Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Farklı Yöntemlerle Uygulanan Kendi Kendine Bağlanabilen Akışkan Bir Kompozit Rezin ile Üniversal Bir Adezivin Farklı Uygulama Yöntemleri ile Birlikte Kullanılan Yüksek Dolduruculu Akışkan Bir Kompozit Rezinin Makaslama Bağ Dayanıklılığının Karşılaştırılması: İn Vitro Çalışma
Shear Bond Strength of a Self-Adhering Flowable Resin Composite Compared to a Highly-Filled Flowable Resin Composite Used with a Universal Adhesive in Different Application Modes: An In Vitro Study
Fatma Dilşad ÖZa, Sevil GÜRGANa
aHacettepe Üniversitesi Diş Hekimliği Fakültesi, Restoratif Diş Hekimliği ABD, Ankara, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2022;28(1):188-95
doi: 10.5336/dentalsci.2021-82671
Article Language: TR
Full Text
ÖZET
 Amaç: Bu in vitro çalışmanın amacı, kendi kendine bağlanabilen akışkan bir kompozit rezinin (Constic, DMG) makaslama bağ dayanıklılığını, üniversal bir adeziv (G-Premio Bond, GC) ile birlikte uygulanan yüksek dolduruculu akışkan bir kompozit rezin (G-ænial Universal Flo, GC) ile karşılaştırmaktır.Gereç ve Yöntemler: Sağlam insan ön dişlerinden hazırlanan 40 mine örneği 4 gruba ayrıldı (n=10): 1) Constic (CS); 2) Fosforik asit+Constic(F-CS); 3) G-Premio Bond adeziv (self-etch)+G-ænial Universal Flo (PS-GUF); 4) G-Premio Bond adeziv (etch&rinse)+G-ænial Universal Flo (PE-GUF). Teflon bir kalıp mine yüzeylerine dik olacak şekilde yerleştirildi. Daha sonra yerleştirilen kalıp içine kendi kendine bağlanabilen akışkan kompozit rezin ve yüksek dolduruculu akışkan kompozit rezin uygulandı. Tüm örnekler, üniversal test cihazında (LR50K, Lloyd Instruments) makaslama bağ dayanıklılığı testine maruz bırakıldı. Veriler, iki yönlü ANOVA ve ardından TUKEY HSD testi kullanılarak analiz edildi (p<0,05). Bulgular: PS-GUF (13,7 MPa), CS'den (7,4 MPa) daha yüksek makaslama bağ dayanıklılığı değeri gösterdi. F-CS (8,6 MPa) ise PE-GUF'dan (26,2 MPa) daha düşük makaslama bağ dayanıklılığı değerleri sergiledi (p<0,001). CS ve F-CS arasında anlamlı bir fark görülmedi (p=0,77). Bununla birlikte PE-GUF, PS-GUF'dan daha yüksek makaslama bağ dayanıklılığı değerleri gösterdi (p<0,001). En yüksek makaslama bağ dayanıklılığı değeri, PE-GUF (26,2 MPa) grubunda görüldü. Sonuç: Kendi kendine bağlanabilen akışkan kompozit rezin minede, üniversal adeziv ile kullanılan yüksek dolduruculu akışkan kompozit rezinden daha düşük bağlanma dayanıklılığı gösterdi. Yüksek dolduruculu akışkan kompozit rezinle kullanılan üniversal adezivin 'etch&rinse' uygulama şekli, kompozit rezinin mineye bağlanma performansını 'self-etch' uygulama şekline göre daha başarılı kıldı.

Anahtar Kelimeler: Akışkan hibrit kompozit; yapıştırıcılar; kendi kendine bağlanabilen akışkan kompozit; asitle pürüzlendirme
ABSTRACT
 Objective: The aim of this in vitro study was to evaluate the shear bond strength (SBS) of a self-adhering flowable composite resin (Constic, DMG) compared with a highly filled flowable composite (G-ænial Universal Flo, GC) used with a universal adhesive (G-Premio Bond, GC) in two different application modes. Material and Methods: Fourty enamel specimens were prepared and then divided into four groups (n=10): 1) Constic (CS); 2) Phosphoric acid+Constic (F-CS); 3) G-Premio Bond in self-etch mode+G-ænial Universal Flo (PS-GUF); 4) G-Premio Bond in etch&rinse mode+G-ænial Universal Flo (PE-GUF). A Teflon tube was placed perpendicular to the flattened enamel surfaces and either the self-adhering composite resin or the highly filled flowable composite resin were placed according to the instructions of the manufacturers. Specimens were subjected to SBS test with a universal testing machine (LR50K, Lloyd Instruments), Data were analyzed using two-way ANOVA followed by TUKEY HSD test (p<0.05). Results: PS-GUF (13.7 MPa), exhibited higher SBS values than CS (7.4 MPa). F-CS (8.6 MPa) showed lower SBS values than PEGUF (26.2 MPa) (p<0.001). No significant differences were seen between CS and F-CS groups (p=0.77). However, PE-GUF exhibited higher SBS values than PS-GUF (p<0.001). PE-GUF showed the highest SBS value (26.2 MPa). Conclusion: The self-adhering flowable resin composite presented lower bond strength than the highly-filled flowable resin composite used with a universal adhesive on enamel. The bonding performance of highly-filled flowable resin composite used with the universal adhesive to enamel was found to be higher in etch&rinse mode application than the selfetch mode.

Keywords: Flowable hybrid composite resin; adhesives; self-adhering flowable composite resin; acid etching
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