Farklı kavite preparasyon yöntemi kullanılarak prepare edilen sınıf V kavitelerinin farklı cam iyonomer simanlarla restore edilerek mikrosızıntısının değerlendirilmesi

Amaç: Bu çalışmanın amacı; farklı kavite preparasyon tekniği kullanılarak prepare edilen sınıf V kavitelerin, cam iyonomer materyali ile restorasyonu sonrası okluzal ve gingival bölge de oluşan mikrosızıntı seviyelerini belirlemektir.Gereç ve Yöntemler: Bu çalışmada; ortodontik veya periodontal sebeplerle çekilmiş ve herhangi bir çürük, restorasyon ya da yapısal bir bozulma olmayanlar molar dişler (n:90) kullanılmıştır. Her bir dişin bukkal yüzeyinde standart sınıf V kaviteler 3 mm genişliğinde, 2 mm yüksekliğinde ve 1,5 mm derinliğinde olacak şekilde açılmıştır. Kavite preparasyon tekniğine (Er:YAG lazer, Er,Cr:YSGG lazer ve konvansiyonel yöntem) göre 3 ana gruba (n:30) ayrılan dişler, kendi aralarında da 3 farklı ticari markalı konvansiyonel cam iyonomer siman ile restore edilerek 3 alt gruba (n:10) ayrılmıştır. Örnekler stereomikroskopta X16 büyütmede ve SEM de incelenmiştir. Veriler Kruskal-Wallis ve Wilcoxon testleri ile istatiksel olarak 0.05 anlamlılık düzeyinde değerlendirilmiştir.Bulgular: Hem SEM hem de mikroskop ile incelenen tüm gruplarda gingival kenar, okluzal kenara göre daha fazla sızıntı göstermiştir. Kavite preparasyon yöntemleri arasında hem SEM hem de mikroskop incelemelerinde istatistiksel olarak anlamlı fark (p<0.05) bulunmuştur. Sonuç: Kavite preparasyonu ve kullanılan materyale göre mikrosızıntı görülme oranları değişse de en yoğun mikro sızıntı gingival bölgede görülmektedir. Çalışmamızda kullanılan Er:YAG lazer yönteminin konvansiyonel yönteme alternatif olabileceği öngörülmektedir.

Anahtar Kelimeler:

mikrosızıntı, Er:YAG lazer, cam iyonomer siman

Evaluation of microlekage of class v cavities prepared by using different type cavite preparation method by restorated with different glass ionomer cements

Aim: The aim of study to evaluate both occlusal and gingival microleakage levels of class V cavıties prepared by using different type cavite preparation method and by restorated with different glass ionomer cements.Material and Methods: In this study were used molar teeth (n = 90) which were planned to for extraction due to orthodontic or periodontal and which did not contain any caries, restorations and cracks. Standard class V-cavities were prepared at the buccal surface of each tooth to be 3 mm wide, 2 mm high and 1.5 mm deep. Teeth were divided into 3 main groups (n = 30) according to cavitation preparation method (Er:YAG laser, Er,Cr:YSGG laser and conventional method) and these groups were divided into 3 subgroups (n = 10) according to the restorative material. Samples were examined in stereomicroscopy at X16 magnification and SEM. Datas were analyzed using with statistically evaluated by Kruskal-Wallis and Wilcoxon tests at 5% significiant level.Results: In both SEM and microscopy groups, the gingival margin showed more leakage than the occlusal margin. There was a statistically significant difference (p <0.05) between the cavity preparation methods in both SEM and microscope. Conclusion: Although the rate of microleakage of the cavity preparation and the material used the most dense microleakage is seen in the gingival region. The Er:YAG laser method is predicted to be an alternative to the conventional method.

Keywords:

microleakage, Er:YAG laser, glass ionomer cement,

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