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玻璃离子水门汀/P-50 Ⅱ类洞修复体的微渗漏

Microleakage of Vitrebond/P-50 Class II restorations.

作者信息

Retief D H, McCaghren R A, Russell C M

机构信息

University of Alabama School of Dentistry.

出版信息

Am J Dent. 1992 Jun;5(3):130-2.

PMID:1388948
Abstract

Thirty extracted human mandibular permanent first and second molars were used in this study. Class II preparations were made extending 1 mm below the CEJ at the mesial and 1 mm above the CEJ at the distal aspects. In 15 of the teeth Vitrebond was applied to all exposed dentin (A) while in 15 teeth the gingival floor was left exposed (B). After cure, the enamel margins were etched with H3PO4 gel and the Vitrebond surfaces were treated with Scotchbond 2. The P-50 was transferred to the approximal boxes and occlusal aspects in three increments, each compressed firmly and cured for 60 seconds. The restored teeth were stored in saline at 37 degrees C for 1 week. The teeth were thermocycled x250 in 0.5% basic fuchsin between 8 degrees C and 50 degrees C with a dwell time of 15 seconds. The teeth were embedded in epoxy resin and five mesiodistal sections cut. Microleakage at the mesial and distal aspects were scored from 0 to 3 depending on the extent of the microleakage. The data were analyzed by the Wilcoxon 2-sample and the matched pair signed rank tests. Leakage above the CEJ was significantly less than below the CEJ and significantly reduced when Vitrebond was extended to the cavosurface margins.

摘要

本研究使用了30颗拔除的人类下颌第一恒磨牙和第二恒磨牙。制备II类洞型,近中边缘在牙釉质牙骨质界(CEJ)下方延伸1mm,远中边缘在CEJ上方延伸1mm。15颗牙齿的所有暴露牙本质均应用了VitreBond(A组),而另外15颗牙齿的龈壁保持暴露(B组)。固化后,用磷酸(H3PO4)凝胶蚀刻釉质边缘,VitreBond表面用Scotchbond 2处理。将P-50分三层填入邻面盒和咬合面,每层压实并固化60秒。修复后的牙齿在37℃的盐水中储存1周。牙齿在0.5%碱性品红中于8℃至50℃之间进行250次热循环,每次持续15秒。将牙齿嵌入环氧树脂中,制作五个近远中方向的切片。根据微渗漏的程度,近中面和远中面的微渗漏评分为0至3分。数据采用Wilcoxon双样本检验和配对符号秩检验进行分析。CEJ上方的渗漏明显少于CEJ下方,当VitreBond延伸至洞缘时,渗漏显著减少。

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