Emel Karaman, Emine ÖZDEMİR TAŞTAN, Eda Güler

Farklı adeziv sistemler uygulanarak yerleştirilen fissür örtücülerin 6 aylık klinik takibi: randomize kontrollü çalışma

AMAÇ: Bu çalışmada, pürüzlendirip yıkamalı (etch&rinse) adeziv sistem (Adper Single Bond 2) ve hem kendinden pürüzlendirmeli (self-etch) hem de pürüzlendirip yıkamalı olarak kullanılabilen bir adeziv sistem (Single Bond Universal) kullanılarak uygulanan fissür örtücülerin retansiyon ve çürük oluşumu açısından 6 aylık sonuçlarının değerlendirilmesi amaçlanmıştır.GEREÇ VE YÖNTEM: Bu klinik çalışmada yaşları 19-22 arasında değişen, 13 bireye uygulanan non-invaziv fissür örtücüler değerlendirildi. Dişler plaktan temizlendikten sonra fissür örtücü Fissurit FX (Voco, Cuxhaven, Almanya), rastgele sayılar tablosu yardımıyla Grup A: %35 fosforik asit + Adper Single Bond 2 (3M ESPE, St Paul MN, ABD), Grup B: %35 fosforik asit + Single Bond Universal adeziv (3M ESPE, St Paul MN, ABD), Grup C: Single Bond Universal adeziv uygulandıktan sonra tek bir hekim tarafından yerleştirildi ve polimerize edildi. Tüm materyaller üretici firmanın önerileri doğrultusunda kullanıldı. Her bir grupta 48 adet olacak şekilde, toplamda 144 dişe fissür örtücü uygulandı. Fissür örtücülerin retansiyonu ve çürük oluşumu birbirleriyle kalibre iki hekim tarafından 1 hafta ve 6 ay sonra reflektör ışığı altında, ayna ve sond yardımıyla değerlendirildi. Fissür örtücülerin değerlendirilme kriterleri: 1=tam retansiyon, 2=kısmi kayıp, 3=total kayıp şeklinde idi. Elde edilen veriler Pearson ki-kare testi ile analiz edildi.BULGULAR: Çalışmaya dahil edilen tüm bireyler 6. ay kontrolüne geldi. A grubunda uygulanan 48 fissür örtücünün %93.75’i tam retansiyon, %6.25’i total kayıp olarak değerlendirildi. B grubunda ise fissür örtücülerin tamamında tam retansiyon gözlendi. C grubunda uygulanan fissür örtücülerde %29.2 tam retansiyon, %68.8 tam kayıp, %2.1 kısmi kayıp gözlendi ve bu grupta retansiyon oranları diğer gruplardan istatistiksel olarak anlamlı düzeyde düşük bulundu (p<0.001). Grupların hiçbirinde çürük oluşumuna rastlanmadı.SONUÇ: Single Bond Universal adezivin kendinden pürüzlendirmeli olarak uygulandığı grupta daha düşük klinik performans gözlendi

Anahtar Kelimeler:

Dental adezivler, diş çürükleri, fissür örtücüler

Six-month clinical evaluation of fissure sealants placed with different adhesive systems: a randomized controlled trial

OBJECTIVE: To compare the retention and caries formation rates of fissure sealants applied with an etch&rinse adhesive system (Adper Single Bond 2) or with an universal adhesive system (Single Bond Universal) used with etch&rinse mode or self-etch mode after 6 months.MATERIALS AND METHOD: Non-invasive fissure sealants of 13 patients (19-22 age) were evaluated. The fissure sealant (Fissurit FX, Voco, Cuxhaven, Germany) was placed after three different pretreatment procedure and then polymerized; Group A: 35% phosphoric acid gel + Adper Single Bond 2 (3M ESPE, St Paul MN, USA), Group B: 35% phosphoric acid gel + Single Bond Universal adhesive (3M ESPE, St Paul MN, USA), Group C: Single Bond Universal adhesive. All the materials were used according to the manufacturers’ recommendations. A total of 144 teeth were sealed (n=48 in each group). The retention of fissure sealants and caries formation was evaluated by two calibrated examiners at one week and six month recalls. The evaluation criteria for retention were 1=full retention, 2=partial loss, 3=total loss. Data were analyzed with Pearson chi square test.RESULTS: The recall rate was 100% at the 6-month control. Retention rates at 6-months were as follows: Group A: full retention: 93.75% and total loss: 6.25% of the sealants; Group B: all sealants were recorded to exhibit full retention; Group C: full retention: 29.2%, partial loss: 2.1% and total loss: 68.8% of the sealants. Differences between Group C and the other groups were statistically significant (p<0.001). No caries was detected at the 6-month control.CONCLUSION: Single Bond Universal adhesive used in a selfetch mode showed a clinically low performance

Keywords:

Dental adhesives, dental caries, fissure sealants,

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