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铒钇铝石榴石激光对不同牙本质深度下自酸蚀系统与可流动树脂拉伸粘结强度的影响

Influence of Er:YAG laser on tensile bond strength of a self-etching system and a flowable resin in different dentin depths.

作者信息

de Souza Aline Evangelista, Corona Silmara Aparecida Milori, Dibb Regina Guenka Palma, Borsatto Maria Cristina, Pécora Jesus Djalma

出版信息

J Dent. 2004 May;32(4):269-75. doi: 10.1016/j.jdent.2003.12.003.

Abstract

OBJECTIVE

The aim of this study was to evaluate the tensile resistance of a flowable resin in different dentin depths, after superficial treatment with Er:YAG laser.

METHODS

Eighteen molars were selected and roots were removed. Crowns were bisected in half, embedded in polyester resin and ground until dentin was exposed. The bonding site was delimited and samples were randomly assigned into two groups: superficial dentin (SD--1 mm from amelodentinal junction) and deep dentin (DD--2 mm from amelodentinal junction). The samples were subdivided in three groups according to superficial treatment: non-rinsing conditioner (NRC) solely; Er:YAG laser (80 mJ/2 Hz)+NRC; Er:YAG laser solely. After conditioning, Prime and Bond NT/Dyract flow (Dentsply) was used for the manufacture of specimens. They were adapted to a metallic device, where resin cones were prepared. Samples were stored for 24 h and subjected to a bond strength test (50 kgf at 0.5 mm/min).

RESULTS

Means in MPa were: SD-NRC solely 12.29 (+/-4.40); laser+NRC 12.11(+/-3.23); laser solely 5.74(+/-3.01) and DD-NRC solely 9.60 (+/-3.13); laser+NRC 10.44(+/-2.23); laser solely 3.50(+/-1.70). Data were submitted to statistical analysis by ANOVA and Scheffé test (p < 0.05).

CONCLUSIONS

SD produced better results and tensile bond strength, while on DD the treatment with NRC or Laser+NRC had higher tensile bond strength. The results suggest that when Er:YAG laser for dentin treatment is used, it is mandatory to associate it to a conditioning agent.

摘要

目的

本研究旨在评估经铒激光表面处理后,可流动树脂在不同牙本质深度的抗拉伸性能。

方法

选取18颗磨牙,去除牙根。将牙冠对半切开,嵌入聚酯树脂中并研磨直至牙本质暴露。划定粘结部位,样本随机分为两组:表层牙本质(SD——距釉牙本质界1mm)和深层牙本质(DD——距釉牙本质界2mm)。根据表面处理方式,样本再细分为三组:仅使用非冲洗型调节剂(NRC);铒激光(80mJ/2Hz)+NRC;仅使用铒激光。处理后,使用Prime and Bond NT/Dyract flow(登士柏)制作标本。将标本适配于金属装置,制备树脂圆锥体。样本储存24小时后进行粘结强度测试(以0.5mm/min的速度施加50kgf的力)。

结果

以兆帕为单位的平均值分别为:SD组——仅使用NRC为12.29(±4.40);激光+NRC为12.11(±3.23);仅使用激光为5.74(±3.01);DD组——仅使用NRC为9.60(±3.13);激光+NRC为10.44(±2.23);仅使用激光为3.50(±1.70)。数据通过方差分析和谢费检验进行统计分析(p<0.05)。

结论

表层牙本质产生的效果和拉伸粘结强度更佳,而在深层牙本质中,使用NRC或激光+NRC处理具有更高的拉伸粘结强度。结果表明,当使用铒激光进行牙本质处理时,必须将其与调节剂联合使用。

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