Toledano M, Osorio R, de Leonardi G, Rosales-Leal J I, Ceballos L, Cabrerizo-Vilchez M A
Dental Materials Department, University of Granada, Spain.
Am J Dent. 2001 Aug;14(4):205-10.
To evaluate the shear bond strength of resin-based composite to dentin and enamel using three adhesive systems, two of them containing self-etchant primers. Wettability (contact angle measurements) of the primers of these three adhesive systems was also evaluated on superficial and deep dentin.
Contact angle measurements were performed on 30 caries-free extracted human third molars; specimens were sectioned parallel to the occlusal surface to expose superficial and deep dentin. Dentin was ground flat (600-grit SiC) under water to provide uniform surfaces. Contact angle measurements were performed to assess wettability using the Axisymmetric Drop Shape Analysis technique. In order to test the enamel bond strength, 30 extracted bovine incisors were embedded in acrylic resin and ground flat to 800-grit. The adhesives and composite resins were applied following the manufacturers' instructions. All the specimens were stored in water for 24 hrs at 37 degrees C and thermocycled (500x). Shear bond strengths were determined using a universal testing machine and the Watanabe device. For dentin bond strength testing, superficial and deep dentin was exposed in 60 third molars, by sectioning the occlusal surface immediately under the enamel-dentin junction or close to the pulp chamber. After grinding (500 grit SiC), the dentin surfaces were assigned to three groups: (1) Clearfil SE Bond (CSEB)/Clearfil AP-X resin composite. (2) Etch & Prime (E&P)/Degufill mineral resin composite. (3) Scotchbond Multi-Purpose Plus (SBMP)/Z100 resin composite.
One-way ANOVA and Student-Newman-Keuls multiple comparisons tests showed that no differences were found between contact angles on superficial and deep dentin. CSEB and E&P, without significant differences between them, had greater mean contact angle than SBMP. On enamel, Etch & Prime resulted in the lowest bond strength, but no significant differences existed with Scotchbond Multi-Purpose were found. On dentin, Clearfil SE Bond resulted in the significantly highest bond strength; no significant differences exist between Etch & Prime and Scotchbond Multi-Purpose.
使用三种粘接系统评估树脂基复合材料与牙本质和牙釉质之间的剪切粘接强度,其中两种含有自酸蚀底漆。还对这三种粘接系统的底漆在浅表和深层牙本质上的润湿性(接触角测量)进行了评估。
对30颗无龋的拔除人类第三磨牙进行接触角测量;将标本平行于咬合面切片以暴露浅表和深层牙本质。在水下用600目碳化硅砂纸将牙本质磨平以提供均匀表面。使用轴对称滴形分析技术进行接触角测量以评估润湿性。为了测试牙釉质粘接强度,将30颗拔除的牛切牙嵌入丙烯酸树脂中并磨平至800目。按照制造商的说明应用粘接剂和复合树脂。所有标本在37℃水中储存24小时并进行热循环(500次)。使用万能试验机和渡边装置测定剪切粘接强度。对于牙本质粘接强度测试,通过在牙釉质-牙本质交界处正下方或靠近牙髓腔处切片咬合面,在60颗第三磨牙中暴露浅表和深层牙本质。研磨(500目碳化硅)后,将牙本质表面分为三组:(1)Clearfil SE Bond(CSEB)/Clearfil AP-X树脂复合材料。(2)酸蚀与底漆(E&P)/Degufill矿物树脂复合材料。(3)Scotchbond多功能加强型(SBMP)/Z100树脂复合材料。
单因素方差分析和Student-Newman-Keuls多重比较检验表明,浅表和深层牙本质上的接触角之间没有差异。CSEB和E&P之间无显著差异,其平均接触角大于SBMP。在牙釉质上,酸蚀与底漆导致最低的粘接强度,但与Scotchbond多功能型之间未发现显著差异。在牙本质上,Clearfil SE Bond导致显著最高的粘接强度;酸蚀与底漆和Scotchbond多功能型之间无显著差异。