Hüseyin BİÇER, Şule BAYRAK

3715

Vital Pulpa Tedavisinde Kullanılan Kalsiyum Silikat İçerikli Biyomateryallerin Restoratif Materyallere Bağlanma Dayanımının Değerlendirilmesi

Amaç: Bu çalışmanın amacı, vital pulpa tedavilerinde kullanılan kalsiyum silikat içerikli biyomateryallerin rezin modifiye cam iyonomer siman ve kompozit rezine makaslama bağlanma dayanımlarının karşılaştırmalı olarak değerlendirilmesidir.Gereç ve Yöntemler: 4 mm çapında ve 2 mm derinlikte boşlukları bulunan 78 adet akrilik blok hazırlandı. Üretici firmaların talimatları doğrultusunda hazırlanan kalsiyum silikat içerikli biyomateryaller (ProRoot MTA, BioAggregate ve Biodentine) akrilik bloklardaki boşluklara yerleştirildi ve sertleşmeleri için önerilen sürelerde bekletildi. Biyomateryal örnekleri, rezin modifiye cam iyonomer siman ve kompozit rezin olarak 2 gruba ayrıldı. Adeziv işlemlerin ardından biyomateryallerin üzerine 2 mm çapında ve 2 mm yüksekliğinde silindirik kalıplar yardımıyla restoratif materyaller uygulandı. Tüm örnekler 24 saat 37°C'lik etüvde bekletildikten sonra makaslama bağlanma dayanım değerleri universal test cihazı kullanılarak ölçüldü. Elde edilen verilerin istatistiksel değerlendirilmesinde tek yönlü varyans analizi (One-way-ANOVA) ve Tukey testleri kullanıldı.Bulgular: Tüm biyomateryallerde (ProRoot MTA, BioAggregate ve Biodentine) kompozit rezinin makaslama bağlanma dayanım değeri, rezin modifiye cam iyonomer simandan yüksek bulundu. Biyomateryaller karşılaştırıldığında ise, Biodentine’nin hem rezin modifiye cam iyonomer siman hem de kompozit rezine bağlanma dayanımının ProRoot MTA ve BioAggregate’den anlamlı olarak yüksek olduğu saptandı (p<0.05). Sonuçlar: Sonuç olarak vital pulpa tedavilerinde kullanılan kalsiyum silikat içerikli biyomateryallerin üzerine restoratif materyal olarak kompozit rezin tercih edilebilir. Ayrıca Biodentine, hem bağlanma dayanımı açısından daha iyi değerler sergilemesi, hem de sertleşme süresinin daha kısa olması, manipülasyonunun daha kolay olması ve daha ucuz olması nedeniyle MTA ve BioAggregate’e iyi bir alternatif olabilir.Anahtar Kelimeler: Biyomateryal, makaslama bağlanma dayanımı, vital pulpa tedavisi.
Anahtar Kelimeler:

Biyomateryal, makaslama bağlanma dayanımı

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Selcuk Dental Journal-Cover
  • ISSN: 2148-7529
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 2014
  • Yayıncı: Selcuk Universitesi Dişhekimliği Fakültesi
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