复合树脂材料对牙龈和牙髓的影响

S Yamaguchi, I Ishikawa, H Masunaga, M Matsue, I Matsue
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摘要

复合树脂材料目前广泛应用于牙科治疗。本研究的目的是了解复合树脂在牙周治疗中用于临时夹板时对牙龈和牙髓的影响。选取6只1 ~ 2岁、牙齿和牙龈均健康的母犬60颗牙齿,分为4组;(1) 12齿,控制;(2) 12颗牙,自固化复合树脂(Clearfil F II, CF II);(3) 18颗牙,光固化树脂(Belfel LX, BLX),固化时间20秒;(4)18颗牙,BLX,固化时间40秒,再修复48颗V类复合树脂。实验过程分为5 d和30 d。采用苏木精伊红染色法对标本进行组织病理学观察。对于本研究的材料和时间段,我们发现;1. 光固化复合树脂处理效果优于自固化复合树脂。2. 实验组(BLX, CF II)与对照组牙周组织在5 d内无明显差异。在第30天,组织学评分显示实验组牙龈炎发生率高于对照组(BLX-40大于BLX-20大于CF II,大于对照组)。3.部分实验病例(BLX和CF II)在第5天出现充血。第30天观察到牙本质外观和牙母细胞层变化轻微。但BLX与CF II之间无显著差异。4. 结果表明,复合树脂材料用于临时夹板时,牙龈和牙髓均需保护。
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[Effects of composite resin materials on gingiva and pulp].

Composite resin materials are now widely used for dental therapy. The purpose of this study was to clarify the effect of composite resins on gingiva and pulp in case of application of them for temporally splint in periodontal treatment. 60 teeth in 6 female dogs ranging between 1 and 2 years of age with healty teeth and gingiva were divieded to 4 groups; (1) 12 teeth, controls; (2) 12 teeth, self-cured composite resin (Clearfil F II, CF II); (3) 18 teeth, light-cured resin (Belfel LX, BLX), curing time 20 sec. and (4) 18 teeth, BLX, 40 sec., and then 48 class V composite resins were restored supragingivally. The experimental procedure were carried out for 5 days and 30 days. Histopathological observations of 60 teeth inclusive of controls were made by applying to specimens with Hematoxylin eosin staining. For the materials and time periods in this study it was found that; 1. Light-cured composite resin was superior to self-cured composite resin on handlings. 2. There were no significant differences in periodontium between the experimentals (BLX, CF II) and controls in 5 days. At the 30 days the histologic score showed more gingivitis for the experimental teeth than for the controls (BLX-40 greater than BLX-20 greater than CF II greater than Cont.). 3. At 5 days hyperemia occurred in some cases of experimentals (both BLX and CF II). The appearance of predentin and changes of odontblastic layer were observed slightly in 30 days. But there were no significant differences between BLX and CF II. 4. The result suggested that applying to composite resin materials for temporally splint, both gingiva and pulp have to be protected.

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