Sengun Abdulkadir, Koyuturk Alp Erdin, Sener Yagmur, Ozer Fusun
Department of Conservative Dentistry, Selcuk University, Faculty of Dentistry, Konya, Turkey.
Oper Dent. 2005 Jul-Aug;30(4):430-5.
A self-etching dentin adhesive was evaluated for its ability to bond to caries-affected and sound dentin after applying three desensitizers to the gingival walls. Sixty extracted human molars, with approximal dentin caries, were cut horizontally on the long axis of the tooth through caries-affected gingival walls. Carious dentin was removed with SiC paper by means of a caries detector to expose caries-affected dentin. The molars were randomly assigned to four groups: control and three experimental groups-Micro Prime, Glauma Desentizer and Cervitec. Desensitizers were applied to the dentinal surfaces according to manufacturers' instructions. A resin composite was bonded to both the caries-affected and sound dentin of each tooth using a bonding system and plastic rings. The restoration was debonded by shear bond strength. The application of Micro Prime and Gluma Desensitizer to caries-affected dentin did not show any effect on bond strength testing. However, Cervitec caused a decrease in bond strength to caries-affected dentin. The effect of desensitizers on the bond strength of the self-etch bonding agent to caries-affected dentin changed according to the chemical composition of the materials. Desensitizer application on sound dentin is recommended with self-etch bonding systems.
在对龈壁应用三种脱敏剂后,对一种自酸蚀牙本质黏结剂与龋损牙本质和健康牙本质的黏结能力进行了评估。选取60颗有邻面牙本质龋的拔除人类磨牙,沿牙长轴在龋损龈壁处水平切开。用碳化硅砂纸借助龋损探测器去除龋坏牙本质,暴露出龋损牙本质。这些磨牙被随机分为四组:对照组和三个试验组——微素(Micro Prime)、格劳玛脱敏剂(Glauma Desentizer)和塞维特克(Cervitec)。按照制造商的说明将脱敏剂应用于牙本质表面。使用黏结系统和塑料环将树脂复合材料黏结到每颗牙齿的龋损牙本质和健康牙本质上。通过剪切黏结强度测试使修复体脱黏。将微素和格劳玛脱敏剂应用于龋损牙本质对黏结强度测试未显示出任何影响。然而,塞维特克导致与龋损牙本质的黏结强度降低。脱敏剂对自酸蚀黏结剂与龋损牙本质黏结强度的影响因材料的化学成分而异。对于自酸蚀黏结系统,建议在健康牙本质上应用脱敏剂。