Çürüksüz Servikal Bölge Diş Sert Doku Kayıplarında Universal Adeziv Kullanılarak Yapılan Restorasyonların FDI Kriterlerine Göre Değerlendirilmesi

Gözde İslatice Özkubat; Batu Can Yaman; Hatice Tepe; Özgür Irmak

doi:10.7126/cumudj.467923

TR EN

ÇÜRÜKSÜZ SERVİKAL BÖLGE DİŞ SERT DOKU KAYIPLARININ RESTORASYONUNDA UNIVERSAL DENTİN BAĞLAYICI AJAN KULLANILARAK FDI KRİTERLERİNE GÖRE DEĞERLENDİRİLMESİ

Öz

Amaç: Bu çalışmanın amacı çürüksüz servikal lezyonlarda, universal bağlayıcı ajanın farklı kullanım modlarının etkinliğinin karşılaştırılmasıdır.

Materyal metot: Çalışmaya ESOGÜ Diş Hekimliği Fakültesi Restoratif Diş Tedavisi Anabilim Dalı’na Mayıs 2015-Temmuz 2015 tarihleri arasında tedavisi tamamlanmış hastaların arasından herhangi bir sistemik hastalığı olmayan, ağız hijyeni iyi, ağzında en az 20 dişi bulunan, en az 6 adet çürüksüz servikal lezyonlu dişi universal dentin bağlayıcı ajanın farklı kullanım modları ve nanohibrit kompozit materyal ile restore edilmiş 25 hasta seçilmiştir. İlgili 246 restorasyon FDI kriterlerine göre 18 aylık süreçte değerlendirilmiştir. Her bir adeziv modun zamana bağlı tekrarlı skor değişkenleri Friedman analizi ve Dunn’s ikili karşılaştırma testi ile değerlendirilmiştir. Kategorik mod değişkeni ile skorlar arasındaki ilişki Pearson Ki-Kare analizi ile değerlendirilerek p<0.05 bulunan sonuçlar istatistiksel olarak anlamlı kabul edilmiştir.

Bulgular: Yüzey cilası, yüzey renklenmesi, renk uyumu ve translusensi, estetik anatomik form, marjinal adaptasyon, post operatif hassasiyet, çürük rekürrensi, erozyon, abfraksiyon, diş bütünlüğü ve periodontal yanıt kriterlerinde 18 aylık süreç içerisinde modlar arasında anlamlı bir farklılık bulunmazken (p>0.05) marjinal renklenme, kırık ve retansiyon ve hastanın görüşü kriterlerinde 18 aylık süreç içerisinde modlar arasında anlamlı bir fark bulunmuştur (p<0.05). Estetik anatomik form, hastanın görüşleri ve diş bütünlüğü değerlendirmesinde ise her bir adeziv mod için aylar arasında anlamlı bir farklılık gözlenmezken (p>0.05) diğer kriterlerde zamana bağlı değişimler gözlemlenmiştir (p<0.05).

Sonuç: Restorasyonların klinik başarısı açısından TE ve SLE moduna göre en kötü skorlamalar SE moduna ait olmuştur. Ancak; universal adezivlerin performanslarının değerlendirilebilmesi için daha birçok çalışmaya ihtiyaç vardır.

Anahtar Kelimeler

Çürüksüz servikal lezyon,FDI kriterleri,universal adeziv

Çürüksüz Servikal Bölge Diş Sert Doku Kayıplarında Universal Adeziv Kullanılarak Yapılan Restorasyonların FDI Kriterlerine Göre Değerlendirilmesi

Abstract

Aim: This study aimed to compare the different application modes of universal bonding agents on non-carious cervical lesions.

Material and method: Twenty-five patients without any systemic disease and with good oral hygiene, having at least 20 teeth and 6 non-carious cervical lesions treated using a universal adhesive and nano hybrid composite material were selected among the patients who were treated at Department of Restorative Dentistry, Eskişehir Osmangazi University between January 2015-March 2015. The 246 restorations included in the study were evaluated according to FDI criteria at 18-month follow-up. Each bonding mode was analyzed by Friedman analysis and Dunn’s binary comparison test. Relation between the categorical mode variate and the scores were analyzed by Pearson Chi-square analysis (p=0.05).

Results: There was no significant difference between the application modes at 18-month period regarding surface luster, surface staining, color match and translucency, esthetic anatomical form, marginal adaptation, post operative sensitivity, caries recurrence, erosion, abfraction, tooth integrity and periodontal response. Marginal discoloration, fracture and retention, and the patient's view criterias showed a significant difference in terms of the application modes at 18-month follow-up. Esthetic anatomic form, patient's view, and tooth integrity were not significantly different between evaluation periods (p>0.05).

Conclusion: SE mode showed significantly worse scores than that of TE and SLE modes. Further studies are needed to evaluate the clinical performance of universal adhesives.

Keywords

FDI criteria,non carious cervical lesion,universal adhesive

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Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Gözde İslatice Özkubat ^*
0000-0002-3424-4359
Türkiye

Batu Can Yaman
0000-0003-4295-0760
Türkiye

Hatice Tepe
0000-0003-4744-5691
Türkiye

Özgür Irmak
0000-0003-3095-6815
Türkiye

Publication Date

December 30, 2018

Submission Date

October 10, 2018

Acceptance Date

December 28, 2018

Published in Issue

Year 2018 Volume: 21 Number: 4

DOI

https://doi.org/10.7126/cumudj.467923

IZ

https://izlik.org/JA33MP27KS

Cite

RIS / Bibtex

EndNote

İslatice Özkubat G, Yaman BC, Tepe H, Irmak Ö (December 1, 2018) Çürüksüz Servikal Bölge Diş Sert Doku Kayıplarında Universal Adeziv Kullanılarak Yapılan Restorasyonların FDI Kriterlerine Göre Değerlendirilmesi. Cumhuriyet Dental Journal 21 4 357–370.

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