ii类复合修复体牙龈微渗漏的评估:一项体外研究

O. Janković, S. Paraš, R. Arbutina, Irena Kuzmanović Radman, Tijana Adamović, V. Veselinović, V. Mirjanić
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摘要

微渗漏的评价是评价新修复材料和新修复方法成功与否的重要依据。本研究的目的是评估不同可流动复合材料作为衬垫和两种不同聚合技术的II类修复体的微泄漏。材料与方法:40颗拔除的ⅱ类预备前磨牙中、远端(80颗)分为4组:1.牙槽;广告流(VF)+微混合复合Herculite 2。Surefil SDR Flow (SDRF)+微混合复合材料Herculite 3Tetric Flow (TF)+微杂化复合材料Herculite对照组微杂交复合大力神。采用聚合软启动技术将中腔与经典腔和远腔进行聚合。之后,将样品浸泡在0.5% AgNO3溶液中,沿中远端方向切片。采用40倍体视显微镜(Nikon - Japan)观察牙龈龋洞微渗漏情况。使用Fisher’s和Student’s检验分析数据。结果:采用经典聚合技术后,三种可流动复合材料(VF+Herculite、SDRF+Herculite、TF+Herculite)的牙龈微渗漏均低于对照组。这一差异具有统计学意义。应用聚合软启动技术后,VF+Herculite和SDRF+Hercules牙龈微漏减少有统计学意义,而TF+Herculite与对照组结果相当,差异无统计学意义。经典聚合技术和软启动聚合技术之间没有统计学上的显著差异。结论:流动复合材料可减少牙龈微渗漏,可作为II类牙槽修复的衬垫。
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EVALUATION OF GINGIVAL MICROLEAKAGE IN CLASS II COMPOSITE RESTORATIONS: AN IN VITRO STUDY
Introduction: Evaluation of microleakage is important for assessing the success of new restorative materials and methods. The aim of this study was to assess the microleakage of class II restorations with different flowable composites as liners and two different polymerization techniques classic and soft start. Materials and Methods: 40 extracted human premolars teeth with class II cavity preparation medial and distal (80 cavities) were divided into four groups: 1.Vertise Flow (VF)+micro hybrid composite Herculite 2.Surefil SDR Flow (SDRF)+micro-hybrid composite Herculite 3.Tetric Flow (TF)+micro-hybrid composite Herculite 4.control group micro-hybrid composite Herculite. Mesial cavities are polymerized with classic and distal cavity with soft start technique of polymerization. After that, the samples were immersed in 0.5% AgNO3 solution and sectioned into the mesiodistal direction. Using a stereomicroscope (Nikon - Japan), with a magnification of 40x, the gingival microleakage of cavities was examined. Data were analyzed using Fisher's and Student's tests. Results: After using the classical polymerization technique, all three used flowable composites VF+Herculite, SDRF+Herculite, TF+Herculite showed less gingival microleakage than the control group. This difference was statistically significant. After the application of the soft-start technique of polymerization, VF+Herculite and SDRF+Hercules showed a statistically significant reduction in gingival microleakage, while TF+Herculite showed a comparable result with control group, without a statistically significant difference. There was no statistically significant difference between classical and soft start polymerization techniques. Conclusion: Flowable composites in this study have reduced gingival microleakage and can be used as liners in the restoration of II class cavities.
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