Turkiye Klinikleri Journal of Dental Sciences

.: ORIGINAL RESEARCH
Farklı Remineralizasyon Ajanlarının Lazer ve Ozon Tedavisi ile Kombine Kullanımının Başlangıç Çürüklerine Etkisinin İn-Vitro Olarak İncelenmesi
An In-Vitro Investigation of the Effects of Different Remineralization Agents Combined with Laser and Ozone Therapy on the Initial Caries Lesions
Emine TAŞTANa, Eda GÜLERb, Fatma AYTAÇ BALc
aÖzel Denthol Diş Polikliniği, Tokat, TÜRKİYE
bOndokuz Mayıs Üniversitesi Diş Hekimliği Fakültesi, Restoratif Diş Tedavisi ABD, Samsun, TÜRKİYE
cBeykent Üniversitesi Diş Hekimliği Fakültesi, Restoratif Diş Tedavisi ABD, İstanbul, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2021;27(2):269-79
doi: 10.5336/dentalsci.2020-74741
Article Language: TR
Full Text
ÖZET
 Amaç: Bu in vitro çalışmanın amacı, başlangıç mine çürüğü olan dişler üzerinde florür, kazein fosfopeptid amorf kalsiyum fosfat (CPPACP), novamin ile lazer uygulaması ve ozon uygulamasının tek başına veya birlikte kullanımının, remineralizasyon etkinliğini değerlendirmektir. Gereç ve Yöntemler: Bu amaçla sığır dişleri toplanarak, başlangıç çürüğü elde edilmiştir. Her grupta 15 diş olacak şekilde 11 grup (florür, CPP-ACP, novamin, lazer, lazer+florür, lazer+CPP-ACP, lazer+novamin, ozon, ozon+florür, ozon+CPP-ACP, ozon+novamin) oluşturulmuştur. Tedavi etkinliği mikrosertlik ölçümü, taramalı elektron mikroskobu (SEM) görüntüleri ve enerji dağılımlı X-ışını spektroskopisi (EDX) mineral analizi yapılarak değerlendirilmiştir. Elde edilen verilerin istatistiksel analizi, tek yönlü ve 3 yönlü varyans analizi kullanılarak yapılmıştır (p<0,05). Bulgular: Mikrosertlik verileri karşılaştırıldığında en yüksek değer lazer+florür grubunda izlenirken, en düşük ozon grubunda gözlenmiştir. EDX analiziyle kalsiyum (Ca) ve fosfat (P) oranları değerlendirildiğinde en yüksek Ca değeri lazer+novamin grubunda izlenirken, en yüksek P değeri novamin, lazer+CPP-ACP, lazer+novamin ve ozon+novamin gruplarında bulunmuştur. SEM değerlendirmesi sonucunda, tüm grupların mine yüzeyleri sağlam ve demineralize örneğe göre morfolojik değişimler göstermiştir. Sonuç: Çalışmamızın sonuçlarına göre Er:YAG lazer ve kombine remineralize edici ajan uygulaması, başlangıç çürüğünün remineralizasyonunda etkili bir metot olarak bulunmuştur. Ozon uygulamasının başlangıç çürüğünün remineralizasyonundaki etkinliği ileri çalışmalarla araştırılmalıdır.

Anahtar Kelimeler: Demineralizasyon; mine, lazer; mine; ozon; remineralizasyon
ABSTRACT
 Objective: This in vitro study aimed to evaluate effectiveness of remineralization alone or combined use of fluoride, casein phosphopeptide amorphous calcium phosphate (CPP-ACP), novamin, laser and ozone application on enamel initial caries. Material and Methods: For this purpose, bovine teeth were collected and obtained initial caries lesions. 11 groups (fluoride, CPP-ACP, novamin, laser, laser+fluoride, laser+CPP-ACP, laser+novamin, ozone, ozone+fluoride, ozone+CPP-ACP, ozone+novamin) each group to be 15 teeth were established. Effectiveness of treatment was evaluated by micro-hardness measurement, scanning electron microscopy (SEM) images and energy dispersive X-ray spectroscopy (EDX). Statistical analysis of the resulting data was performed (p<0.05). Results: When compared microhardness data, the laser+fluoride group observed the highest value and the ozone group observed the lowest group. When compared the EDX analysis of calcium (Ca) and phosphate (P) ratio, the highest Ca value was observed in the laser+novamin group, the highest P value was observed in the novamin group, the laser+CPP-ACP group, the laser+novamin group and the ozone+novamin group. As a result of SEM evaluation, enamel surfaces of the entire groups showed morphological changes based on sound and demineralized sample. Conclusion: According to our results, combined Er:YAG laser and remineralizating agents application was found to be an effective method for the remineralization of initial caries. Remineralization effectiveness of the application of ozone in the initial caries should be investigated in the future studies.

Keywords: Demineralization; enamel; laser; ozone; remineralization
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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