BULK-FILL KOMPOZİT REZİNLERE GENEL BAKIŞ

Diş hekimlerinin posterior dişlerin restorasyonlarında hem mekanik dayanıklılık, hem estetik özellikler hem de kullanım kolaylığı beklentisi rutin kullanılan kompozit rezinlerin geliştirilmesi ihtiyacını doğurmuştur. Bu amaçla da son dönemde kullanılan bulk fill tekniği ve bu teknikle uygulanan bulk fill kompozit rezin materyaller yaygınlaşmıştır. Kompozit rezinlerin en önemli problemlerinden olan polimerizasyon büzülmesini azaltabilmek adına kompozitlerin tabakalar hâlinde uygulanması önerilmektedir. Ancak kompozit rezinlerin tabakalı yerleştirmesi özellikle derin kavitelerde ışınlama sayısını ve tedavi süresini artırmaktadır. Yeni geliştirilen bulk fill kompozit rezinler ise gelişmiş translusent yapı ve farklı fotoaktif başlatıcı içermektedirler. Bundan dolayı da derin kavitelere daha büyük kütleler hâlinde yerleştirilebilmektedir. Bu derlemenin amacı; bulk fill kompozitler hakkında genel bilgi vermek; çeşitleri, özellikleri, kullanım alanları hakkında bir literatür incelemesi sunmaktır.

Anahtar Kelimeler:

bulk fill kompozit, , kompozit rezin, , inkremental teknik, , konvansiyonel kompozit rezin

An OVERVIEW of BULK-FILL COMPOSITE RESINS

Dentists' expectation of both mechanical durability, aesthetic properties and ease of use in restoration of posterior teeth has created the need for the development of composite resins that are used routinely. For this purpose, the bulk fill technique and bulk fill composite resin materials applied with this technique have become widespread. Incremental technique of composites in order to reduce polymerization shrinkage, which is one of the most important problems of composite resins. It is recommended to be applied with (in layers). However, layered placement of composite resins increases the number of irradiation and treatment time, especially in deep cavities. Newly developed bulk fill composite resins contain advanced translucent structure and different photoactive initiators. Therefore, it can be placed in deep cavities as larger masses. The purpose of this review is; to give general information about bulk fill composites and to present a literature review about its types, properties, and usage areas.

Keywords:

bulk fill composite, composite resin, incremental technique, conventional composite resin,

PDF

___

1- Lindberg A, Peutzfeldt A, van Dijken JWV. Effect of Power Density of Curing Unit, Exposure Duration, and Light Guide Distance on Composite Depth of Cure. Clinical Oral Investigations, 2005; 9: 71-76.
2- Knežević A, Tarle Z, Meniga A, Šutalo J, Pichler G, Ristić M. Degree of Conversion and Temperature Rise During Polymerization of Composite Resin Samples with Blue Diodes. Journal of Oral Rehabilitation, 2001; 28: 586-591.
3- Abbas G, Fleming GJP, Harrington E, Shortall ACC, Burke FJT. Cuspal Movement and Microleakage in Premolar Teeth Restored with a Packable Composite Cured in Bulk or in Increments. Journal of Dentistry, 2003; 31: 437-444.
4- Czasch P, Ilie N. In vitro comparison of mechanical properties and degree of cure of bulk fill composites. Clin Oral Investig. 2013;17:227-35.
5- Rullmann I, Schattenberg A, Marx M, Willershausen B, Ernst C-P. Photoelastic determination of polymerization shrinkage stress in low-shrinkage resin composites. Schweiz Monatsschr Zahnmed 2012;122:294-299.
6- Burtscher P. Von geschichteten Inkrementen zur Vier-Millimeter-Bulk-Fill-Technik – Anforderungen an Komposit und Lichthärtung. DZW Die Zahnarzt Woche 2011;6-8.
7- El-Damanhoury HM, Elsahn NA, Platt JA. Polymerization shrinkage stress kinetics of five bulk-fill resin composites. J Dent Res 2013;Poster Presentation (Nr. 170786) at the IADR General Session Seattle, March 20-23, 2013:
8- Frankenberger R, Vosen V, Krämer N, Roggendorf M. Bulk-Fill-Komposite: Mit dicken Schichten einfacher zum Erfolg? Quintessenz 2012;65:579-584.
9- Ilie N, Hickel R. Investigations on a methacrylate-based flowable composite based on the SDR technology. Dent Mater 2011;27:348-355.
10- Tauböck TT, Feilzer A, Buchalla W, Kleverlaan CJ, Krejci I, Attin T. Effect of photoactivation methods on shrinkage behavior of resin composites. J Dent Res 2012;91, Special Issue C: Abstract #517:
11-Vogel K. Geringe Schrumpfung und wenig Schrumpfungsstress sind entscheidende Grundlage. DZW Die Zahnarzt Woche 2011;40/11:9-12
12- Burgess JO. Materials You Cannot Work Without Refining Your Tools for Treatment. Journal of Cosmetic Dentistry. Winter 2013. Volume 28. Number 4
13- Tauböck TT. Bulk-Fill-Komposite. Wird die Füllungstherapie einfacher, schneller und erfolgreicher? teamwork J Cont Dent Educ 2013;16:318-323.
14- Vogel K, Rheinberger V. Shrinkage and Contraction Force of Bulk-filling and Microhybrid Composites. J Dent Res 2012;91, Special Issue A: Abstract #858:
15- Lassila LV, Nagas E, Vallittu PK, Garoushi S. Translucency of flowable bulk-filling composites of various thicknesses. Chin J Dent Res 2012;15:31-35.
16- Moszner N, Burtscher P, Vogel K, Todd JC, Heintze S, Peschke A. Report Nr. 19: Ivocerin - ein Meilenstein in der Composite-Technologie. Ivoclar Vivadent AG 2013;
17- Todd JC, Wanner M. Wissenschaftliche Dokumentation Tetric EvoCeram Bulk Fill. Ivoclar Vivadent AG 2014;
18- Ilie N, Stawarczyk B. Bulk-Fill-Komposite: neue Entwicklungen oder doch herkömmliche Komposite? ZMK 2014;30:90-97.
19- Ilie N, Rencz A, Hickel R. Investigations towards nano-hybrid resin-based composites. Clin Oral Investig 2013;17:185-193.
20- Lee YK. Influence of filler on the difference between the transmitted and reflected colors of experimental resin composites. Dent Mater 2008;24:1243-1247.
21- El-Damanhoury H, Platt J .Polymerization Shrinkage Stress Kinetics and Related Properties of Bulk-fill Resin Composites. Oper Dent 2014;39:374-382.
22- El-Safty S, Silikas N, Watts DC. Creep deformation of restorative resin-composites intended for bulk-fill placement. Dent Mater 2012;28:928-935.
23- Ferracane JL, Mitchem JC, Condon JR, Todd R. Wear and marginal breakdown of composites with various degrees of cure. J Dent Res 1997;76:1508-1516.
24- Silikas N, Eliades G, Watts DC. Light intensity effects on resin-composite degree of conversion and shrinkage strain. Dent Mater 2000;16:292-296.
25- Goracci C, Cadenaro M, Fontanive L, et al. Polymerization efficiency and flexural strength of low-stress restorative composites. Dent Mater 2014;30:688-694.
26- Bayne SC, Thompson JY, Swift EJ Jr et al. Characterization of first-generation flowable composites. J Am Dent Assoc 1998; 129:567-577.
27- Attar N, Tam LE, McComb D. Flow. Strength, stiffness and radiopacity of flowable resin composites. J Can Dent Assoc 2003;69:516-521.
28- Hervas-Garia A, Martinez-Lozano MA, Cabanes-Vila J et al. Composite resin resins. A review of the materials and clinical indications. Med Oral Patol Oral Cir Bucal 2006;11:215-220.
29- St Germain H, Swartz ML, Phillips RW et al. Properties of microfilled composite resins as influenced by filler content. J Dent Res 1985;64:55-160.
30- Ilie N, Bucuta S, Draenert M. Bulk-fill resin-based composites: an in vitro assessment of their mechanical performance. Oper Dent 2013;38:618-625.
31- Walter R. Critical appraisal: bulk-fill flowable composite resins. J Esthet Restor Dent 2013;25:72-76.
32- Poggio C, Dagna A, Chiesa M, Colombo M, Scribante A. Surface roughness of flowable resin composites eroded by acidic and alcoholic drinks. J Conserv Dent 2012;15:137-140.
33- Moorthy A, Hogg CH, Dowling AH, Grufferty BF, Benetti AR, Fleming GJP. Cuspal Deflection and Microleakage in Premolar Teeth Restored with Bulk-Fill Flowable Resin-Based Composite Base Materials. Journal of Dentistry, 2012; 40: 500-505.
34- Roggendorf MJ, Krämer N, Appelt A, Naumann M, Frankenberger R. Marginal Quality of Flowable 4-Mm Base Vs. Conventionally Layered Resin Composite. Journal of Dentistry, 2011; 39: 643-647.
35- Ilie N, Kebler A, Duner J. Influence of various irradiation processes on the mechanical properties and polymerization kinetics of bulk-fill resin based composites. J Dent 2013;41:695e702.
36- Leprince JG, Palin WM, Vanacker J, Sabbsgh J, Devaux J, Leloup G. Physico-mechanical characteristics of commercially available bulk-fill composites. J Dent 2014;42:993e1000.
37- Aydın N, Karaoğlanoğlu S, Oktay EA, Topçu FT, Demir F. Diş hekimliğinde bulk fill kompozit rezinler. Selcuk Dental Journal, 2019; 6(2), 229-238.