Şule BAYRAK, Elif İpek YILMAZ

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ÇÜRÜK DİRENCİNİN ARTTIRILMASINDA LAZER VE KAZEİN FOSFOPEPTİD AMORF KALSİYUM FOSFAT’IN BİRLİKTE KULLANIMIN ETKİSİNİN DEĞERLENDİRİLMESİ

Amaç: Bu çalışmanın amacı, erbiyumla takviyelenmiş yitriyum alüminyum garnet lazerin kazein fosfopeptid amorf kalsiyum fosfat ile birlikte kullanımının daimi dişlerin çürük oluşumuna karşı direncinin arttırılmasındaki etkilerinin değerlendirilmesidir. Gereç ve Yöntem: 30 adet daimi diş kullanılarak elde edilen mine örnekleri rastgele 5 gruba ayrıldı; negatif kontrol, asitlenmiş fosfat florit (pozitif kontrol), kazein fosfopeptid amorf kalsiyum fosfat, lazer, lazer+kazein fosfopeptid phosphopeptide amorf kalsiyum fosfat. Gruplara göre yüzey tedavileri uygulandıktan sonra örnekler pH siklusuna tabi tutuldu. Polarize ışık mikroskopisi ile çürük lezyon derinliği, tarayıcı elektron mikroskopisi ile yüzeyde oluşan yapısal değişiklikler değerlendirildi. Elde edilen verilerin istatistiksel değerlendirilmesinde tek yönlü varyans analizi ve Tukey Çoklu Karşılaştırma testi kullanıldı. Bulgular: Tüm gruplar arasında en yüksek ortalama çürük lezyon derinliği negatif kontrol grubunda (51,12±10,79), en düşük ortalama çürük lezyon derinliği ise asitlenmiş fosfat florit (pozitif kontrol) grubunda (24,12±11,73) gözlendi. Lazerin tek başına ve CPP-ACP ile birlikte uygulanması karşılaştırıldığında, gruplar arasında istatistiksel olarak anlamlı bir farklılık saptanmadı (p>0,05). Taramalı elektron mikroskobu incelemesinde ise tüm gruplarda uygulanan yüzey hazırlama işlemlerine göre morfolojik değişimlerin olduğu gözlendi. Sonuç: İn vitro olarak yapılan bu çalışma sonucunda, daimi dişlerin çürük direncinde erbiyumla takviyelenmiş yitriyum alüminyum garnet lazerin, kazein fosfopeptid amorf kalsiyum fosfat ile birlikte kullanımın tek başına kullanıma göre ilave bir katkı sağlamadığı belirlendi. Anahtar Kelimeler: Diş çürüğüne direnç, diş minesi, kazein fosfopeptid amorf kalsiyum fosfat, lazer EVALUATION OF COMBINED EFFECT OF LASER AND CASEIN PHOSPHOPEPTIDE-AMORPHOUS CALCIUM PHOSPHATE APPLICATION ON INCREASING OF CARIES RESISTANCEAim: The aim of this study was to evaluate the effects of erbium-doped yttrium aluminum garnet laser combined with casein phosphopeptide-amorphous calcium phosphate treatments on caries resistance of permanent teeth Material and Methods: The enamel samples were obtained from 30 permanent teeth and randomly divided into five groups; negative control, acidulated phosphate fluoride (positive control), casein phosphorpeptide-amorphous calcium phosphate, laser, laser+ casein phosphopeptide-amorphous calcium phosphate. The surface treatments were applied; the samples were then submitted to pH cycle. Lesion depth was measured by polarized light microscopy, and the morphological changes on the sample surfaces were analyzed by scanning electron microscopy. The statistical analyses of obtained data were performed using one-way analysis of variance and Tukey Multiple Comparison test. Results: Mean lesion depth was greatest in the nega- tive control group (51.12±10.79), and lowest in the acidulated phosphate fluoride group fluoride (positive control) (24.12±11.73). When compared the laser group and laser combined with casein phosphopeptide-amorphous calcium phosphate, no statistically sig- nificant differences in mean lesion depth values were found between groups (p>0.05). Scanning electron microscopy examination also revealed obvious morphological changes in all groups. Conclusion: As a result of this in-vitro study determined that the combined application of aluminum erbium- doped yttrium garnet laser with casein phosphorpeptide-amorphous calcium phosphate no showed an added beneficial effect compared with erbium-doped yttrium aluminum garnet laser alone on caries resistance of permanent teeth. Keywords: Dental caries resistance, dental enamel, casein phosphopeptide-amorphous calcium phosphate, laser.
Anahtar Kelimeler:

Diş çürüğüne direnç, diş minesi, kazein fosfopeptid amorf kalsiyum fosfat

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Current Research in Dental Sciences-Cover
  • Başlangıç: 1986
  • Yayıncı: Atatürk Üniversitesi
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