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不含甲基丙烯酸羟乙酯(HEMA)和含HEMA的单步粘结剂与被粘结牙釉质包围的牙本质之间的粘结耐久性。

Bonding durability of HEMA-free and HEMA-containing one-step adhesives to dentine surrounded by bonded enamel.

作者信息

Torkabadi Shiva, Nakajima Masatoshi, Ikeda Masaomi, Foxton Richard M, Tagami Junji

机构信息

Cariology and Operative Dentistry, Department of Restorative Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan.

出版信息

J Dent. 2008 Jan;36(1):80-6. doi: 10.1016/j.jdent.2007.11.001.

Abstract

OBJECTIVE

To evaluate the bonding durability of HEMA-free and HEMA-containing one-step adhesives to dentine surrounded by bonded enamel after 1-year storage in water.

MATERIAL AND METHOD

Flat coronal dentine surfaces of extracted human molars were prepared, leaving the surrounding enamel. Two one-step self-etch adhesive systems: HEMA-containing Tri-S Bond (TSB; Kuraray Medical Inc., Tokyo, Japan) and HEMA-free G Bond (GB; GC Co., Tokyo, Japan), were applied to both dentine and the surrounding enamel surfaces according to manufacturers' instructions. Following resin composite crown (Clearfil AP-X, Kuraray Medical Inc., Tokyo, Japan) build-ups, the bonded specimens were stored in 37 degrees C water for 24h (control group), 3 months, 6 months and 1 year. After the designated periods of water storage, the specimens were serially sectioned perpendicular to the adhesive interface into 0.7 mm thick slabs, and then trimmed to form hour-glass configurations with a 1mm2 cross-sectional area. The micro-tensile bond strength (muTBS) test was carried out at a crosshead speed of 1.0mm/min. The muTBS data were statistically analyzed using two-way ANOVA, t test, and Tukey's HSD post hoc multiple comparison tests (alpha=0.05).

RESULTS

After 1 year water of storage, the bond strength of TSB to dentine was significantly lower compared with the 1-day, 3-month and 6-month groups (p<0.05). On the other hand, the muTBS of GB decreased over time, but there was no significant difference between the experimental periods (p>0.05).

CLINICAL SIGNIFICANCE

Bonded enamel margins may not maintain the integrity of the resin-dentine interface created by HEMA-free and HEMA-containing one-step adhesives.

摘要

目的

评估不含甲基丙烯酸羟乙酯(HEMA)和含HEMA的单步粘结剂在水中储存1年后与被粘结釉质包围的牙本质的粘结耐久性。

材料与方法

制备拔除的人类磨牙的平坦牙冠牙本质表面,保留周围的釉质。两种单步自酸蚀粘结系统:含HEMA的Tri-S Bond(TSB;日本东京可乐丽医疗株式会社)和不含HEMA的G Bond(GB;日本东京GC公司),按照制造商的说明应用于牙本质和周围的釉质表面。在进行树脂复合材料全冠(Clearfil AP-X,日本东京可乐丽医疗株式会社)修复后,将粘结的标本在37℃水中储存24小时(对照组)、3个月、6个月和1年。在指定的水储存期后,将标本垂直于粘结界面连续切片成0.7毫米厚的薄片,然后修整成横截面面积为1平方毫米的沙漏形。以1.0毫米/分钟的十字头速度进行微拉伸粘结强度(μTBS)测试。使用双向方差分析、t检验和Tukey's HSD事后多重比较检验(α = 0.05)对μTBS数据进行统计分析。

结果

储存1年后,TSB与牙本质的粘结强度与1天、3个月和6个月组相比显著降低(p < 0.05)。另一方面,GB的μTBS随时间下降,但各实验期之间无显著差异(p > 0.05)。

临床意义

粘结的釉质边缘可能无法维持由不含HEMA和含HEMA的单步粘结剂形成的树脂-牙本质界面的完整性。

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