Arş. Gör. Dr. Arzu Pinar Erdem Prof. Dr. GENÇAY

Kanıta Dayalı Diş Hekimliği Kapsamında Cam İyonomer Simanların Önerilen Klinik Kullanım Alanları

Günümüz diş hekimliğinde, restoratif amaçlı kullanılmakta olan birçok materyal bulunmaktadır. Sürekli olarak, yeni ve daha gelişmiş materyallerin üretimi ve bu konuda her makalenin ideal olarak bildirdiği materyallerin çokluğu, klinisyenleri seçim yapma konusunda zor durumda bırakmaktadır. Uygun materyal seçilirken, materyalin fiziksel, kimyasal, estetik özelliklerinin yanı sıra biyolojik özellikleri de göz önünde bulundurulmalıdır. Günümüzde kullanılan restoratif materyallerin hiçbiri tam anlamıyla bu tanımlamaya uymamaktadır. Bu bağlamda, kullanım alanına göre materyal seçerken, kanıta dayalı diş hekimliği önem kazanmakta, diş hekimine materyal seçiminde kaliteli çalışmaları derleyerek sonuçlarını iletmektedir. Cam iyonomer simanların da, kullanım alanlarında birbiriyle ve diğer materyallerle kıyaslanmasını konu alan birçok çalışma yapılmıştır. Bu yazıda; çeşitli arama motorlarından (The Cochrane Oral Health Group’s Trials Register, CENTRAL (The Cochrane Library), MEDLINE via OVID, EMBASE via OVID , Pubmed) bu konu hakkındaki derlemelere ulaşılmış ve cam iyonomer simanların etkileri kanıta dayalı bilgi ışığında incelenmiş ve İskoç Üniversitelerarası Yönergeler Ağı (Scottish Intercollegiate Guidelines Network (SIGN)) dikkate alınarak önerilen kullanım alanları kanıtın derecesi belirlenerek sunulmuştur.

Anahtar Kelimeler:

İyonomer Simanlar, Endikasyonlar, Kanıta Dayalı Diş Hekimliği

Evidence-Based Clinical Recommendations For The Use Of Glass Ionomer Cements

Many restorative materials introduced into the dental market for use in restorative dentistry has grown exponentially in the present day. Oral health professionals need to make astute decisions about the type of restorative material they choose to best manage their patients with dental caries. To make matters more difficult for the clinician is the vast number of available choices. Published papers and lectures which conclude that different materials are ideal add to this confusion. The requirements for a dental restorative material are very demanding, from both a physical and a chemical point of view. While choosing an ideal restorative material, physical, chemical, esthetic and also biological properties should be taken into consideration. It is also apparent that the ideal restorative material for the dentition has not yet been developed. However, in the era of evidence based dentistry, examining the high quality clinical trials and providing recommendations, the dental professional needs to have an evidence based approach when selecting materials for the restoration of teeth. This review sought to examine the reviews about comparing glass ionomer cements with different types of dental materials against each other for the same outcomes. The databases (The Cochrane Oral Health Group’s Trials Register, CENTRAL (The Cochrane Library), MEDLINE via OVID, EMBASE via OVID , Pubmed) were searched and reviews were examined as part of evidence-based dentistry and evidence–based clinical recommendations were made by using Scottish Intercollegiate Guidelines Network (SIGN) with grading evidence.

Keywords:

Ionomer Cements, Indications, Evidence-Based Dentistry,

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İstanbul Üniversitesi Diş Hekimliği Fakültesi Pedodonti AD. Çapa / İstanbul 34093 Tel: 0212 41420202/30309 Fax: 0212 5310515 e-mail: pinararzuerdem@yahoo.com aperdem@gmail.com