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EVALUATİON OF ALKALİZİNG POTENTİAL OF ALKASİTE RESTORATİONS PREPARED İN DİFFERENT SİZES

Year 2022, Volume: 25 Issue: Supplement, 100 - 107, 25.03.2022
https://doi.org/10.7126/cumudj.1061216

Abstract

AIM: The aim of the present study was to examine the effect of alkasite material on the pH of the environment when used as a restorative material in different cavity preparations and prepared as a single block in standard sizes.
METHODS: Alkalizing potential of the alkasite material was evaluated by restoring extracted teeth with three different restorative materials and preparing edentulous blocks. For this purpose, 30 extracted premolar teeth and silicone molds of standard size (2x2x4 mm) were used. One of the study groups consisted of edentulous alkasite blocks of standard size and the other three groups (O, OM, MOD) were alkasite restorations of cavities of different sizes. The teeth were divided into three groups according to the type of cavity preparation. Restoration of cavities and preparation of the blocks were performed according to Cention N (Ivoclar Vivadent) manufacturer’s instructions. All restorations and blocks were immersed individually in distilled water at pH 4. pH measurements were obtained using a pH meter (Sartorius, France) at 10-min, 20-min, 30-min and 60-min timepoints following immersion. Measurements were repeated for all four groups at the end of 24 hours, 48 hours and 7 days.

RESULTS: Alkalizing effect was observed in all groups. pH changes after 24 hours, 48 hours and 7 days showed a significant difference among the groups at the measurement timepoints (p<0.05). Maximum pH increases were seen at 24 hours, and minimum pH changes at 48 hours. Within the first 24 hours, MOD restoration group showed the highest pH values at 60 minutes.

CONCLUSION: Within the limits of the study design, O, MO and MOD dental restoration groups were associated with a significantly greater pH increase compared to alkasite blocks. The effect of alkasite restorative material alone is not sufficient to provide pH increases above the critical threshold. Ions released from the tooth also seem to have an effect on pH increase.

AMAÇ: Bu çalışmanın amacı alkasit materyalinin farklı kavite preparasyonlarında restoratif materyal olarak kullanıldığında ve standart boyutlarda tek blok olarak hazırlandığında ortam pH’ına etkisinin incelenmesidir.
YÖNTEM: Bu çalışmada alkasit materyalinin alkalileştirme potansiyeli çekilmiş dişlere üç farklı restorasyon yapılarak ve dişsiz bloklar hazırlanarak değerlendirilmiştir. Bu amaçla 30 adet çekilmiş premolar diş ve standart boyutlarda (2x2x4 mm) silikon kalıplar kullanılmıştır. Grubumuzun birini dişsiz standart boyutlarda hazırlanan alkasit bloklar, diğer üçünü farklı boyutlarda kavitelere (O, OM, MOD) yapılan alkasit restorasyonlar oluşturmaktadır. Bu amaçla dişler kavite preparasyon şekline göre 3 farklı gruba ayrılmıştır. Kavitelerin restorasyonu ve blokların hazırlanması Cention N’nin (Ivoclar Vivadent) kullanım prosedürlerine göre yapılmıştır. Hazırlanan her bir restorasyon ve blok ayrı ayrı pH’ı 4’e düşürülen distile su içerisine atılmıştır. Sırasıyla 10dk, 20dk, 30dk ve 60dk içerisinde pH ölçümleri pH metre (Sartorius, France) ile yapılmıştır. Ölçümler 24 saat,48 saat ve 7 gün sonra olacak şekilde 3 farklı zamanda 4 grup için tekrarlanmıştır.

BULGULAR: Bütün gruplarda alkalize edici etki görülmüştür. Ölçüm yapılan bütün dakikalar için 24 saat,48 saat ve 7 günde pH değişimleri gruplar arasında anlamlı olarak farklılık göstermiştir (p<0.05). Maximum pH artışları 24 saatte görülürken, minimum pH değişimi 48 saatte görülmüştür. İlk 24 saat için 60 dakika sonunda en yüksek pH değerleri MOD restorasyon grubuna aittir.

SONUÇ: Çalışmamız sınırları içerisinde dişe yapılan O, MO ve MOD resyorasyon gruplarının dişsiz bloklara göre pH artırıcı etkisi anlamlı olarak daha fazladır. Kritik seviyeyi geçecek düzeyde pH artışında, tek başına alkasit materyalinin etkisi yeterli değildir. Dişten salınan iyonların da pH artışında etkisinin olduğunu düşünüyoruz.
Anahtar kelimeler: Alkasit, pH değişimi, Demineralizasyon

Thanks

We would like to thank "Sivas Cumhuriyet University, Faculty of Pharmacy, Department of Chemistry" for all their contributions at the laboratory stage.

References

  • Referans1. Deligeorgi V, Mjör IA, Wilson NH. An overview of reasons for the placement and replacement of restorations. Prim Dent Care. 2001;8(1):5-11.
  • Referans2. Sarrett DC. Clinical challenges and the relevance of materials testing for posterior composite restorations. Dent Mater. 2005;21(1):9-20.
  • Referans3. Giachetti L, Scaminaci Russo D, Bambi C, Grandini R. A review of polymerization shrinkage stress: current techniques for posterior direct resin restorations. J Contemp Dent Pract. 2006;7(4):79-88.
  • Referans4. Baysal I, Aksoydan E. Ağız Hastalıklarında Beslenme. Güncel Gastroenteroloji. 2016;20(3):195-200.
  • Referans5. Jacques N. Molecular biological techniques and their use to study streptococci in dental caries. Aust Dent J. 1998;43(2):87-98.
  • Referans6. Hemagaran G, Neelakantan P. Remineralization of the tooth structure-the future of dentistry. International Journal of PharmTech Research. 2014:487-493.
  • Referans7. Hirani RT, Batra R, Kapoor S. Comparative evaluation of postoperative sensitivity in bulk fill restoratives: a randomized controlled trial. Journal of International Society of Preventive Community Dentistry. 2018;8(6):534.
  • Referans8. Roulet J, Hussein H, Abdulhameed N, Shen C. In vitro wear of two bioactive composites and a glass ionomer cement. DZZ International. 2019;1(1):24-30.
  • Referans9. Alrahlah A. Diametral Tensile Strength, Flexural Strength, and Surface Microhardness of Bioactive Bulk Fill Restorative. J Contemp Dent Pract. 2018;19(1):13-19.
  • Referans10. Bienek DR, Giuseppetti AA, Skrtic D, Materials. Amorphous calcium phosphate as bioactive filler in polymeric dental composites. Contemporary Topics about Phosphorus in Biology. 2019:145-158.
  • Referans11. Cakan E, Eren M, Günal Ş. Restoratif diş hekimliğinde biyoaktif materyaller. JTurkiye Klinikleri J Restor Dent-Special Topics. 2018;4:46-52.
  • Referans12. Hassanein OE, El-Brolossy T. An investigation about the remineralization potential of bio-active glass on artificially carious enamel and dentin using Raman spectroscopy. %J Egypt J Solids. 2006;29(1):69-80.
  • Referans13. Valencia J, Felix V, Afrashtehfar K. Alkasites, a new alternative to amalgam. report of a clinical case. Acta Scient Dent Sci. 2019;3:11-9.
  • Referans14. ÖZMEN B. Yeni bir restoratif materyal" Cention N". Necmettin Erbakan Üniversitesi Diş Hekimliği Dergisi.3(2):84-90.
  • Referans15. Kuhn AT, Winter GB, Tan WK. Dissolution rates of silicate cements. Biomaterials. 1982;3(3):136-44.
  • Referans16. Sauro S, Osorio R, Watson TF, Toledano M. Therapeutic effects of novel resin bonding systems containing bioactive glasses on mineral-depleted areas within the bonded-dentine interface. J Mater Sci Mater Med. 2012;23(6):1521-32.
  • Referans17. Yürekten D PEA. Biyoaktivitenin Restoratif Diş Hekimliğindeki Önemi Ve Bu Konudaki Güncel Çalışmaların Derlenmesi. Atatürk Üniv Diş Hek Fak Derg 2020(30):337-345.
  • Referans18. Singh H, Rashmi S, Pai S, Kini S. Comparative Evaluation of Fluoride Release From Two Different Glass Ionomer Cement and a Novel Alkasite Restorative Material-An in Vitro Study. Pesquisa Brasileira em Odontopediatria e Clínica Integrada. 2020;20:5209.
  • Referans19. Samanta S, Das UK, Mitra A. Comparison of microleakage in class V cavity restored with flowable composite resin, glass ionomer cement and cention N. Imp J Interdiscip Res. 2017;3(8):180-183.
  • Referans20. Tiskaya M, Al-Eesa N, Wong F, Hill R. Characterization of the bioactivity of two commercial composites. Dental Materials. 2019;35(12):1757-1768.
  • Referans21. Kasraei S, Haghi S, Valizadeh S, Panahandeh N, Nejadkarimi S. Phosphate Ion Release and Alkalizing Potential of Three Bioactive Dental Materials in Comparison with Composite Resin. International Journal of Dentistry. 2021;2021:1-8.
  • Referans22. Francois P, Fouquet V, Attal JP, Dursun E. Commercially Available Fluoride-Releasing Restorative Materials: A Review and a Proposal for Classification. Materials (Basel). 2020;13(10).
  • Referans23. Kelić K, Par M, Peroš K, Šutej I, Tarle ZJASC. Fluoride-releasing restorative materials: The effect of a resinous coat on ion release. 2020;54(4):371.
  • Referans24. Jones JR. Review of bioactive glass: from Hench to hybrids. Acta biomaterialia. 2013;9(1):4457-4486.
  • Referans25. Gupta N, Jaiswal S, Nikhil V, Gupta S, Jha P, Bansal P. Comparison of fluoride ion release and alkalizing potential of a new bulk-fill alkasite. J Journal of conservative dentistry: JCD. 2019;22(3):296.
  • Referans26. Jingarwar MM, Pathak A, Bajwa NK, Sidhu HS. Quantitative assessment of fluoride release and recharge ability of different restorative materials in different media: an in vitro study. Journal of clinicaldiagnostic research: JCDR. 2014;8(12):ZC31.
  • Referans27. Fuss M, Wicht MJ, Attin T, Derman SH, Noack MJ. Protective buffering capacity of restorative dental materials in vitro. J Adhes Dent. 2017;19:177-183.
  • Referans28. Donly KJ, Liu JA. Dentin and enamel demineralization inhibition at restoration margins of Vitremer, Z 100 and Cention N. Am J Dent. 2018;31(3):166-168.
  • Referans29. Kim MJ, Lee MJ, Kim KM, Yang SY, Seo JY, Choi SH, et al. Enamel Demineralization Resistance and Remineralization by Various Fluoride-Releasing Dental Restorative Materials. Materials (Basel). 2021;14(16).
  • Referans30. Watanabe S, Dawes C. The effects of different foods and concentrations of citric acid on the flow rate of whole saliva in man. Arch Oral Biol. 1988;33(1):1-5.
  • Referans31. Yang S-Y, Kim S-H, Choi S-Y, Kim K-M. Acid neutralizing ability and shear bond strength using orthodontic adhesives containing three different types of bioactive glass. Materials. 2016;9(3):125.
Year 2022, Volume: 25 Issue: Supplement, 100 - 107, 25.03.2022
https://doi.org/10.7126/cumudj.1061216

Abstract

References

  • Referans1. Deligeorgi V, Mjör IA, Wilson NH. An overview of reasons for the placement and replacement of restorations. Prim Dent Care. 2001;8(1):5-11.
  • Referans2. Sarrett DC. Clinical challenges and the relevance of materials testing for posterior composite restorations. Dent Mater. 2005;21(1):9-20.
  • Referans3. Giachetti L, Scaminaci Russo D, Bambi C, Grandini R. A review of polymerization shrinkage stress: current techniques for posterior direct resin restorations. J Contemp Dent Pract. 2006;7(4):79-88.
  • Referans4. Baysal I, Aksoydan E. Ağız Hastalıklarında Beslenme. Güncel Gastroenteroloji. 2016;20(3):195-200.
  • Referans5. Jacques N. Molecular biological techniques and their use to study streptococci in dental caries. Aust Dent J. 1998;43(2):87-98.
  • Referans6. Hemagaran G, Neelakantan P. Remineralization of the tooth structure-the future of dentistry. International Journal of PharmTech Research. 2014:487-493.
  • Referans7. Hirani RT, Batra R, Kapoor S. Comparative evaluation of postoperative sensitivity in bulk fill restoratives: a randomized controlled trial. Journal of International Society of Preventive Community Dentistry. 2018;8(6):534.
  • Referans8. Roulet J, Hussein H, Abdulhameed N, Shen C. In vitro wear of two bioactive composites and a glass ionomer cement. DZZ International. 2019;1(1):24-30.
  • Referans9. Alrahlah A. Diametral Tensile Strength, Flexural Strength, and Surface Microhardness of Bioactive Bulk Fill Restorative. J Contemp Dent Pract. 2018;19(1):13-19.
  • Referans10. Bienek DR, Giuseppetti AA, Skrtic D, Materials. Amorphous calcium phosphate as bioactive filler in polymeric dental composites. Contemporary Topics about Phosphorus in Biology. 2019:145-158.
  • Referans11. Cakan E, Eren M, Günal Ş. Restoratif diş hekimliğinde biyoaktif materyaller. JTurkiye Klinikleri J Restor Dent-Special Topics. 2018;4:46-52.
  • Referans12. Hassanein OE, El-Brolossy T. An investigation about the remineralization potential of bio-active glass on artificially carious enamel and dentin using Raman spectroscopy. %J Egypt J Solids. 2006;29(1):69-80.
  • Referans13. Valencia J, Felix V, Afrashtehfar K. Alkasites, a new alternative to amalgam. report of a clinical case. Acta Scient Dent Sci. 2019;3:11-9.
  • Referans14. ÖZMEN B. Yeni bir restoratif materyal" Cention N". Necmettin Erbakan Üniversitesi Diş Hekimliği Dergisi.3(2):84-90.
  • Referans15. Kuhn AT, Winter GB, Tan WK. Dissolution rates of silicate cements. Biomaterials. 1982;3(3):136-44.
  • Referans16. Sauro S, Osorio R, Watson TF, Toledano M. Therapeutic effects of novel resin bonding systems containing bioactive glasses on mineral-depleted areas within the bonded-dentine interface. J Mater Sci Mater Med. 2012;23(6):1521-32.
  • Referans17. Yürekten D PEA. Biyoaktivitenin Restoratif Diş Hekimliğindeki Önemi Ve Bu Konudaki Güncel Çalışmaların Derlenmesi. Atatürk Üniv Diş Hek Fak Derg 2020(30):337-345.
  • Referans18. Singh H, Rashmi S, Pai S, Kini S. Comparative Evaluation of Fluoride Release From Two Different Glass Ionomer Cement and a Novel Alkasite Restorative Material-An in Vitro Study. Pesquisa Brasileira em Odontopediatria e Clínica Integrada. 2020;20:5209.
  • Referans19. Samanta S, Das UK, Mitra A. Comparison of microleakage in class V cavity restored with flowable composite resin, glass ionomer cement and cention N. Imp J Interdiscip Res. 2017;3(8):180-183.
  • Referans20. Tiskaya M, Al-Eesa N, Wong F, Hill R. Characterization of the bioactivity of two commercial composites. Dental Materials. 2019;35(12):1757-1768.
  • Referans21. Kasraei S, Haghi S, Valizadeh S, Panahandeh N, Nejadkarimi S. Phosphate Ion Release and Alkalizing Potential of Three Bioactive Dental Materials in Comparison with Composite Resin. International Journal of Dentistry. 2021;2021:1-8.
  • Referans22. Francois P, Fouquet V, Attal JP, Dursun E. Commercially Available Fluoride-Releasing Restorative Materials: A Review and a Proposal for Classification. Materials (Basel). 2020;13(10).
  • Referans23. Kelić K, Par M, Peroš K, Šutej I, Tarle ZJASC. Fluoride-releasing restorative materials: The effect of a resinous coat on ion release. 2020;54(4):371.
  • Referans24. Jones JR. Review of bioactive glass: from Hench to hybrids. Acta biomaterialia. 2013;9(1):4457-4486.
  • Referans25. Gupta N, Jaiswal S, Nikhil V, Gupta S, Jha P, Bansal P. Comparison of fluoride ion release and alkalizing potential of a new bulk-fill alkasite. J Journal of conservative dentistry: JCD. 2019;22(3):296.
  • Referans26. Jingarwar MM, Pathak A, Bajwa NK, Sidhu HS. Quantitative assessment of fluoride release and recharge ability of different restorative materials in different media: an in vitro study. Journal of clinicaldiagnostic research: JCDR. 2014;8(12):ZC31.
  • Referans27. Fuss M, Wicht MJ, Attin T, Derman SH, Noack MJ. Protective buffering capacity of restorative dental materials in vitro. J Adhes Dent. 2017;19:177-183.
  • Referans28. Donly KJ, Liu JA. Dentin and enamel demineralization inhibition at restoration margins of Vitremer, Z 100 and Cention N. Am J Dent. 2018;31(3):166-168.
  • Referans29. Kim MJ, Lee MJ, Kim KM, Yang SY, Seo JY, Choi SH, et al. Enamel Demineralization Resistance and Remineralization by Various Fluoride-Releasing Dental Restorative Materials. Materials (Basel). 2021;14(16).
  • Referans30. Watanabe S, Dawes C. The effects of different foods and concentrations of citric acid on the flow rate of whole saliva in man. Arch Oral Biol. 1988;33(1):1-5.
  • Referans31. Yang S-Y, Kim S-H, Choi S-Y, Kim K-M. Acid neutralizing ability and shear bond strength using orthodontic adhesives containing three different types of bioactive glass. Materials. 2016;9(3):125.
There are 31 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research Articles
Authors

Büşra Çınar 0000-0002-5129-8631

Digdem Eren 0000-0001-8004-7762

Publication Date March 25, 2022
Submission Date January 21, 2022
Published in Issue Year 2022Volume: 25 Issue: Supplement

Cite

EndNote Çınar B, Eren D (March 1, 2022) EVALUATİON OF ALKALİZİNG POTENTİAL OF ALKASİTE RESTORATİONS PREPARED İN DİFFERENT SİZES. Cumhuriyet Dental Journal 25 Supplement 100–107.

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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