汞合金粘结修复体的微渗漏:热循环的影响

Microleakage of bonded amalgam restorations: effect of thermal cycling.

作者信息

Helvatjoglou-Antoniades M, Theodoridou-Pahini S, Papadogiannis Y, Karezis A

机构信息

Aristotle University of Thessaloniki, School of Dentistry, Department of Operative Dentistry, Thessaloniki, Greece.

出版信息

Oper Dent. 2000 Jul-Aug;25(4):316-23.

DOI:
Abstract

This study examined the effect of thermal cycling on the microleakage of bonded amalgam restorations. Three dental amalgam alloys and a gallium alloy were tested with two adhesive resin systems and copal varnish as a control. Class V cavity preparations were prepared on 168 freshly extracted premolars or molars. The preparations were placed parallel to and 1.0 mm occlusal to the cementoenamel junction (CEJ). Four groups of 42 teeth each were treated with one of the following adhesive dentin systems: Bond-It, All-Bond 2/Resinomer or a copal varnish (Copalite). The four groups of 42 teeth each were then restored with one of three dental amalgams: Orosphere Plus, Indiloy, Oralloy or a Gallium alloy (Galloy), resulting in 12 test groups of 14 teeth each. The specimens were stored in double distilled water at 37 degrees C for 24 hours. Final contouring and polishing of the restorations were performed under water spray. Half of the restorations in each group were thermocycled for 3000 cycles (5 degrees C-37 degrees C-55 degrees C-37 degrees C) with a dwell time of 15 sec at each temperature. The other half were stored in double distilled water at 37 degrees C for 24 hours. Then all 168 restorations were stained with dye, sectioned and scored for microleakage. Results showed that the adhesive dentin systems reduced microleakage in amalgam restorations compared to copal varnish only in non-thermocycled specimens. Statistical analysis of the results showed that there was an extremely significant difference (p < 0.001) in microleakage between the non-thermocycled and the thermocycled specimens in all test groups, whereas, there was no significant difference (p > 0.05) among thermocycled specimens. The reduction of microleakage was not significantly different between Bond-It and All-Bond 2/Resinomer in non-thermocycled specimens. Oralloy showed the most microleakage in the non-thermocycled groups when compared to the other alloys using the same adhesive liner.

摘要

本研究检测了热循环对粘结银汞合金修复体微渗漏的影响。使用三种牙科银汞合金和一种镓合金,搭配两种粘结树脂系统,并以珂罗酊清漆作为对照进行测试。在168颗新鲜拔除的前磨牙或磨牙上制备V类洞。这些洞的制备与牙骨质釉质界(CEJ)平行且位于其咬合面1.0毫米处。四组,每组42颗牙齿,分别用以下一种粘结牙本质系统进行处理:Bond-It、全粘结2/树脂单体或珂罗酊清漆(Copalite)。然后,四组,每组42颗牙齿,分别用三种牙科银汞合金之一进行修复:奥罗球Plus、因迪洛伊、奥拉尔合金或一种镓合金(加洛伊合金),从而形成12个测试组,每组14颗牙齿。将标本在37摄氏度的双蒸水中储存24小时。修复体的最终塑形和抛光在喷水条件下进行。每组中一半的修复体进行3000次热循环(5摄氏度-37摄氏度-55摄氏度-37摄氏度),每个温度下的停留时间为15秒。另一半在37摄氏度的双蒸水中储存24小时。然后,对所有168个修复体进行染色、切片并对微渗漏进行评分。结果显示,仅在未进行热循环的标本中,与珂罗酊清漆相比,粘结牙本质系统减少了银汞合金修复体中的微渗漏。结果的统计分析表明,在所有测试组中,未进行热循环和进行热循环标本之间的微渗漏存在极其显著的差异(p < 0.001),而在进行热循环的标本之间没有显著差异(p > 0.05)。在未进行热循环的标本中,Bond-It和全粘结二/树脂单体之间微渗漏的减少没有显著差异。与使用相同粘结衬层的其他合金相比,在未进行热循环的组中,奥拉尔合金显示出最大的微渗漏。

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