不同牙科胶粘剂体系的剪切粘接强度及破坏模式

N. A. Yahya, Azizah Murtuzah Shekh
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引用次数: 1

摘要

本研究旨在评价不同牙胶粘剂体系的剪切粘接强度(SBS),并分析其在树脂-牙本质界面的破坏模式。选择75颗健康的前磨牙,随机分为5组(n=15): OptiBond Solo (OBS,全蚀刻)、OptiBond Versa (OBV,两瓶,自蚀刻)、Adhe SE Ivoclar (Adhe,两瓶,自蚀刻)、G-Bond (GB,一瓶,自蚀刻)和OptiBond All in One (OBO,一瓶,自蚀刻)。将每颗牙的咬合面压平,并使用定制的模具在平整的牙本质表面上构建复合树脂圆柱体(4x2 mm)。然后,试样在5°C至55°C之间进行500次热循环,停留时间为20s。SBS试验采用万能试验机,十字速度为0.5 mm/min。数据分析采用单因素方差分析和Dunnett T3检验。利用体视显微镜确定其破坏模式为粘接、内聚或混合模式,并采用Fisher精确检验对数据进行分析。全蚀刻(OBS)体系的SBS值明显高于自蚀刻(ADHE)和自蚀刻(GB)体系。在自蚀刻体系中,OBV的SBS值明显高于ADHE和GB。两组失效模式类型差异无统计学意义(p < 0.05)。结果表明,自蚀刻胶材料中不同的成分可能导致SBS值的不同。在所有测试组中检测到的失效模式没有显示出临床上重要的差异。
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Shear Bond Strength and Failure Mode of Different Dental Adhesive Systems
The study aimed to evaluate the shear bond strength (SBS) and to analyse the failure mode at the resin-dentine interface of different dental adhesive systems. A total of 75 sound premolar teeth were selected and randomly assigned into five different adhesive groups (n=15): OptiBond Solo (OBS, total-etch), OptiBond Versa (OBV, two-bottles, self-etch), Adhe SE Ivoclar (ADHE, two-bottles, self-etch), G-Bond (GB, one-bottle, self-etch), and OptiBond All in One (OBO, one-bottle, self-etch). The occlusal surface of each tooth was flattened and composite resin cylinder (4x2 mm) was built up on the flat dentine surface using a custom made mould. The specimens were then subjected to 500 thermal cycles between 5 °C and 55 °C and dwell time of 20s. The SBS test was conducted using a universal testing machine at a crosshead speed of 0.5 mm/min. Data were analyzed using one-way ANOVA and Dunnett T3 Test. Failure mode was determined as adhesive, cohesive or mixed mode using a stereomicroscope and the data were analyzed using Fisher's exact test. The total-etch (OBS) had significantly higher value of SBS than the two self-etch (ADHE and GB) adhesive systems. Within the self-etch systems, OBV showed significantly higher SBS value compared to ADHE and GB. There were no statistically significant differences between types of failure mode (p > 0.05) and adhesive group. It can be concluded that the different compositions in the self-etch adhesive materials may contribute to the different SBS value. The failure modes detected within all tested groups did not show clinically important differences.
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