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将当前的粘结系统应用于深龋洞后的牙髓反应。

Pulpal responses after application of current adhesive systems to deep cavities.

作者信息

Koliniotou-Koumpia Eugenia, Papadimitriou Serafim, Tziafas Dimitrios

机构信息

Department of Operative Dentistry, School of Dentistry, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece.

出版信息

Clin Oral Investig. 2007 Dec;11(4):313-20. doi: 10.1007/s00784-007-0121-4. Epub 2007 May 26.

Abstract

The aim of the present study was to evaluate comparatively the pulpal tissue reactions of four adhesive systems placed in experimental cavities of healthy dog's teeth. Class V cavities with a mean value of remaining dentin thickness (RDT) ranging between 0.55 +/- 0.30-0.68 +/- 0.38 mm were prepared. The cavities were treated with the following adhesive systems: Etch and Prime 3.0 (EP), Single Bond (SB), Clearfil SE Bond (CSE), and Prompt L-Pop (PLP). The pulpal tissue responses to dentin adhesives were assessed histopathologically at postoperative periods of 7, 21, and 65 days, and the results were subjected to statistical analysis. A significantly greater adverse inflammatory response was observed with the materials EP and PLP, while a significantly lesser degree of disorganization in the odontoblastic zone was found with the materials SB and CSE, in the postoperative period of 65 days. In addition, a thicker predentin zone was observed where SB material was applied. Application of the selected adhesive systems to non-exposed cavities, with an RDT, which ranged between the above-mentioned rates, was correlated with slight to moderate inflammation and odontoblast reduction depending on the materials used as well as upon the RDT.

摘要

本研究的目的是比较评估四种粘结系统置于健康犬牙实验性窝洞时的牙髓组织反应。制备了V类洞,剩余牙本质厚度(RDT)平均值在0.55±0.30 - 0.68±0.38mm之间。这些窝洞用以下粘结系统进行处理:酸蚀剂与底漆3.0(EP)、单组分粘结剂(SB)、Clearfil SE粘结剂(CSE)和速凝L-Pop(PLP)。在术后7天、21天和65天对牙髓组织对牙本质粘结剂的反应进行组织病理学评估,并对结果进行统计分析。在术后65天时,观察到材料EP和PLP引起的不良炎症反应明显更严重,而材料SB和CSE引起的成牙本质细胞区的结构紊乱程度明显较轻。此外,在应用SB材料的部位观察到前期牙本质区更厚。将所选粘结系统应用于RDT在上述范围内的未暴露窝洞时,根据所用材料以及RDT的不同,会出现轻微至中度的炎症和成牙本质细胞减少。

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