Milia Egle, Santini Ario
Department of Conservative Dentistry, University of Sassari, Sassari, Italy.
Quintessence Int. 2003 Jun;34(6):447-52.
To compare, using transmission electron microscopy (TEM), the ultrastructure of the hybrid layers formed beneath a one-bottle adhesive system using the total-etch technique with that of a self-etching system.
Occlusal cavity preparations were made in vivo in 18 human premolars and randomly appointed to three groups (n = 6), according to the following bonding procedures: (1) OptiBond Solo, a single-bottle adhesive system, was applied following 15 seconds etching with 37% phosphoric acid and rinsing; (2) Clearfil Liner Bond 2V, a self-etching adhesive system was applied; and (3) no bonding material was used, with the untreated smear layer acting as a control. The cavities were then filled with resin composite restorations.
In group 1, dense resin tags obturated the tubules. A layer of inorganic silicon microgranules formed at the top of the interdiffusion zone, and below this was a zone of loosely arranged collagen fibers. Toward the base, there was a more dense accumulation of hydroxyapatite crystals. In group 2, dense resin tags obturated the tubular orifices. Collagen fibers were densely compacted within monomer material. Toward the base, hydroxyapatite crystals were observed between collagen bundles. In group 3, a rough fragmented smear layer covered the dentinal floor and occluded the tubules.
Irregularities occurred in the coronal zone of the hybrid layer in both systems. In the one-bottle system, this was attributed to the etching technique, while in the case of the self-etching system, this was attributed to the resin materials. These irregularities are potential sites for debonding in the clinical situation.
运用透射电子显微镜(TEM)比较采用全酸蚀技术的单瓶粘结系统下方形成的混合层超微结构与自酸蚀系统下方形成的混合层超微结构。
在18颗人类前磨牙上进行活体咬合面窝洞制备,并根据以下粘结程序随机分为三组(n = 6):(1)用37%磷酸酸蚀15秒并冲洗后,应用单瓶粘结系统OptiBond Solo;(2)应用自酸蚀粘结系统Clearfil Liner Bond 2V;(3)不使用粘结材料,以未处理的玷污层作为对照。然后用树脂复合材料修复体填充窝洞。
在第1组中,致密的树脂突封闭了牙本质小管。在相互扩散区顶部形成了一层无机硅微粒,其下方是排列松散的胶原纤维区。靠近底部,有更致密的羟基磷灰石晶体堆积。在第2组中,致密的树脂突封闭了小管口。胶原纤维在单体材料内紧密压实。靠近底部,在胶原束之间观察到羟基磷灰石晶体。在第3组中,粗糙破碎的玷污层覆盖牙本质底层并封闭小管。
两个系统中混合层的冠方区域均出现不规则情况。在单瓶系统中,这归因于酸蚀技术,而在自酸蚀系统中,这归因于树脂材料。这些不规则情况是临床情况下粘结失败的潜在部位。