Eliades Theodore, Gioka Christiana, Eliades George, Makou Margarita
Biomaterials Laboratory, Section of Basic Sciences and Oral Biology, School of Dentistry, University of Athens, Greece.
Eur J Orthod. 2004 Jun;26(3):333-8. doi: 10.1093/ejo/26.3.333.
The purpose of this study was to assess quantitatively the roughness of the enamel surface following debonding using two resin removal methods. The enamel surface of 30 premolar crowns was covered with black tape with a 3 mm window on the middle buccal third to standardize the area of analysis. The initial enamel surfaces were subjected to profilometry, registering four roughness parameters (Ra, Rq, Rt and Rz). The brackets were bonded to the plaster-embedded enamel surfaces with a chemically cured, no-mix adhesive, and debonded after 1 week. Resin removal in half of the specimens was performed with an eight-bladed carbide bur, and in the other half with an ultra-fine diamond bur, both attached to a high speed hand piece; a second profilometric measurement was made after resin removal. Finishing of all surfaces was achieved with Soflex discs and a third registration of roughness followed. The duration of each resin removal protocol was also recorded. The results were analysed with two-way ANOVA and the Newman-Keuls test with the two resin grinding modes and the three intervals serving as discriminating variables (n = 15). For the duration results, a one-way ANOVA was used. Significant differences (P < 0.05) were observed with respect to enamel roughness parameters between the two resin grinding methods used, while there was no consistent roughness-reducing effect of finishing with Soflex discs. Resin removal with a diamond bur was achieved in approximately half the time compared with the eight-bladed bur. The increase in most roughness variables induced by the debonding procedures was not reversed at the end of the finishing stage, regardless of the resin removal protocol used, suggesting an irreversible effect on enamel texture.
本研究的目的是定量评估使用两种树脂去除方法脱粘后牙釉质表面的粗糙度。在30颗前磨牙冠的牙釉质表面覆盖黑色胶带,在颊面中三分之一处留一个3毫米的窗口,以规范分析区域。对初始牙釉质表面进行轮廓测定,记录四个粗糙度参数(Ra、Rq、Rt和Rz)。用化学固化的非混合粘合剂将托槽粘结到石膏包埋的牙釉质表面,1周后脱粘。一半标本用八刃硬质合金车针去除树脂,另一半用超细金刚石车针去除树脂,两者均连接到高速手机上;树脂去除后进行第二次轮廓测定。所有表面均用Soflex盘进行抛光,随后进行第三次粗糙度记录。还记录了每种树脂去除方案的持续时间。结果采用双向方差分析和Newman-Keuls检验,以两种树脂研磨模式和三个时间间隔作为区分变量(n = 15)。对于持续时间结果,采用单向方差分析。在所使用的两种树脂研磨方法之间,观察到牙釉质粗糙度参数存在显著差异(P < 0.05),而使用Soflex盘抛光并没有一致的降低粗糙度的效果。与八刃车针相比,使用金刚石车针去除树脂的时间大约缩短了一半。无论使用何种树脂去除方案,脱粘过程引起的大多数粗糙度变量的增加在抛光阶段结束时都没有逆转,这表明对牙釉质纹理有不可逆的影响。