六种市售磷酸对复合树脂与牙釉质微剪切结合强度影响的体外研究。

Faeze Jamali Zavare, Mahsa Sheikholeslamian, Saber Kazemi, Amir Ghasemi, Narges Panahandeh, Mina Yazdizadeh, Elham Zanguei
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引用次数: 0

摘要

问题陈述:复合树脂修复体临床寿命的最重要因素之一是适当的粘连,这是使用磷酸来实现的。不同的磷酸产物会影响复合树脂与牙釉质的微剪切结合强度。目的:研究6种不同牌号的酸蚀剂对复合树脂与牙釉质微剪切结合强度的影响。材料与方法:以72颗拔除的健全人(下颌骨和上颌)第一前磨牙为研究对象进行体外培养。将牙冠分成两等份,中远端切牙,根据酸蚀剂品牌随机分为Ultra-etch、SDI、Morvabon、FGM、Nik Darman和Experimental 6组。采用Margin Bond搪瓷胶粘剂进行粘接。将含有复合树脂的Tygon管(1×0.7 mm)粘接在每个牙釉质表面。在蒸馏水中保存24小时后,每个样品都受到一个十字头速度为0.5 mm/min的剪切力。用扫描电镜观察形态学变化。采用SPSS统计分析,采用单因素方差分析和Tukey检验(p< 0.05)。结果:单因素方差分析显示,不同蚀刻剂的微剪切结合强度有显著差异(p< 0.001)。复合树脂微剪切粘接强度最高的是Ultradent,最低的是SDI。SDI组牙釉质表面溶解后出现残留碎片。结论:不同磷酸制剂对牙釉质表面微剪切结合强度和牙釉质表面形态的影响不同。建议进一步的临床研究,以评估不同类型和浓度的酸蚀剂对牙本质和牙釉质结合的影响。
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An in vitro Survey on the Effect of Six Commercial Brands of Phosphoric Acid on the Micro-shear Bond Strength of Composite Resin to Enamel.

Statement of the problem: One of the most important factors in the clinical longevity of composite resin restorations is proper adhesion, which is achieved using phosphoric acid. Different phosphoric acid products might affect the micro-shear bond strength of composite resin to enamel.

Purpose: The present study aimed to evaluate the micro-shear bond strength of composite resin to sound enamel using six different brands of acid-etch agents.

Materials and method: The present in vitro study was carried out on 72 extracted sound human (mandibular and maxillary) first premolar teeth. The teeth crowns were divided into two equal parts with a mesiodistal cut and randomly assigned to six groups in terms of the acid etchant brand: Ultra-etch, SDI, Morvabon, FGM, Nik Darman, and Experimental. The bonding procedure was carried out using the Margin Bond enamel adhesive. Tygon tubes (1×0.7 mm) containing composite resin were bonded to each enamel surface. After 24 hours of storage in distilled water, each sample underwent a shearing force with a crosshead speed of 0.5 mm/min. The morphologic changes were evaluated using scanning electron microscopy. The data were analyzed with SPSS using one-way ANOVA and Tukey test (p< 0.05).

Results: One-way ANOVA showed that micro-shear bond strength in different etchant agents have significant differences (p< 0.001). The highest and lowest composite resin micro-shear bond strengths belonged to Ultradent and SDI brands, respectively. The enamel surfaces in the SDI group revealed residual debris after dissolution.

Conclusion: Preparation of the enamel surface with different phosphoric acid products might affect the micro-shear bond strength and enamel surface morphology differently. Further clinical studies are suggested to evaluate the effect of different types and concentrations of acid etching agents on the enamel and dentin bonds.

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