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KAHRAMANOĞLU, ERKUT

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Author: ŞENOL, AYŞE ASLI × Subject: bulk-fill composite ×

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    PublicationOpen Access
    Microleakage and Marginal Integrity of Ormocer/Methacrylate-Based Bulk-Fill Resin Restorations in MOD Cavities: SEM and Stereomicroscopic Evaluation
    (2023-03-01) ŞENOL, AYŞE ASLI; TARÇIN, BİLGE; KAHRAMANOĞLU, ERKUT; YILMAZ ATALI, PINAR; Şenol A. A., Karabulut Gencer B., Tarçın B., Kahramanoğlu E., Yılmaz Atalı P.
    This in vitro study aimed to compare the microleakage and marginal integrity of methacrylate/ormocer-based bulk-fill composite (BFC) restorations used in cervical marginal relocation with two different layering thicknesses in mesio-occlusal-distal (MOD) cavities exposed to thermomechanical loading. Standard MOD cavities were prepared in 60 mandibular molars and assigned into three groups: x-tra fil/AF + x-tra base/XB, Tetric N-Ceram Bulk Fill/TNB + Tetric N-Flow Bulk Fill/TFB, and Admira Fusion x-tra/AFX + Admira Fusion x-base/AFB. Each group was further divided into two subgroups (2 mm and 4 mm) based on the thickness of flowable BFCs (n = 10). The specimens were subjected to thermo-mechanical loading (240,000 cycles) and immersed in 0.2% methylene blue. Following mesiodistal sectioning, the specimens were examined under stereomicroscope (×25) and scored (0–3) for microleakage. Marginal integrity was examined using a scanning electron microscope (SEM). Descriptive statistical methods and the chi-square test were used to evaluate the data (p < 0.05). While there was no statistically significant difference in gingival cement microleakage in the XB and AFB specimens with a 4 mm thickness, microleakage was significantly increased in the TFB specimen (p = 0.604, 0.481, 0.018 respectively). A significantly higher amount of score 0 coronal microleakage was detected in the AFX2 mm + AFB4 mm compared to the TNB2 mm + TFB4 mm (p = 0.039). The SEM examination demonstrated better marginal integrity in groups with 2 mm thick flowable BFCs. Ormocer and methacrylate-based materials can be used in marginal relocation with thin layers. Keywords: bulk-fill composite; layering thicknesses; marginal relocation; microleakage; ormocer
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    Effect of Polyethylene Fiber on Fracture Resistance of Bulk-fill Composites
    (2023-07-03) MANAV, AYBİKE; DOĞU, BENGÜ; YILMAZ ATALI, PINAR; KAHRAMANOĞLU, ERKUT; ŞENOL, AYŞE ASLI; TARÇIN, BİLGE; TÜRKMEN, CAFER; MANAV ÖZEN A., DOĞU KAYA B., YILMAZ ATALI P., KAHRAMANOĞLU E., ŞENOL A. A., TARÇIN B., TÜRKMEN C.
    Introduction: The aim of this in vitro study was to evaluate the fracture resistance of sonic-activated SonicFill3 (SF) (Kerr) and flowable Charisma Bulk Flow ONE (CO) (Kulzer) bulk-fill composites with or without polyethylene-fiber (R) (Ribbond) application. Materials and Methods: Class I cavities (2x2x4mm) were prepared on 40 freshly extracted human premolars of similar size and classified randomly into 4 groups (SF, SF+R, CO, CO+R). The remaining wall thicknesses of the teeth was confirmed to be 2mm. Ribbond fiber (2x2mm) was applied to cavity bases of the acryl-embedded teeth according to manufacturers’ instructions and OptiBond (Kerr) (for SF, SF+R groups) and Gluma Bond (Kulzer) (for CO, CO+R groups) universal adhesives were used. All specimens were restored in a 4mm monolayer with SF and CO. Valo Cordless (Ultradent) LED-curing unit with a power output of 1000 mW/cm2 was preferred for polymerization. Finishing and polishing were completed with the last 2 stages of Sof-Lex discs (Kerr). Restored teeth were stored in distilled water at 37°C for 24 hours. Fracture resistance (FS) and elastic modulus (EM) values were measured with a universal testing device (Shimadzu AG-X, Shimadzu Corp, Japan). Data were analyzed with IBM SPSS V23 using Independent samples T-test. The significance level was set at p<0.05. Results: No statistically significant difference was found between the bulk-fill composites (SF and CO) without R (p=0.167). Similarly, no significant difference was detected between the Ribbond fiber applied groups (SF+R and CO+R) (p=0.994). The effect of fiber application on FS of SF (p=0.421) and CO (p=0.552) was not statistically significant. The mean maximum force values (newtons) in decreasing order were CO (761.09±224.32) > SF+R (671.08±150.51) > CO+R (669.95±358.44) > SF (580.7±269.04). The EM values of SF and CO were statistically significantly different (p=0.009). A statistically significant difference was observed between the EM values in the Ribbond fiber applied groups (SF+R and CO+R) (p=0.026). EM values of CO were statistically significantly higher regardless of Ribbond application (p<0.001). Conclusion: Within the limitations of this in vitro study, the application of SonicFill3 and Charisma Bulk Flow ONE composites with Ribbond may be an option for clinical applications. Keywords: bulk-fill composite, elastic modulus, fracture resistance, polyethylene fiber