用汞合金和树脂复合材料修复体评估牙科粘结系统:微渗漏和粘结强度结果的比较

Evaluation of dental adhesive systems with amalgam and resin composite restorations: comparison of microleakage and bond strength results.

作者信息

Neme A L, Evans D B, Maxson B B

机构信息

University of Detroit Mercy School of Dentistry, Department of Restorative Dentistry, 8200 West Outer Drive, PO Box 19900, Detroit, MI 48219-0900, USA.

出版信息

Oper Dent. 2000 Nov-Dec;25(6):512-9.

DOI:
Abstract

A variety of laboratory tests have been developed to assist in predicting the clinical performance of dental restorative materials. Additionally, more than one methodology is in use for many types of tests performed in vitro. This project assessed and compared results derived from two specific laboratory testing methods, one for bond strength and one for microleakage. Seven multi-purpose dental adhesives were tested with the two methodologies in both amalgam and resin composite restorations. Bond strength was determined with a punch-out method in sections of human molar dentin. Microleakage was analyzed with a digital imaging system (Image-Pro Plus, Version 1.3) to determine the extent of dye penetration in Class V preparations centered at the CEJ on both the buccal and lingual surfaces of human molar teeth. There were 32 treatment groups (n = 10); seven experimental (dental adhesives) and one control (copal varnish, 37% phosphoric acid) followed by restoration with either amalgam or resin composite. Specimens were thermocycled 500 times in 5 degrees and 55 degrees C water with a one-minute dwell time. Bond strength and microleakage values were determined for each group. ANOVA and Student-Newman-Keuls tests demonstrated an interaction between restorative material and adhesive system with a significant difference among adhesives (p < 0.05). Using a multi-purpose adhesive system resulted in both a statistically significant increase in bond strength and a statistically significant decrease in extent of microleakage (p < 0.05). The effect of the adhesive upon both microleakage and bond strength was greater in the resin composite restorations than in the amalgam restorations. Bond strength testing was more discriminating than microleakage evaluation in identifying differences among materials.

摘要

已经开发了多种实验室测试来辅助预测牙科修复材料的临床性能。此外,在体外进行的许多类型测试中使用了不止一种方法。本项目评估并比较了两种特定实验室测试方法得出的结果,一种用于测试粘结强度,另一种用于测试微渗漏。使用这两种方法对七种多用途牙科粘结剂在银汞合金和树脂复合材料修复体中进行了测试。通过冲压法在人磨牙牙本质切片中测定粘结强度。使用数字成像系统(Image-Pro Plus,版本1.3)分析微渗漏,以确定在人磨牙颊面和舌面以牙釉质牙骨质界为中心的V类洞型中染料渗透的程度。共有32个治疗组(n = 10);七个实验组(牙科粘结剂)和一个对照组(珂罗酊清漆、37%磷酸),随后分别用银汞合金或树脂复合材料进行修复。将标本在5℃和55℃的水中进行500次热循环,每次停留时间为1分钟。测定每组的粘结强度和微渗漏值。方差分析和学生-纽曼-库尔斯检验表明修复材料和粘结剂系统之间存在相互作用,粘结剂之间存在显著差异(p < 0.05)。使用多用途粘结剂系统导致粘结强度在统计学上显著增加,微渗漏程度在统计学上显著降低(p < 0.05)。粘结剂对微渗漏和粘结强度的影响在树脂复合材料修复体中比在银汞合金修复体中更大。在识别材料之间的差异方面,粘结强度测试比微渗漏评估更具区分性。

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