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金刚石车针粒度对牙本质粘结强度的影响。

Effects of diamond bur particle size on dentin bond strength.

作者信息

Hosoya Yumiko, Shinkawa Hiroe, Suefiji Chikako, Nozaka Kumiko, García-Godoy Franklin

机构信息

Nagasaki University Graduate School of Biomedical Sciences, Department of Developmental and Reconstructive Medicine, Division of Pediatric Dentistry, 1-7-1, Sakamoto, Nagasaki 852-8588, Japan.

出版信息

Am J Dent. 2004 Oct;17(5):359-64.

Abstract

PURPOSE

To evaluate the influence of particle size of originally designed diamond burs on resin adhesion to sound young human permanent dentin.

METHODS

The buccal surfaces of 105 premolars were used. Six test groups were prepared. The adhesive systems and resin-based composites used for Groups 1-3 were Clearfil SE Bond (SE) and Clearfil AP-X, and for Groups 4-6, Single Bond (SB) and Z250. Flat dentin surfaces were finely ground with 25 microm particle size IW-G5 diamond bur (IW-G5, Groups 1 and 4), 50 microm particle size IW-G4 diamond bur (IW-G4, Groups 2 and 5), or 600-grit SiC paper (#600, Groups 3 and 6). The microstructure of the prepared dentin, SE primed or SB etched dentin, and resin-dentin interfaces of each group (3 teeth/group) were studied using SEM. Shear bond strengths (SBS) in MPa were tested (10 teeth/group), and the failed surfaces were observed using SEM. Data was statistically analyzed using ANOVA and Fisher's PLSD at P < 0.05.

RESULTS

The dentin ground with the IW-G5 or IW-G4 bur was rougher than the dentin ground with the 600-grit SiC paper. The mean SBS (MPa) for Groups 1-6 were: 32.3 +/- 5.0, 27.6 +/- 6.4, 21.3 +/- 3.6, 5.9 +/- 2.9, 6.5 +/- 3.1 and 5.3 +/- 2.0. The SBS of Groups 1-3 (SE groups) were significantly higher than those of Groups 4-6 (SB groups). The SBS of Group 1 (IW-G5, SE group) was significantly higher than those of Groups 2 (IW-G4, SE group) and 3 (#600, SE group), and the SBS of Group 2 was significantly higher than that of Group 3. There was no significant difference for SBS among Groups 4, 5 and 6. Fracture mode after SBS test mainly showed mixed fracture (adhesive and cohesive resin fracture) for the SE groups, and adhesive fracture for the SB groups.

摘要

目的

评估最初设计的金刚石车针的粒度对树脂与健康年轻人类恒牙牙本质粘结的影响。

方法

使用105颗前磨牙的颊面。制备六个试验组。用于第1 - 3组的粘结系统和树脂基复合材料分别是Clearfil SE Bond(SE)和Clearfil AP-X,用于第4 - 6组的是Single Bond(SB)和Z250。用粒度为25微米的IW-G5金刚石车针(IW-G5,第1组和第4组)、粒度为50微米的IW-G4金刚石车针(IW-G4,第2组和第5组)或600目碳化硅砂纸(#600,第3组和第6组)对平坦的牙本质表面进行精细研磨。使用扫描电子显微镜研究每组(每组3颗牙)制备的牙本质、经SE预处理或SB酸蚀的牙本质以及树脂-牙本质界面的微观结构。测试剪切粘结强度(SBS),单位为兆帕(10颗牙/组),并使用扫描电子显微镜观察断裂表面。使用方差分析和Fisher最小显著差异法在P < 0.05水平对数据进行统计学分析。

结果

用IW-G5或IW-G4车针研磨的牙本质比用600目碳化硅砂纸研磨的牙本质更粗糙。第1 - 6组的平均SBS(兆帕)分别为:32.3±5.0、27.6±6.4、21.3±3.6、5.9±2.9、6.5±3.1和5.3±2.0。第1 - 3组(SE组)的SBS显著高于第4 - 6组(SB组)。第1组(IW-G5,SE组)的SBS显著高于第2组(IW-G4,SE组)和第3组(#600,SE组),且第2组的SBS显著高于第3组。第4、5和6组之间的SBS无显著差异。SBS测试后的断裂模式对于SE组主要表现为混合断裂(粘结性和内聚性树脂断裂),对于SB组表现为粘结性断裂。

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