Özgür İlke Atasoy ULUSOY, Güliz GÖRGÜL, Özgür GENÇ, Cenker KÜÇÜKEŞMEN

POSTERİOR KOMPOZİT VE AMALGAMLA RESTORE EDİLMİŞ ENDODONTİK TEDAVİLİ MAKSİLLER PREMOLAR DİŞLERİN KIRILMAYA DAYANIKLILIĞI

Endodontik tedavi görmüş dişlerin restorasyonu, restoratif diş hekimliğinin en çok tartışılan konular›ndan biri olmuştur. Bu çal›şman›n amac›, endodontik tedavi görmüş ve iki farkl› tipte materyalle restore edilmiş maksiller premolar dişlerin k›r›lma dayan›kl›l›ğ›n›n karş›laşt›r›lmas›d›r. Bu çal›şmada 30 adet çürüksüz insan dişi kullan›lm›şt›r. Dişler her biri 10 dişten oluşan rastgele 3 gruba ayr›lm›şt›r. İlk iki gruptaki dişlerin kanallar› #35’ya kadar genişletilip kon-gütta ve AH 26 ile lateral kondensasyon tekniği kullan›larak doldurulmuştur. Ard›ndan gütta perka minesement birleşiminin 2 mm alt›nda olacak şekilde bir rond frezle kald›r›lm›şt›r. Grup 1, yüksek bak›rl› amalgam; Grup 2, posterior kompozitle restore edilmiş; Grup 3’e kontrol grubu ise herhangi bir dental işlem uygulanmam›şt›r. Mekanik testler için universal test ayg›t› kullan›lm›şt›r. Tüm dişlere k›r›lma oluşana kadar kuvvet uygulanm›şt›r. Grup 1 için ortalama kuvvet 1125.40 N, Grup 2 için 983.62 N ve Grup 3 için 2110.58 N dur. Grup 1 ve grup 2 aras›nda istatistiksel olarak anlaml› bir fark bulunamazken p>0.05 , bu gruplar›n k›r›lma dayan›kl›l›ğ› Grup 3’ten anlaml› şekilde düşük bulunmuştur p

Anahtar Kelimeler:

Posterior kompozit, amalgam, kırılma dayanıklılığı

Fracture Strength of Endodontically Treated Maxillary Premolars Restored with Posterior Composite or Amalgam

Restoration of endodontically treated teeth hasalways been a challange. The purpose of this studyis to compare the fracture strength of maxillary premolar teeth restored with two different materials amalgam and posterior composite . In this study,30 extracted caries free maxillary premolars wereselected. The teeth were divided into three groups of10 teeth each. The root canals of the teeth in Group1 and 2 were enlarged to a size of 35# and obturated with gutta percha cones and AH26 root canalsealer using lateral condensation technique. Thengutta percha was removed from the root canal to2mm below the cemento-enamel junction with around bur. Group 1 was restored with high-copperamalgam and Group 2 was restored with posteriorcomposite resin. The teeth in Group 3 had no treatment. A universal testing machine Instron wasused for mechanical test. All teeth were loaded untilfracture was occured. The mean force for Group 1is 1125.40 N; for Group 2, 983.62N and for group3, 2111.58N. No statistically significant differencewas found between the group 1 and group 2 p>0.05 , however the difference between these twogroups and the group 3 was significant p

Keywords:

amalgam, posterior composite, fracture strength,

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