Amaç: Bu çalışmanın amacı, kalsiyum silikat içerikli pulpa kapaklama materyallerinin farklı adeziv sistemler kullanılarak kompozit rezinlere makaslama bağlanma dayanımını değerlendirmektir. Gereç ve Yöntemler: Yüz seksen adet merkezinde boşluk olan akrilik rezin blok hazırlandı. Akrilik rezin bloklar 3 gruba ayrıldı ve kalsiyum silikat içerikli materyallerden (ProRoot MTA, Biodentin, TheraCal LC) biri ile dolduruldu. Bu örnekler daha sonra kullanılan adeziv sistem (total-etch, 2 aşamalı self-etch ve üniversal adeziv) ve kompozit rezinlere (6 grup, n=10) göre alt gruplara ayrıldı. Adeziv sistemler uygulandı ve üniversal (Estelite Sigma Quick, Tokuyama) veya akışkan kompozit rezin (Estelite Universal Flow, Tokuyama) tabakalı olarak yerleştirildi ve 20 sn ışıkla sertleştirildi. Daha sonra tüm örnekler 5.000 termal döngü ile yaşlandırmaya tabi tutuldu. Numuneler daha sonra üniversal test cihazı kullanılarak makaslama bağlanma dayanımı açısından değerlendirildi. Bulgular: Üç-yönlü ANOVA sonuçları, totaletch adeziv ile üniversal kompozit rezine bağlanan ProRoot MTA'nın en yüksek makaslama bağlanma kuvvetine sahip olduğunu ve en düşük makaslama bağlanma kuvveti değerinin 2 aşamalı self-ech adeziv ile üniversal kompozite bağlanan TheraCal LC'de gözlendi (p<0,05). Sonuç: Termal yaşlandırma sonrasında TheraCal LC gruplarında çoğunlukla koheziv kırılma görüldü. Biodentin ve MTA ile karşılaştırıldığında, TheraCal LC total-etch ve 2 aşamalı self-etch adeziv kullanılarak üniversal kompozit rezine bağlanan gruplarda daha fazla makaslama bağlanma dayanımı değerleri daha düşüktü.
Anahtar Kelimeler: Dental pulpa kapaklama; mineral trioksit agregat; kalsiyum silikat
Objective: The aim of this study was to evaluate the shear bond strength of calcium silicate-based pulp capping materials bonded to composite resins with different adhesive systems. Material and Methods: A total of 180 acrylic resin blocks were prepared with a central hole. Acrylic resin blocks were divided into three groups and each group filled with one of the three calcium silicate-based materials (ProRoot MTA, Biodentine, TheraCal LC). These samples were then subdivided according to the adhesive systems (total-etch, 2 step selfetch, and universal adhesive) and composite resins used (6 groups, n=10). Adhesive systems were applied and universal (Estelite Sigma Quick, Tokuyama) or flowable (Estelite Universal Flow, Tokuyama) composite resin was placed incrementally and light-cured for 20 s. After that, all specimens were subjected to 5,000 thermal aging cycles. The specimens were then evaluated for shear bond strength using a universal testing machine. Results: Three-way ANOVA results revealed that the ProRoot MTA bonded to the universal composite resin with a totaletch adhesive had the highest shear bond strength, and the lowest mean shear bond strength value was observed in the TheraCal LC bonded to the universal composite resin with a two-step self-etch adhesive (p<0.05). Conclusion: TheraCal LC groups showed mainly cohesive fracture after thermal aging. Shear bond strength values were lower in groups bonded to the universal composite resin using TheraCal LC with total-etch and two-step self-etch adhesive compared to Biodentine and ProRoot MTA.
Keywords: Dental pulp capping; mineral trioxide aggregate; calcium silicate
- Hargreaves KM, Goodis HE, Tay FR. Seltzer and Bender's Dental Pulp. 2nd ed. Hanover Park, IL: Quintessence Pub.; 2012.
- Hilton TJ. Keys to clinical success with pulp capping: a review of the literature. Oper Dent. 2009;34(5):615-25. [Crossref] [PubMed] [PMC]
- Tziafas D, Smith AJ, Lesot H. Designing new treatment strategies in vital pulp therapy. J Dent. 2000;28(2):77-92. [Crossref] [PubMed]
- Kopel HM. Considerations for the direct pulp capping procedure in primary teeth: a review of the literature. ASDC J Dent Child. 1992; 59(2):141-9. [PubMed]
- Hilton TJ, Ferracane JL, Mancl L; Northwest Practice-based Research Collaborative in Evidence-based Dentistry (NWP). Comparison of CaOH with MTA for direct pulp capping: a PBRN randomized clinical trial. J Dent Res. 2013;92(7 Suppl):16S-22S. [Crossref] [PubMed] [PMC]
- de Souza Costa CA, Duarte PT, de Souza PP, Giro EM, Hebling J. Cytotoxic effects and pulpal response caused by a mineral trioxide aggregate formulation and calcium hydroxide. Am J Dent. 2008;21(4):255-61. [PubMed]
- Briso AL, Rahal V, Mestrener SR, Dezan Junior E. Biological response of pulps submitted to different capping materials. Braz Oral Res. 2006;20(3):219-25. [Crossref] [PubMed]
- Parirokh M, Torabinejad M, Dummer PMH. Mineral trioxide aggregate and other bioactive endodontic cements: an updated overview-part I: vital pulp therapy. Int Endod J. 2018;51(2):177-205. [Crossref] [PubMed]
- Giraud T, Jeanneau C, Rombouts C, Bakhtiar H, Laurent P, About I. Pulp capping materials modulate the balance between inflammation and regeneration. Dent Mater. 2019;35(1):24-35. [Crossref] [PubMed]
- Camilleri J, Laurent P, About I. Hydration of Biodentine, Theracal LC, and a prototype tricalcium silicate-based dentin replacement material after pulp capping in entire tooth cultures. J Endod. 2014;40(11):1846-54. [Crossref] [PubMed]
- Makkar S, Vashisht R, Kalsi A, Gupta P. The effect of altered ph on push-out bond strength of biodentin, glass ionomer cement, mineral trioxide aggregate and theracal. Stomatol Glas Srb. 2015;62(1):7-13. [Crossref]
- Macwan C, Deshpande A. Mineral trioxide aggregate (MTA) in dentistry: a review of literature. J Oral Res. 2014;6(2):71-4. [Crossref]
- Dammaschke T. A new bioactive cement for direct pulp capping. Int Dent. 2012;7:52-8. [Link]
- Dawood AE, Parashos P, Wong RHK, Reynolds EC, Manton DJ. Calcium silicate-based cements: composition, properties, and clinical applications. J Investig Clin Dent. 2017;8(2). [Crossref] [PubMed]
- Giraud T, Jeanneau C, Bergmann M, Laurent P, About I. Tricalcium silicate capping materials modulate pulp healing and inflammatory activity in vitro. J Endod. 2018;44(11):1686-91. [Crossref] [PubMed]
- Jeanneau C, Laurent P, Rombouts C, Giraud T, About I. Light-cured tricalcium silicate toxicity to the dental pulp. J Endod. 2017;43(12):2074-80. [Crossref] [PubMed]
- Tunç ES, Sönmez IS, Bayrak S, Eğilmez T. The evaluation of bond strength of a composite and a compomer to white mineral trioxide aggregate with two different bonding systems. J Endod. 2008;34(5):603-5. [Crossref] [PubMed]
- Alzraikat H, Taha NA, Qasrawi D, Burrow MF. Shear bond strength of a novel light cured calcium silicate based-cement to resin composite using different adhesive systems. Dent Mater J. 2016;35(6):881-7. [Crossref] [PubMed]
- Karadas M, Cantekin K, Gumus H, Ateş SM, Duymuş ZY. Evaluation of the bond strength of different adhesive agents to a resin-modified calcium silicate material (TheraCal LC). Scanning. 2016;38(5):403-11. [Crossref] [PubMed]
- Woronko GA Jr, St Germain HA Jr, Meiers JC. Effect of dentin primer on the shear bond strength between composite resin and ena mel. Oper Dent. 1996;21(3):116-21. [PubMed]
- Stanley HR. Pulp capping: conserving the dental pulp--can it be done? Is it worth it? Oral Surg Oral Med Oral Pathol. 1989;68(5):628-39. [Crossref] [PubMed]
- Raina A, Sawhny A, Paul S, Nandamuri S. Comparative evaluation of the bond strength of self-adhering and bulk-fill flowable composites to MTA Plus, Dycal, Biodentine, and TheraCal: an in vitro study. Restor Dent Endod. 2020;45(1):e10. [Crossref] [PubMed] [PMC]
- Akbiyik SY, Bakir EP, Bakir Se. Evaluation of the bond strength of different pulp capping materials to dental adhesive systems: an in vitro study. J Adv Oral Res. 2021:12(2). [Crossref]
- Sismanoglu S, Yildirim-Bilmez Z, Gurcan A, Gumustas B. Influence of application mode of universal adhesive on the surface morphology, elemental composition and bond strength of calcium silicate-based cements to composite resin: a SEM-EDX microanalysis study. J Adhes Sci Technol. 2021:1-14. [Crossref]
- Buldur B, Öznurhan F, Kayabaşı M, Şahin F. Shear bond strength of two calcium silicate-based cements to compomer. Cumhur Dent J. 2018;21(1):18-23. [Crossref]
- Savadi Oskoee S, Bahari M, Kimyai S, Motahhari P, Eghbal MJ, Asgary S. Shear bond strength of calcium enriched mixture cement and mineral trioxide aggregate to composite resin with two different adhesive systems. J Dent (Tehran). 2014;11(6):665-71. [PubMed] [PMC]
- Cantekin K, Avci S. Evaluation of shear bond strength of two resin-based composites and glass ionomer cement to pure tricalcium silicate-based cement (Biodentine®). J Appl Oral Sci. 2014;22(4):302-6. [Crossref] [PubMed] [PMC]
- Atabek D, Sillelioğlu H, Olmez A. Bond strength of adhesive systems to mineral trioxide aggregate with different time intervals. J Endod. 2012;38(9):1288-92. [Crossref] [PubMed]
- Bachoo IK, Seymour D, Brunton P. A biocompatible and bioactive replacement for dentine: is this a reality? The properties and uses of a novel calcium-based cement. Br Dent J. 2013;214(2):E5. [Crossref] [PubMed]
- Gandolfi MG, Taddei P, Siboni F, Modena E, Ciapetti G, Prati C. Development of the foremost light-curable calcium-silicate MTA cement as root-end in oral surgery. Che mical-physical properties, bioactivity and biological behavior. Dent Mater. 2011;27(7): e134-57. [Crossref] [PubMed]
- Cantekin K. Bond strength of different restorative materials to light-curable mineral trioxide aggregate. J Clin Pediatr Dent. 2015;39(2):143-8. [Crossref] [PubMed]
- Guneser MB, Akbulut MB, Eldeniz AU. Effect of various endodontic irrigants on the push-out bond strength of biodentine and conventional root perforation repair materials. J Endod. 2013;39(3):380-4. [Crossref] [PubMed]
- Pradeep P, Randhya R, Shanavas Palliyal MK, Hima S. An in vitro comparative evaluation of shear bond strength of biodentine and MTA. Int J Appl Dent Sci. 2018;4(2):01-03. [Link]
- Hashem DF, Foxton R, Manoharan A, Watson TF, Banerjee A. The physical characteristics of resin composite-calcium silicate interface as part of a layered/laminate adhesive restoration. Dent Mater. 2014;30(3):343-9. [Crossref] [PubMed]
- Yoshida Y, Yoshihara K, Hayakawa S, Nagaoka N, Okihara T, et al. HEMA inhibits interfacial nano-layering of the functional monomer MDP. J Dent Res. 2012;91(11):1060-5. [Crossref] [PubMed]
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