Influence of varying dry air temperatures on postoperative sensitivity, penetration depth, and push-out bond strength of an ethanol/water-based adhesive: An in vivo double-blind clinical trial and in vitro analysis.

Q2 Dentistry Journal of Conservative Dentistry Pub Date : 2023-01-01 Epub Date: 2022-12-08 DOI:10.4103/jcd.jcd_454_22
Sachin Kumar, Palmoor Santosh Kumar, Sampath Vidhya, Sekar Mahalaxmi, Pranav Vanajassun Purushothaman
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Abstract

Background: Incomplete monomer infiltration into the etched dentin causes postoperative sensitivity (POS) with total-etch adhesives. Increasing the temperature of the air to dry the adhesive has shown to improve its infiltration into the dentin.

Aims: The aim of this research is to evaluate the effectiveness of dry air temperatures of 15°C ± 5°C and 50°C ± 5°C on the POS, depth of penetration, and bond strength of an ethanol/water-based etch-and-rinse (ER) adhesive under in vivo and in vitro conditions.

Methods: Forty-four premolars from 11 patients scheduled for orthodontic extraction were allocated into cold air (Group 1) and warm air (Group 2) groups using a split-mouth design. A 2 mm × 2 mm × 2 mm cavity was prepared on the middle third of the buccal surface of the teeth, acid etched, and two coats of an ethanol/water-based adhesive resin mixed with 0.1% rhodamine B was applied for 10 s. A dental air gun customized to deliver warm and cold air was used to dry the adhesive prior to its light polymerization. The cavities were restored with resin composite incrementally. POS was assessed using visual analog scale at 24 and 72 h using cold test. The teeth were atraumatically extracted and analyzed for depth of adhesive penetration using confocal laser scanning microscope (n = 11) and push-out bond strength (n = 11).

Statistical analysis used: The data were analyzed using sample t-test and Wilcoxon signed-rank test (P < 0.05).

Results: A significantly lower POS and greater adhesive penetration into the dentin was observed in the warm air group compared to cold air (P < 0.05). No significant difference could be elicited between the push-out bond strength of both the groups (P > 0.05).

Conclusions: Warm air alleviated POS and improved the penetration of an ethanol/water-based ER adhesive into the dentin.

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不同干燥空气温度对乙醇/水性粘合剂术后敏感性、渗透深度和推出粘合强度的影响:一项体内双盲临床试验和体外分析。
背景:单体不完全渗透到蚀刻的牙本质中会导致全蚀刻粘合剂的术后敏感性(POS)。提高空气的温度以干燥粘合剂已经表明可以改善其对牙本质的渗透。目的:本研究的目的是评估在体内和体外条件下,15°C±5°C和50°C±6°C的干燥空气温度对乙醇/水性蚀刻和漂洗(ER)粘合剂的POS、渗透深度和粘合强度的有效性。方法:将11例正畸患者的44颗前磨牙分为冷空气组(第一组)和热空气组(第二组)。在牙齿颊表面的中间三分之一处制备一个2 mm×2 mm×2mm的空腔,进行酸蚀,并涂上两层与0.1%罗丹明B混合的乙醇/水性粘合剂树脂10 s。在粘合剂进行光聚合之前,使用定制的可输送冷空气和暖空气的牙科气枪来干燥粘合剂。用树脂复合材料逐步修复空洞。使用视觉模拟量表在24小时和72小时使用冷测试评估POS。对牙齿进行无损伤提取,并使用共聚焦激光扫描显微镜(n=11)和推出粘合强度(n=11中)分析粘合剂渗透深度。统计分析:采用样本t检验和Wilcoxon符号秩检验对数据进行分析(P<0.05)减轻了POS并改善了乙醇/水性ER粘合剂对牙本质的渗透。
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来源期刊
Journal of Conservative Dentistry
Journal of Conservative Dentistry Dentistry-Dentistry (all)
CiteScore
2.10
自引率
0.00%
发文量
114
期刊介绍: The Journal of Conservative Dentistry (ISSN - 0972-0707) is the official journal of the Indian Association of Conservative Dentistry and Endodontics (IACDE). Our journal publishes scientific articles, case reports, short communications, invited reviews and comparative studies evaluating materials and methods in the fields of Conservative Dentistry, Dental Materials and Endodontics. J Conserv Dent has a diverse readership that includes full-time clinicians, full-time academicians, residents, students and scientists. Effective communication with this diverse readership requires careful attention to writing style.
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