Zhang Y, Agee K, Nör J, Carvalho R, Sachar B, Russell C, Pashley D
Department of Oral Biology, School of Dentistry, Medical College of Georgia, Augusta, USA.
Dent Mater. 1998 Jun;14(3):222-8. doi: 10.1016/s0109-5641(98)00035-9.
Little research has been done to evaluate the effects of acids commonly used in adhesive dentistry, on the tensile properties of the demineralized dentin matrix. The purpose of this study was to evaluate the effects of a number of acidic conditioners on the ultimate tensile strength (UTS) and modulus of elasticity (E) of human coronal dentin matrix.
Small hour-glass shaped (for UTS) or l-beam shaped (for determination of E) were prepared from mid-coronal dentin of extracted human third molars. After protecting the ends with varnish, the middle of the specimens was completely demineralized in 0.5 M EDTA (pH 7). UTS was determined by tensile stressing to failure. Modulus of elasticity was calculated from stress strain curves. The results were analyzed by ANOVA and Student-Neuman-Keuls test at the 95% confidence level.
Brief (ca. 1-2 min) exposure of demineralized dentin matrix to acids had no measurable effects on its tensile properties. Ten-minute exposures to 2.5% and 17.5% nitric acid lowered (p < 0.05) the UTS compared to phosphate buffered saline (PBS)-exposed controls. Exposure of the decalcified dentin to 10% citric acid containing 3% ferric chloride, 10% citric acid, 37% phosphoric acid or 17.5% nitric acid containing 3% ferric chloride for 10 min had no effect on UTS. None of these acids consistently lowered stiffness.
The results indicate that relatively long exposures to acids are required to alter the tensile properties of demineralized dentin. It is unlikely that the brief exposures to acids that are used in adhesive dentistry would acutely weaken the physical properties of demineralized dentin. However, long-term studies should be done to determine if such treatment increases the susceptibility of the matrix to hydrolysis.
关于牙体粘接术中常用酸对脱矿牙本质基质拉伸性能影响的研究较少。本研究旨在评估多种酸性调节剂对人冠部牙本质基质极限拉伸强度(UTS)和弹性模量(E)的影响。
从拔除的人第三磨牙的冠中部制备小沙漏形(用于测定UTS)或L形梁(用于测定E)试件。用清漆保护试件两端后,将试件中部在0.5M乙二胺四乙酸(EDTA,pH7)中完全脱矿。通过拉伸至破坏来测定UTS。根据应力应变曲线计算弹性模量。结果采用方差分析和Student-Neuman-Keuls检验在95%置信水平下进行分析。
脱矿牙本质基质短时间(约1 - 2分钟)接触酸对其拉伸性能无显著影响。与磷酸盐缓冲盐水(PBS)处理的对照组相比,脱矿牙本质基质暴露于2.5%和17.5%硝酸10分钟会降低(p < 0.05)UTS。脱钙牙本质暴露于含3%氯化铁的10%柠檬酸、10%柠檬酸、37%磷酸或含'3%氯化铁的17.5%硝酸10分钟对UTS无影响。这些酸均未持续降低硬度。
结果表明,需要相对长时间接触酸才能改变脱矿牙本质的拉伸性能。牙体粘接术中短时间接触酸不太可能急性削弱脱矿牙本质的物理性能。然而,应进行长期研究以确定这种处理是否会增加基质对水解的敏感性。