Kobayashi Claudia Ayumi, Fujishima Akihiro, Miyazaki Takashi, Kimura Yuichi, Matsumoto Koukichi, Osada Takayuki, Fukunaga Hideki, Kawawa Tadaharu
Department of Fixed Prosthodontics, Showa University School of Dentistry, Japan.
Int J Prosthodont. 2003 Sep-Oct;16(5):493-8.
The purposes of this study were to evaluate the shear bond strength of luting glass-ionomer cement to a dentin surface treated by pulsed Nd:YAG laser irradiation, and to prove the hypothesis that the bond strength of glass-ionomer luting cement to dentin is favorably altered after Nd:YAG laser irradiation.
Sixty-four extracted human molars with an exposed flat dentin surface were divided into four groups (n = 16). After painting black ink on their surfaces, the teeth of groups 1, 2, and 3 were irradiated by an Nd:YAG laser at 1.064-microm wavelength at 1, 2, and 3 W, respectively; group 4 was untreated and served as a control. Some specimens of each group were used for morphologic and atomic analytic study, and the others were used for shear bond testing. The shear bond test was performed after cylindric titanium specimens were cemented with glass-ionomer cement on a circular dentin area and specimens were immersed in distilled water. The tested specimens were also morphologically investigated.
Shear bond strength of group 3 was significantly higher than that of the control group. Morphologic observation of the cement-dentin interface showed good adaptation of the luting cement to laser-treated dentin. Analysis of atomic contents on the dentin surface showed a significant increase of calcium:phosphorus ratio after laser irradiation.
The dentin surface was modified morphologically and chemically, and the shear bond strength of glass-ionomer luting cement to dentin was increased by Nd:YAG laser irradiation at 3 W.
本研究旨在评估黏固型玻璃离子水门汀与经脉冲Nd:YAG激光照射处理的牙本质表面之间的剪切粘结强度,并验证以下假设:Nd:YAG激光照射后,玻璃离子黏固水门汀与牙本质之间的粘结强度会得到有利改变。
将64颗牙本质表面暴露且平整的拔除人磨牙分为四组(n = 16)。在其表面涂黑色墨水后,第1、2和3组的牙齿分别用波长为1.064微米的Nd:YAG激光以1W、2W和3W进行照射;第4组未作处理,作为对照组。每组的一些标本用于形态学和原子分析研究,其他标本用于剪切粘结测试。在圆柱形钛标本用玻璃离子水门汀粘结在圆形牙本质区域且标本浸泡在蒸馏水中后进行剪切粘结测试。对测试标本也进行了形态学研究。
第3组的剪切粘结强度显著高于对照组。对水门汀 - 牙本质界面的形态学观察显示,黏固水门汀与激光处理后的牙本质贴合良好。对牙本质表面原子含量的分析表明,激光照射后钙磷比显著增加。
牙本质表面在形态和化学上发生了改变,3W的Nd:YAG激光照射提高了玻璃离子黏固水门汀与牙本质之间的剪切粘结强度。