THE EFFECT OF DIFFERENT DENTAL ADHESIVE SYSTEMS ON HYBRID LAYER QUALITIES

S. Ku, Y. Tan, N. A. Yahya
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Abstract

The study aimed to evaluate the quality of the hybrid layer form by three different adhesive systems. Class V cavities were prepared on the buccal surface of fourty extracted human premolars. The prepared teeth were randomly assigned into four groups according to the adhesive system and application mode. The systems were: Optibond S (OS, total-etch); Optibond Versa (OV, two-bottles, self-etch); Single Bond Universal (SBU, one-bottle, self-etch) and Single Bond Universal with etchant (SBU + etchant). All cavities were restored with composite (Filtek Z350XT). The samples were sectioned, polished and pretreated to remove minerals, protein and water prior to SEM evaluation. From the images, thickness of the hybrid layers was measured. Present of resin tags and adaptation failure were also recorded. The data obtained were analyzed using ANOVA, Dunnett’s T3, Kruskal-Wallis and Mann-Whitney tests. OS group showed the highest average hybrid layer thickness (4.34 µm), followed by SBU + etchant (3.06 µm), OV (1.91 µm) and SBU (0.95 µm). Both adhesive and cohesive failures were observed in SBU group. Present of prominent resin tags were seen in both OS and OV groups. In conclusion, all the investigated adhesive systems were able to perform distinguishable actions as shown in micro-morphological alteration and hybrid layer thickness. Two-bottles, selfetch adhesive (OV) was proven to produce negligible adaptation failure compared to other adhesive systems in the present study. Combined all-in-one adhesive (SBU) was found to render a superior bonding performance in total-etch mode comparing to self-etch mode.
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不同牙胶粘剂体系对杂化层质量的影响
本研究旨在评价三种不同的粘接体系所形成的杂化层的质量。在40颗拔除的人类前磨牙的颊面制备了V类牙槽。根据粘接剂系统和使用方式,将预备好的牙随机分为4组。系统为:Optibond S (OS, total-蚀刻);Optibond Versa (OV,两瓶,自蚀刻);单键通用型(SBU,单瓶,自蚀刻)和单键通用型(SBU +蚀刻)。所有腔体均采用复合材料(Filtek Z350XT)修复。样品经过切片、抛光和预处理以去除矿物质、蛋白质和水,然后进行SEM评估。根据图像,测量了混合层的厚度。同时记录了树脂标签的存在和适配失败情况。所得数据采用方差分析、Dunnett’s T3、Kruskal-Wallis和Mann-Whitney检验进行分析。OS组平均杂化层厚度最高(4.34µm),其次为SBU + etchant(3.06µm)、OV(1.91µm)和SBU(0.95µm)。SBU组均出现粘接和内聚失效。OS组和OV组均可见明显的树脂标记。综上所述,所研究的所有胶粘剂体系都能在微形态改变和杂化层厚度上表现出不同的作用。在本研究中,与其他胶粘剂系统相比,双瓶自取胶粘剂(OV)被证明产生可忽略不计的适应失败。在全蚀刻模式下,与自蚀刻模式相比,复合式一体化胶粘剂(SBU)具有更好的粘合性能。
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