EFFECT OF SILVER DIAMINE FLUORIDE ON FRACTURE RESISTANCE OF CLASS I COMPOSITE RESTORATIONS

Yıl 2023, Cilt: 6 Sayı: 3, 312 - 316, 24.10.2023

Sevgi Zorlu , Aslı Topaloğlu Ak , Polen Nisa Bulut

https://doi.org/10.26650/JARHS2023-1277768

Öz

Objective: This study investigated the effect of silver diamine fluoride (SDF) pretreatment on the fracture resistance of Class I composite restorations in molars.
Materials and Methods: Twenty non-carious human third molars were extracted for orthodontic needs and pericoronitis were used. The teeth were randomly divided into control (n=10), and study (n=10) groups, and occlusal cavities were prepared. In the study group, 38% SDF solution was applied to the cavity and dried for 1 minute. The cavity was treated with Gluma (Heraeus Kulzer, Dormagen, Germany), a self-etch adhesive, for 20 seconds and light-cured for 20 seconds. Filtek Z250 composite resin (3M ESPE, Seefeld, Germany) was inserted and light-cured for 40 seconds. The control group underwent the same procedure without SDF pretreatment. Both groups experienced thermocycling for 5000 cycles between 5 and 55°C. Samples were embedded in acrylic cylindrical pipes and tested for fracture resistance using a fracture resistance test device. The continuously increasing compressive load was applied at a 0.5 mm/min crosshead speed until specimen fracture. The values at the moment of fracture were recorded in Newtons (N). Data were analyzed using an independent samples t-test, with p-values <0.05 considered significant.
Results: The mean fracture resistance for the group treated with 38% SDF was 1568 ± 461.8 N, while the group without SDF treatment showed 1192 ± 307.6 N. No statistically significant difference was found between the groups p>0.05.
Conclusion: SDF pretreatment did not enhance the fracture resistance of Class I composite restorations in molars.

Anahtar Kelimeler

Composite resin, fracture resistance, silver diamine fluoride

GÜMÜŞ DİAMİN FLORÜRÜN SINIF I KOMPOZİT RESTORASYONLARIN KIRILMA DİRENCİNE ETKİSİ

Öz

Amaç: Bu çalışma, gümüş diamin florür (GDF) ön işlem uygulamasının molar dişlerdeki sınıf I kompozit restorasyonların kırılma direnci üzerindeki etkisini araştırmayı amaçlamaktadır.
Gereç ve Yöntem: Ortodontik gereksinimler ve perikoronit nedeniyle çekilmiş 20 adet çürüksüz insan üçüncü azı dişi kullanıldı. Dişler rastgele kontrol (n=10) ve çalışma (n=10) gruplarına ayrıldıktan sonra oklüzal kaviteler açıldı. Çalışma grubunda, %38 GDF solüsyonu kaviteye uygulanarak 1 dakika kurumaya bırakıldı. Kavite, 20 saniye boyunca Gluma (Heraeus Kulzer, Dormagen, Almanya), kendinden asitli adezivle işleme tabi tutuldu ve 20 saniye ışıkla polimerize edildi. Filtek Z250 kompozit reçine (3M ESPE, Seefeld, Almanya) yerleştirildi ve 40 saniye ışıkla polimerize edildi. Kontrol grubu, GDF ön işlemi yapılmadan aynı restorasyon işlemine tabi tutuldu. Her iki grup da 5 ve 55°C arasında 5000 döngü termosiklus işlemine tabi tutuldu. Örnekler akrilik silindirik borulara yerleştirildi ve kırılma direnci test cihazı kullanılarak kırılma direnci için test edildi. Sürekli artan sıkıştırma yükü, numune kırılıncaya kadar 0,5 mm/dk çapraz kafa hızında uygulandı. Kırılma anındaki değerler Newton (N) cinsinden kaydedildi. Veriler bağımsız örneklem t-testi ile analiz edildi ve p değerleri <0,05 olanlar istatistiksel olarak anlamlı kabul edildi.
Bulgular: %38 GDF ile işlem gören grup için ortalama kırılma direnci 1568±461,8 N iken, GDF işlemi yapılmayan grup 1192±307,6 N gösterdi. Gruplar arasında istatistiksel olarak anlamlı bir fark bulunmamıştır p>0.05.
Sonuç: GDF ön işlem uygulaması, molar dişlerdeki sınıf I kompozit restorasyonların kırılma direncini artırmamıştır.

Anahtar Kelimeler

Kompozit rezin, kırılma direnci, gümüş diamin florür

Kaynakça

• 1. FDI World Dental Federation. The challenge of oral disease: a call for global action. In: the oral health atlas, 2nd ed; FDI World Dental Association: Geneva, Switzerland, 2015. p.12-5. google scholar
• 2. Mackenzie L, Banerjee A. Minimally invasive direct restorations: a practical guide. Br Dent J 2017;223(3):163-71. google scholar
• 3. Gupta J, Thomas MS, Radhakrishna M, Srikant N, Ginjupalli K. Effect of silver diamine fluoride-potassium iodide and 2% chlorhexidine gluconate cavity cleansers on the bond strength and microleakage of resin-modified glass ionomer cement. J Conserv Dent 2019;22(2):201-6. google scholar
• 4. Burgess JO, Vaghela PM. Silver diamine fluoride: a successful anticarious solution with limits. Adv Dent Res 2018;29(1):131-4. google scholar
• 5. Sorkhdini P, Crystal YO, Tang Q, Lippert F. The effect of silver diamine fluoride in preventing in vitro primary coronal caries under pH-cycling conditions. Arch Oral Biol 2021;121:104950. google scholar
• 6. Jabin Z, Nasim I, Priya V V, Agarwal N. Comparative evaluation of salivary fluoride concentration after topical application of silver diamine fluoride and sodium fluoride: a randomized controlled trial. Int J Clin Pediatr Dent 2022;15(3):371-5. google scholar
• 7. Mei ML, Zhao IS, Ito L, Lo EC, Chu CH. Prevention of secondary caries by silver diamine fluoride. Int Dent J 2016;66(2):71-7. google scholar
• 8. Greenwall-Cohen J, Greenwall L, Barry S. Silver diamine fluoride - an overview of the literature and current clinical techniques. Br Dent J 2020;228(11):831-8. google scholar
• 9. Contractor IA, Girish MS, Indira MD. Silver diamine fluoride: extending the spectrum of preventive dentistry, a literature review. Ped Dent J 2021;31(1):17-24. google scholar
• 10. Zhao IS, Gao SS, Hiraishi N, Burrow MF, Duangthip D, Mei ML et. al. Mechanisms of silver diamine fluoride on arresting caries: a literature review. Int Dent J 2018;68(2):67-76. google scholar
• 11. Mei ML, Ito L, Cao Y, Li QL, Lo EC, Chu CH. Inhibitory effect of silver diamine fluoride on dentine demineralisation and collagen degradation. J Dent 2013;41(9):809-17. google scholar
• 12. Mei ML, Li QL, Chu CH, Lo EC, Samaranayake LP. Antibacterial effects of silver diamine fluoride on multi-species cariogenic biofilm on caries. Ann Clin Microbiol Antimicrob 2013;12:4. google scholar
• 13. Chu CH, Lo EC. Microhardness of dentine in primary teeth after topical fluoride applications. J Dent 2008;36(6):387-91. google scholar
• 14. Alvear Fa B, Jew JA, Wong A, Young D. Silver modified atraumatic restorative technique (smart): an alternative caries prevention tool. Stoma Edu J 2016;3(2):243-9. google scholar
• 15. Markham MD, Tsujimoto A, Barkmeier WW, Jurado CA, Fischer NG, Watanabe H et. al. Influence of 38% silver diamine fluoride application on bond stability to enamel and dentin using universal adhesives in self-etch mode. Eur J Oral Sci 2020;128(4):354-60. google scholar
• 16. de V Habekost L, Camacho GB, Azevedo EC, Demarco FF. Fracture resistance of thermal cycled and endodontically treated premolars with adhesive restorations. J Prosthet Dent 2007;98(3):186-92. google scholar
• 17. Demarco FF, Collares K, Correa MB, Cenci MS, Moraes RR, Opdam NJ. Should my composite restorations last forever? Why are they failing? Braz Oral Res 2017;31(suppl 1):e56. google scholar
• 18. International Standardization Organization. Dental materials guidance on testing of adhesion to tooth structure, technical report 11405. 1st ed. Geneva, Switzerland; 1994.p.1-14. google scholar
• 19. Boutsiouki C, Frankenberger R, LückerS, Kramer N. Inhibition of secondary caries in vitro by addition of chlorhexidine to adhesive components. Dent Mater 2019;35(3):422-33. google scholar
• 20. Oliveira BH, Rajendra A, Veitz-Keenan A, Niederman R. The effect of silver diamine fluoride in preventing caries in the primary dentition: a systematic review and meta analysis. Caries Res 2019;53(1):24-32. google scholar
• 21. Shimizu A, Kawagoe M. A clinical study of diamine silver fluoride on recurrent caries. J Osaka Univ Dent Sch 1976;16:103-9. google scholar
• 22. Camacho KJ, English JD, Jacob HB, Harris LM, Kasper FK, Bussa HI et. al. Silver diamine fluoride and bond strength to enamel in vitro: A pilot study. Am J Dent 2018;31(6):317-9. google scholar
• 23. Jiang M, Mei ML, Wong MCM, Chu CH, Lo ECM. Effect of silver diamine fluoride solution application on the bond strength of dentine to adhesives and to glass ionomer cements: a systematic review. BMC Oral Health 2020;20(1):40. google scholar
• 24. Danaeifar N, Nejat AH, Cehreli Z, Ballard RW, Johnson JT. The effect of silver diamine fluoride on bond strength of three types of bulk-fill restorative materials to dentin. Pediatr Dent 2022;44(4):290-5. google scholar
• 25. Bates JF, Stafford GD, Harrison A. Masticatory function - a review of the literature. III. Masticatory performance and efficiency. J Oral Rehabil 1976;3(1):57-67. google scholar
• 26. Waltimo A, Könönen M. Maximal bite force and its association with signs and symptoms of craniomandibular disorders in young Finnish non-patients. Acta Odontol Scand 1995;53(4):254-8. google scholar