Yeni Nesil Restoratif Materyal: Alkasitler

Year 2024, Volume: 13 Issue: 2, 381 - 387, 20.05.2024

Merve Nezir , Suat Özcan

https://doi.org/10.54617/adoklinikbilimler.1383545

Abstract

Günümüzde restoratif diş hekimliğinde kullanılan materyallerin içeriğinde çeşitli güncellemeler yapılarak materyallerin mekanik ve fiziksel özellikleri geliştirilmeye, klinik kullanım alanları genişletilmeye çalışılmaktadır. Restoratif materyallerin sahip olması istenen önemli özellikler arasında antibakteriyel özellikler göstermesi, diş dokularına biyouyumlu olması ve çürük önleme potansiyeli göstermesi bulunmaktadır. Materyallerin çürük önleme potansiyelini geliştirmek amacıyla yapısına florür iyonları ilave edilerek florür iyonu salımı yapabilmesi sağlanmaktadır. Bu amaçla üretilen güncel restoratif materyaller arasında Cention N materyali yer almaktadır. Bu materyal kompozit rezinlerin bir alt sınıfı olarak değerlendirilen alkasit grubunda yer almaktadır. Materyal cam doldurucular içermekte ve bu sayede florür salımı yapabilme özelliği göstermektedir. Ayrıca kalsiyum ve hidroksit iyonlarının da salımını yapmaktadır. Materyalin bir diğer önemli özelliği hem kimyasal hem de ışık ile polimerize olabilme özelliğine sahip olmasıdır. Bu sayede derin kavitelerin restorasyonunda avantaj sağlayabilmektedir. Bu derlemenin amacı yeni nesil bir restoratif materyal olan Cention N materyalinin bileşiminin, klinik kullanımının, güncel materyal sınıflandırmasındaki yerinin ve fiziksel/mekanik özelliklerinin literatürdeki güncel çalışmalar ışığında değerlendirilmesidir.

Keywords

Cention N, florür, iyon salımı

Ethical Statement

Bu çalışma için etik kurul onayı gerekmemektedir.

New Generation Restorative Material: Alkasites

Abstract

Currently, various updates are made to the content of the materials used in restorative dentistry to improve the mechanical and physical properties of the materials and to expand their clinical usage areas. Important properties that restorative materials should have include antibacterial properties, biocompatibility with dental tissues, and caries prevention potential. In order to improve the caries prevention potential of the materials, fluoride ions are added to its structure to enable it to release fluoride ions. Cention N material is among the current restorative materials produced for this purpose. This material is in the alkasite group, which is considered a subclass of composite resins. The material contains glass fillers and thus has the ability to release fluoride. It also releases calcium and hydroxide ions. Another important feature of the material is that it has the ability to polymerize both chemically and with light. In this way, it can provide an advantage in the restoration of deep cavities. The aim of this review was to evaluate the composition, clinical use, place in the current material classification and physical/mechanical properties of Cention N material, a new generation restorative material, in the light of current studies in the literature.

Keywords

Cention N, fluoride, ion release

References

• Marovic D, Par M, Posavec K, Marić I, Štajdohar D, Muradbegović A, et al. Long-term assessment of contemporary ion-releasing restorative dental materials. Materials (Basel) 2022;15:4042.
• Özmen B. Yeni bir restoratif material "Cention N". NEU Dent J 2021;3:84-90.
• Jayaraj D, Simon EP, Kumar MR, Ravi S. Cention N: A review. Dental Bites 2018;5:14-21.
• Di Lauro A, Di Duca F, Montuori P, Dal Piva AMdO, Tribst JPM, Borges ALS, et al. Fluoride and calcium release from alkasite and glass ionomer restorative dental materials: In Vitro study. J Funct Biomater 2023;14:109.
• Kaptan A, Oznurhan F, Candan M. In vitro comparison of surface roughness, flexural, and microtensile strength of various glass-ionomer-based materials and a new alkasite restorative material. Polymers (Basel) 2023;15:650.
• Shekhar S, Suprabha BS, Shenoy R, Natarajan S, Rao A. Comparative evaluation of surface roughness and wettability of an alkasite with nano bulk-fill and nanofilled resin composite restorative materials: In vitro study. Contemp Clin Dent 2022;13:337-43.
• Kim M-J, Lee M-J, Kim K-M, Yang S-Y, Seo J-Y, Choi S-H, et al. Enamel demineralization resistance and remineralization by various fluoride-releasing dental restorative materials. Materials (Basel) 2021;14:4554.
• Sharma H, Suprabha B, Shenoy R, Rao A, Kotian H. Clinical effectiveness of alkasite versus nanofilled resin composite in the restoration of occlusal carious lesions in permanent molar teeth of children: a randomized clinical trial. Eur Arch Paediatr Dent. 2023;24:301-11.
• Francois P, Fouquet V, Attal J-P, Dursun E. Commercially available fluoride-releasing restorative materials: a review and a proposal for classification. Materials (Basel) 2020;13:2313.
• Karakaş SN, Küden C. AFM and SEM/EDS characterization of surfaces of fluorine-releasing bulk-fill restorative materials aged in common liquids. J Oral Sci 2022;64:202-7.
• Dennis D, Pintauli S, Debora S. Microleakage comparative evaluation of RMGIC and alkasite with and without adhesive system in class V cavity: An in vitro study. J Contemp Dent Pract 2021;22:735-8.
• Pooja M, Karuna Y, Rao A, Suman E, Natarajan S, Suprabha B. Comparative evaluation of the sealing ability of an alkasite restorative material and resin-modified glass ionomer cement in primary molars: An in vivo study. Contemp Clin Dent 2022;13:113-7.
• Ausiello P, Dal Piva AMdO, Di Lauro AE, Garcia-Godoy F, Testarelli L, Tribst JPM. Mechanical behavior of alkasite posterior restorations in comparison to polymeric materials: a 3D-FEA study. Polymers (Basel) 2022;14:1502.
• Balagopal S, Nekkanti S, Kaur K. An in vitro evaluation of the mechanical properties and fluoride-releasing ability of a new self-cure filling material. J Contemp Dent Pract 2021;22:134-9.
• Özmen B. Kaya Z. Yeni bir dolgu maddesi olan Cention N’in radyoopasitesinin değerlendirilmesi. Acta Odontol Turc 2023;40:43-7.
• Kelić K, Par M, Peroš K, Šutej I, Tarle Z. Fluoride-releasing restorative materials: The effect of a resinous coat on ion release. Acta Stomatol Croat 2020;54:371-81.
• Altan H, Altan A, Arslanoğlu Z. Cam iyonomer siman, türevleri ve cam karbomer siman. ADO J Clin Sci 2013;6:1319-22.
• Rai S, Kumari RA, Meena N. Comparative assessment of fluoride release and recharge through newer fluoride releasing posterior restorative materials: An in vitro study. J Conserv Dent 2019;22:544-47.
• Theerarath T, Sriarj W. An alkasite restorative material effectively remineralized artificial interproximal enamel caries in vitro. Clin Oral Investig 2022;26:4437-45.
• Wiriyasatiankun P, Sakoolnamarka R, Thanyasrisung P. The impact of an alkasite restorative material on the pH of Streptococcus mutans biofilm and dentin remineralization: an in vitro study. BMC Oral Health 2022;22:334.
• Kelić M, Kilić D, Kelić K, Šutej I, Par M, Peroš K, et al. The fluoride ion release from ion-releasing dental materials after surface loading by topical treatment with sodium fluoride gel. J Funct Biomater 2023;14:102.
• Available from: https://santedental.com.tr/wp-content/uploads/2019/02/CentionN_2-kullanma-k%C4%B1lavuzu.pdf
• Rajaraman G, Eagappan AS, Bhavani S, Vijayaraghavan R, Harishma S, Jeyapreetha P. Comparative evaluation of fracture resistance of fiber-reinforced composite and alkasite restoration in class I cavity. Contemp Clin Dent 2022;13:56-60.
• Yazkan B. Surface degradation evaluation of different self‐adhesive restorative materials after prolonged energy drinks exposure. J Esthet Restor Dent 2020;32:707-14.
• Chole D, Shah HK, Kundoor S, Bakle S, Gandhi N, Hatte N. In vitro comparison of flexural strength of cention-n, bulkFill composites, light-cure nanocomposites and resin-modified glass ionomer cement. J Dent Med Sci 2018;17:79â.
• Ong J, Yap A, Abdul Aziz A, Yahya N. Flexural properties of contemporary bioactive restorative materials: effect of environmental pH. Oper Dent 2023;48:90-7.
• Yap A, Choo H, Choo H, Yahya N. Flexural properties of bioactive restoratives in cariogenic environments. Oper Dent 2021;46:448-56.
• Yazkan B, Celik EU, Recen D. Effect of aging on surface roughness and color stability of a novel alkasite in comparison with current direct restorative materials. Oper Dent 2021;46:E240-E50.
• Derchi G, Marchio V, Giuca MR, Lardani L. Clinical performance of CentionTM alkasite restorative material vs. glass ionomer cement used in deciduous teeth: one-year evaluation. Appl Sci 2022;12:10845.
• Soneta SP, Hugar SM, Hallikerimath S, Joshi RS, Dialani PK, Kohli N. An in vivo evaluation of retention and antibacterial efficacy of posterior high strength glass ionomer cement and glass hybrid bulk-fill alkasite restorative material as conservative adhesive restoration in children with mixed dentition: a comparative study. Int J Clin Pediatr Dent 2022;15:529-34.
• Naz F, Khan AS, Kader MA, Al Gelban LOS, Mousa NMA, Asiri RSH, et al. Comparative evaluation of mechanical and physical properties of a new bulk-fill alkasite with conventional restorative materials. Saudi Dent J 2021;33:666-73.