Abstract
ÖZET
Amaç: Yüksek çürük riskli bir hastada, aşırı madde kaybı bulunan dişe indirekt kompozit restorasyon tedavisi uygulanarak, bu tedavi seçeneğinin klinik başarısını değerlendirmek hedeflenmiştir.
Yöntem: Hasta aşırı madde kaybı bulunan üst sol birinci molar dişin tedavisi için kliniğimize başvurmuştur. Klinik ve radyolojik değerlendirme sonrası hastada fazla sayıda çürük ve yenilenmesi gereken eski restorasyonların bulunduğu görülmüştür. Direkt teknikle ideal mesial-distal ve okluzal kontakt noktalarının sağlanamayacağı öngörülmüş ve indirekt teknikle restorasyon yapılmasına karar verilmiştir. İndirekt restorasyon kurallarına uygun kavite hazırlanmış, ardından ölçü alınmış, elde edilen modelde Tescera kompozit ile (Tescera A2, Bisco, Schaumburg, IL, Amerika) restorasyon yapılmıştır. Restorasyon ATL fırınında (Tescera ATL II, Bisco, IL, Amerika) polimerize edilmiştir. Restorasyon kaviteye yerleştirilmiş ve gerekli düzeltmeler yapıldıktan sonra dişe dual-cure rezin modifiye siman kullanılarak (Duo-Link, Bisco, Schaumburg, IL, Amerika) simante edilmiştir.
Uygulanan indirekt tedavinin klinik başarısının değerlendirilmesi için yıllık kontroller yapılmıştır. Bu seanslarda klinik ve radyolojik muayeneler yapılmıştır.
Bulgular: Uygulanan indirekt kompozit tedavinin renk uyumu, kenar renklenmesi, aşınma/anatomik form, marjinal kenar adaptasyonu ve yüzey özellikleri USPHS kriterlerine göre alfa olarak değerlendirilmiştir.
Sonuç: Yüksek çürük riski bulunan hastalarda, indirekt restoratif materyaller uzun dönemde estetik ve fonksiyon açısından hastalar için memnuniyet verici sonuçlar sergilemiştir.
References
- 1. Leinfelder KL. After amalgam, what other materials fall short. J. Am. Dent. Assoc. 1994; 125: 586-589.
- 2. Dietschi D, Magne P, Holz J. Recent trend in esthetic restorations for posterior teeth. Quintessence Int. 1994; 25: 659-677.
- 3. De Gee AJ, Feilzer AJ, Davidson CL. True linear polymerisation shrinkage of unfilled resins and composites determined with a linometer. Dental Materials 1993; 9, 11–14.
- 4. Freedman G. Contemporary esthetic dentistry. 1st ed, Mosby, Inc., an imprint of Elsevier Inc., St. Louis, Missouri 2012; p. 469-74.
- 5. Manhart J, Scheibenbogen-Fuchsbrunner A, Chen HY, Hickel R. A 2-year clinical study of composite and ceramic inlays. Clin Oral Investig. 2000;4: 192-8.
- 6. Al-Malik MS. An investigation of the dynamic mechanical properties of dental root form implants [masters thesis]. Birmingham, AL: University of Alabama Department of Prosthodontics; 1991 in Leinfelder KF. Indirect Posterior Composite Resins. Compend Contin Educ Dent 2005; 26:495-502.
- 7. Gresnigt MM, Kalk W, Ozcan M. Randomized clinical trial of indirect resin composite and ceramic veneers: up to 3-year follow-up. J Adhes Dent 2013; 15: 181–90.
- 8. Soares CJ, Soares PV, Pereira JC, Fonseca RB. Surface Treatment Protocols in the Cementation Process of Ceramic and Laboratory-Processed Composite Restorations: A Literature Review. J Esthet Restor Dent 2005; 17: 224-35.
- 9. Fron Chabouis H, Smail Faugeron V, Attal JP. Clinical efficacy of composite versus ceramic inlays and onlays: a systematic review. Dent Mater 2013; 29: 1209-18.
- 10. White SN. Posterior restorations: change, challenge and controversy. J Calif Dent Assoc 1996; 24: 14-16.
- 11. Alex G. Considerations for the successful placement of laboratory-processed, indirect composite restorations, Compendium. 2003; 24: no.8 (Suppl).
- 12. Bowen RL, Reed LA. Semiporous reinforcing fillers for composite resins I. Preparation of provisional glass formulations. J. Dent. Res 1976; 55: 738-748.
- 13. Tekçe N, Demirci M, Tuncer S, Göktürk SA, Sinanoğlu A, Baydemir C. Çürük Önleyici Yöntemlerin Yetişkin Tükürük Streptokokus Mutansları Üzerine Etkisinin İn Vitro İncelenmesi. Turkiye Klinikleri J Restor Dent-Special Topics 2015; 1(2): 29-36.
- 14. Van Dijken JW, Ormin A, Olofsson AL. Clinical performance of pressed ceramic inlays luted with resinmodified glass ionomer and autopolymerizing resin composite cements. J Prosthet. Dent 1999; 82: 529-535.
- 15.Scheibenbogen A, Manhart J, Kunzelmann KH, Kramers L, Benz C, Hickel R. One-year clinical evaluation of composite fillings and inlays in posterior teeth. J Prosthet Dent 1999; 82: 391-7.
- 16. Dalpino PH, Francischone CE, Ishikiriama A, Franco EB. Fracture resistance of teeth directly and indirectly restored with composite resin and indirectly restored with ceramic materials. Am J Dent 2002; 15: 389-94.
- 17. Zaruba M, Kasper R, Kazama R, Wegehaupt FJ, Ender A, Attin T, & Mehl A. Marginal adaptation of ceramic and composite inlays in minimally invasive mod cavities. Clinical Oral Investigations 2013; 18(2), 579–587.
- 18. Tekçe N, Pala K, Demirci M, & Tuncer S. Influence of different composite materials and cavity preparation designs on the fracture resistance of mesio-occluso-distal inlay restoration. Dental Materials Journal 2016; 35(3): 523-531.
- 19. Ozakar-Ilday N, Zorba YO, Yildiz M, Erdem V, Seven N, Demirbuga S. Three-year clinical performance of two indirect composite inlays compared to direct composite restorations. Med Oral Patol Oral Cir Bucal 2013; 18: 521-528.
- 20. Özakar N, Urvasızoğlu N, Seven N. İndirekt kompozit inley restorasyonlar ile direkt kompozit restorasyonların mikrosızıntı yönünden karşılaştırılması. Atatürk Üni Diş Hek Fak Derg 2009; 19: 76-84.
Abstract
ABSTRACT
Aim: It was aimed to evaluate the clinical success of treatment by applying indirect composite restoration treatment to the tooth with excessive substance loss in a patient with high caries risk.
Methods: A patient applied to clinic for treatment of maxillary left first molar tooth with excessive substance loss. After clinical and radiological evaluation, patient has large number of caries and old restorations that need to be renewed. Since the ideal contact points cannot be achieved using direct technique, it was decided to use indirect technique. A cavity for indirect restoration was prepared, measurement was taken, model was restored with Tescera composite (A2, Bisco, Schaumburg, IL, USA) and restoration was polymerized in the ATL oven (Tescera ATL II, Bisco, IL, USA). Restoration was placed in cavity, cemented using dual-cure resin modified cement (Duo-Link, Bisco, Schaumburg, IL, USA). During the annual controls, clinical and radiological examinations were performed and clinical success was evaluated.
Results: According to USPHS criteria, the restoration was found to be alpha in terms of color matching, edge coloring, wear/anatomical form, marginal adaptation and surface properties.
Conclusions: In patient with high risk of caries, indirect restoration has shown satisfactory results for aesthetics and function in the long term.
References
- 1. Leinfelder KL. After amalgam, what other materials fall short. J. Am. Dent. Assoc. 1994; 125: 586-589.
- 2. Dietschi D, Magne P, Holz J. Recent trend in esthetic restorations for posterior teeth. Quintessence Int. 1994; 25: 659-677.
- 3. De Gee AJ, Feilzer AJ, Davidson CL. True linear polymerisation shrinkage of unfilled resins and composites determined with a linometer. Dental Materials 1993; 9, 11–14.
- 4. Freedman G. Contemporary esthetic dentistry. 1st ed, Mosby, Inc., an imprint of Elsevier Inc., St. Louis, Missouri 2012; p. 469-74.
- 5. Manhart J, Scheibenbogen-Fuchsbrunner A, Chen HY, Hickel R. A 2-year clinical study of composite and ceramic inlays. Clin Oral Investig. 2000;4: 192-8.
- 6. Al-Malik MS. An investigation of the dynamic mechanical properties of dental root form implants [masters thesis]. Birmingham, AL: University of Alabama Department of Prosthodontics; 1991 in Leinfelder KF. Indirect Posterior Composite Resins. Compend Contin Educ Dent 2005; 26:495-502.
- 7. Gresnigt MM, Kalk W, Ozcan M. Randomized clinical trial of indirect resin composite and ceramic veneers: up to 3-year follow-up. J Adhes Dent 2013; 15: 181–90.
- 8. Soares CJ, Soares PV, Pereira JC, Fonseca RB. Surface Treatment Protocols in the Cementation Process of Ceramic and Laboratory-Processed Composite Restorations: A Literature Review. J Esthet Restor Dent 2005; 17: 224-35.
- 9. Fron Chabouis H, Smail Faugeron V, Attal JP. Clinical efficacy of composite versus ceramic inlays and onlays: a systematic review. Dent Mater 2013; 29: 1209-18.
- 10. White SN. Posterior restorations: change, challenge and controversy. J Calif Dent Assoc 1996; 24: 14-16.
- 11. Alex G. Considerations for the successful placement of laboratory-processed, indirect composite restorations, Compendium. 2003; 24: no.8 (Suppl).
- 12. Bowen RL, Reed LA. Semiporous reinforcing fillers for composite resins I. Preparation of provisional glass formulations. J. Dent. Res 1976; 55: 738-748.
- 13. Tekçe N, Demirci M, Tuncer S, Göktürk SA, Sinanoğlu A, Baydemir C. Çürük Önleyici Yöntemlerin Yetişkin Tükürük Streptokokus Mutansları Üzerine Etkisinin İn Vitro İncelenmesi. Turkiye Klinikleri J Restor Dent-Special Topics 2015; 1(2): 29-36.
- 14. Van Dijken JW, Ormin A, Olofsson AL. Clinical performance of pressed ceramic inlays luted with resinmodified glass ionomer and autopolymerizing resin composite cements. J Prosthet. Dent 1999; 82: 529-535.
- 15.Scheibenbogen A, Manhart J, Kunzelmann KH, Kramers L, Benz C, Hickel R. One-year clinical evaluation of composite fillings and inlays in posterior teeth. J Prosthet Dent 1999; 82: 391-7.
- 16. Dalpino PH, Francischone CE, Ishikiriama A, Franco EB. Fracture resistance of teeth directly and indirectly restored with composite resin and indirectly restored with ceramic materials. Am J Dent 2002; 15: 389-94.
- 17. Zaruba M, Kasper R, Kazama R, Wegehaupt FJ, Ender A, Attin T, & Mehl A. Marginal adaptation of ceramic and composite inlays in minimally invasive mod cavities. Clinical Oral Investigations 2013; 18(2), 579–587.
- 18. Tekçe N, Pala K, Demirci M, & Tuncer S. Influence of different composite materials and cavity preparation designs on the fracture resistance of mesio-occluso-distal inlay restoration. Dental Materials Journal 2016; 35(3): 523-531.
- 19. Ozakar-Ilday N, Zorba YO, Yildiz M, Erdem V, Seven N, Demirbuga S. Three-year clinical performance of two indirect composite inlays compared to direct composite restorations. Med Oral Patol Oral Cir Bucal 2013; 18: 521-528.
- 20. Özakar N, Urvasızoğlu N, Seven N. İndirekt kompozit inley restorasyonlar ile direkt kompozit restorasyonların mikrosızıntı yönünden karşılaştırılması. Atatürk Üni Diş Hek Fak Derg 2009; 19: 76-84.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Dentistry |
| Journal Section | Case Report |
| Authors | |
| Publication Date | December 31, 2021 |
| Acceptance Date | November 9, 2021 |
| Published in Issue | Year 2021 Volume: 7 Issue: 3 |
Cite
It is aimed that the Journal of International Dentistry Sciences be included in the Ulakbim TR Dizin. Necessary preparations are continuing for the issues to be published in 2020 in the TR Dizin.