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扫描电子显微镜对自酸蚀底漆与牙釉质粘结机制的评估

Scanning electron microscopy evaluation of the bonding mechanism of a self-etching primer on enamel.

作者信息

Cal-Neto Julio P, Miguel José Augusto M

机构信息

Department of Orthodontics, State University of Rio de Janeiro, Rio de Janeiro, Brazil.

出版信息

Angle Orthod. 2006 Jan;76(1):132-6. doi: 10.1043/0003-3219(2006)076[0132:SEMEOT]2.0.CO;2.

Abstract

The aim of this study was to analyze the effect of a self-etching primer (Transbond Plus SEP, 3M Unitek, Monrovia, Calif), developed for orthodontic use, in the regularity and depth of adhesive infiltration in the enamel of human permanent teeth and to compare it with phosphoric acid using scanning electron microscopy (SEM). Thirty premolars were divided in two groups of 15 each: group 1(control)-phosphoric acid + Transbond XT Primer (3M Unitek) and group 2- Transbond Plus SEP. Transbond XT Adhesive Paste (3M Unitek) was used in both groups for bracket bonding. All products were used according to the manufacturer's instructions. Dental fragments were decalcified, and for micromorphologic observation of the adhesive penetration in enamel, the resin replicas, remnant at the base of the brackets, were covered with a thin gold layer and examined by SEM. Three calibrated examiners evaluated the photomicrographs and gave scores from 0 = without penetration to 2 = deep penetration. The Mann Whitney U-test (P < .0001) showed a statistical difference between the two groups. The results demonstrated that the SEP was more conservative and produced a smaller amount of demineralization and less penetration of adhesive in the enamel surfaces when compared with the conventional phosphoric acid system.

摘要

本研究的目的是分析一种专为正畸用途开发的自酸蚀底漆(Transbond Plus SEP,3M Unitek,加利福尼亚州蒙罗维亚)对人类恒牙釉质中粘结剂渗入的规律性和深度的影响,并使用扫描电子显微镜(SEM)将其与磷酸进行比较。30颗前磨牙被分为两组,每组15颗:第1组(对照组)——磷酸+Transbond XT底漆(3M Unitek),第2组——Transbond Plus SEP。两组均使用Transbond XT粘结剂糊剂(3M Unitek)进行托槽粘结。所有产品均按照制造商的说明使用。将牙齿碎片脱钙,为了对粘结剂在釉质中的渗透进行微观形态观察,将托槽底部残留的树脂复制品覆盖一层薄金层,并通过扫描电子显微镜进行检查。三位经过校准的检查人员对显微照片进行评估,并给出从0 =无渗透到2 =深度渗透的评分。曼-惠特尼U检验(P <.0001)显示两组之间存在统计学差异。结果表明,与传统磷酸系统相比,SEP更保守,在釉质表面产生的脱矿量更少,粘结剂的渗透也更少。

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