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KEMO-MEKANIK ÇURUK UZAKLAŞTIRMA SİSTEMİNİN (CARISOLV) DENTİN BAĞLAYICI AJANLARIN HİBRİDİZASYONUNA ETKİSİ

THE EFFECT OF CHEMO-MECHANICAL CARIES REMOVAL SYSTEM (CARISOLV) ON HYBRIDISATION OF DENTIN BONDING AGENTS

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Abstract (2. Language): 
The objective of this study was to investigate of the resin-dentin interface of different dentin adhesive systems (self-etching and total-etching adhesive systems) bonded to caries-affected dentin, exposed using with a chemo-mechanical caries removal system (Carisolv). Ten extracted upper and lower 1th and 2nd molar teeth with occlusal caries lesions and four sound teeth for the control were used. Occlusal caries depth standardized with DIAGNOdent and mm-measurement bite-wing radiographs were selected for the study. After the teeth were sectioned mesio-distal plan. After the treatment with Carisolv of the carious and sound dentin surfaces of the teeth, one self-etching and one total-etching dentin bonding systems were applied to the dentin surfaces according to the manufacturer's instructions and composite resin was built up onto it. Resin-dentin interfaces of the specimens were examined under a Scanning Electron Microscope (SEM). The resin tag formation created in caries affected dentin exposed after Carisolv treatment was shorter than the sound dentin. The total-etch dentin bonding system produced more resin tag formation than the self-etch dentin bonding system in caries affected dentin. Both dentin adhesives created longer resin tag formation in sound dentin when compared to caries affected dentin.
Abstract (Original Language): 
Çalışmamızda kemo-mekanik çürük uzaklaştırma sistemi Carisolv'ün, çürükten etkilenmiş dentin yüzeyine uygulanan farklı yapıdaki dentin bağlayıcı ajanların adezyonuna etkisinin SEM ile incelenmesi amaçlanmıştır. Çekimine karar verilmiş, milimetrik ölçekli ısırma radyografileri ve DIAGNOdent ölçümleri ile lezyon derinliklerinin benzer olduğu saptanan 10 adet oklüzal çürüklü ve kontrol amacıyla 4 adet sağlam 1. ve 2. büyük azı dişleri toplanmıştır. Toplanan dişler daha sonra mesio-distal planda kesilmiştir. Çürüklü ve sağlam örnek yüzeylerine Carisolv uygulanmasından sonra birisi self-etch ve diğeride de total-etch dentin adeziv olan dentin bağlayıcı materyalleri uygulanmıştır. Restorasyonlar daha sonra bir hibrit kompozit materyali uygulanarak tamamlanmış ve örnekler gerekli hazırlama aşamalarından sonra SEM'de incelenmiştir. Yapılan SEM incelemesinde Carisolv ile çürüğün uzaklaştırılmasından sonra çürükten etkilenmiş dentinde, sağlam dentin örneklerine göre daha kısa reçine uzantılarının oluştuğu gözlenmiştir. Total-etch adeziv sistem, self-etch adeziv sisteme göre çürükten etkilenmiş dentinde daha fazla sayıda reçine uzantıları oluşturmuştur. Her iki adeziv sistemde, sağlam dentin örneklerinde çürükten etkilenmiş dentin örneklerine oranla daha uzun reçine uzantıları sergilenmiştir.
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