[牙本质结合预处理对牙本质渗透性的影响]。

J Tagami, J Sugizaki, H Hosoda
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引用次数: 0

摘要

用酸性溶液预处理牙本质表面现在被认为是必要的,以获得牙本质和树脂材料之间的牢固结合。通过扫描电镜观察,研究了不同表面处理对牙本质黏合去除牙本质涂斑的影响。本研究采用Pashley技术测量表面处理后牙本质通透性的变化。与使用10-20 Ca凝胶、Tenure护发素、Scotchprep或Gluma 2处理40秒相比,使用磷酸凝胶、含水磷酸、10-3溶液或含水10-20 Ca溶液(10%柠檬酸含20% CaCl2)处理42秒产生的牙本质渗透性增加更大。使用包括粘合单体(如Scotchprep和Mirage护发素)在内的底漆处理也可以通过去除涂抹层和涂抹塞来增加牙本质的渗透性。使用粘接剂(Clearfil Photobond) 1分钟并没有去除涂抹塞,牙本质的渗透性与治疗前一样。在某些情况下,通过扫描电镜观察无法预测牙本质渗透性的变化。
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[Effect of various pretreatments for dentin bonding on dentin permeability].

Pretreatment of the dentinal surface with acidic solution is now considered to be necessary to obtain strong bonding between dentin and resin materials. Effects of various surface treatments for dentin bonding on dentinal smear removal have been reported by SEM observation. In this study, changes of dentin permeability after the surface treatments were measured using Pashley's technique. Forty-second treatments with either phosphoric acid gel, aqueous phosphoric acid, 10-3 solution or aqueous 10-20 Ca solution (10% citric acid containing 20% CaCl2) produced greater increases in dentin permeability compared with the treatments using either 10-20 Ca gel, Tenure Conditioner, Scotchprep or Gluma 2 for 40 seconds. Treatments with primers including adhesive monomers such as Scotchprep and Mirage Conditioner also increased the dentin permeability by removal of the smear layers and smear plugs. Application of a bonding agent (Clearfil Photobond) for 1 minute did not remove the smear plugs and the dentin permeability remained the same as before the treatment. The changes in dentin permeability were not predictable by SEM observation in some cases.

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