Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Giomer Bulk-Fill, Hibrit Bulk-Fill ve Nano-Hibrit Kompozitlerin Farklı Uygulama Protokolleri Kullanılarak Mekanik Özelliklerinin Karşılaştırılması: İn Vitro Çalışma
Comparison of the Mechanical Properties of Two Giomer Based Bulk-Fill, a Hybrid Bulk-Fill and a Nanohybrid Composites with Different Application Protocols: In Vitro Study
Aylin ÇİLİNGİRa, Meltem MERT ERENb, Benin DİKMENc, Özge GÜRBÜZc, Alev ÖZSOYc
aTrakya Üniversitesi Diş Hekimliği Fakültesi, Restoratif Diş Hekimliği ABD, Edirne, TÜRKİYE
bAltınbaş Üniversitesi Diş Hekimliği Fakültesi, Restoratif Diş Hekimliği ABD, İstanbul, TÜRKİYE
cİstanbul Medipol Üniversitesi Diş Hekimliği Fakültesi, Restoratif Diş Hekimliği ABD, İstanbul, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2021;27(4):674-81
doi: 10.5336/dentalsci.2021-81987
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmada, farklı tabaka kalınlıklarında uygulanan düşük ve yüksek viskoziteli bulk-fill giomerler, bir nano-hibrit kompozit ve bir bulk-fill hibrit kompozitin basma dayanımlarıyla bükülme dayanımlarının karşılaştırılması amaçlanmıştır. Gereç ve Yöntemler: Kompozit malzemelerin basma dayanımlarının değerlendirilmesi amacıyla 6 grupta (n=10) toplam 60 adet silindir şeklinde örnek (6x3mm) hazırlanmıştır. Deney grupları aşağıdaki şekildedir:
Grup 1 (G1) Tetric N-Ceram (TNC) (2+2+2 mm),
Grup 2 (G2) Tetric N-Ceram Bulk-Fill (TBF) (4+2 mm),
Grup 3 (G3) Beautifill Bulk-Fill Flowable (BBF) (4+2 mm),
Grup 4 (G4) Beautifill Bulk Restorative (BBR) (4+2 mm),
Grup 5 (G5) 2 mm BBF+4 mm BBR,
Grup 6 (G6) 4 mm BBF+2 mm BBR.
Örnekler 1 mm/dk kafa hızında basma dayanımı testine tabi tutulmuştur. Bükülme dayanımı ve bükülme modülüsünün hesaplanabilmesi amacıyla 40 adet (25x2x2 mm) (n=10) kompozit örnek hazırlanmış [TNC (GF1), TBF (GF2), BBR (GF3), BBF (GF4)] ve 3 nokta bükülme testi (0,5 mm/dk) gerçekleştirilmiştir. Elde edilen veriler, tek yönlü ANOVA ve Tamhane T2 testleri kullanılarak değerlendirilmiştir (p0,05). GF4'ün ortalama bükülme dayanımı, GF1, GF2 ve GF3 gruplarından istatistiksel olarak anlamlı derecede yüksek bulunurken, diğer gruplar arasında anlamlı bir fark bulunamamıştır. Sonuç: En yüksek basma ve bükülme dayanımı değerleri, bulk-fill giomerlerle elde edilmiştir. BBR altında uygulandığında BBF kalınlığını 2 mm'den 4 mm'ye çıkarmak, basma dayanımını istatistiksel olarak anlamlı şekilde artırmıştır.

Anahtar Kelimeler: Giomer bulk-fill kompozitler; S-PRG doldurucular; mekanik özellikler; tabaka kalınlığı
ABSTRACT
 Objective: This study evaluated the compressive strength of low and high viscosity bulk-fill giomers, a nano-hybrid and a bulk-fill hybrid composites with varied layer thicknesses and evaluated their flexural strength. Material and Methods: Sixty cylindrical specimens (6x3 mm) in 6 subgroups were fabricated (n=10). The restorations were made using either:
Group 1 (G1) Tetric N-Ceram (TNC) (2+2+2 mm)
Group 2 (G2) Tetric N-Ceram Bulk-Fill (TBF) (4+2 mm),
Group 3 (G3) Beautifill Bulk-Fill Flowable (BBF) (4+2 mm),
Group 4 (G4) Beautifill Bulk Restorative (BBR) (4+2 mm),
Group 5 (G5) 2 mm BBF+4 mm BBR,
Group 6 (G6) 4 mm BBF+2 mm BBR.
Compressive tests were performed at 1 mm/min. To determine the flexural strength and the flexural modulus, 40 specimens for each resin composite were prepared [TNC (GF1), TBF (GF2), BBR (GF3), BBF (GF4)] (n = 10) (25×2×2 mm) and subjected to three-point bending test (0.5 mm/min). Data were analyzed using one-way ANOVA and Tamhane's T2 tests (p0.05). The mean flexural strength of the GF4 was found statistically significantly higher than the GF1, GF2 and the GF3 groups, where no significant difference detected between the other groups. Conclusion: The compressive and the flexural strength values of the bulk-fill giomers were found to be the highest. Increasing Beautifill Bulk Restorative (BBF) thickness 2mm to 4mm under (Beautifill Bulk-Fill Flowable) BBR, improved the compressive strength significantly.

Keywords: Giomer bulk-fill composites; S-PRG fillers; mechanical properties; layer thickness
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