Vital Pulpa Tedavisinde Kullanılan Kalsiyum Silikat İçerikli Biyomateryallerin Restoratif Materyallere Bağlanma Dayanımının Değerlendirilmesi

Yıl 2019, Cilt: 6 Sayı: 3, 271 - 279, 17.12.2019

Hüseyin Biçer , Şule Bayrak

https://doi.org/10.15311/selcukdentj.434762

Cited By: 3

Öz

Amaç: Bu çalışmanın amacı, vital pulpa tedavilerinde kullanılan
kalsiyum silikat içerikli biyomateryallerin rezin modifiye cam iyonomer siman
ve kompozit rezine makaslama bağlanma dayanımlarının karşılaştırmalı olarak
değerlendirilmesidir.

Gereç ve Yöntemler: 4 mm çapında ve
2 mm derinlikte boşlukları bulunan 78 adet akrilik blok hazırlandı. Üretici
firmaların talimatları doğrultusunda hazırlanan kalsiyum silikat içerikli
biyomateryaller (ProRoot MTA, BioAggregate ve Biodentine) akrilik bloklardaki
boşluklara yerleştirildi ve sertleşmeleri için önerilen sürelerde bekletildi.
Biyomateryal örnekleri, rezin modifiye cam iyonomer siman ve kompozit rezin
olarak 2 gruba ayrıldı. Adeziv işlemlerin ardından biyomateryallerin üzerine 2
mm çapında ve 2 mm yüksekliğinde silindirik kalıplar yardımıyla restoratif
materyaller uygulandı. Tüm örnekler 24 saat 37°C'lik etüvde bekletildikten
sonra makaslama bağlanma dayanım değerleri universal test cihazı kullanılarak
ölçüldü. Elde edilen verilerin istatistiksel değerlendirilmesinde tek yönlü
varyans analizi (One-way-ANOVA) ve Tukey testleri kullanıldı.

Bulgular: Tüm biyomateryallerde (ProRoot MTA, BioAggregate ve Biodentine) kompozit
rezinin makaslama bağlanma dayanım değeri, rezin modifiye cam iyonomer simandan
yüksek bulundu. Biyomateryaller karşılaştırıldığında ise, Biodentine’nin
hem rezin modifiye cam iyonomer siman hem de kompozit rezine bağlanma
dayanımının ProRoot MTA ve BioAggregate’den anlamlı olarak yüksek olduğu
saptandı (p<0.05).

Sonuçlar: Sonuç olarak vital pulpa
tedavilerinde kullanılan kalsiyum silikat içerikli biyomateryallerin üzerine
restoratif materyal olarak kompozit rezin tercih edilebilir. Ayrıca Biodentine, hem bağlanma dayanımı
açısından daha iyi değerler sergilemesi, hem de sertleşme süresinin daha kısa
olması, manipülasyonunun daha kolay olması ve daha ucuz olması nedeniyle MTA ve BioAggregate’e iyi bir alternatif olabilir.

Anahtar Kelimeler: Biyomateryal, makaslama bağlanma
dayanımı, vital pulpa tedavisi.

Anahtar Kelimeler

Biyomateryal, makaslama bağlanma dayanımı

Kaynakça

• Guideline on pulp therapy for primary and immature permanent teeth. Pediatr Dent 2016;38:280-8.
• Hargreaves KM, Cohen S, Berman LH. Cohen's pathways of the pulp. 13th edn. St. Louis: Mosby Elsevier; 2011.
• Cohen BD, Combe EC. Development of new adhesive pulp capping materials. Dent Update 1994;21:57-62.
• Modena KC, Casas-Apayco LC, Atta MT, Costa CA, Hebling J, Sipert CR, et al. Cytotoxicity and biocompatibility of direct and indirect pulp capping materials. J Appl Oral Sci 2009;17:544-54.
• Queiroz AM, Assed S, Leonardo MR, Nelson-Filho P, Silva LA. MTA and calcium hydroxide for pulp capping. J Appl Oral Sci 2005;13:126-30.
• Lee H, Shin Y, Kim SO, Lee HS, Choi HJ, Song JS. Comparative study of pulpal responses to pulpotomy with proroot mta, retromta, and theracal in dogs' teeth. J Endod 2015;41:1317-24.
• Hilley LCJ, McNally CK. Bioceramics in endodontics. Clin Update 2013;35.
• Zhu L, Yang J, Zhang J, Peng B. A comparative study of BioAggregate and ProRoot MTA on adhesion, migration, and attachment of human dental pulp cells. J Endod 2014;40:1118-23.
• Briso AL, Rahal V, Mestrener SR, Dezan Junior E. Biological response of pulps submitted to different capping materials. Braz Oral Res 2006;20:219-25.
• 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;21:255-61.
• Fuks AB. Pulp therapy for the primary and young permanent dentitions. Dent Clin North Am 2000;44:571-96.
• Bakland LK. Revisiting traumatic pulpal exposure: Materials, management principles, and techniques. Dent Clin North Am 2009;53:661-73.
• Asgary S, Eghbal MJ, Parirokh M, Ghanavati F, Rahimi H. A comparative study of histologic response to different pulp capping materials and a novel endodontic cement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;106:609-14.
• Nekoofar MH, Davies TE, Stone D, Basturk FB, Dummer PM. Microstructure and chemical analysis of blood-contaminated mineral trioxide aggregate. Int Endod J 2011;44:1011-8.
• 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;51:177-205.
• 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.
• Shayegan A, Jurysta C, Atash R, Petein M, Abbeele AV. Biodentine used as a pulp-capping agent in primary pig teeth. Pediatr Dent 2012;34:202-8.
• Cho SY, Seo DG, Lee SJ, Lee J, Lee SJ, Jung IY. Prognostic factors for clinical outcomes according to time after direct pulp capping. J Endod 2013;39:327-31.
• 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;11:665-71.
• Tziafas D, Smith AJ, Lesot H. Designing new treatment strategies in vital pulp therapy. J Dent 2000;28:77-92.
• Zhang W, Yelick PC. Vital pulp therapy-current progress of dental pulp regeneration and revascularization. Int J Dent 2010;2010856087.
• Tziafas D, Belibasakis G, Veis A, Papadimitriou S. Dentin regeneration in vital pulp therapy: Design principles. Adv Dent Res 2001;1596-100.
• Witherspoon DE. Vital pulp therapy with new materials: New directions and treatment perspectives—permanent teeth. J Endod 2008;34:25-8.
• Jefferies S. Bioactive and biomimetic restorative materials: A comprehensive review. Part ii. J Esthet Restor Dent 2014;26:27-39.
• Asgary S, Kamrani FA, Taheri S. Evaluation of antimicrobial effect of mta, calcium hydroxide, and cem cement. Iran Endod J 2007;2:105.
• Camilleri J, Laurent P. Hydration of biodentine, theracal lc, and a prototype tricalcium silicate–based dentin replacement material after pulp capping in entire tooth cultures. J Endod 2014;40:1846-54.
• Tziafa C, Koliniotou-Koumpia E, Papadimitriou S, Tziafas D. Dentinogenic responses after direct pulp capping of miniature swine teeth with biodentine. J Endod 2014;40:1967-71.
• Torabinejad M, Smith PW, Kettering JD, Pitt Ford TR. Comparative investigation of marginal adaptation of mineral trioxide aggregate and other commonly used root-end filling materials. J Endod 1995;21:295-9.
• Ford TR, Torabinejad M, Abedi HR, Bakland LK, Kariyawasam SP. Using mineral trioxide aggregate as a pulp-capping material. J Am Dent Assoc 1996;127:1491-4.
• 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. Serbian Dent J 2015;62:7-13.
• Macwan C, Deshpande A. Mineral trioxide aggregate (MTA) in dentistry: A review of literature. J Oral Res Rev 2014;6:71.
• Parirokh M, Torabinejad M. Mineral trioxide aggregate: A comprehensive literature review--part iii: Clinical applications, drawbacks, and mechanism of action. J Endod 2010;36:400-13.
• Kayahan MB, Nekoofar MH, McCann A, Sunay H, Kaptan RF, Meraji N, Dummer PM. Effect of acid etching procedures on the compressive strength of 4 calcium silicate-based endodontic cements. J Endod 2013;39:1646-8.
• Yan P, Yuan Z, Jiang H, Peng B, Bian Z. Effect of bioaggregate on differentiation of human periodontal ligament fibroblasts. Int Endod J 2010;43:1116-21.
• Park JW, Hong SH, Kim JH, Lee SJ, Shin SJ. X-ray diffraction analysis of white proroot mta and diadent bioaggregate. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:155-8.
• Diaroot Bioaggregate. http://www.diadent.com. 2011.
• Zhang H, Pappen FG, Haapasalo M. Dentin enhances the antibacterial effect of mineral trioxide aggregate and bioaggregate. J Endod 2009;35:221-4.
• Biodentine scientific file active biosilicate technology, Septodont. Saint-maur-des-fosse´s cedex, France: R&d department. 2010.
• Bogen G, Chandler NP. Pulp preservation in immature permanent teeth. Endod Topics 2010;23:131-52.
• Grech L, Mallia B, Camilleri J. Investigation of the physical properties of tricalcium silicate cement-based root-end filling materials. Dent Mater 2013;29:20-8.
• Camilleri J, Sorrentino F, Damidot D. Investigation of the hydration and bioactivity of radiopacified tricalcium silicate cement, Biodentine and MTA Angelus. Dent Mater 2013;29:580-93.
• Laurent P, Camps J, De Meo M, Dejou J, About I. Induction of specific cell responses to a ca(3)sio(5)-based posterior restorative material. Dent Mater 2008;24:1486-94.
• Schmidt A, Schafer E, Dammaschke T. Shear bond strength of lining materials to calcium-silicate cements at different time intervals. J Adhes Dent 2017;19:129-35.
• Ajami AA, Jafari Navimipour E, Savadi Oskoee S, Abed Kahnamoui M, Lotfi M, Daneshpooy M. Comparison of shear bond strength of resin-modified glass ionomer and composite resin to three pulp capping agents. J Dent Res Dent Clin Dent Prospects 2013;7:164-8.
• Jaberi-Ansari Z, Mahdilou M, Ahmadyar M, Asgary S. Bond strength of composite resin to pulp capping biomaterials after application of three different bonding systems. J Dent Res Dent Clin Dent Prospects 2013;7:152-6.
• Doozaneh M, Koohpeima F, Firouzmandi M, Abbassiyan F. Shear bond strength of self-adhering flowable composite and resin-modified glass ionomer to two pulp capping materials. Iran Endod J 2017;12:103-7.
• Oskoee SS, Kimyai S, Bahari M, Motahari P, Eghbal MJ, Asgary S. Comparison of shear bond strength of calcium-enriched mixture cement and mineral trioxide aggregate to composite resin. J Contemp Dent Pract 2011;12:457-62.
• Shin JH, Jang JH, Park SH, Kim E. Effect of mineral trioxide aggregate surface treatments on morphology and bond strength to composite resin. J Endod 2014;40:1210-6.
• Yesilyurt C, Yildirim T, Tasdemir T, Kusgoz A. Shear bond strength of conventional glass ionomer cements bound to mineral trioxide aggregate. J Endod 2009;35:1381-3.
• Altunsoy M, Tanriver M, Ok E, Kucukyilmaz E. Shear bond strength of a self-adhering flowable composite and a flowable base composite to mineral trioxide aggregate, calcium-enriched mixture cement, and biodentine. J Endod 2015;41:1691-5.
• Colak H, Tokay U, Uzgur R, Uzgur Z, Ercan E, Hamidi MM. The effect of different adhesives and setting times on bond strength between biodentine and composite. J Appl Biomater Funct Mater 2016;14:217-22.
• Odabas ME, Bani M, Tirali RE. Shear bond strengths of different adhesive systems to biodentine. Scientific World Journal 2013;2013626103.
• Tulumbaci F, Almaz ME, Arikan V, Mutluay MS. Shear bond strength of different restorative materials to mineral trioxide aggregate and biodentine. J Conserv Dent 2017;20:292-6.
• Atabek D, Sillelioglu H, Olmez A. Bond strength of adhesive systems to mineral trioxide aggregate with different time intervals. J Endod 2012;38:1288-92.
• Yesilyurt C, Ceyhanli KT, Kedici Alp C, Yildirim T, Tasdemir T. In vitro bonding effectiveness of new self-adhering flowable composite to calcium silicate-based material. Dent Mater J 2014;33:319-24.
• 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;22:302-6.
• Ajami AA, Bahari M, Hassanpour-Kashani A, Abed-Kahnamoui M, Savadi-Oskoee A, Azadi-Oskoee F. Shear bond strengths of composite resin and giomer to mineral trioxide aggregate at different time intervals. J Clin Exp Dent 2017;9:906-11.
• Tunc ES, Sonmez IS, Bayrak S, Egilmez 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;34:603-5.
• Orhan DAI, Öz FT. Sık kullanılan bağlanma dayanım test metotları: Derleme çalışması. J Dental Sci-Special Topics 2011;2:31-40.
• 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;35:881-7.
• Cantekin K. Bond strength of different restorative materials to light-curable mineral trioxide aggregate. J Clin Pediatr Dent 2015;39:143-8.
• Saghiri MA, Lotfi M, Saghiri AM, Vosoughhosseini S, Aeinehchi M, Ranjkesh B. Scanning electron micrograph and surface hardness of mineral trioxide aggregate in the presence of alkaline ph. J Endod 2009;35:706-10.
• Yoshida Y, Nagakane K, Fukuda R, Nakayama Y, Okazaki M, Shintani H, Inoue S, Tagawa Y, Suzuki K, De Munck J, Van Meerbeek B. Comparative study on adhesive performance of functional monomers. J Dent Res 2004;83:454-8.
• 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;30:343-9.
• Bayrak S, Tunc ES, Saroglu I, Egilmez T. Shear bond strengths of different adhesive systems to white mineral trioxide aggregate. Dent Mater J 2009;28:62-7.
• Neelakantan P, Grotra D, Subbarao CV, Garcia-Godoy F. The shear bond strength of resin-based composite to white mineral trioxide aggregate. J Am Dent Assoc 2012;143:40-5.