A. Semih ÖZSEVİK, Derya SÜRMELİOĞLU, Samet TOSUN, Burcu BACAKSIZ, Emine ŞİRİN KARAARSLAN

Adeziv Sistemlerin Silan İçeriklerinin Mikrosızıntı Üzerine Etkisi

Amaç: Bu çalışmanın amacı yeni geliştirilen silan içerikli iki farklı bonding ajan ile silan içermeyen bir bonding ajan kullanılarak yapılan restorasyonların mikrosızıntı yönünden incelenmesidir.Gereç ve Yöntem: Çalışmada, 30 adet çürüksüz yeni çekilmiş premolar diş kullanıldı. Dişler rastgele 3 gruba ayrıldıktan sonra tüm dişlerin bukkal ve lingual yüzeylerine sınıf V kaviteler açıldı 4 mm uzunluk, 3 mm genişlik ve 2 mm derinlik Black V kaviteler açıldı n=20 . Bonding ajanlar uygulandıktan sonra tüm kaviteler silan içerikli Clearfil Universal Bond ve Single Bond Universal, silan içermeyen Adper Single Bond 2 Filtek Z250 3M, ESPE ile restore edildi. Termal siklus 5000 kez 50C-550C ile yaşlandırılan örnekler 24 saat bazik fuksin %0.5 içerisinde bekletildi. Daha sonra dişler isomet cihazı ile bucco-lingual yönde ikiye ayrıldı. Kesitler stereomikroskopta 40X büyütmede fotoğraflanarak sızıntı skorları belirlendi. Elde edilen veriler Kruskall-Wallis H ve Mann-Whitney U testleriyle istatistiksel olarak değerlendirildi.bulgular: En az sızıntı Single Bond Universal grubunda tespit edilirken p0,05 . Okluzal ile gingival bölgeler arasında istatistiksel açıdan fark tespit edildi p

Anahtar Kelimeler:

Mikrosızıntı, Silan, Adeziv sistemler

The Effect of Silane Content on Microleakage of the Adhesive Systems

Aim: The aim of this study is to compare to microleakage levels of two silane based adhesive systems and one silane free adhesive system.Material and Method: Thirty standardized freshly extracted sound premolar teeth were used in study. Teeth were randomly and divided into three groups of 10 teeth each, according to the adhesive systems n=20 . Class V cavities were prepared mesio-distal 4 mm, and occluso-gingival 3 mm, and 2 mm depth . After the adhesive systems were applied Clearfil Universal Bond- silane based, Single Bond Universal-silane based and Adper Single Bond 2-silane free composite resins Filtek Z 250 were built up to the cavities. The specimens were aged with 5,000 thermocycles and immersed in 0.5% basic fuchsine solution during 24 hours. Then the samples were sectioned longitudinally in bucco-lingual and mesiodistal directions. The slices were observed under a stereomicroscope X40 magnification . The scores were statistically analyzed using the Kruskal-Wallis and the Mann Whitney U tests.Results: Significant differences were found in microleakage values among the adhesive systems p

Keywords:

Microleakage, Silan content, Adhesive systems,

PDF

___

1. Ferracane JL. Resin composite-state of the art. Dent Mater 2011;27:29-38.
2. McLean JW, Nicholson JW, Wilson AD. Proposed nomenclature for glass-ionomer dental cements and related materials. Quintessence Int 1994;25:587-589.
3. Uzer E, Türkün Ş. Poliasit modifiye kompozit rezin ile nano dolduruculu bir kompozit rezinin kenar sızıntılarının karşılaştırılması. A Ü Diş Hek Fak Derg 2005;32:181-90.
4. Brannstrom M. Communication between the oral cavity and the dental pulp associated with restorative treatment. Oper Dent 1984;9:57-68.
5. Ozel E, Soyman M. Effect of fiber nets, application techniques and flowable composites on microleakage and the effect of fiber nets on polymerization shrinkage in class II MOD cavities. Oper Dent 2009;34:174-180.
6. Tredwin CJ, Stokes A, Moles DR. Influence of flowable liner and margin location on microleakage of conventional and packable class II resin composites. Oper Dent 2005;30:32- 38.
7. Swift EJ Jr. Pulpal effects of composite resin restorations. Oper Dent 1989;14:20-7.
8. Çetiner S. Cam iyonomer simanların kenar sızıntılarının araştırılmasında kullanılan farklı iki boyanın sonuca etkileri. AÜ Diş Hek Fak Derg. 1992;19:415-419.
9. Korkmaz Y, Ozel E, Attar N, Bicer CO, Firatli E. Microleakage and scanning electron microscopy evaluation of all-in-one self-etch adhesives and their respective nanocomposites prepared by erbium:yttrium-aluminumgarnet laser and bur. Lasers Med Sci 2010;25:493-502.
10. Leinfelder KF, Kurdziolek SM. Self-etching bonding agents. Compend Contin Educ Dent 2003;24:447-454.
11. Feuerstein O, Matalon S, Slutzky H, Weiss EI. Antibacterial properties of self-etching dental adhesive systems. J Am Dent Assoc. 2007;138:349-54; quiz 96-8.
12. Van Meerbeek B, De Munck J, Yoshida Y, Inoue S, Vargas M, Vijay P, et al. Buonocore memorial lecture. Adhesion to enamel and dentin: current status and future challenges. Oper Dent 2003;28:215-35.
13. Abo T, Uno S, Sano H. Comparison of bonding efficacy of an all-in-one adhesive with a self-etching primer system. Eur J Oral Sci 2004;112:286-292.
14. Pradelle-Plasse N, Nechad S, Tavernier B, Colon P. Effect of dentin adhesives on the enamel-dentin/composite interfacial microleakage. Am J Dent 2001;14:344-348.
15. Santini A, Ivanovic V, Ibbetson R, Milia E. Influence of marginal bevels on microleakage around Class V cavities bonded with seven self-etching agents. Am J Dent 2004;17:257-61.
16. Hannig M, Reinhardt KJ, Bott B. Self-etching primer vs phosphoric acid: an alternative concept for composite-toenamel bonding. Oper Dent 1999;24:172-180.
17. Sideridou I, Achilias DS, Kyrikou E. Thermal expansion characteristics of light-cured dental resins and resin composites. Biomaterials 2004;25:3087-97.
18. Frankenberger R, Krämer N, Ebert J, Lohbauer U, Käppel S, Ten Weges S, et al. Fatigue behavior of the resin-resin bond of partially replaced resin-based composite restorations. Am J Dent 2003;16:17-22.
19. Fawzy AS, El-Askary FS, Amer MA. Effect of surface treatments on the tensile bond strength of repaired water-aged anterior restorative micro-fine hybrid resin composite. J Dent 2008;36:969-976.
20. Bektas OO, Eren D, Akin GG, Sag BU, Ozcan M. Microleakage effect on class V composite restorations with two adhesive systems using different bleaching methods. Acta Odontol Scand 2013;71:1000-1007.
21. Cramer NB, Stansbury JW, Bowman CN. Recent advances and developments in composite dental restorative materials. J Dent Res 2011;90:402-416.
22. Nagem Filho H, Nagem HD, Francisconi PA, Franco EB, Mondelli RF, Coutinho KQ. Volumetric polymerization shrinkage of contemporary composite resins. J Appl Oral Sci 2007;15:448-452.
23. Giachetti L, Russo DS, Bertini F, Pierleoni F, Nieri M. Effect of operator skill in relation to microleakage of total-etch and self-etch bonding systems. J Dent 2007;35:289-293.
24. Jacobsen T, Söderholm KJM, Yang M, Watson TF. Effect of composition and complexity of dentin bonding agents on operator variability–analysis of gap formation using confocal microscopy. Eur J Oral Sci 2003;111:523-528.
25. Bagis YH, Baltacioglu IH, Kahyaogullari S. Comparing microleakage and the layering methods of silorane-based resin composite in wide Class II MOD cavities. Oper Dent 2009;34:578-585.
26. Moura SK, Pelizzaro A, Dal Bianco K, De Goes MF, Loguercio AD, Reis A, et al. Does the acidity of self-etching primers affect bond strength and surface morphology of enamel? J Adhes Dent 2006;8:75-83.
27. Pashley DH, Tay FR. Aggressiveness of contemporary selfetching adhesives: Part II: etching effects on unground enamel. Dent Mater 2001;17:430-444.
28. Miguez PA, Castro PS, Nunes MF, Walter R, Pereira P. Effect of acid-etching on the enamel bond of two selfetching systems. J Adhes Dent 2002;5:107-112.
29. Breschi L, Mazzoni A, Ruggeri A, Cadenaro M, Di Lenarda R, De Stefano Dorigo E. Dental adhesion review: aging and stability of the bonded interface. Dent Mater 2008;24:90- 101.
30. Obeidi A, Liu P-R, Ramp LC, Beck P, Gutknecht N. Acidetch interval and shear bond strength of Er, Cr: YSGG laserprepared enamel and dentin. Lasers Med Sci 2010;25:363- 369.
31. Navarro RS, Gouw-Soares S, Cassoni A, Haypek P, Zezell DM, de Paula Eduardo C. The influence of erbium: yttrium–aluminum–garnet laser ablation with variable pulse width on morphology and microleakage of composite restorations. Lasers Med Sci 2010;25:881-889.
32. Corona SA, Borsatto M, Dibb RG, Ramos RP, Brugnera A, Pecora JD. Microleakage of class V resin composite restorations after bur, air-abrasion or Er:YAG laser preparation. Oper Dent 2001;26:491-497.
33. Mitsui FH, Bedran-de-Castro AK, Ritter AV, Cardoso PE, Pimenta LA. Influence of load cycling on marginal microleakage with two self-etching and two one-bottle dentin adhesive systems in dentin. J Adhes Dent 2003;5:209- 216.
34. Turner EW, Shook LW, Owens BM. Microleakage of flowable composite resins when utilized as liners in Class II posterior composite resin restorations. J Tenn Dent Assoc 2002;82:23-26.
35. Sadek FT, Moura SK, Ballester RY, Muench A, Cardoso PE. The effect of long-term storage on the microleakage of composite resin restorations: qualitative and quantitative evaluation. Pesqui Odontol Bras 2003;17:261-6.
36. Mousavinasab SM, Atai M, Alavi B. To compare the microleakage among experimental adhesives containing nanoclay fillers after the storages of 24 hours and 6 months. Open Dent J 2011;5:52-57.
37. Crim GA. Effect of aging on microleakage of restorative systems. Am J Dent 1993;6:192-194.
38.http://solutions.3mae.ae/3MContentRetrievalAPI/ BlobServlet?lmd=1329906671000&locale=en_ AE&assetType=MMM_Image&assetId=1319221649312& blobAttribute=ImageFile.
39. Souza RO, Özcan M, Michida S, De Melo RM, Pavanelli CA, Bottino MA, et al. Conversion degree of indirect resin composites and effect of thermocycling on their physical properties. J Prosthodont 2010;19:218-225.
40. Gale M, Darvell B. Thermal cycling procedures for laboratory testing of dental restorations. J Dent 1999;27:89- 99.