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釉质边缘和区域变异性对树脂-牙本质粘结耐久性的影响。

Influence of enamel border and regional variability on durability of resin-dentin bonds.

作者信息

Gamborgi Giovana Portella, Loguercio Alessandro D, Reis Alessandra

机构信息

Department of Dental Materials and Operative Dentistry, School of Dentistry, University of Oeste de Santa Catarina, Joaçaba, SC, Brazil.

出版信息

J Dent. 2007 May;35(5):371-6. doi: 10.1016/j.jdent.2006.11.005. Epub 2006 Dec 28.

DOI:10.1016/j.jdent.2006.11.005
PMID:17196319
Abstract

OBJECTIVES

To evaluate the influence of enamel border on regional resin-dentin microtensile bond strength (muTBS) over time.

METHODS

Thirty human third molars had a flat dentine surface exposed. Two adhesive systems (Single Bond [SB] and ScotchBond Multi Purpose Plus [SBMP]) were applied and composite resin crowns (Filtek Z250) were constructed. Teeth were divided into three groups (n=5). Group A, specimens were sectioned to obtain sticks to be tested in tension (0.5mm/min) immediately. Group B specimens were stored without outer enamel in water for 6 months, before sectioning and testing. Group C, specimens were stored with outer enamel in water for 6 months, before sectioning and testing. In all groups, the origin of the sticks, periphery and inner regions was controlled. The data for each adhesive were subjected to a two-way repeated measure ANOVA (location versus storage conditions) and Tukey's test.

RESULTS

No significant degradation in muTBS was observed for SBMU in all conditions. For SB, a significant reduction on muTBS was observed in the specimens without enamel border (group B). The degradation was more pronounced in the specimens from the periphery.

CONCLUSIONS

The three-step etch-and-rinse system is less susceptible to water degradation effects; stable resin-dentin bonds can be achieved with two-step etch-and-rinse systems as long as there is a bonded enamel border.

摘要

目的

评估釉质边缘对区域树脂-牙本质微拉伸粘结强度(μTBS)随时间的影响。

方法

30颗人第三磨牙暴露平坦的牙本质表面。应用两种粘结系统(单组分粘结剂[SB]和多功能增强型3M ScotchBond粘结剂[SBMP])并制作复合树脂全冠(Filtek Z250)。牙齿分为三组(n = 5)。A组,将标本切片以获得立即进行拉伸测试(0.5mm/分钟)的棒材。B组标本在切片和测试前,在水中无外层釉质保存6个月。C组,标本在切片和测试前,在水中有外层釉质保存6个月。在所有组中,控制棒材的来源、周边和内部区域。对每种粘结剂的数据进行双向重复测量方差分析(位置与保存条件)和Tukey检验。

结果

在所有条件下,未观察到SBMP的μTBS有显著降解。对于SB,在没有釉质边缘的标本(B组)中观察到μTBS显著降低。周边标本的降解更明显。

结论

三步酸蚀冲洗系统对水降解作用的敏感性较低;只要有粘结的釉质边缘,两步酸蚀冲洗系统就能实现稳定的树脂-牙本质粘结。

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