Person: KAHRAMANOĞLU, ERKUT
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KAHRAMANOĞLU
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ERKUT
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Publication Open 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; ormocerPublication Metadata only Degree of Conversion of Luting Materials Under CAD/CAM Blocks(2023-07-03) DOĞU KAYA, BENGÜ; YILMAZ ATALI, PINAR; ŞENOL, AYŞE ASLI; TARÇIN, BİLGE; KAHRAMANOĞLU, ERKUT; DOĞU KAYA B., Öztürk S., YILMAZ ATALI P., ŞENOL A. A., TARÇIN B., KAHRAMANOĞLU E.Introduction: The aim of this in vitro study was to evaluate the degree of conversion of dual-cured luting cement (Bifix QM, Voco) and flowable composite (GrandioFlow, Voco) under lithium disilicate glass-ceramic (Emax, Ivoclar Vivadent) and hybrid (Grandio Blocs, Voco) CAD/CAM blocks with different thicknesses. Material and Methods: Disc-shaped CAD/CAM blocks with a diameter of 8 mm and two different thicknesses of 1.5 and 2 mm were used in this study. Bifix QM and GrandioFlow (n=3, per material) were polymerized through 1.5- and 2-mm thick CAD/CAM materials. Twenty-four samples with standard thicknesses were achieved by placing 2 adhesive tapes (3M) between the glass plate and mylar strip was used in this set up. The luting cement and flowable composite were polymerized from the upper surface of the blocks using a LED-curing unit (1000 mw/cm2 , Valo Cordless, Ultradent) by closing the periphery. Samples were stored in distilled water at 37°C for 24 hours. Luting materials (100 µm thickness) were examined by Fourier Transform Infrared Spectroscopy (Spectrum Two FT-IR Spectrometer, PerkinElmer) analysis and the degree of conversion (DC) were calculated. Data were analyzed with SPSS V23, One-way Anova and Kruskal Wallis tests with the significance level p<0.05. Results: No significant difference was found in DC between Bifix QM (34.68 ± 13.21; 24.94 ± 1.93) and GrandioFlow (41.33 ± 2.28; 38.07 ± 4.57) when using 1.5 mm Emax (p=0.476) and GrandioSo (p=0.050), respectively. DC of GrandioFlow (37.94 ± 5.33) was significantly higher than Bifix QM (23.36 ± 2.03) with Emax-2 mm (p=0.011). DC of Bifix QM was found to be similar under 1.5 mm (p=0.306) or 2 mm (p=0.051) thicknesses of both Emax and GrandioSo. The difference in DC values of GrandioFlow did not show statistically significance for 1.5 mm and 2 mm thicknesses under GrandioSo and Emax (p=0.275; 0.488, respectively). Conclusion: Within the limitations of this in vitro study, it is important to select the proper luting material considering the structure and thickness of the CAD/CAM restoration, along with manufacturers’ instructions. Keywords: CAD/CAM block, degree of conversion, dual-cure resin cement, flowable composite, lithium dislocate glass-ceramic, luting material, nano-ceramic hybridPublication Metadata only 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 fiberPublication Metadata only Ağız içi tarayıcıların beyazlatılmış ve beyazlatılmamış dişlerde renk eşleştirmesinin klinik değerlendirilmesi(2023-12-09) DOĞU KAYA, BENGÜ; YILMAZ ATALI, PINAR; KAHRAMANOĞLU, ERKUT; TARÇIN, BİLGE; DOĞU KAYA B., YILMAZ ATALI P., KAHRAMANOĞLU E., TARÇIN B.