Esclassan Noirrit Emmanuelle, Grégoire Geneviève, Cournot Maxime
Biomaterials Laboratory, Faculty of Odontology, University of Toulouse III, Toulouse, France.
J Dent. 2008 Mar;36(3):204-13. doi: 10.1016/j.jdent.2007.12.003. Epub 2008 Jan 18.
Morphological study of fiber post/bonding system/root dentin interface by evaluation of two bonding systems.
The aim of the study was to analyze the interfaces, and thus the seal, between root dentin and bonded fiber-reinforced posts. The interfaces were obtained by applying two enamel-dentin adhesive systems, a one-bottle system used after application of phosphoric acid and a self-etch system, both used with an adhesive cement. The interface was evaluated by SEM observation of the continuity of the hybrid layer and the morphology of the resin tags, in terms of length, density and presence of side branches, at the interface between the fiber-reinforced post, the bonding system and the root dentin.
Twenty-six anterior single-rooted teeth extracted for periodontal reasons were treated endodontically and then randomly separated into two groups of 13 teeth each: group 1: Excite DSC (Ivoclar Vivadent, Liechtenstein); group 2: AdheSE DC (Ivoclar Vivadent, Schaan, Liechtenstein). After preparation of the root canal and application of the adhesive, each specimen received a Postec translucent FRC post (Ivoclar Vivadent, Schaan, Liechtenstein) that was cemented in with Variolink II dual-curing luting composite (Ivoclar Vivadent, Schaan, Liechtenstein). The specimens were then prepared for SEM observation of the continuity of the hybrid layer and scoring of the morphology of the resin tags in each third of the root (at 1, 4.5 and 8mm from the coronal surface).
There was no significant difference (at p<0.05) between the two groups in terms of continuity of the hybrid layer or morphology of the resin tags. The hybrid layer was present, unbroken and uniform in both the group where adhesive was used with a phosphoric acid total etch and the self-etch system group. Whatever the bonding system, the resin tags had side branches, and greater length and density in the cervical third than in the middle or apical thirds. Bubbles were found in the cement layer in most of the specimens.
The one-bottle and self-etch bonding systems gave similar results in terms of interface morphology when a translucent fiber-reinforced post was cemented into the endodontically prepared roots.
通过评估两种粘结系统对纤维桩/粘结系统/牙根牙本质界面进行形态学研究。
本研究旨在分析牙根牙本质与粘结纤维增强桩之间的界面以及密封情况。通过应用两种牙釉质-牙本质粘结系统来获得界面,一种是在应用磷酸后使用的单瓶系统,另一种是自酸蚀系统,两者均与粘结水门汀一起使用。通过扫描电子显微镜观察混合层的连续性以及树脂突的形态,从长度、密度和侧支的存在情况等方面对纤维增强桩、粘结系统和牙根牙本质之间的界面进行评估。
因牙周原因拔除的26颗前牙单根牙进行根管治疗,然后随机分为两组,每组13颗牙:第1组:Excite DSC(义获嘉伟瓦登特公司,列支敦士登);第2组:AdheSE DC(义获嘉伟瓦登特公司,沙恩,列支敦士登)。在根管预备和应用粘结剂后,每个标本植入一根Postec半透明纤维增强桩(义获嘉伟瓦登特公司,沙恩,列支敦士登),并用Variolink II双固化粘结复合树脂(义获嘉伟瓦登特公司,沙恩,列支敦士登)粘结固定。然后对标本进行制备,以便通过扫描电子显微镜观察混合层的连续性,并对牙根每三分之一段(距冠面1、4.5和8mm处)树脂突的形态进行评分。
两组在混合层连续性或树脂突形态方面无显著差异(p<0.05)。在使用磷酸全酸蚀粘结剂的组和自酸蚀系统组中,混合层均存在、完整且均匀。无论使用哪种粘结系统,树脂突都有侧支,且在颈部三分之一处的长度和密度大于中部或根尖三分之一处。大多数标本的粘结剂层中发现有气泡。
当将半透明纤维增强桩粘结到根管治疗后的牙根中时,单瓶粘结系统和自酸蚀粘结系统在界面形态方面给出了相似的结果。