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FARKLI HASSASİYET GİDERİCİLERİN VE ER, CR: YSGG LAZER İLE KOMBİNASYONLARININ DENTİN TÜBÜLLERİ ÜZERİNE VE DENTİNE MAKASLAMA BAĞLANMA DAYANIMINA ETKİSİ

Yıl 2022, Cilt 25, Sayı Supplement, 47 - 56, 25.03.2022
https://doi.org/10.7126/cumudj.1032878

Öz

AMAÇ: Bu in vitro çalışmanın amacı Sodyum Florid, Propolis ve Er,Cr:YSGG lazerin tek başına ve lazerle kombine uygulamalarının dentin tübülleri üzerindeki etkinliğinin SEM ile incelenmesi ve bu uygulamaların bir üniversal adezivin dentine makaslama bağlanma dayanımına (MBD) etkisinin incelenmesidir. YÖNTEM: 72 adet çürüksüz daimi alt 3. molar dişin bukkal mine dokusu uzaklaştırılarak elde edilen dentin örnekleri rastgele altı gruba (n:12) ayrıldı: Kontrol, Sodyum Florid (Enamelast, Ultradent), Propolis (Fanus Propolis), Er,Cr:YSGG Lazer (Biolase, Waterlase), Enamelast-Er,Cr:YSGG Lazer, Propolis-Er,Cr:YSGG Lazer. Ajanların tek başına uygulandığı gruplarda dentin yüzeylerine ajan uygulanırken kombine gruplarda ajan uygulamasından sonra lazer uygulandı. Kontrol grubuna herhangibir uygulama yapılmadı. Örnekler 14 gün boyunca yapay tükrük içinde bekletildikten sonra yüzeylerine Clearfil Tri-S Bond Universal (Kuraray) ve kompozit rezin (Estelite Sigma Quick, Tokuyama) uygulandı. MBD testleri Universal Çekme-Basma Test Sistemi (Instron 3382, Amerika) kullanılarak yapıldı. Ajanların tübül tıkaç etkinlikleri, her gruptan iki adet dentin örneği üzerinde SEM ile incelenmiştir. Verilerin istatistiksel analizi için Tek Yönlü Varyans Analizi (One-way ANOVA) yapıldı. p<0.05 için sonuçlar istatistiksel olarak anlamlı kabul edildi. BULGULAR: Tüm test grupları arasında hiç bir karşılaştırmada istatistiksel olarak anlamlı farklılık tespit edilmemiştir (p>0.05). SEM incelemelerinde, lazerin kombine uygulandığı gruplarda ajanların tek başına uygulanmasına göre tıkalı dentin tübüllerine daha sık rastlandı. Propolis grubunda da yer yer açık dentin tübülleri yanında genellikle tübüller kapalıydı. SONUÇLAR: Er,Cr:YSGG Lazer'in Sodyum Florid ve Propolis'le kombine uygulamaları daha fazla dentin tübül tıkaç etkinliği göstermekle birlikte, Clearfil Tri-S Bond Universal'in MBD'si üzerinde kontrol grubuna göre olumsuz bir etki oluşturmamıştır. Lazer uygulamasının dentin yüzeyinde oluşturduğu değişimler ve kullanılan adeziv sistemin içeriği MBD'nin olumsuz etkilenmesini önlemiş olabilir.

Kaynakça

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THE EFFECTS OF DIFFERENT DESENSITIZERS AND THEIR COMBINATIONS WITH ER, CR: YSGG LASER ON DENTIN TUBULES, AND SHEAR BOND STRENGTH TO DENTIN

Yıl 2022, Cilt 25, Sayı Supplement, 47 - 56, 25.03.2022
https://doi.org/10.7126/cumudj.1032878

Öz

AIM: The aim of this in vitro study was to investigate the effectiveness of Sodium Fluoride, Propolis and Er,Cr:YSGG laser alone and in combination with laser applications on dentin tubules by SEM and to examine the effects of these applications on the shear bond strength (SBS) of a universal adhesive to dentin. METHODS: Dentin samples obtained by removing the buccal enamel of 72 caries-free permanent, mandibular third molars were randomly divided into six groups (n:12): Control, Sodium Fluoride (Enamelast, Ultradent), Propolis (Fanus Propolis), Er,Cr:YSGG Laser (Biolase, Waterlase), Enamelast-Er,Cr:YSGG Laser, Propolis-Er,Cr:YSGG Laser. While the agents were applied to the dentin surfaces in the agents alone groups, laser was applied after the agent applications in the combination groups. No application was performed to the control group. After storing the samples in artificial saliva for 14 days, Clearfil Tri-S Bond Universal (Kuraray) and composite resin (Estelite Sigma Quick, Tokuyama) were applied to their surfaces. SBS tests were conducted using the Universal Tensile-Compression Test System (Instron 3382, USA). The tubule plugging efficiencies of the agents were examined on two dentin samples from each group by SEM. One-way analysis of variance (One-way ANOVA) was performed for statistical analysis of the data. For p<0.05, the results were considered statistically significant. RESULTS: No statistically significant difference was found in any comparison between all the test groups (p>0.05). In SEM examinations, occluded dentinal tubules were observed more frequently in the groups where the applications were performed in combination with laser, compared to the application of the agents alone. In the propolis group too, the tubules were usually closed, as well as open dentin tubules. CONCLUSIONS: Although combination applications of Er,Cr:YSGG Laser with Sodium Fluoride and Propolis showed greater dentin tubule plugging efficiency, these applications did not have a negative effect on the SBS of Clearfil Tri-S Bond Universal compared to the control group. The changes caused by the laser application on the dentin surface and the content of adhesive system may have prevented the SBS from being adversely affected.

Kaynakça

  • Referans1. Holland GR, Narhi MN, Addy M, Gangarosa L, Orchardson R. Guidelines for the design and conduct of clinical trials on dentine hypersensitivity. J Clin Periodontol 1997;24:808-813.
  • Referans2. Que K, Ruan J, Fan X, Liang X, Hu D. A multi-centre and cross-sectional study of dentine hypersensitivity in China. J Clin Periodontol 2010;37:631-637.
  • Referans3. Al-Sabbagh M, Brown A, Thomas MV. In-office treatment of dentinal hypersensitivity. Dent Clin North Am 2009;53:47-60.
  • Referans4. Porto IC, Andrade AK, Montes MA. Diagnosis and treatment of dentinal hypersensitivity. J Oral Sci 2009;51:323-332.
  • Referans5. Addy M, Hunter ML. Can tooth brushing damage your health? Effects on oral and dental tissues. Int Dent J 2003;53:177-86.
  • Referans6. Bartold PM. Dentinal hypersensitivity: a review. Aust Dent J 2006;51:212-218.
  • Referans7. Absi EG, Addy M, Adams D. Dentine hypersensitivity--the effect of toothbrushing and dietary compounds on dentine in vitro: an SEM study. J Oral Rehabil 1992;19:101-110.
  • Referans8. Dababneh RH, Khouri AT, Addy M. Dentine hypersensitivity - an enigma? A review of terminology, mechanisms, aetiology and management. Br Dent J 1999;187:606-611.
  • Referans9. Canadian Advisory Board on Dentin H. Consensus-based recommendations for the diagnosis and management of dentin hypersensitivity. J Can Dent Assoc 2003;69:221-226.
  • Referans10. Osborne-Smith KL, Burke FJ, Wilson NH. The aetiology of the non-carious cervical lesion. Int Dent J 1999;49:139-143.
  • Referans11. Lin PY, Cheng YW, Chu CY, Chien KL, Lin CP, Tu YK. In-office treatment for dentin hypersensitivity: a systematic review and network meta-analysis. J Clin Periodontol 2013;40:53-64.
  • Referans12. West N, Seong J, Davies M. Dentine hypersensitivity. Monogr Oral Sci 2014;25:108-22.
  • Referans13. West NX. Dentine hypersensitivity: preventive and therapeutic approaches to treatment. Periodontol 2000. 2008;48:31-41.
  • Referans14. Gillam DG. A New Perspective on Dentine Hypersensitivity - Guidelines for General Dental Practice. Dent Update 2017;44: 9-42.
  • Referans15. Ritter AV, de LDW, Miguez P, Caplan DJ, Swift EJ, Jr. Treating cervical dentin hypersensitivity with fluoride varnish: a randomized clinical study. J Am Dent Assoc 2006;137:1013-1120.
  • Referans16. Hoang-Dao BT, Hoang-Tu H, Tran-Thi NN, Koubi G, Camps J, About I. Clinical efficiency of a natural resin fluoride varnish (Shellac F) in reducing dentin hypersensitivity. J Oral Rehabil 2009;36:124-131.
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Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Bilimleri ve Hizmetleri
Yayınlanma Tarihi Kış
Bölüm Original Research Articles
Yazarlar

Güneş BULUT EYÜBOĞLU (Sorumlu Yazar)
KARADENİZ TEKNİK ÜNİVERSİTESİ DİŞ HEKİMLİĞİ FAKÜLTESİ
0000-0002-0033-7135
Türkiye


Tuğba SERİN KALAY
KARADENİZ TEKNİK ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ
0000-0003-1197-4858
Türkiye

Yayımlanma Tarihi 25 Mart 2022
Başvuru Tarihi 6 Aralık 2021
Kabul Tarihi 8 Şubat 2022
Yayınlandığı Sayı Yıl 2022, Cilt 25, Sayı Supplement

Kaynak Göster

EndNote %0 Cumhuriyet Dental Journal THE EFFECTS OF DIFFERENT DESENSITIZERS AND THEIR COMBINATIONS WITH ER, CR: YSGG LASER ON DENTIN TUBULES, AND SHEAR BOND STRENGTH TO DENTIN %A Güneş Bulut Eyüboğlu , Tuğba Serin Kalay %T THE EFFECTS OF DIFFERENT DESENSITIZERS AND THEIR COMBINATIONS WITH ER, CR: YSGG LASER ON DENTIN TUBULES, AND SHEAR BOND STRENGTH TO DENTIN %D 2022 %J Cumhuriyet Dental Journal %P 1302-5805-2146-2852 %V 25 %N Supplement %R doi: 10.7126/cumudj.1032878 %U 10.7126/cumudj.1032878

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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