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侵蚀性刺激对不同修复材料及这些材料相邻牙釉质的原位影响。

In situ effect of an erosive challenge on different restorative materials and on enamel adjacent to these materials.

作者信息

Rios Daniela, Honório Heitor Marques, Francisconi Luciana Fávaro, Magalhães Ana Carolina, de Andrade Moreira Machado Maria Aparecida, Buzalaf Marília Afonso Rabelo

机构信息

Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Alameda Dr. Octávio Pinheiro Brisolla 9-75, PO Box 73, 17012-101 Bauru, SP, Brazil.

出版信息

J Dent. 2008 Feb;36(2):152-7. doi: 10.1016/j.jdent.2007.11.013. Epub 2008 Jan 10.

Abstract

OBJECTIVES

This in situ study evaluated the effect of an erosive challenge on different restorative materials and on enamel restored with these materials, as well as the ability of these materials to protect the adjacent enamel against erosion.

METHODS

Ten volunteers wore palatal devices with eight bovine enamel blocks, randomly selected and distributed into two vertical rows, corresponding to the following groups: GI/GV, resin-modified glass ionomer; GII/GVI, conventional glass ionomer; GIII/GVII, composite resin; GIV/GVIII, amalgam. One row (corresponding to groups I-IV) was immersed in a cola drink and the other row (corresponding to groups V-VIII) was subjected to saliva only. The palatal device was continuously worn for 7 days and only half of the appliance (groups I-IV) was immersed in the soft drink (Coca-Cola), 150 mL) for 5 min, three times a day. The study variables comprised the wear (profilometry, microm) and the percentage of surface microhardness change (%SMHC). Data were tested for significant differences by two-way ANOVA and Tukey's tests (p<0.05).

RESULTS

Considering the restorative materials, for %SMHC and wear, there were no differences among the materials and between the saliva and the erosive challenge. For enamel analyses, the erosive challenge promoted a higher wear and %SMHC of the enamel than did the saliva. There were no significant differences in wear and %SMHC of the enamel adjacent to the different restorative materials.

CONCLUSION

This research data suggest that there is little %SMHC and wear of the studied restorative materials and none of them had a preventive effect against erosion on adjacent enamel, which showed a pronounced wear.

摘要

目的

本原位研究评估了侵蚀性刺激对不同修复材料以及用这些材料修复的牙釉质的影响,以及这些材料保护相邻牙釉质免受侵蚀的能力。

方法

10名志愿者佩戴带有8个牛牙釉质块的腭部装置,这些牙釉质块随机选取并分为两垂直排,对应以下组别:GI/GV,树脂改性玻璃离子体;GII/GVI,传统玻璃离子体;GIII/GVII,复合树脂;GIV/GVIII,汞合金。一排(对应I-IV组)浸泡在可乐饮料中,另一排(对应V-VIII组)仅接触唾液。腭部装置连续佩戴7天,仅装置的一半(I-IV组)浸泡在软饮料(可口可乐,150 mL)中5分钟,每天3次。研究变量包括磨损(轮廓测定法,微米)和表面显微硬度变化百分比(%SMHC)。数据通过双向方差分析和Tukey检验进行显著性差异测试(p<0.05)。

结果

就修复材料而言,对于%SMHC和磨损,材料之间以及唾液与侵蚀性刺激之间均无差异。对于牙釉质分析,侵蚀性刺激比唾液导致更高的牙釉质磨损和%SMHC。不同修复材料相邻牙釉质的磨损和%SMHC无显著差异。

结论

本研究数据表明,所研究的修复材料的%SMHC和磨损较小,且它们均未对相邻牙釉质的侵蚀起到预防作用,相邻牙釉质显示出明显磨损。

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