Kemo-mekanik çürük temizleme yöntemi ve geleneksel döner aletler ile temizlenen süt dişi dentin yüzeylerinin fiziko-kimyasal etkilerinin karılaştırılması

Didem Özdemir Özenen; Gökhan Orhan; İsmail Duman; Meltem Karatas; Gurkan Ozenen; Gamze Aren

doi:10.7126/cdj.2013.1654

EN TR

-

Abstract

Objectives:To determine the psychomechanical properties of primary teeth dentinsurfaces after caries removal with Carisolv™multimix gel versus conventional drilling methods.Materials and Methods: The dentin surfaceproperties after using Carisolv™ gel and conventional drilling were determined with scanning electron microscope and surfaceroughness were determined using surfaceprofilometer. Thirty extracted primary molars weresectioned parallel to their vertical axes andCarisolv™ gel was used to remove caries at oneside, the other side were cleaned using conventionaldrilling methods.Results: A decrease at the surface roughnessvalues were observed at the samples whichCarisolv™ gel was used but this result was notsignificant. One part that involves occlusal dentinalcaries was evaluated. The SEM results of thesamples which conventional drill were usedrevealed no progression of the collagen fibers at thedentinal surfaces and the smear like debris layerwere all over the dentinal tubulles so that a uniformand smooth layer were formed. The SEM results ofthe samples which conventional drill were usedrevealed that collagen fibrilles showed continuity,no debris layer, more surface roughness and porouslayer were formed when comparing with thesamples which were treated with Carisolv™.Conclusion: It can be concluded that, theadhesion of the resin based restoration for the teethtreated with Carisolv™ gel would be preferablethan the teeth treated with drills.

Keywords

Carisolv, chemo-mechanical cariesremoval, surface roughness.

Kemo-mekanik çürük temizleme yöntemi ve geleneksel döner aletler ile temizlenen süt dişi dentin yüzeylerinin fiziko-kimyasal etkilerinin karılaştırılması

Öz

Amaç: Bu çalışma, süt dişi dentini yüzeyindeki çürüğün kemo-mekanik olarak Carisolv™ multimix jeli ve geleneksel döner aletler ile temizlenmesi sonrası fiziko-kimyasal etkilerini karşılaştırmak amacıyla yapıldı. Gereç ve Yöntem: Carisolv™ jeli ve döner aletlerle temizlenen dentin yüzey özellikleri taramalı elektron mikroskobuyla, pürüzlülükler ise yüzey profilometresi ile değerlendirildi. Bu amaçla, okluzal çürüklü çekilmiş 30 adet süt azı dişi dikey eksenine paralel olarak ikiye bölündü ve tek tarafındaki çürük lezyonu Carisolv™ jeli, diğeri ise geleneksel döner aletler ile temizlendi. Bulgular: Carisolv™ jeli ile temizlenen dentin yüzeylerinde, döner aletlere göre pürüzlülük değerlerinde azalma olduğu fakat bu azalmanın anlamlı olmadığı saptandı. Döner aletlerle temizlendikten sonra alınan SEM görüntüsünde, dentin yüzeylerindeki kollajen liflerin yer yer devamlılıklarını yitirdiği, smear tabakası ile dentin tübüllerinin tıkandığı ve uniform, düz bir yüzeyin oluştuğu gözlendi. Carisolv™ jeli ile temizledikten sonra SEM görüntüsünde dentin yüzeylerinde kollajen yapının devamlılığını sürdürdüğü, dentin tübüllerinde bir tıkanma olmadığı ve döner aletlerle temizlenen dentine göre yüzeyin daha pürüzlü ve poröz bir yapıda olduğu gözlendi. Sonuç: Bu sonuçlar ışığında Carisolv™ jeli ile çürük temizlemenin ardından yapılacak olan rezin bazlı restorasyonun tutuculuğunun, geleneksel döner aletlere göre daha iyi olacağı ileri sürülmektedir.

Anahtar Kelimeler

Carisolv, kemo-mekanik çürük temizleme, yüzey pürüzlülüğü

References

Brannstrom M, Johnson G, Friskopp J. Microscopic observations of the dentin under caries lesions excavated with the GK-101 technique. ASDC J Dent Child 1980;47(1):46-49.
Habib CM, Kronman J, Goldman M, (eds). Mechanisms of GK 101 activity of collagen and hydroxyproline. J Dent Res 1974;53:147.
Habib CM, Kronman M. A chemical evaluation of collagen and hydroxyproline after treatment with GK-101 (N-Chloroglycine). Pharm Ther Dent 1975;2:209-215.
Kronman J, Goldman M, Cataldo M. Study of the effects of GK-101 (Nmonochloroglycine) on the dental pulp. J Dent Res 1976;55(6):1135.
Schutzbank SG, Galaini J, Kronman JH, Goldman M, Clark RE. A comparative in vitro study of GK101 and GK-101E in caries removal. J Dent Res 1978;57(9):861-864.
Schutzbank SG, Marchwinski M, Kronman JG, Goldman M, Clark RE. In vitro study of the effect of GK101 on the removal of carious material. J Dent Res 1975;54(4):907.
Tonami K, Araki K, Mataki S, Kurosaki N. Effects of chloramines and sodium hypochlorite on carious dentin. J Med Dent Sci 2003;50(2):139-146.
Yip HK, Stevenson AG, Beeley JA. An improved reagent for chemomechanical caries removal in permanent and deciduous teeth: an in vitro study. J Dent 1995;23(4):19720

Wedenberg C, Bornstein R. Pulpal reactions in rat incisors to Caridex. Aust Dent J 1990;35(6):505-508.
Chaussain-Miller C, Decup F, Domejean-Orliaguet S, Gillet D, Guigand M, Kaleka R, Laboux O, Lafont J, Medioni E, Serfaty R, Toumelin-Chemla F, Tubiana J, Lasfargues JJ. Clinical evaluation of the Carisolv chemomechanical caries removal technique according to the site/stage concept, a revised caries classification system. Clin Oral Investig 2003;7(1):32-37.
Kakaboura A, Masouras C, Staikou O, Vougioklakis. A comparative clinical study on the Carisolv caries removal method. Quintessence Int. 2003;34(4):269-271.
Kubo S, Li H, Burrow MF, Tyas MJ. Nanoleakage of dentin adhesive systems bonded to Carisolv-treated dentin. Oper Dent 2002;27(4):3879
Petruzillo MA, McNierney HD. Chemomechanical caries removal system in pediatric dentistry. N Y State Dent J 1988;54(2):29-32. Zinck JH, McInnes-Ledoux P, Capdeboscq C, Weinberg R. Chemomechanical caries removal- a clinical evaluation. J Oral Rehabil 1988;15(1):23-33.
Burrow MF, Bokas J, Tanumiharja M, Tyas MJ. Microtensile bond strengths to caries-affected dentine treated with Carisolv. Aust Dent J 2003;48(2): 110-114.
Cederlund A, Lindskog S, Blomlöf J. Efficacy of Carisolv-assisted caries excavation. Int J Periodontics Restorative Dent 1999;19(5):46546
Cehreli ZC, Yazici AR, Akca T, Ozgunaltay G. A morphological and micro-tensile bond strength evaluation of a single-bottle adhesive to caries-affected human dentine after four different caries removal techniques. J Dent 2003;31(6):4294
Haak R, Wicht MJ, Noack MJ. Does chemomechanical caries removal affect dentine adhesion? Eur J Oral Sci 2000;108:449-455.
Harada N, Sonoda H, Shimada Y, Inai N, Otsuki M, Tagami J. Effect of chemo- mechanical caries removal on dentin bonding. J Dent Res 2000;79:372.
Hosoya Y, Kawashita Y, Marshall GW Jr, Goto G. Influence of CarisolvTM for resin adhesion to sound human primary dentin and young permanent dentin. J Dent 2001;29(3):163-171.
Hossain M, Nakamura Y, Tamaki Y, Yamada Y, Jayawardena JA, Matsumoto K. Dentinal composition and Knoop hardness measurements of cavity floor following carious dentin removal with Carisolv. Oper Dent 2003;28(4):346-351.
Banerjee A, Kidd EAM, Watson TF. Scanning electron microscopic observations of human dentine after mechanical caries excavation. J Dent 2000;28(3):179-186.
Sakoolnamarka R, Burrow MF, Kubo S, Tyas MJ. Morphological study of demineralized dentine after caries removal using two different methods. Aust Dent J 2002;47(2):116-122.
Hannig M. Effect of CarisolvTM solution on sound, demineralized and denatured dentin- an ultrastructural investigation. Clin Oral Investig 1999;3:155-159. Silverstone LM, Hicks J, Featherstone M. Dynamic factors affecting lesion initiation and progression in human dental enamel. Quintessence Int 1988;19(10):6837
Arvidsson A, Liedberg B, Moller K, Lyven B, Sellen A, Wennerberg A. Chemical and topographical analyses of dentine surfaces after Carisolv treatment. J Dent 2002;30(2):67-75.

Details

Primary Language

Turkish

Subjects

-

Journal Section

-

Authors

Didem Özdemir Özenen

Gökhan Orhan

İsmail Duman

Meltem Karatas

Gurkan Ozenen

Gamze Aren

Publication Date

July 26, 2013

Submission Date

July 19, 2012

Acceptance Date

-

Published in Issue

Year 2013 Volume: 16 Number: 3

DOI

https://doi.org/10.7126/cdj.2013.1654

IZ

https://izlik.org/JA57RS97NP

Cite

RIS / Bibtex

EndNote

Özdemir Özenen D, Orhan G, Duman İ, Karatas M, Ozenen G, Aren G (July 1, 2013) Kemo-mekanik çürük temizleme yöntemi ve geleneksel döner aletler ile temizlenen süt dişi dentin yüzeylerinin fiziko-kimyasal etkilerinin karılaştırılması. Cumhuriyet Dental Journal 16 3 203–212.