BAŞLANGIÇ OKLUZAL ÇÜRÜKLERE UYGULANAN İKİ FARKLI NANO KOMPOZİTİN İKİ YILLIK KLİNİK PERFORMANSI

Amaç: Bu çalışmada; başlangıç okluzal çürüklerin tedavisinde kullanılan nanokompozitlerin 2 yıllık klinik performanslarının değerlendirilmesi amaçlanmıştır. Bireyler ve Yöntem: Araştırmaya katılan bireyler, Hacettepe Üniversitesi Diş Hekimliği Fakültesi Restoratif Diş Tedavisi Kliniğine başvuran, en az 2 adet başlangıç okluzal çürüğü bulunan hastalar arasından seçildi (yaş aralığı 18-30). Restore edilecek dişler görsel muayene yöntemi ile değerlendirildi. Radyografilerin incelenmesinden sonra DIAGNodent pen ile ölçümler yapıldı. Dişlere; minimal invaziv okluzal kavite preparasyonu yapıldıktan sonra kondanse edilebilen bir nanokompozit (Quixfil, Dentsply) ve akışkan nanokompozit (SureFil SDR Flow, Dentsply) üretici firmanın önerileri doğrultusunda uygulandı. Çalışmaya katılan 23’ü kadın 20’si erkek olmak üzere 43 gönüllü bireye 356 adet restorasyon yapıldı. Kompozit restorasyonlar, başlangıç, 6., 12., 18., 24. aylarda modifiye USPHS kriterlerine göre değerlendirildi. İstatistiksel değerlendirme için “Pearson Chi-square”, “Fisher Exact” ve “Cochran Q” testleri kullanıldı (p<0.05). Bulgular: 24 ay sonunda 38 hastada 316 adet restorasyon değerlendirildi. Tüm modifiye USPHS kriterleri için restorasyon grupları arasında istatistiksel olarak anlamlı fark bulunmadı (p>0.05). Her grubun kendi içinde, kenar uyumu, kenar renklenmesi, anatomik form ve hassasiyet kriterlerinin zaman içindeki değişimi anlamlıyken (p<0.001); retansiyon, renk uyumu, sekonder çürük, yüzey yapısı, kriterlerinin değişimi anlamlı bulunmadı (p>0.05) Sonuç: Bu çalışmada her iki rezin kompozitin başlangıç okluzal çürüklerin tedavisinde klinik olarak kabul edilebilir bir performans gösterdiği sonucuna varılmıştır. Anahtar kelime: Nanokompozit, Başlangıç Okluzal Çürük, Klinik Performans, Dıagnodent Pen. CLINICAL PERFORMANCE OF TWO DIFFERENT NANO COMPOSITES IN INITIAL OCCLUSAL CARIES : TWO YEARS RESULTS ABSTRACT Aim: The purpose of this study was to evaluate the two-year clinical performance of one condansable nano composite and one flowable nanocomposite in minimal occlusal cavities. Material and methods: Patients were selected from who visiting the Hacettepe University School of Dentistry Department of Restorative Dentistry for the teratment of occlusal caries (age range 18-30 years). At the beginning of treatment, teeth were diagnosed by visual inspection with a mirror and lesions were evaluated with periapical and bitewing radiographs. After that to achieve standardization measurements were made with the DIAGNOdent Pen. 20 male and 23 female subjects participated to study. A total of 356 occlusal cavities were restored with condansable nano composite (Quixfil, Dentsply) and flowable nano composite (SureFil SDR Flow, Dentsply) according to manufacturers’ instructions. All restorations were placed by one operator. The restorations were evaluated clinically within 1 week after placement and after 6., 12., 18., 24. months using modified USPHS criteria by one examiner. Statistical analysis was completed using Pearson Chi-square, Fisher- Exact and Cochran Q tests (p<0,05). Results: At the end of 24 months; in 38 patients 316 restorations were evaluated. No statistically significant differences were found between two resin composites (p>0.05). There were significant differences between time zones with each restoration group for marginal adaptaion, marginal discoloration, anatomic form, post operative sensitivity (p<0.001). Interms of Retantion, color match, seconder caries, surface texture no significant differences have been found in each restorative materials groups (p>0,05). Conclusion: It was concluded that; different types of resin composites demonstrated acceptable clinical performance in initial occlusal caries. Keywords: nanocomposite, initial occlusa caries, clinical performance, DIAGNOdent Pen

Anahtar Kelimeler:

Nanokompozit, Başlangıç Okluzal Çürük, Klinik Performans, Dıagnodent Pen

PDF

___

1. Kölüş, T , Ülker, H . Geçmişten Günümüze Çürük Ve Restoratif Materyaller. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi 31 (2021 ): 130-137
2. Sutthavong, S., Taebanpakul, S., Kuruchitkosol, C., Ayudhya, T.I., Chantveerawong, T., Fuangroong, S. ve diğerleri. Oral health status, dental caries risk factors of the children of public kindergarten and schools in Phranakornsriayudhya, Thailand. J Med Assoc Thai. 2010; 93 Suppl 6, S71-78.
3. Neuhaus, K.W., Rodrigues, J.A., Hug, I., Stich, H.,Lussi, A. Performance of laser fluorescence devices, visual and radiographic examination for the detection of occlusal caries in primary molars. Clin Oral Investig. 2011; 15 (5), 635-641.
4. Fleming, G.J. Advances in dental materials. Prim Dent J. 2014; 3 (2), 54-61.
5. Hayes, M., Allen, E., da Mata, C., McKenna, G.,Burke, F. Minimal intervention dentistry and older patients part 2: minimally invasive operative interventions. Dent Update. 2014; 41 (6), 500-502, 504-505.
6. Attar, N., Tam, L.E.,McComb, D. Flow, strength, stiffness and radiopacity of flowable resin composites. J Can Dent Assoc. 2003; 69 (8), 516-521.
7. İşcan Yapar, M, Çelik, N , Sağsöz, Ö , Karalar, B , Seven, N , Bayındır, Y . Farklı Polimerizasyon Tekniklerinin Kompozit Rezinlerin Mekanik Ve Fiziksel Özelliklerine Etkisi. Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi. 2020; 30 (1) , 26-32 .
8. Haugen HJ, Qasim SB, Matinlinna JP, Vallittu P, Nogueira LP. Nano-CT as tool for characterization of dental resin composites. Sci Rep. 2020 Sep 23;10(1):15520.
9. Shaalan OO, Abou-Auf E, El Zoghby. AF. Clinical Evaluation Of Flowabjle Resin Composite Versus Conventional Resin Composite İn Carious And Noncarious Lesions: Systematic Review And Meta-Analysis. J Conserv Dent. 2017 Nov-Dec;20(6): 380-385
10. Gallo, J.R., Burgess, J.O., Ripps, A.H., Walker, R.S., Maltezos, M.B., Mercante, D.E. ve diğerleri. Three-year clinical evaluation of two flowable composites. Quintessence Int. 2010; 41 (6), 497-503.
11. Ekstrand, K.R., Ricketts, D.N.,Kidd, E.A. Reproducibility and accuracy of three methods for assessment of demineralization depth of the occlusal surface: an in vitro examination. Caries Res. 1997; 31 (3), 224-231.
12. Lussi, A., Megert, B., Longbottom, C., Reich, E.,Francescut, P. Clinical performance of a laser fluorescence device for detection of occlusal caries lesions. Eur J Oral Sci. 2001; 109 (1), 14-19.
13. Fagundes, T.C., Barata, T.J., Carvalho, C.A., Franco, E.B., van Dijken, J.W.,Navarro, M.F. (2009) Clinical evaluation of two packable posterior composites: a five-year follow-up. J Am Dent Assoc, 140 (4), 447-454.
14. Geitel, B., Kwiatkowski, R., Zimmer, S., Barthel, C.R., Roulet, J.F.,Jahn, K.R. Clinically controlled study on the quality of class III, IV and V composite restorations after two years. J Adhes Dent. 2004; 6 (3), 247-253.
15. Ada. Acceptance Program Guidelines Resin Based Compoistes For Poasterior Restorations American Dental Association Council On Scientific Affairs. 2001
16. Fagundes, T.C., Barata, T.J., Carvalho, C.A., Franco, E.B., van Dijken, J.W.,Navarro, M.F. Clinical evaluation of two packable posterior composites: a five-year follow-up. J Am Dent Assoc. 2009; 140 (4), 447-454.
17. Folwaczny, M., Loher, C., Mehl, A., Kunzelmann, K.H.,Hinkel, R. Tooth-colored filling materials for the restoration of cervical lesions: a 24-month follow-up study. Oper Dent. 2000; 25 (4), 251-258.
18. Brackett, W.W., Dib, A., Brackett, M.G., Reyes, A.A.,Estrada, B.E. Two-year clinical performance of Class V resin-modified glass-lonomer and resin composite restorations. Oper Dent. 2003; 28 (5), 477-481.
19. Musanje, L., Shu, M.,Darvell, B.W. Water sorption and mechanical behaviour of cosmetic direct restorative materials in artificial saliva. Dent Mater. 2001; 17 (5), 394-401.
20. Arai Y, Kurokawa H, Takamizawa T, Tsujimoto A, Saegusa M, Yokoyama M, Miyazaki M. Evaluation of structural coloration of experimental flowable resin composites. J Esthet Restor Dent. 2021 Mar;33(2):284-293.
21. Karaman, E., Yazici, A.R., Ozgunaltay, G.,Dayangac, B. Clinical evaluation of a nanohybrid and a flowable resin composite in non-carious cervical lesions: 24-month results. J Adhes Dent. 2012; 14 (5), 485-492. 22. Rocha Gomes Torres, C., Rego, H.M., Perote, L.C., Santos, L.F., Kamozaki, M.B., Gutierrez, N.C. ve diğerleri. A split-mouth randomized clinical trial of conventional and heavy flowable composites in class II restorations. J Dent. 2014; 42 (7), 793-799.
23. Estafan, A.M.,Estafan, D. Microleakage study of flowable composite resin systems. Compend Contin Educ Dent. 2000; 21 (9), 705-708, 710, 712; quiz 714.
24. Turner, E.W., Shook, L.W.,Owens, B.M. Microleakage of flowable composite resins when utilized as liners in Class II posterior composite resin restorations. J Tenn Dent Assoc. 2002; 82 (1), 23-26.
25. Celik, C., Arhun, N.,Yamanel, K. Clinical evaluation of resin-based composites in posterior restorations: a 3-year study. Med Princ Pract. 2014; 23 (5), 453-459.
26. Attar, N., Turgut, M.D.,Gungor, H.C. The effect of flowable resin composites as gingival increments on the microleakage of posterior resin composites. Oper Dent. 2004; 29 (2), 162-167.
27. Sadeghi, M., Lynch, C.D.,Shahamat, N. Eighteen-month clinical evaluation of microhybrid, packable and nanofilled resin composites in Class I restorations. J Oral Rehabil. 2010; 37 (7), 532-537.
28. Kes G, Başeren M. Beyaz Nokta Lezyonları. Atatürk Üniversitesi Diş Hekimiği Fakültesi Dergisi. 2020; 30(4): 671-680.
29. Kameyama, A., Nakazawa, T., Haruyama, A., Haruyama, C., Hosaka, M.,Hirai, Y. Influence of finishing/polishing procedures on the surface texture of two resin composites. Open Dent J. 2008; 2, 56-60.
30. Sarac, D., Sarac, Y.S., Yuzbasioglu, E.,Bal, S. The effects of porcelain polishing systems on the color and surface texture of feldspathic porcelain. J Prosthet Dent. 2006; 96 (2), 122-128.
31. Ono, T., Ishikawa, K., Yamaba, O.,Nokubi, T. Effect of texture of polishing particle on the surface roughness of a cobalt-chromium alloy using a centrifugal shooting type polishing machine. Dent Mater J. 2005; 24 (4), 487-493.
32. Watanabe, T., Miyazaki, M.,Moore, B.K. Influence of polishing instruments on the surface texture of resin composites. Quintessence Int. 2006; 37 (1), 61-67.
33. Braun, K.O., Mello, J.A., Rached, R.N.,Del Bel Cury, A.A. Surface texture and some properties of acrylic resins submitted to chemical polishing. J Oral Rehabil.2003; 30 (1), 91-98.
34. Celik, C., Arhun, N.,Yamanel, K. Clinical evaluation of resin-based composites in posterior restorations: 12-month results. Eur J Dent 2010; 4 (1), 57-65.
35. Graunaite I, Skucaite N, Lodiene G, Agentiene I, Machiulskiene V. Effect Of Resin-Based And Bioceramic Root Canal Sealers On Postoperative Pain: A Split-Mouth Randomized Controlled Trial. J Endod. 2018 May;44(5):689-693.
36. Opdam, N.J., Feilzer, A.J., Roeters, J.J.,Smale, I. Class I occlusal composite resin restorations: in vivo post-operative sensitivity, wall adaptation, and microleakage. Am J Dent. 1998; 11 (5), 229-234.
37. van Dijken, J.W.,Pallesen, U. A Randomized 10-year Prospective Follow-up of Class II Nanohybrid and Conventional Hybrid Resin Composite Restorations. J Adhes Dent. 2014; 16 (6), 585-592.
38. Van Landuyt, K.L., Peumans, M., De Munck, J., Cardoso, M.V., Ermis, B.,Van Meerbeek, B. Three-year clinical performance of a HEMA-free one-step self-etch adhesive in non-carious cervical lesions. Eur J Oral Sci. 2011; 119 (6), 511-516.
39. Kramer, N., Reinelt, C., Richter, G., Petschelt, A.,Frankenberger, R. Nanohybrid vs. fine hybrid composite in Class II cavities: clinical results and margin analysis after four years. Dent Mater. 2009; 25 (6), 750-759.
40. Manhart, J., Chen, H.Y., Mehl, A.,Hickel, R. Clinical study of indirect composite resin inlays in posterior stress-bearing preparations placed by dental students: results after 6 months and 1, 2, and 3 years. Quintessence Int. 2010; 41 (5), 399-410.