Öz
Amaç: Dijital diş hekimliği indirekt restorasyonlarda kullanılan dental materyallerde kaçınılmaz bir değişime yol açmıştır. Literatürde bu malzemelerin renklenmeleri ile ilgili bilgi eksikliği bulunmaktadır. Farklı ajanlara maruz kalma, materyallerin lekelenmesine yol açarak restoratif materyaller arasında estetik değişkenliğe neden olabilir. Sigara dumanının günümüzde yaygın olarak kullanılan dental materyallerde renk bozulmasına neden olduğu gösterilmiştir. Bu çalışmanın amacı sigara dumanına ve fırçalamaya maruz kalan 3 dental CAD/CAM materyalinin renk stabilitesini değerlendirmektir.
Gereç ve Yöntem: Farklı yüzey işlemlerinden (sırlı, cilalı) 1 mm kalınlığında 20 adet olmak üzere toplam 100 adet disk hazırlandı. Temel renk ölçümü, bir kolorometre kullanılarak yapıldı. Örnekler iki gruba ayrıldı: kontrol ve deney. Deney numuneleri, sigara içen bir kişinin sigara dumanına maruz kalmasına benzer şekilde, sigara içmeyi simüle eden koşullara tabi tutuldu. Kontrol örnekleri yapay tükürükte saklandı. Maruziyetten sonra, renk ölçümü yapıldı ve her işlem grubunun renk farkını kantitatif olarak analiz etmek için L*a*b değerleri kullanılarak müdahaleden önce ve sonra renk değişimi (∆E) hesaplandı. İstatistiksel analiz için iki yönlü ANOVA ve Tamhane post hoc testleri kullanıldı (α= 0.05).
Sonuç: Sigara dumanına maruz kalan tüm numunelerde, yaşlanmaya tabi tutulan numunelere göre daha yüksek bir ortalama renk değişimi meydana geldi. Sigara dumanına maruz kalan tüm test materyallerinde klinik olarak kabul edilen değerin (ΔE ˃ 3.3) üzerinde renk değişimi bulundu. Sigara dumanına maruz kaldıktan sonra, bir diş fırçası ile fırçalanan tüm test edilmiş restorasyon materyallerinde renkleşmede azalma görüldü.
Sonuç: Sigara alışkanlığına daha az duyarlı renk değişikliği ile yeni restoratif materyaller ve temizleme teknikleri geliştirilmelidir.
Anahtar Kelimeler
sigara içmek tütün diş protezi renklenmesi biyomedikal ve dental materyal
Kaynakça
- Alandia-Roman CC, Cruvinel DR, Sousa ABS, Pires-De-Souza FCP, Panzeri H. 2013. Effect of cigarette smoke on color stability and surface roughness of dental composites. J Dent. 41(SUPPL. 3).
- Bollen CM, Lambrechts P, Quirynen M. 1997. Comparison of surface roughness of oral hard materials to the threshold surface roughness for bacterial plaque retention: a review of the literature. Dent Mater. 13(4).
- Conrad HJ, Seong WJ, Pesun IJ. 2007. Current ceramic materials and systems with clinical recommendations: A systematic review. J Prosthet Dent. 98(5):389–404.
- Documentation S. 2015. IPS e.max® CAD. ZWR - Das Dtsch Zahnärzteblatt. 124(09):425–425.
- Fassbinder DJ. 2018. Material Matters: A Review of Chairside CAD/CAM Restorative Maretials. J Cosmet Dent. 34(3).
- Giordano R. 2006. Materials for chairside CAD/CAM-produced restorations. J Am Dent Assoc. 137(9 SUPPL.).
- Gougaloff R, Stalley FC. 2010. Immediate placement and provisionalization of a dental implant utilizing the CEREC 3 CAD/CAM Protocol: a clinical case report. J Calif Dent Assoc. 38(3).
- Guazzato M, Albakry M, Ringer SP, Swain M V. 2004. Strength, fracture toughness and microstructure of a selection of all-ceramic materials. Part I. Pressable and alumina glass-infiltrated ceramics. Dent Mater. 20(5).
- Guess PC, Att W, Strub JR. 2012. Zirconia in Fixed Implant Prosthodontics. Clin Implant Dent Relat Res. 14(5).
- Heimer S, Schmidlin PR, Stawarczyk B. 2017. Discoloration of PMMA, composite, and PEEK. Clin Oral Investig. 21(4).
- Khalefa M, Finke C, Jost-Brinkmann P-G. 2013. Effects of air-polishing devices with different abrasives on bovine primary and second teeth and deciduous human teeth. J Orofac Orthop / Fortschritte der Kieferorthopädie. 74(5).
- Krishna JV, Kumar VS, Savadi RC. 2009. Evolution of metal-free ceramics. J Indian Prosthodont Soc. 9(2).
- Liu PR. 2005. A panorama of dental CAD/CAM restorative systems. Compend Contin Educ Dent. 26(7).
- Motro PFK, Kursoglu P, Kazazoglu E. 2012. Effects of different surface treatments on stainability of ceramics. J Prosthet Dent.
- Palla ES, Kontonasaki E, Kantiranis N, Papadopoulou L, Zorba T, Paraskevopoulos KM, Koidis P. 2018. Color stability of lithium disilicate ceramics after aging and immersion in common beverages. J Prosthet Dent. 119(4).
- Seferli Z. 2020. PEEK Polimerinin Dişhekimliğinde Kullanımı. Selcuk Dent J.
- Stephen F. Rosenstiel, Martin F. Land JF. 2015. Contemporary Fixed Prosthodontics. 5th ed. St. Louis: Mosby/Elsevier.
- Wang F, Takahashi H, Iwasaki N. 2013. Translucency of dental ceramics with different thicknesses. J Prosthet Dent. 110(1).
- Wimmer T, Huffmann AMS, Eichberger M, Schmidlin PR, Stawarczyk B. 2016. Two-body wear rate of PEEK, CAD/CAM resin composite and PMMA: Effect of specimen geometries, antagonist materials and test set-up configuration. Dent Mater. 32(6).
- Yuan JCC, Barão VAR, Wee AG, Alfaro MF, Afshari FS, Sukotjo C. 2018. Effect of brushing and thermocycling on the shade and surface roughness of CAD-CAM ceramic restorations. J Prosthet Dent. 119(6).
Öz
Aim: Digital dentistry has led to an inevitable change in dental materials used for indirect restorations. There is a lack of information in the literature about the discoloration of these materials. Exposure to different agents can lead to staining of the materials, resulting in esthetic variability between restorative materials. It has been shown that cigarette smoke causes discoloration of dental materials that are widely used today. To evaluate the color stability of 3 dental CAD/CAM materials subjected to cigarette smoke and brushing.
Material and Method: A total of 100 discs, 20 for each, with 1 mm thick material, were prepared from different surface treatments (glazed, polished). Baseline color measurement was made using a colorometer. The samples were divided into two groups: control and experimental. Experimental specimens were subjected to conditions simulating smoking, similar to a smoker being exposed. Control samples were stored in artificial saliva. After exposure, color measurement was performed, and color change (∆E) was calculated before and after intervention using L*a*b values to analyze the color difference of each treatment group quantitatively. Two-way ANOVA and Tamhane post hoc tests were used for statistical analysis (α= 0.05).
Result: A higher mean color change occurred in all samples exposed to cigarette smoke than in the corresponding samples subjected to aging. All test materials exposed to cigarette smoke had discoloration above the clinically accepted value (ΔE ˃ 3.3). After exposure to cigarette smoke, all tested restoration materials brushed with a toothbrush show a reduction in staining.
Conclusion: New restorative materials and cleaning techniques need to be developed with less sensitive discoloration to the smoking habit.
Anahtar Kelimeler
smoking tobacco dental prosthesis coloring biomedical and dental materials
Kaynakça
- Alandia-Roman CC, Cruvinel DR, Sousa ABS, Pires-De-Souza FCP, Panzeri H. 2013. Effect of cigarette smoke on color stability and surface roughness of dental composites. J Dent. 41(SUPPL. 3).
- Bollen CM, Lambrechts P, Quirynen M. 1997. Comparison of surface roughness of oral hard materials to the threshold surface roughness for bacterial plaque retention: a review of the literature. Dent Mater. 13(4).
- Conrad HJ, Seong WJ, Pesun IJ. 2007. Current ceramic materials and systems with clinical recommendations: A systematic review. J Prosthet Dent. 98(5):389–404.
- Documentation S. 2015. IPS e.max® CAD. ZWR - Das Dtsch Zahnärzteblatt. 124(09):425–425.
- Fassbinder DJ. 2018. Material Matters: A Review of Chairside CAD/CAM Restorative Maretials. J Cosmet Dent. 34(3).
- Giordano R. 2006. Materials for chairside CAD/CAM-produced restorations. J Am Dent Assoc. 137(9 SUPPL.).
- Gougaloff R, Stalley FC. 2010. Immediate placement and provisionalization of a dental implant utilizing the CEREC 3 CAD/CAM Protocol: a clinical case report. J Calif Dent Assoc. 38(3).
- Guazzato M, Albakry M, Ringer SP, Swain M V. 2004. Strength, fracture toughness and microstructure of a selection of all-ceramic materials. Part I. Pressable and alumina glass-infiltrated ceramics. Dent Mater. 20(5).
- Guess PC, Att W, Strub JR. 2012. Zirconia in Fixed Implant Prosthodontics. Clin Implant Dent Relat Res. 14(5).
- Heimer S, Schmidlin PR, Stawarczyk B. 2017. Discoloration of PMMA, composite, and PEEK. Clin Oral Investig. 21(4).
- Khalefa M, Finke C, Jost-Brinkmann P-G. 2013. Effects of air-polishing devices with different abrasives on bovine primary and second teeth and deciduous human teeth. J Orofac Orthop / Fortschritte der Kieferorthopädie. 74(5).
- Krishna JV, Kumar VS, Savadi RC. 2009. Evolution of metal-free ceramics. J Indian Prosthodont Soc. 9(2).
- Liu PR. 2005. A panorama of dental CAD/CAM restorative systems. Compend Contin Educ Dent. 26(7).
- Motro PFK, Kursoglu P, Kazazoglu E. 2012. Effects of different surface treatments on stainability of ceramics. J Prosthet Dent.
- Palla ES, Kontonasaki E, Kantiranis N, Papadopoulou L, Zorba T, Paraskevopoulos KM, Koidis P. 2018. Color stability of lithium disilicate ceramics after aging and immersion in common beverages. J Prosthet Dent. 119(4).
- Seferli Z. 2020. PEEK Polimerinin Dişhekimliğinde Kullanımı. Selcuk Dent J.
- Stephen F. Rosenstiel, Martin F. Land JF. 2015. Contemporary Fixed Prosthodontics. 5th ed. St. Louis: Mosby/Elsevier.
- Wang F, Takahashi H, Iwasaki N. 2013. Translucency of dental ceramics with different thicknesses. J Prosthet Dent. 110(1).
- Wimmer T, Huffmann AMS, Eichberger M, Schmidlin PR, Stawarczyk B. 2016. Two-body wear rate of PEEK, CAD/CAM resin composite and PMMA: Effect of specimen geometries, antagonist materials and test set-up configuration. Dent Mater. 32(6).
- Yuan JCC, Barão VAR, Wee AG, Alfaro MF, Afshari FS, Sukotjo C. 2018. Effect of brushing and thermocycling on the shade and surface roughness of CAD-CAM ceramic restorations. J Prosthet Dent. 119(6).
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Erken Görünüm Tarihi | 29 Haziran 2022 |
| Yayımlanma Tarihi | 1 Temmuz 2022 |
| Gönderilme Tarihi | 11 Haziran 2022 |
| Yayımlandığı Sayı | Yıl 2022 Cilt: 2 Sayı: 1 |