RESTORATİF DİŞ HEKİMLİĞİNDE BULK FİLL KOMPOZİT REZİNLER

Günümüzde kompozit rezinler restore edilecek dişlerde diş hekimleri tarafından en sık tercih edilen materyaldir. Kompozit rezinler kaviteye her biri ayrı ayrı polimerize edilen tabakalar halinde (inkremental teknik) yerleştirilir. İnkremental tekniğin tabakalar arasında kontaminasyon riski, bağlanma hataları, tekniğin uygulanması sırasında uzun zaman gerektirmesi gibi dezavantajları mevcuttur. Üreticiler inkremental tekniğin bu dezavantajlarının önüne geçebilmek için 4-5 mm kalınlığa kadar tek tabakada polimerize edilebilen ‘bulk fill kompozitleri’ piyasaya sürmüşlerdir.Bulk fill kompozitler akışkan (base) ve restoratif (pasta) şeklinde bulk fill kompozitler olarak iki şekilde kategorize edilmiştir. Akışkan bulk fill kompozitler dar, 4 mm’ yi aşan derinlikte ulaşılması zor kavitelerde kullanılırken, daha büyük ve geniş kavitelerde restoratif bulk fill kompozitler tercih edilmektedir. Dolayısıyla bulk fill kompozit rezinler bu gibi kavitelerde tek seferde ve kısa sürede uygulanabilmesi ile klinisyenlere kullanım kolaylığı sunmaktadır ve diş hekimleri tarafından rutin klinik kullanım için hızlıca kabul edilebilir hale gelmektedir. Bu derlemede bulk fill kompozitler araştırılmış ve geleneksel kompozitlerden farkı açıklanmaya çalışılmıştır.

Anahtar Kelimeler:

Bulk fill kompozit rezin, geleneksel kompozit rezin, inkremental teknik, polimerizasyon büzülmesi, polimerizasyon derinliği

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