Silorane基复合材料和传统甲基丙烯酸酯复合材料对乳牙本质微拉伸结合强度的比较。

Journal of Dental Biomaterial Pub Date : 2016-12-01
Sharifi M, Khoramian Tusi S
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引用次数: 0

摘要

问题陈述:修复材料和牙齿结构之间的结合强度对于进行持久修复非常重要。考虑到最近对低收缩复合树脂的关注,评估这些材料的微观拉伸结合强度将是有价值的。目的:比较硅烷复合树脂(Filtek P90)与传统甲基丙烯酸酯复合树脂(Filtek Z250)在应用粘接系统前应用酸蚀和不应用酸蚀的微拉伸粘接强度。材料和方法:在本实验研究中,使用了24只完整的原代犬。牙本质暴露后,将牙齿随机分为四组:第一组(silorane bond system+composite Filtek P90);第二组(蚀刻+硅烷结合系统+复合材料Filtek P90);第三组(单键+复合材料Filtek Z250);以及第四组(蚀刻+单键合+复合Filtek Z250)。在纵轴上切割牙齿,并用颊舌和近中距离研磨复合材料和牙本质之间的界面。样品受到微拉伸力直至断裂。所获得的值以MPa为单位进行记录;使用单向方差分析和Tamhane的T2统计检验对数据进行分析。结果:各组的平均微拉伸结合强度差异有统计学意义(均p<0.05)。最高的结合强度属于第二组(蚀刻+硅烷结合体系+复合Filtek P90),最低的值与第三组(单键+复合Filtec Z250)有关。结论:作为第二组(etch+silorane粘结体系+复合材料Filtek P90)表现出更高的微拉伸粘结强度,这可以证明使用复合材料Filtec P90比使用复合材料Filtek Z250更适合用于原发性牙本质,并且使用etch+Silane粘结体系比单粘结体系更有利。
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Comparison of Microtensile Bond Strength of Silorane-Based Composite with the Conventional Methacrylate Composite to the Dentin of Primary Teeth.

Statement of problem: The bond strength between restorative material and tooth structure is so important for conduction of durable restoration. Considering the recent attention to low shrinkage composite resins, evaluation of micro tensile bond strength of these materials would be valuable.

Objectives: To compare the microtensile bond strength of silorane composite resin (Filtek P90) with the conventional methacrylate composite (Filtek Z250) with and without applying acid etch before application of bonding system.

Materials and methods: In this experimental study, 24 intact primary canines were used. After the dentin was exposed, the teeth were randomly divided into four groups as follows: the first group (silorane bond system + composite Filtek P90); the second group (etch + silorane bond system + composite Filtek P90); the third group (Single bond + composite Filtek Z250); and the fourth group (etch + Single bond + composite Filtek Z250). The teeth were cut on the longitudinal axis and the interface between the composite and dentin were grinded buccolingually and mesiodistally. The samples were subjected to a microtensile force until breakage. The obtained values were recorded in MPa; data were analyzed using One-way ANOVA and Tamhane's T2 statistical tests.

Results: The average microtensile bond strength in all groups had a statistically significant difference with each other (all p < 0.05). The highest bond strength belonged to the second group (etch + silorane bond system + composite Filtek P90) and the lowest value was related to the third group (Single bond + composite Filtek Z250).

Conclusions: As the second group (etch + silorane bond system + composite Filtek P90) exhibited higher microtensile bond strength, it may prove that using composite Filtek P90 is preferable to be used in primary dentin in comparison with composite Filtek Z250, and using etch + silorane bond system is more advantageous than single bond system.

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