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正畸托槽粘结:釉质粘结强度与时间的关系

Orthodontic bracket bonding: enamel bond strength vs time.

作者信息

Yamamoto Akira, Yoshida Takeshi, Tsubota Keishi, Takamizawa Toshiki, Kurokawa Hiroyasu, Miyazaki Masashi

机构信息

Department of Operative Dentistry, School of Dentistry, Nihon University, Tokyo, Japan.

出版信息

Am J Orthod Dentofacial Orthop. 2006 Oct;130(4):435.e1-6. doi: 10.1016/j.ajodo.2006.03.024.

Abstract

INTRODUCTION

Tests of bond strength between orthodontic brackets and enamel are generally conducted after at least 24 hours storage in water. However, debonding might occur soon after bracket placement during orthodontic treatment. We investigated the rate of bond strength development for orthodontic adhesives in bracket bonding.

METHODS

Four orthodontic adhesive systems were examined. Bovine incisors were mounted in self-curing acrylic resin, and the facial surfaces were wet-ground to expose flat enamel. Orthodontic brackets were bonded according to the manufacturers' instructions. Shear bond strengths were measured after storage in water for 5, 10, and 60 minutes, and 24 hours. Differences between bond strengths at 24 hours and the other test periods were statistically analyzed.

RESULTS

All materials tested had the highest bond strengths at 24 hours, and bond strength increased with storage time. The earliest time point at which there was no significant difference in bond strength compared with that at 24 hours was defined as the initial stable time. Differences in this value might have clinical implications for the assessment of orthodontic adhesives, which can incur high stresses immediately after placement.

CONCLUSIONS

The rate of development of enamel bond strength must be considered to ensure sufficient maturation of orthodontic adhesives before functional loading.

摘要

引言

正畸托槽与牙釉质之间的粘结强度测试通常在水中储存至少24小时后进行。然而,在正畸治疗过程中,托槽放置后不久可能会发生脱粘。我们研究了正畸粘合剂在托槽粘结中粘结强度的发展速率。

方法

检查了四种正畸粘合剂系统。将牛切牙安装在自凝丙烯酸树脂中,对面部表面进行湿磨以暴露平坦的牙釉质。根据制造商的说明粘结正畸托槽。在水中储存5、10和60分钟以及24小时后测量剪切粘结强度。对24小时和其他测试时间段的粘结强度差异进行统计学分析。

结果

所有测试材料在24小时时粘结强度最高,且粘结强度随储存时间增加。与24小时相比粘结强度无显著差异的最早时间点被定义为初始稳定时间。该值的差异可能对正畸粘合剂的评估具有临床意义,因为正畸粘合剂在放置后会立即承受高应力。

结论

必须考虑牙釉质粘结强度的发展速率,以确保正畸粘合剂在功能加载前充分成熟。

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