Al-Nahedh Hend, Ateyah Nasrien Z
Division of Operative Dentistry, Department of Restorative Dental Sciences in the College of Dentistry at King Saud University in Riyadh, Saudi Arabia.
J Contemp Dent Pract. 2006 Sep 1;7(4):9-16.
Despite the improvements to compomer materials, the bond strength of these materials remains inferior to "composite/resin bonding" systems and limits their clinical use. The purpose of this study was to evaluate the effect of acidic conditioning with phosphoric acid and Prompt L-Pop (PLP) on the shear bond strength of two compomers Dyract AP (DAP) and Composan Glass (CG) to dentin.
Sixty extracted bovine teeth were used to test the shear bond strength of two compomers to flat dentin labial surfaces. The dentin specimens were randomly assigned to six groups of ten specimens each: Group 1: DAP and Prime & Bond NT (PBNT); Group 2: DAP/PBNT with a 15 second dentin etch prior to bonding; Group 3: DAP placed with PLP adhesive; Group 4: CG and Compobond NE (CBNE); Group 5: CG/CBNE with a 15 second dentin etch; and Group 6: CG placed with PLP adhesive. The specimens were stored at 37 masculineC with 100% humidity for 24 hours then mounted and sheared using an Instron Universal Testing Machine at a cross head speed of 0.5 mm/min. The results were recorded in Mega Pascals (MPa). The sheared specimens were examined under a light microscope, and the type of failure (adhesive, cohesive, or mixed) was recorded.
The mean dentin shear bond strength value (MPa) for the groups was: Group 1 (11.6+/-3.9); Group 2 (13.2+/-3.3); Group 3 (12.4+/-2.0); Group 4 (13.0+/-4.3); Group 5 (19.3+/-3.7); and Group 6 (13.1+/-3.0). One way analysis of variance (ANOVA) and Tukey HSD post-hoc tests detected a significantly higher bond strength (P = 0.003) for group 5. For groups 1, 3, 4, and 6, the mode of failure was mostly adhesive. When acid etching of dentin was performed (groups 2 and 5), cohesive fracture within dentin was the predominant mode of failure. Acid etching and the use of PLP significantly reduced the number of adhesive fractures and reduced variability in the shear bond strength results.
Acid etching significantly increased the shear bond strength of CG to dentin but did not affect DAP. The application of PLP resulted in a shear bond strength not statistically different from PBNT or CPNE. CG bond to dentin is improved with acid etching using phosphoric acid. However, PLP provided no significant improvement in the shear bond strength of DAP and CG.
尽管复合聚酸锌水门汀材料已有改进,但其粘结强度仍低于“复合树脂粘结”系统,限制了其临床应用。本研究旨在评估磷酸和即时L - Pop(PLP)酸处理对两种复合聚酸锌水门汀Dyract AP(DAP)和Composan Glass(CG)与牙本质之间剪切粘结强度的影响。
使用60颗拔除的牛牙测试两种复合聚酸锌水门汀与平坦牙本质唇面的剪切粘结强度。将牙本质标本随机分为六组,每组十个标本:第1组:DAP和Prime & Bond NT(PBNT);第2组:粘结前用磷酸对DAP/PBNT进行15秒牙本质酸蚀;第3组:用PLP粘结剂放置DAP;第4组:CG和Compobond NE(CBNE);第组:粘结前用磷酸对CG/CBNE进行15秒牙本质酸蚀;第6组:用PLP粘结剂放置CG。标本在37℃、湿度100%的条件下储存24小时,然后安装并使用Instron万能材料试验机以0.5毫米/分钟的十字头速度进行剪切。结果以兆帕斯卡(MPa)记录。对剪切后的标本在光学显微镜下进行检查,并记录失败类型(粘结性失败、内聚性失败或混合性失败)。
各组的平均牙本质剪切粘结强度值(MPa)为:第1组(11.6±3.9);第2组(13.2±3.3);第3组(12.4±2.0);第4组(13.0±4.3);第5组(19.3±3.7);第6组(13.1±3.0)。单因素方差分析(ANOVA)和Tukey HSD事后检验检测到第5组的粘结强度显著更高(P = 0.003)。对于第1、3、4和6组,失败模式主要是粘结性失败。当对牙本质进行酸蚀时(第2组和第5组),牙本质内的内聚性断裂是主要的失败模式。酸蚀和PLP的使用显著减少了粘结性断裂的数量,并降低了剪切粘结强度结果的变异性。
酸蚀显著提高了CG与牙本质之间的剪切粘结强度,但对DAP没有影响。PLP的应用导致的剪切粘结强度与PBNT或CPNE在统计学上没有差异。使用磷酸进行酸蚀可改善CG与牙本质的粘结。然而,PLP对DAP和CG的剪切粘结强度没有显著改善。