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İLERİ DERECEDE MADDE KAYBI BULUNAN SÜT AZILARINDA ÇEŞİTLİ AMALGAM TUTUCULUK YÖNTEMLERİNİN ARAŞTIRILMASI

INVESTIGA TION OF VARIOUS RETENTION TECHNIQUES FOR EXTENSIVE AMALGAM RESTORA TIONS IN PRIMAR Y MOLARS

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Abstract (2. Language): 
The effect of amalgapin, TMS Minikin, TMS Minuta pins, circumferential amalgam slot and Baldwin retention methods on fracture resistance of amalgam restorations have been investigated; and the applicability of those methods on primary molars have been evaluated. The mean fracture values obtained for amalgapin, circumferential amalgam slot, Minikin, Minuta and Baldwin groups were, respectively, 104.08 kg, 93.92 kg, 86.75 kg, 52.17 kg and 60.33 kg. No significant differences were found between amalgapin - circumferential amalgam slot, circumferential amalgam slot - Minikin, Minuta - Baldwin methods. Significant differences were obtained between amalgapin - Minikin, amalgapin - Minuta, amalgapin -Baldwin, circumferential amalgam slot - Minuta, circumferential amalgam slot - Baldwin, Minikin - Minuta, Minikin - Baldwin methods. It is determined that all those methods applied to primary molars can resist the chewing stresses of children and they all can be used successfully in primary molars. However, since the highest fracture values have been obtained by amalgapin method, and since the amalgapin retention method is more economic, practical than the pin systems, and more conservative than the circumferential amalgam slot, it has been concluded that the amalgapin method is the most successful retention method.
Abstract (Original Language): 
Süt azılarının amalgam restorasyonlarında amalgapin, TMS Minikin, TMS Minuta pinleri, çevresel amalgam slot ve Baldwin tutuculuk yöntemlerinin amalgamm kırılma direncine olan etkileri in vitro olarak araştırıldı; bu yöntemlerin süt azılarında uygulanabilirlikleri değerlendirildi. Amalgapin, çevresel amalgam slot, TMS Minikin, TMS Minuta pinleri ve Baldwin yöntemlerinin uygulandığı dişlerde ortalama kırılma kuvvet değerleri sırasıyla 104.08 kg, 93.92 kg, 86.75 kg, 52.17 kg ve 60.33 kg olarak saptandı. Amalgapin - çevresel amalgam slot, çevresel amalgam slot - TMS Minikin pinleri, TMS Minuta pinleri - Baldwin yöntemleri arasında anlamlı farklılıklar saptanmadı. Amalgapin - TMS Minikin, amalgapin - TMS Minuta, amalgapin -Baldwin, çevresel amalgam slot - TMS Minuta, çevresel amalgam slot - Baldwin, TMS Minikin - TMS Minuta, TMS Minikin - Baldwin yöntemleri arasındaki farklılıkların ise anlamlı olduğu bulundu. Süz azılarında uygulanan tüm bu yöntemlerin çocukların çiğneme basınçlarına yeterli düzeyde direnç gösterebilecekleri ve süt azılarında başarı ile uygulanabileceği belirlendi. Ancak, en yüksek değerlerin amalgapin yöntemi ile elde edilmesi ve amalgapin tutuculuk yönteminin pin sistemlerine göre daha ekonomik ve kolay, çevresel slot yöntemine göre İse daha konservatif olması nedenleri ile amalgapin yönteminin en başarılı yöntem olduğu sonucuna varıldı.
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