Turkiye Klinikleri Journal of Dental Sciences

.: REVIEW
Üniversal Adeziv Sistemler
Universal Adhesive Systems
Ayşe Tuğçe TUNAÇa, Esra CANa
aYeditepe Üniversitesi Diş Hekimliği Fakültesi, Restoratif Diş Tedavisi ABD, İstanbul, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2020;26(3):496-503
doi: 10.5336/dentalsci.2019-70842
Article Language: TR
Full Text
ÖZET
 Güncel adeziv sistemler ve teknikler, diş sert dokularına etkili bağlanma sağlanması ve uygulama prosedürlerinin kısaltılması amacıyla geliştirilmektedir. Etch&rinse adeziv sistemlerin, uygulama basamaklarının fazla olması ve kollajen fibrillerin çökelmesi sonucu bağlanma kuvvetinde azalma riski ile self-etch adeziv sistemlerin, mineye bağlanmasının düşük olması bu sistemlerin dezavantajlarıdır. Güncel adeziv sistemlerin temel sorunlarından biri, farklı yapıdaki diş sert dokularına (sağlıklı, çürük, sklerotik dentin, mine) ve diğer dental materyallere eşit düzeyde bağlanmanın sağlanamamasıdır. Bu nedenle son yıllarda, 'üniversal' veya 'multimod' olarak adlandırılan adeziv sistemler piyasaya sürülmüştür. Bu sistemler, tek basamaklı self-etch adeziv sistemlere fonksiyonel asidik monomerlerin eklenmesi ve böylelikle hidroksiapatit kristalleri ile kimyasal bağ kurulması sonucu geliştirilmiştir. Diş yüzeyi, seramikler, ışıkla ve 'dual-cure' sertleşen rezin kompozitler ve metal bileşikler gibi farklı yapılara bağlanabilme özellikleri olan bu adezivler, bu özelliklerinden dolayı da 'üniversal' olarak nitelendirilmektedir. Bu derlemede, üniversal adeziv sistemler ile ilgili literatürde bulunan çalışmalar incelenerek, sistemlerin içerik, uygulama teknikleri ve performansları hakkında bilgi edinilmiştir. Üniversal adezivlerin, mine ve dentindeki mekanik ve kimyasal bağlanmanın yanında restoratif işlem çeşitliliği ve adezyon stratejisi sağladığı görülmüştür.

Anahtar Kelimeler: Üniversal adezivler; adeziv sistemler; derleme
ABSTRACT
 Current adhesive systems and techniques are designed for maintaining effective bonding to dental tissues and reducing the application procedures. The high number of application steps of etch&rinse systems and the risk of decrease in bonding strength due to collapse of collagen fibrils, also lower bonding strength on enamel of self-etch systems are considered as disadvantages of these systems. One of the main problems of current adhesive systems is that it is not possible to maintain equal bonding to dental hard tissues in different structures (healthy, carious, sclerotic dentin, enamel) and other dental materials. Therefore, new adhesive systems named 'universal' or 'multi-mode' were recently introduced in market. Universal adhesive systems were developed by adding functional acidic monomers in one-step self-etch adhesive systems and creating chemical bonds with hydroxyl apatite crystals. These systems are called 'universal' due to their ability of bonding to various dental substrates such as dental tissue, ceramics, light-cured or dual-cured composite resins and metals. In this review, studies in the literature related to universal adhesive systems were investigated and information about the contents, application techniques and performances of the systems was obtained. Universal adhesives have been shown to provide restorative procedure variety and adhesion strategies as well as mechanical and chemical bonding in enamel and dentin.

Keywords: Universal adhesives; adhesive systems; review
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5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com