Süt diþlerinde demir ilacýna baðlý renklenmeler üzerine yüzey örtücü kullanýmýnýn etkisi

GÝRÝÞ ve AMAÇ: Bu çalýþmanýn amacý, süt diþlerine uygulanan yüzey örtücü ajanlarýn, çocuklarda kullanýlan iki farklý formdaki demir þurubunun meydana getirdiði renklenme üzerindeki etkisinin incelenmesidir.
YÖNTEM ve GEREÇLER: Çalýþmada toplam 66 adet çürüksüz süt diþi, her bir grupta 11 adet örnek bulunacak þekilde rastgele 6 gruba ayrýldý. Fe+2 (ferröz sülfat) içeren Ferrum Haussman (Vifor International Inc., Ýsviçre) ve Fe+3 (ferrik polimaltoz) içeren FerroSanol B (UCB Pharma GmbH, Almanya) demir þurubu kullanýldý. Kontrol grubu olarak distile su tercih edildi. Her bir þurup ve kontrol grubundaki örneklerin yarýsýna yüzey örtücü ajan olarak BisCover LV (Bisco Inc., Itasca, IL, ABD) uygulandý ve diðer yarýsýna herhangi bir iþlem yapýlmadý. Her bir diþ örneði günde 3 kere 8 saat aralýklarla 2’þer dakika bulunduðu gruba göre demir þuruplarýna veya distile suya batýrýldý. Toplamda 252 daldýrma döngüsü uygulandý. Renk deðiþimleri spektrofotometre (Vita EasyShade Advance 4.0, Ivoclar Vivadent, Liechtenstein) kullanýlarak ölçüldü. Ýki yönlü varyans analizi, renk deðiþiminin deðerlendirilesinde kullanýldý.
BULGULAR: Fe+2 içeren demir þurup grubundaki diþler Fe+3 içeren demir þurubu grubundaki diþlerden daha fazla renk deðiþimi gösterdi. (p<0,001) Tüm gruplarda yüzey örtücü uygulanan diþlerde uygulanmayan diþlere göre daha fazla renk deðiþimi görüldü. (p<0,001)
TARTIÞMA ve SONUÇ: Bu invitro çalýþmada Fe+2 içeren demir þuruplarýnýn Fe+3 içeren þuruplara göre daha fazla renklenmeye neden olduðu görüldü. Yüzey örtücü ajanlar süt diþlerinde demir ilacýna baðlý oluþan renklenmeleri önlemekte etkili deðildir.

The effect of surface sealants on discoloration of primary teeth related to iron syrups

INTRODUCTION: This study aimed to investigate the effect of surface sealant agents applied to primary teeth on discoloration caused by two different forms of iron syrup used in children.
METHODS: In this study, a total of 66 intact primary teeth were randomly divided into 6 groups, with 11 samples in each group. Ferrum Haussman (Vifor International Inc., Switzerland) containing Fe+2 (ferrous sulfate) and Ferro- Sanol B (UCB Pharma GmbH, Germany) containing Fe+3 (ferric polyimaltose) were used. Distilled water was chosen as a control group. BisCover LV (Bisco Inc., Itasca, IL, USA) was applied to the half of the samples as a surface sealant agent and the other half of the samples was not treated. Each tooth sample based on the group type was immersed in iron syrups or distilled water for 2 minutes at 8 hour intervals, 3 times a day. A total of 252 immersion cycles were applied. Color changes were measured by using a spectrophotometer (Vita Easy- Shade Advance 4.0, Ivoclar Vivadent, Liechtenstein). Twoway ANOVA was used to evaluate the effects of color change.
RESULTS: Samples in the Fe+2 syrup group showed more discoloration than the samples in the Fe+3 syrup group. (p <0.001) In iron syrups and control group, the samples with surface sealent exhibited more discoloration than the rest of the samples. (p <0.001)
DISCUSSION AND CONCLUSION: In this in vitro study, it was observed that iron syrups containing Fe+2 caused more discoloration than the iron syrups containing Fe+3. For primary teeth, surface sealants were inefficient on the protection against discoloration caused by iron syrups.