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V类洞修复体中的边缘混合层。

Marginal hybrid layer in Class V restorations.

作者信息

Prati C, Pashley D H, Chersoni S, Mongiorgi R

机构信息

University of Bologna, School of Dentistry, Department of General Dentistry, Via San Vitale 59,40125 Bologna, Italy.

出版信息

Oper Dent. 2000 May-Jun;25(3):228-33.

Abstract

The aim of this study was to evaluate the morphology of the hybrid layer (identified as marginal hybrid layer) along the cervical margins of Class V restorations using several bonding systems. Class V restorations were prepared in vitro at the CEJ in extracted third molars. Three different bonding systems were selected: Scotchbond 1 (Single Bond), Scotchbond MP, and Clearfil Liner Bond 2V. After finishing each restoration with disks, each margin was polished for one minute with polishing paste. The margins of half of the restorations were then treated with 10% phosphoric acid for five seconds, washed in deionized water, and then stored in water for 24 hours before SEM analysis. The margins of the other half of the restorations were treated with 10% phosphoric acid for five seconds, then with 1.5% NaOCl gel for two minutes to remove noninfiltrated collagen, then washed and stored in water for 24 hours. Each sample was gold coated and observed under SEM. A one-way ANOVA was performed to determine if there were any statistically significant differences in hybrid layer thicknesses. The thickness of the marginal hybrid layer measured under SEM was 1.5-2.5 microns thick in Scotchbond MP and Scotchbond 1 but varied from 0.0 to 12.0 microns in Clearfil Liner Bond 2V when observed after NaOCl postpolishing procedures. Far more porosities were seen in the marginal hybrid layer of Clearfil Liner Bond 2V. Enamel margins were free from a hybrid layer in both groups. This study demonstrated that collagen fibrils are not completely infiltrated by adhesive resin at the CEJ level along the cavorsurface margin of the restorations. The presence of noninfiltrated collagen along the external margins may reduce the sealing capability of bonding systems, leaving many open spaces and gaps, which may jeopardize the durability of the bond over time.

摘要

本研究的目的是使用几种粘结系统评估Ⅴ类修复体颈部边缘处的混合层(定义为边缘混合层)的形态。在体外,于拔除的第三磨牙的牙骨质牙本质界处制备Ⅴ类修复体。选择三种不同的粘结系统:Scotchbond 1(单组分粘结剂)、Scotchbond MP和Clearfil Liner Bond 2V。用磨片完成每个修复体后,每个边缘用抛光膏抛光1分钟。然后,将一半修复体的边缘用10%磷酸处理5秒,用去离子水冲洗,然后在进行扫描电子显微镜(SEM)分析前在水中储存24小时。另一半修复体的边缘用10%磷酸处理5秒,然后用1.5%次氯酸钠凝胶处理2分钟以去除未渗透的胶原,然后冲洗并在水中储存24小时。每个样品进行镀金处理并在SEM下观察。进行单因素方差分析以确定混合层厚度是否存在任何统计学上的显著差异。在NaOCl后抛光程序后观察时,Scotchbond MP和Scotchbond 1中边缘混合层的厚度在扫描电子显微镜下测量为1.5 - 2.5微米,但Clearfil Liner Bond 2V中的厚度在0.0至12.0微米之间变化。在Clearfil Liner Bond 2V的边缘混合层中观察到更多的孔隙。两组的釉质边缘均无混合层。本研究表明,在修复体的洞缘表面边缘处的牙骨质牙本质界水平,胶原纤维未被粘结树脂完全渗透。沿着外边缘存在未渗透的胶原可能会降低粘结系统的封闭能力,留下许多开放空间和间隙,这可能会随着时间的推移危及粘结的耐久性。

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