El-Araby Alaa Morsy, Talic Yousef F
Department of Dental Biomaterials, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
J Contemp Dent Pract. 2007 Feb 1;8(2):17-24.
The aim of the present study was to investigate the effectiveness of one total-etch self-priming adhesive and two one-step self-etching adhesive systems on the adhesion of a resin composite to both dentin and enamel. The effect of thermocycling on the adhesion was also investigated. The null hypothesis tested was thermocycling would not affect bond strengths to enamel and dentin treated with self-etching adhesives or a total-etch adhesive.
Two single-step self-etching adhesives [Xeno III (XE3) and Prompt L-Pop (PP)] and one two-step total-etch adhesive system (Prime & Bond NT) (P&B NT) were used in this study. Thirty caries-free unrestored human third molars were used to make specimens of enamel and dentin. Different adhesives were applied on enamel and dentin surfaces according to the manufacturer's instructions then hybrid composite restorative material was condensed on the surface using a mold. The bonded specimens were stored in distilled water at 37 masculineC for 24 hours before being tested. Half of the bonded specimens were tested for shear bond strength without thermocycling. The other half of the test specimens were thermocycled using a thermocycling apparatus in water baths held at 5 masculineC and 55 masculineC with a dwell time of one minute each for 10,000 cycles prior to shear testing. The mean shear bond strength before and after thermocycling was calculated, and the results were subjected to two-way analysis of variance (ANOVA) and repeated measure design to show the interaction between different materials and different times.
The results showed shear bond strength on both enamel and dentin of the total-etch adhesive and the self-etching adhesives decreased after the specimens were subjected to thermocycling.
The null hypothesis tested "thermocycling would not affect bond strengths treated with self-etching adhesives" was rejected. Furthermore, the study revealed the following: 1. The shear bond strength to both enamel and dentin of the total-etch adhesive and the self-etching adhesives decreased after the specimens were subjected to thermocycling. 2. XE3 achieved the highest bond strength to both enamel and dentin (26.994+/-1.17 and 25.22+/-1.26, respectively). 3. XE3 showed even better bonding after thermocycling to enamel and dentin than the total-etching system or PP. 4. Although PP bonded to enamel showed lower shear bond strength value than XE3, it has durable bond strength even after thermocycling.
本研究旨在调查一种全酸蚀自粘结型粘结剂和两种一步法自酸蚀粘结系统对树脂复合材料与牙本质和牙釉质粘结的有效性。同时还研究了热循环对粘结的影响。所检验的无效假设是热循环不会影响用自酸蚀粘结剂或全酸蚀粘结剂处理的牙釉质和牙本质的粘结强度。
本研究使用了两种单步自酸蚀粘结剂[Xeno III(XE3)和Prompt L-Pop(PP)]以及一种两步法全酸蚀粘结系统(Prime & Bond NT)(P&B NT)。使用30颗无龋未修复的人类第三磨牙制作牙釉质和牙本质样本。根据制造商的说明,将不同的粘结剂应用于牙釉质和牙本质表面,然后使用模具将混合复合修复材料凝结在表面。粘结后的样本在37℃蒸馏水中储存24小时后进行测试。一半的粘结样本在不进行热循环的情况下测试剪切粘结强度。另一半测试样本在进行剪切测试前,使用热循环装置在5℃和55℃的水浴中进行热循环,每个温度下保持1分钟,循环10000次。计算热循环前后的平均剪切粘结强度,并对结果进行双向方差分析(ANOVA)和重复测量设计,以显示不同材料和不同时间之间的相互作用。
结果显示,经过热循环后,全酸蚀粘结剂和自酸蚀粘结剂在牙釉质和牙本质上的剪切粘结强度均降低。
所检验的无效假设“热循环不会影响用自酸蚀粘结剂处理的粘结强度”被拒绝。此外,该研究还揭示了以下内容:1. 经过热循环后,全酸蚀粘结剂和自酸蚀粘结剂在牙釉质和牙本质上的剪切粘结强度均降低。2. XE3在牙釉质和牙本质上均获得了最高的粘结强度(分别为26.99±/-1.17和25.22±/-1.26)。3. 热循环后,XE3在牙釉质和牙本质上的粘结效果比全酸蚀系统或PP更好。4. 尽管PP与牙釉质的粘结显示出比XE3更低的剪切粘结强度值,但即使经过热循环,它仍具有持久的粘结强度。