. Selcuk Dent J 2007;16:29-38.
- Nguyen C. A new in vitro method for the study of micro-leakage of dental restorative materials [tez]. Adelaide: The University of Adelaide; 2007.
- Larson TD. The clinical significance of marginal fit. Northwest Dent 2012;91:22-9.
- Oliveira LC, Duarte S, Araujo CA, Abrahão A. Effect of low-elastic modulus liner and base as stress-absorbing layer in composite resin restorations. Dent Mater 2010;26:159-69.
- Hilton TJ. Keys to clinical success with pulp capping: a review of the literature. Oper Dent 2009;34:615-25.
- Gupta, PK, Garg G, Kalita C, Saikia A, Srinivasa TS, Satish G. Evaluation of sealing ability of biodentine as retrograde filling material by using two different manipulation methods: An in vitro study. J Int Oral Health 2015;77:111-4.
- Larson TD. The clinical significance and management of microleakage. Part two. Northwest Dent 2005;84:15-9.
- Kidd EA. Microleakage: a review. J Dent 1976;4:199-206.
- Erdemir U, Yaman BC. Diş hekimliğinde mikrosızıntı ve mikrosızıntı araştırma yöntemleri. J Istanbul Univ Fac Dent 2011;45:25-35.
- Kaplan I, Mincer HH, Harris EF, Cloyd JS. Microleakage of composite resin and glass ionomer cement restorations in retentive and nonretentive cervical cavity preparations. J Prosthet Dent 1992;68:616-23.
- Sidhu SK. Sealing effectiveness of light-cured glass ionomer cement liner. J Prosthet Dent 1992;68:891-4.
- Senawongse P, Pongprueksa P, Tagami J. The effect of the elastic modulus of low-viscosity resins on the microleakage of Class V resin composite restorations under occlusal loading. Dent Mater J 2010;29:324-9.
- Vichi A, Margvelashvili M, Goracci C, Papacchini F, Ferrari M. Bonding and sealing ability of a new self-adhering flowable composite resin in class I restorations. Clin Oral Investig 2013;17:1497-506.
- Mahrous AI, Eltiti HA, Ahmed IM, Alagha EI. Effect of different gingival margin restorations of class II cavities on microleakage: an in-vitro study. Electron Physician 2015;77:1435-40.
- Celik EU, Kucukyilmaz E, Savas S. Effect of different surface pre-treatment methods on the microleakage of two different self-adhesive composites in Class V cavities. Eur J Paediatr Dent 2015;16:33-8.
- He Z, Shimada Y, Sadr A, Ikeda M, Tagami J. The effects of cavity size and filling method on the bonding to Class I cavities. J Adhes Dent 2008;10:447-53.
- Sampaio PC, Almeida Júnior AA, Francisconi LF, Casas-Apayco LC, Pereira JC, Wang L. Effect of conventional and resin-modified glass-ionomer liner on dentin adhesive interface of Class I cavity walls after thermocycling. Oper Dent 2011;36:403-13.
- Estrela C, Holland R. Calsium hydroxide: study based on scientific evidences. J Appl Oral Sci 2003;11:269-82.
- Gandolfi MG, Siboni F, Prati C. Chemical-physical properties of TheraCal, a novel light-curable MTA-like material for pulp capping. Int Endod J 2012;45:571-9.
- Cantekin K. Bond strength of different restorative materials to light-curable mineral trioxide aggregate. J Clin Pediatr Dent 2015;39:143-8.
- Alonso RC, Sinhoreti MA, Correr Sobrinho L, Consani S, Goes MF. Effect of resin liners on the microleakage of Class V dental composite restorations. J Appl Oral Sci 2004;12:56-61.
- Awliya WY, El-Sahn AM. Leakage pathway of Class V cavities restored with different flowable resin composite restorations. Oper Dent 2008;33:31-6
- Lin A, McIntyre N, Davidson R. Studies on the adhesion of glass ionomer cements to dentin. J Dent Res 1992;71:1831-41
- Poitevin A, De Munck J, Van Ende A, Suyama Y, Mine A, Peumans M, et al. Bonding effectiveness of self-adhesive composites to dentin and enamel. Dent Mater 2013;29:221-30.
- Vichi A, Margvelashvili M, Goracci C, Papacchini F, Ferrari M. Bonding and sealing ability of a new self-adhering flowable composite resin in class I restorations. Clin Oral Investig 2013;17:1497-506.
- Fu J, Kakuda S, Pan F, Hoshika S, Ting S, Fukuoka A, et al. Bonding performance of a newly developed step-less all-in-one system on dentin. Dent Mater J 2013;32:203-11.
- El-Damanhoury HM, Gaintantzopoulou M. Effect of thermocycling, degree of conversion, and cavity configuration on the bonding effectiveness of all-in-one adhesives. Oper Dent 2015;40:480-91.
Ayrıntılar
| Konular | Sağlık Kurumları Yönetimi |
|---|---|
| Bölüm | Özgün Araştırma Makalesi |
| Yazarlar | |
| Yayımlanma Tarihi | 2 Ocak 2017 |
| Yayımlandığı Sayı | Yıl 2017 Cilt: 34 Sayı: 1 |