Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
3D Daimi Reçinenin Kompozit Rezinle Tamirinde Farklı Yüzey İşlemlerinin Mikrogerilim Bağlanma Dayanımına Etkisi: Bir İn Vitro Çalışma
Effect of Different Surface Treatments on Tensile Bond Strength to Repair of 3D Permanent Resin with Composite: In Vitro Study
Ezgi SONKAYAa , Z. Gonca BEK KÜRKLÜa
aÇukurova Üniversitesi Diş Hekimliği Fakültesi, Restoratif Diş Tedavisi ABD, Adana, Türkiye
Turkiye Klinikleri J Dental Sci. 2023;29(4):589-96
doi: 10.5336/dentalsci.2023-97048
Article Language: TR
Full Text
ÖZET
 Amaç: Daimi 3D baskı reçinesi ile daimi restorasyonlar yapılması oldukça yaygınlaşmıştır, ancak tamir edilebilirliği henüz araştırılmamıştır. Bu çalışmada, daimi reçine blokların yaşlandırma sonrası farklı ağız içi yüzey işlemleri uygulanarak kompozit ile onarımında gerilme dayanımlarının karşılaştırılmasını amaçlamıştır. Gereç ve Yöntemler: Daimi reçine (Formlabs, UT, ABD) kullanılarak 35 adet küp yapıldı. On bin termal siklusta yaşlandırıldı. Numuneler, aşağıdaki yüzey işlemlerine göre 7 gruba ayrıldı: A) Negatif kontrol (hiçbir yüzey işlemi uygulanmadı), B) Pozitif kontrol, C) Fosforik asit, D) Hidroflorik asit, E) Kumlama, F) Er, Cr; YSGG lazer ve G) Frezle pürüzlendirme. A grubu dışındaki tüm örneklere multi-primer ve universal bond uygulandı ve kompozit rezinle tamir edildi. 1×1×12 mm boyutlarında çubuklar kesildi ve mikrogerilim testi uygulandı (n=12). Kopma modları stereomikroskop ile değerlendirildi. Yüzey işlemlerinden sonra her gruptan 2 adet küpün yüzey topografyası, taramalı elektron mikroskobu ile değerlendirildi. Veriler, one way ANOVA ve Duncan testi ile analiz edildi. Bulgular: Negatif kontrol grubu, lazer ve kumlama gruplarına göre önemli ölçüde daha düşük bir mikrogerilim bağlanma gücüne ulaştı (p<0,05). Pozitif kontrol grubunun bağlanma dayanımı, diğer deney gruplarından anlamlı bir farklılık göstermedi (p=0,374). Sonuç: Daimi 3D reçinenin kompozitle tamirinde farklı yüzey işlemleri uygulanması istatistiksel olarak anlamlı bir fark göstermedi. 3D daimi restorasyonların minör onarımlarının kompozit rezin ile yapılabileceği sonucuna varılabilir.

Anahtar Kelimeler: Kompozit rezin; diş restorasyonu; 3D daimi reçine; mikrogerilme dayanımı; restorasyon onarımı
ABSTRACT
 Objective: The repairability of 3D permanent resin has not yet been investigated. This study aimed to compare the repair bond strength of permanent resin blocks with composite by applying different intraoral surface treatments after aging in water. Material and Methods: Permanent resin (Formlabs, UT, USA) was used to construct 35 cubes aged through 10,000 thermal cycles. The samples were allocated into 7 groups according to the following surface treatments: A) Negative control (no surface treatment applied), B) Positive control, C) Phosphoric acid, D) Hydrofluoric acid, E) Sandblasting, F) Er, Cr; YSGG laser and G) Bur grinding. Multiprimer and universal bond were applied to all specimens except group A and repaired with composite resin. Microtensile testing of 1×1×12 mm sticks was performed using a universal testing machine and the failure modes were evaluated by stereomicroscope (n=12). The surface topography of 2 permanent resin cubes after surface treatments was assessed by scanning electron microscopy. Data were analyzed with one way ANOVA and Duncan test. Results: The negative control group reached a significantly lower micro tensile bond strength than the laser and sandblasting groups (p<0.05). The repair bond strength of the positive control group didn't differ significantly from that of the other experimental groups (p=0.374). Conclusion: The application of different surface treatments in the repair of 3D permanent resin with composite did not show a statistically significant difference. It can be concluded that minor repairs of 3D-printed permanent restorations can be made with composite resin.

Keywords: Composite resins; dental restoration; 3D permanent resin; microtensile strength; restoration repair
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