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Yüzey dehidratasyonunun (Etanol Wet Bonding) günümüz iki adet self etch adeziv sistemin mikrosızıntı skorlarına etkisi

Effect of the surface dehydratation (Ethanol-Wet Bonding) on the microleakage scores of the two current self etch adhesive system

Journal Name:

  • Süleyman Demirel Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi

Publication Year:

  • 2013

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Objective: The purpose of this study was to investigate the effect of surface pretreatment with ethanol before bonding procedure, on the microleakage of two current self-etch adhesive systems. Material-Method: Class V cavities were prepared on the facial surfaces of 28 non-carious, human third molar teeth at the cemento-enamel junction. A two-step self-etch adhesive Clearfil SE Bond and a one-step self-etch adhesive Clearfil S3 Bond were applied to the cavities directly, according to the manufacturer’s instructions or after pre-treatment with 95% acetone for 30s before bonding (n=7). After bonding, the cavities were filled with a resin composite. The teeth with completed restorations were thermocycled 1,000 cycles between 5°C and 55°C. After thermocycle, the teeth were immersed in 0,5% methylene blue dye for 24 hours. The specimens that removed from dye were then sectioned longitudinally and dye penetration was scored. Data were analyzed using Kruskal- Wallis and One-way ANOVA tests. Results: The microleakage scores of Clearfil SE Bond and Clearfil S3 Bond, used directly or with ethanol pre-treatment to the cavity surfaces, were similar at enamel walls, the scores of Clearfil SE Bond were slightly reduced on dentinal walls when compared with Clearfil S3 Bond (p>0,05). The pre-treatment of ethanol before bonding system application to the cavity surfaces had no significant effect on the microleakage scores of two adhesive systems on enamel and dentin. Discussion:: The microleakage scores of self-etch adhesive systems on dentinal walls of the teeth were slightly reduced after ethanol pre-treatment, but the scores on enamel walls were not affected. The ethanol pre-treated dentin surfaces may provide an improved substrate for resin adhesion of self-etching adhesives due to the dentin dehydration in long terms.
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Abstract (Original Language): 
Amaç: Bu çalışmanın amacı, adeziv sistem uygulamalarından önce kavite yüzeylerine etanol uygulamasının, günümüzde kullanılmakta olan iki adet self-etch sistemin mikrosızıntı skorları üzerindeki etkisini araştırmaktır. Materyal-Metot: Çalışmamızda, 28 adet çürüksüz, insan üçüncü molar dişin bukkal yüzeylerine, mine-sement birleşiminde sınıf V kaviteler hazırlanmıştır. Çalışmada, iki aşamalı Clearfil SE Bond ve tek aşamalı Clearfil S3 Bond, üretici firma önerileri doğrultusunda veya adeziv sistemlerin uygulanmasından önce kavitelere %95’lik etanolun 30 sn uygulanmasını takiben uygulanmıştır (n=7). Bağlayıcı uygulamasının arkasından, kompozit materyali ile restorasyonlar tamamlanmıştır. Restorasyonları tamamlanan örneklere, 5°C ile 55°C arasında 1.000 devir termal siklus işlemi uygulanmıştır. Termal siklus uygulamasından sonra, örnekler %0,5’lik metilen mavisinde 24 saat bekletilmiştir. Boyadan çıkartılan örneklerden dikey kesitler alınarak, boya sızıntısı skorlanmıştır. Elde edilen sonuçların istatistiksel değerlendirilmesi, Kruskal- Wallis ve One- way ANOVA testleri ile yapılmıştır. Bulgular: Bu çalışmada, etanol uygulaması yapılan örnekler ile adeziv sistemlerin üretici firma doğrultusunda uygulandığı örneklerin mine duvarlarında, Clearfil SE Bond ile Clearfil S3 Bond benzer sızıntı skorları sergilerken, dentin duvarlarında Clearfil SE Bond, Clearfil S3 Bond’dan daha düşük sızıntı sergilemiştir (p>0,05). Kavite yüzeylerine adeziv sistemlerin uygulamasından önce etanol uygulanması, her iki adeziv sisteminde mine ve dentindeki sızıntı skorlarında anlamlı bir değişiklik yapmamıştır (p>0,05). Sonuç: Self etch adeziv sistemlerin dentin duvarlarındaki mikrosızıntı skorları, yüzeylere etanol uygulaması sonucu hafif düzeyde azalırken, mine duvarlarındaki sızıntı skorları bu uygulamadan etkilenmemiştir.Bağlayıcı ajan uygulamasından önce etanol uygulanan dentin yüzeyleri, self-etch sistemlerin uzun dönem adezyonu için daha gelişmiş bir yüzey sağlayabilir.
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