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树脂复合材料颜色及龈缘位置对后牙修复体微渗漏的影响。

Influence of resin composite shade and location of the gingival margin on the microleakage of posterior restorations.

作者信息

Araujo Fabiano de Oliveira, Vieira Luiz Clovis Cardoso, Monteiro Junior Sylvio

机构信息

Operative Dentistry, Federal University of Santa Catarina, Santa Catarina, Brazil.

出版信息

Oper Dent. 2006 Sep-Oct;31(5):556-61. doi: 10.2341/05-94.

Abstract

OBJECTIVE

The objective of this in vitro study was to evaluate the influence of resin composite shade and location of the gingival margin (enamel or dentin) on the microleakage of proximal restorations on posterior teeth.

METHODS AND MATERIALS

Sixty freshly extracted human third molars were prepared with standardized Class II box-shaped cavities with proportional size and shape, with distal gingival margins located on the enamel and mesial gingival margins on dentin. The teeth were randomly divided into 6 groups according to resin shade (n=10): G1-Incisal; G2-A1; G3-A2; G4-A3; G5-A3.5; G6-A4. The cavities were restored with a total-etch 1-bottle adhesive system and microhybrid resin composites inserted in 4 increments, light cured for 20 seconds through the occlusal surface, then an additional 60 seconds for each surface. After 1 week of immersion in distilled water, the specimens were thermocycled (500 cycles, 5 degrees -55 degrees C, 30 seconds dwell time), sealed with nail polish and immersed in 0.5% basic fuschin solution for 24 hours. The restorations were sectioned longitudinally, and microleakage was evaluated using a 0-3 score scale.

RESULTS

Data were subjected to Kruskal-Wallis and Wilcoxon tests at p<0.05. No statistically significant differences between groups were observed regarding the shade of resin composite (p=0.8570). When margins (enamel or dentin) were considered separately, statistically significant differences were observed between groups (p<0.0001), with enamel margins exhibiting lower degrees of microleakage.

CONCLUSION

The variation of resin composite shades utilized in this study did not influence the microleakage of Class II restorations. However, the location of the gingival margin influenced the microleakage.

摘要

目的

本体外研究的目的是评估树脂复合材料的色度以及龈缘位置(釉质或牙本质)对后牙邻面修复体微渗漏的影响。

方法和材料

选取60颗新鲜拔除的人类第三磨牙,制备具有成比例大小和形状的标准化II类盒状洞形,远中龈缘位于釉质,近中龈缘位于牙本质。根据树脂色度将牙齿随机分为6组(n = 10):G1-切端;G2-A1;G3-A2;G4-A3;G5-A3.5;G6-A4。使用全酸蚀单瓶粘结系统修复洞形,采用微混合树脂复合材料分4层填入,通过咬合面光照固化20秒,然后每个面再额外光照固化60秒。在蒸馏水中浸泡1周后,对标本进行热循环处理(500个循环,5℃-55℃,停留时间30秒),用指甲油密封,再浸入0.5%碱性品红溶液中24小时。将修复体纵向切开,使用0-3分评分量表评估微渗漏情况。

结果

数据采用Kruskal-Wallis和Wilcoxon检验,p<0.05。在树脂复合材料色度方面,各组之间未观察到统计学上的显著差异(p = 0.8570)。当分别考虑边缘(釉质或牙本质)时,各组之间观察到统计学上的显著差异(p<0.0001),釉质边缘的微渗漏程度较低。

结论

本研究中使用的树脂复合材料色度变化对II类修复体的微渗漏没有影响。然而,龈缘位置会影响微渗漏。

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