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使用铒钇铝石榴石(ER:YAG)激光制备窝洞后牙本质与树脂相互作用模式的扫描电子显微镜(SEM)评估。

SEM evaluation of the interaction pattern between dentin and resin after cavity preparation using ER:YAG laser.

作者信息

Schein Marcelo Thomé, Bocangel Jorge Sadivar, Nogueira Gesse Eduardo Calvo, Schein Patrícia Alessandra Limas

机构信息

Abdon Batista 121, sala 904 Centro, Joinville, SC, Brazil.

出版信息

J Dent. 2003 Feb;31(2):127-35. doi: 10.1016/s0300-5712(03)00003-4.

Abstract

OBJECTIVE

The aim of this study was to describe the interaction pattern formed between dentin and resin on cavities prepared with an erbium laser (Er:YAG). The morphological aspect of the irradiated dentin after acid etching was also observed.

METHODS

Ten dentin disks were obtained from fresh extracted third molars. Each disk received two cavities, one prepared with a conventional high-speed drill, while the other cavity was obtained by the use of an Er:YAG laser (KaVo KEY Laser, KaVo Co.). The laser treatment was performed with 250 mJ/pulse, 4Hz, non contact mode, focused beam, and a fine water mist was used. Five disks were prepared for morphological analysis of the acid etched dentin. The other five disks had their cavities restored with Single Bond (3M) followed by Z100 resin (3M). The specimens were observed under scanning electron microscopy after dentin-resin interface demineralization and deproteinization.

RESULTS AND CONCLUSIONS

It was observed that the morphological characteristics of the acid-etched irradiated dentin were not favorable to the diffusion of monomers through the collagen network. The dentin-resin interfacial aspect of irradiated dentin, after acid etching, showed thin tags and scarce hybridization zones, which agreed with the morphology of the irradiated and acid-etched dentin substrate observed.

摘要

目的

本研究旨在描述用铒激光(Er:YAG)制备的窝洞中牙本质与树脂之间形成的相互作用模式。还观察了酸蚀后照射牙本质的形态学特征。

方法

从新鲜拔除的第三磨牙中获取10个牙本质盘。每个盘制备两个窝洞,一个用传统高速钻制备,另一个窝洞用Er:YAG激光(卡瓦KEY激光,卡瓦公司)制备。激光治疗以250 mJ/脉冲、4Hz、非接触模式、聚焦光束进行,并使用细水雾。制备5个盘用于酸蚀牙本质的形态学分析。另外5个盘的窝洞先用单键粘结剂(3M)粘结,然后用Z100树脂(3M)修复。在牙本质-树脂界面脱矿质和脱蛋白后,在扫描电子显微镜下观察标本。

结果与结论

观察到酸蚀照射牙本质的形态学特征不利于单体通过胶原网络扩散。酸蚀后照射牙本质的牙本质-树脂界面表现为薄标签和稀少的杂交区,这与观察到的照射和酸蚀牙本质底物的形态一致。

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