Lombard R, du Preez I C, Oberholzer T G
Operative Dentistry, University of Limpopo (Medunsa campus), South Africa.
SADJ. 2007 Mar;62(2):056, 058-61.
INTRODUCTION: To reduce microleakage in high-copper amalgam restorations, bonding of amalgam was introduced. AIM: This study compared the microleakage of admixed and spherical amalgams when bonded with different bonding intermediates under thermo- and non-thermocycling conditions. METHOD AND MATERIALS: Class II butt-joint cavities were prepared in 200 extracted human molar teeth, and randomly divided into 5 groups. Calibra, Duo Cement Plus, RelyX ARC and Amalgambond Plus were applied to 4 of these groups. The fifth group was left untreated. The groups were further divided and restored with either Dispersalloy or Oralloy Magicap S. Ten specimens of each group were thermocycled between 5 degrees C and 55 degrees C, placed in basic fuchsin for 8 hours, sectioned and evaluated for dye penetration under 40X magnification. The mean microleakage scores were analysed using the chi-squared test at a confidence level of 95%. RESULTS: Microleakage of the non-bonded amalgams was significantly higher (p < 0.0001) than for the bonded amalgams (thermocycled and non-thermocycled). The microleakage of the different intermediates bonded to Dispersalloy (thermocycled and non-thermocycled) was not significantly different (p > 0.05). The microleakage of the different intermediates was not significant different except for Duo Cement compared to Calibra (p < 0.0001), RelyX (p < 0.0001) and Amalgambond (p = 0.0433) and Amalgambond compared to Calibra (p = 0.0433) and RelyX (p = 0.0433). The microleakage of the bonded amalgams was not significantly increased by thermocycling (p > 0.05). The microleakage of the two amalgams when bonded with the same resin cements (thermocycled and non-thermocycled) was not significantly different except for Duo Cement (thermocycled) (p = 0.0051) and RelyX (non-thermocycled) (p = 0.0356). CONCLUSIONS: Bonding amalgam restorations to tooth structure in butt-joint cavities will reduce microleakage of both admixed and spherical amalgam restorations. Thermal stress does not affect the bond adversely.
引言:为减少高铜汞合金修复体中的微渗漏,引入了汞合金粘结技术。 目的:本研究比较了在热循环和非热循环条件下,混合汞合金和球形汞合金与不同粘结中间层粘结时的微渗漏情况。 方法和材料:在200颗拔除的人磨牙上制备Ⅱ类对接洞型,并随机分为5组。其中4组分别应用Calibra、Duo Cement Plus、RelyX ARC和Amalgambond Plus。第5组不做处理。将这些组进一步细分,并用Dispersalloy或Oralloy Magicap S进行修复。每组10个标本在5℃和55℃之间进行热循环,置于碱性品红中8小时,切片并在40倍放大倍数下评估染料渗透情况。使用卡方检验在95%的置信水平下分析平均微渗漏评分。 结果:未粘结的汞合金的微渗漏显著高于粘结的汞合金(热循环和非热循环)(p < 0.0001)。与Dispersalloy粘结的不同中间层(热循环和非热循环)的微渗漏无显著差异(p > 0.05)。除Duo Cement与Calibra(p < 0.0001)、RelyX(p < 0.0001)和Amalgambond(p = 0.0433)相比,以及Amalgambond与Calibra(p = 0.0433)和RelyX(p = 0.0433)相比外,不同中间层的微渗漏无显著差异。热循环未显著增加粘结汞合金的微渗漏(p > 0.05)。除Duo Cement(热循环)(p = 0.0051)和RelyX(非热循环)(p = 0.0356)外,两种汞合金与相同树脂粘结剂粘结时(热循环和非热循环)的微渗漏无显著差异。 结论:在对接洞型中将汞合金修复体粘结到牙体结构上可减少混合汞合金和球形汞合金修复体的微渗漏。热应力不会对粘结产生不利影响。
J Prosthet Dent. 2009-10
Am J Dent. 2002-6
Am J Dent. 2001-10