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铒铬:钇钪镓石榴石激光用于龋病去除:对自酸蚀粘结系统粘结的影响

Erbium, chromium:yttrium scandium gallium garnet laser for caries removal: influence on bonding of a self-etching adhesive system.

作者信息

Tachibana Arlene, Marques Márcia Martins, Soler Julia Maria Pavan, Matos Adriana Bona

机构信息

Departamento de Dentística, Faculdade de Odontologia, Universidade de São Paulo, Av. Prof. Lineu Prestes, 2227 Cidade Universitária, São Paulo 05508-000, SP, Brazil.

出版信息

Lasers Med Sci. 2008 Oct;23(4):435-41. doi: 10.1007/s10103-007-0503-5. Epub 2007 Oct 26.

Abstract

This study evaluated the influence of the dental substrates obtained after the use of different caries removal techniques on bonding of a self-etching system. Forty, extracted, carious, human molars were ground to expose flat surfaces containing caries-infected dentine surrounded by sound dentine. The caries lesions of the specimens were removed or not (control--G1) either by round steel burs and water-cooled, low speed, handpiece (G2), or by irradiation with an erbium, chromium:yttrium scandium gallium garnet (Er,Cr:YSGG) laser (2W, 20 Hz, 35.38 J/cm(2), fiber G4 handpiece with 0.2826 mm(2), non-contact mode at a 2 mm distance, 70% air/20% water--G3) or using a chemo-mechanical method (Carisolv--G4). Caries-infected, caries-affected and sound dentines were submitted to a bonding system followed by construction of a resin-based composite crown. Hour-glass shaped samples were obtained and submitted to a micro-tensile bond test. The bond strength data were compared by analysis of variance (ANOVA), complemented by Tukey's test (P <or= 0.05). The samples of sound dentine presented higher bond strengths than did samples of caries-affected dentine, except for the groups treated with the Er,Cr:YSGG laser. The highest bond strengths were observed with the sound dentine treated with burs and Carisolv. The bond strengths to caries-affected dentine were similar in all groups. Additionally, bonding to caries-affected dentine of the Er,Cr:YSGG laser and Carisolv groups was similar to bonding to caries-infected dentine. Thus, caries-affected dentine is not an adequate substrate for adhesion. Moreover, amongst the caries removal methods tested, the Er,Cr:YSGG laser irradiation was the poorest in providing a substrate for bonding with the tested self-etching system.

摘要

本研究评估了使用不同龋病去除技术后获得的牙齿底物对自酸蚀系统粘结的影响。选取40颗拔除的、患龋的人磨牙,磨平使其表面暴露,包含被健康牙本质包围的感染龋的牙本质。标本的龋损要么不做处理(对照组 - G1),要么用圆钢钻和水冷低速手机去除(G2),要么用铒铬:钇钪镓石榴石(Er,Cr:YSGG)激光照射(2W,20Hz,35.38J/cm²,使用0.2826mm²的G4光纤手机,非接触模式,距离2mm,70%空气/20%水 - G3),要么采用化学机械方法(Carisolv - G4)。将感染龋、受龋影响和健康的牙本质进行粘结系统处理,随后构建树脂基复合冠。获得沙漏形样本并进行微拉伸粘结测试。通过方差分析(ANOVA)比较粘结强度数据,并辅以Tukey检验(P≤0.05)。除了用Er,Cr:YSGG激光处理的组外,健康牙本质样本的粘结强度高于受龋影响的牙本质样本。用钻和Carisolv处理的健康牙本质观察到最高的粘结强度。所有组中与受龋影响牙本质的粘结强度相似。此外,Er,Cr:YSGG激光组和Carisolv组与受龋影响牙本质的粘结类似于与感染龋牙本质的粘结。因此,受龋影响的牙本质不是合适的粘结底物。此外,在所测试的龋病去除方法中,Er,Cr:YSGG激光照射为与所测试的自酸蚀系统粘结提供的底物最差。

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