Fatma Dilşad ÖZ, Esra ERGİN, Simge CANATAN

8847

Çürüksüz servikal lezyonların restorasyonunda universal adezivlerin farklı uygulama şekillerinin restorasyonların performansı üzerine etkilerinin değerlendirilmesi: 12-aylık randomize kontrollü klinik bir çalışmanın ön raporu

Amaç: Çürüksüz servikal lezyonların restorasyonunda iki farklı universal adezivin farklı yöntemlerle uygulanmasının ve bir etch&rinse adezivin, restorasyonların performansı üzerine etkilerini değerlendirmektir.Gereç ve Yöntem: Yirmi katılımcı çalışmaya dahil edildi. Lezyonlar kullanılan adeziv sistemlere ve uygulama şekillerine göre 7 gruba ayrıldı: GSE: Gluma Universal/self-etch, GSL: Gluma Universal/selektif-etch, GER: Gluma Universal/etch&rinse, ASE:All Bond Universal/self-etch, ASL: All Bond Universal/selektif-etch, AER: All Bond Universal/etch&rinse, SBE (Kontrol): Single Bond2/etch&rinse. Toplam 155 çürüksüz servikal lezyon bir nanohibrit kompozit rezinle restore edildi. Restorasyonlar USPHS kriterleri kullanılarak bir hafta (başlangıç), 6 ay ve 12 ay sonra değerlendirildi. Veriler istatistiksel olarak Ki-kare, Cochran Q ve McNemar testleri kullanılarak analiz edildi (α=0.05).Bulgular: Altıncı ayda, GSE ve ASE gruplarında 3’er restorasyonda retansiyon kaybı görüldü (p<0.05). Onikinci ayda kümülatif retansiyon kaybı oranı GSE grubu için %23.8 ve ASE grubu için %20’ydi; bu gruplarda diğerlerine göre istatistiksel olarak anlamlı düzeyde daha fazla restorasyon kaybı görüldü (p<0.05). Kenar uyumu, kenar renklenmesi, dentin duyarlılığı ve ikincil çürük açısından deneysel gruplar arasında 6. ve 12. ayda istatistiksel olarak anlamlı bir fark tespit edilmedi (p>0.05). Gruplar kendi içerisinde başlangıca göre karşılaştırıldığında, GSE ve ASE grupları 6. ayda retansiyon açısından ve tüm gruplar 12. ayda kenar uyumu ve kenar renklenmesi açısından anlamlı değişim gösterdi (p<0.05). Sonuç: Oniki aylık değerlendirme süreci sonunda, Gluma Universal ve All Bond Universal adeziv sistemleri, etch&rinse ve selektif-etch yöntemleriyle uygulandığında, kontrol grubuna benzer şekilde ve self-etch yöntemine kıyasla, retansiyon açısından daha üstün klinik performans gösterdi. Kenar uyumu, kenar renklenmesi, dentin duyarlılığı ve ikincil çürük açısından tüm gruplar benzer klinik performans sergiledi.
Anahtar Kelimeler:

Dentin yapıştırma ajanları, diş aşınması, kompozit dental rezin

Clinical evaluation of universal adhesives used with different application modes on the restoration of non-carious cervical lesions: preliminary findings of a 12-month randomized, controlled clinical trial

Objective: To evaluate the performances of two different universal adhesives applied with different modes and an etch&rinse adhesive for the restoration of non-carious cervical lesions. Materials and Method: Twenty patients received 155 restorations. The lesions were divided into 7 groups based on the adhesive systems and application modes: GSE: Gluma Universal/self-etch, GSL: Gluma Universal/selective-etching, GER: Gluma Universal/etch&rinse, ASE: All Bond Universal/self etch, ASL: All Bond Universal/selective-etching, AER: All Bond Universal/etch&rinse, SB (Control): Single Bond 2/etch&rinse. A nano-hybrid composite resin was used for the restorations. Then, the restorations were scored according to USPHS criteria after a week, 6- and 12-months. The data were statistically analyzed using Chi-square, Cochrane Q and McNemar’s tests (α=0.05). Results: On the 6th month of the evaluation three restorations from each of the GSE and ASE groups lost retention, and on the 12th month of the evaluation cumulative retention loss rate was 23.8% for the GSE and 20% for the ASE groups (p<0.05, more restoration loss in these groups were seen compared to the other groups). On the 6th and 12th month of the evaluations, no statistically significant differences were found among the groups for marginal adaptation, marginal discoloration, secondary caries and post-operative sensitivity (p>0.05). Regarding the intra-group comparisons, compared to the baseline, a significant retention loss was seen in the ASE and GSE groups as early as 6-months; and significant marginal adaptation loss and marginal discoloration was detected in all groups on the 12th month (p<0.05). Conclusion: Regarding the retention on the 12th month, Gluma Universal and All-Bond Universal applied with the etch&rinse and selective-etching modes were similar to the control, and showed better results than those applied with the self-etch mode. Marginal adaptation, marginal discoloration, post-operative sensitivity and secondary caries were similar among all the groups.
Keywords:

Composite dental resin, dentin-bonding agents, tooth wear,

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Acta Odontologica Turcica-Cover
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 1984
  • Yayıncı: Gazi Üniversitesi Diş Hekimliği Fakültesi Dergisi
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