与牙本质的结合强度和胶粘剂体系的转化程度

Vagner Flávio Reginato, S. Boccardi, Yasmin Bucco, V. Feitosa, A. Bacchi, R. Consani
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摘要

目的:研究水泥-牙本质黏附技术中混杂层的黏附强度、转化程度和断裂方式。材料与方法:牛牙本质砌块按照胶结技术分为:G1-常规三步胶粘剂和双固化树脂胶粘剂;G2-一步自蚀刻胶双固化树脂水泥;g3 -自粘树脂水泥;G4—自粘底漆和双固化树脂水泥。标本经热循环、化学老化或水储存。通过试验机评估粘结强度;用光学显微镜观察断裂模式,用微拉曼分光光度计评估转换程度。数据采用双因素方差分析和Tukey检验(α=0.05)。结果:G1的粘结强度最高(p<0.001),其次是G2, G3和G4的粘结强度最高,两者之间无差异。对于G2、G3和G4,热循环影响粘结强度。单键Universal对G2的转化程度最大,显著高于Scotchbond和RelyX U200。G4为水泥层的最大值,且在统计学上高于G1。G1的强度高于G3与树脂水泥或自粘树脂水泥的强度。观察到不同的骨折模式。结论:老化方法降低了粘结强度。光活化胶粘剂层和双活化胶粘剂层的转化率最高。观察到不同的骨折模式。临床意义:树脂胶结物的转换程度和混杂层的断裂模式是粘接剂方案中获得不同粘接剂强度值的相关因素。
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Bond Strength to Dentine and Degree of Conversion of Adhesive Systems
Objectives: The study evaluated the bond strength, degree of conversion and fracture pattern of the hybrid layer in cement-dentin adhesion techniques. Materials and Methods: Bovine teeth dentin blocks were divided according to the cementation techniques: G1- Conventional three-step adhesive and dual-curing resin cement; G2- One-step self-etch adhesive and dual-curing resin cement; G3-Self-adhesive resin cement; and G4- Self-adhesive primer and dual-curing resin cement. Specimens were submitted to thermal cycling, chemical aging or water storage. Bond strength was evaluated by testing machine; fracture pattern observed by optical microscopy, and degree of conversion evaluated in micro-Raman spectrophotometer. Data were analyzed by two-way ANOVA and Tukey's test (α=0.05).  Results: G1 showed greatest bond strength (p<0.001) followed by the G2 with higher values compared to G3 and G4, and no difference between them. For G2, G3 and G4, the thermal cycling affected the bond strength. The greatest degree of conversion was for G2 with Single Bond Universal, significantly higher than Scotchbond and RelyX U200. G4 provided highest value for the cement layer, and statistically higher than G1. G1 showed the highest strength than G3 associated to resin cement or self-adhesive resin cement. Different fracture patterns were observed. Conclusions: Aging methods reduced the bond strength. Degree of conversion was highest in the adhesive layer photo activated and in the cement layer with dual activation. Different fracture patterns were observed. Clinical Relevance: Resin cements degree of conversion and fracture pattern of the hybrid layer are relevant factors in the different bond strength values obtained in adhesive protocols.
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