Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Cila Sistemlerinin Mikrohibrit ve Nanohibrit Rezin Kompozitlerin Renklenmesi Üzerine Etkisinin Değerlendirilmesi
Evaluation of the Effect of Polishing Materials on Discoloration of Microhybrid and Nanohybrid Resin Composites
Bora KORKUTa
aMarmara Üniversitesi Diş Hekimliği Fakültesi, Restoratif Diş Tedavisi ABD, İstanbul, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2021;27(3):451-61
doi: 10.5336/dentalsci.2020-77511
Article Language: TR
Full Text
ÖZET
 Amaç: Bu çalışmanın amacı, 7 farklı cila sisteminin, kahve ile renklendirilen mikrohibrit ve nanohibrit kompozitlerin renk değişimi üzerine olan etkilerinin, karşılaştırmalı olarak değerlendirilmesidir. Gereç ve Yöntemler: Mikrohibrit rezin (Essentia universal renk) ve nanohibrit rezinden (Essentia DE renk) hazırlanan 80 örnekten, 10 örnek içeren toplam 8 cila grubu oluşturulmuştur; Enhance & PoGo, Twist Dia, Soflex Spiral, OptiOne Step, Soflex Disk, Opti Disk, Super Snap ve kontrol grubu. Örnekler, cila sonrası 3 aylık kahve tüketimine denk gelecek sürede (72 saat) kahve çözeltisinde renklendirilmiştir. Klinik tip spektrofotometre cihazı ile renklendirme öncesi/sonrası renkler ölçülmüş ve ΔE* değerleri hesaplanmıştır. Algılanabilirlik sınırı 3,7, kabul edilebilirlik sınırı 5,5 olarak alınmıştır. İki yönlü varyans analizi ile bağımsız iki örnek t-testi istatistiksel analiz için kullanılmıştır. Bulgular: Yalnızca cila materyali değişkeni, ΔE* üzerine etkili faktör olarak bulunmuştur (p<0,001). En yüksek ΔE* Super Snap grubunda (3,37±1b), en düşük ise Twist Dia grubunda (1,54±0,77a) bulunmuştur. Nanohibrit ve mikrohibrit kompozitler arasında, renklenme açısından anlamlı bir fark bulunmamıştır (p=0,055). Tüm kompozit-cila materyali kombinasyonlarında, ΔE* kontrol grubuna göre anlamlı derecede düşük bulunmuş (p<0,001) ve algılanabilir sınırın altında (<3,7) kalmıştır. Sonuç: Bu çalışmanın şartları altında, aşındırıcı olarak elmas partikülü içeren, iki aşamalı, spiral cila sistemleri Twist Dia ve Soflex Spiral, kompozit yüzey cilalamasında, cilalama süresi ve renk değişimi bakımından, diğer cila materyallerine göre daha avantajlı ve etkili olarak değerlendirilebilir. Farklı kompozit materyaller ile destekleyici çalışmalar yapılmalıdır.

Anahtar Kelimeler: Bitirme ve parlatma; dişte renk değişikliği; kompozit rezinler
ABSTRACT
 Objective: This study aimed to evaluate the effect of different polishing materials on coffee discoloration of microhybrid and nanohybrid composites. Material and Methods: 80 samples were prepared using microhybrid and nanohybrid resin, and 8 polishing groups were arranged (n=10 for each): Enhance&PoGo, Twist Dia, Soflex Spiral, OptiOne Step, Soflex Disk, Opti Disk, Super Snap and control group. Following polishing procedures, samples were discolored in coffee solution for 72 hours, corresponding to 3 months of coffee consumption. ΔE* for each sample was calculated using spectrophotometer. Perceptibility and acceptability thresholds were considered 3.7 and 5.5, respectively. Two Way Anova and Independent Samples T test were used for statistical analysis. Results: Only the polishing material, was determined effective factor influencing ΔE* (p<0.001). The highest ΔE* was found for Super Snap (3.37±1b), whereas the lowest for Twist Dia (1.54±0.77a). There was no significant difference between nanohybrid and microhybrid composites, regarding color change (p=0.055). According to the overall composite-polishing materials combinations, ΔE* was found significantly low compared to control group (p<0.001), and considered below the perceptibility (<3.7). Conclusion: Within the limitations of this study, diamond particles embeded, two step, spiral polishing systems, Twist Dia and Soflex Spiral, might be considered as advantageous and effective, compared to other polishing systems, regarding polishing time and composite color change. Further supporting studies should be undergone using different composite materials.

Keywords: Finishing and polishing; tooth discoloration; composite resins
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