Pongprueksa Pong, Kuphasuk Watcharaporn, Senawongse Pisol
Department of Operative Dentistry, Faculty of Dentistry, Mahidol University, 6 Yothi Street, Phayathai, Bangkok 10400, Thailand.
Dent Mater. 2008 Aug;24(8):1102-6. doi: 10.1016/j.dental.2007.12.008. Epub 2008 Mar 4.
The purpose of this study was to evaluate the elastic moduli of an unfilled adhesive resin (Adper Single Bond) and a filled adhesive resin (Adper Single Bond 2) used with and without a low-viscosity resin (LVR) (Filtek Flow) as an elastic cavity wall in class V composite restorations, restored with a hybrid resin composite (Z250).
Buccal class V cavities were prepared on extracted premolars and lined with (1) the unfilled adhesive resin, (2) the filled adhesive resin, (3) the unfilled adhesive resin and the flowable composite, and (4) the filled adhesive resin and the flowable composite. All cavities were restored with the hybrid resin composite. The specimens were cut bucco-lingually, embedded in epoxy resin and polished. The polished specimens were evaluated for the elastic modulus with nano-indentation test at the layer of dentin, hybrid layer, adhesive resin, low-viscosity resin and resin composite.
The elastic moduli were 25,111 MPa for dentin, 12,243 MPa for hybrid layer of Adper Single Bond, 11,765 MPa for hybrid layer of Adper Single Bond 2, 7595 MPa for Adper Single Bond, 8430 MPa for Adper Single Bond 2, 13,543 MPa for Filtek Flow and 24,494 MPa for Filtek Z250 resin composite. The statistical analysis demonstrated that the elastic moduli were significantly different among layers (p<0.05) except between hybrid layers of unfilled and filled adhesives (p=1.0).
The application of filled adhesive did not increase the elastic modulus of hybrid layer when compared with the unfilled adhesive resin. The modulus of filled adhesive resin was significantly higher than that of unfilled adhesive resin.
本研究旨在评估在Ⅴ类复合树脂修复体中,使用和不使用低粘度树脂(LVR)(Filtek Flow)作为弹性洞壁时,未填充粘结树脂(Adper Single Bond)和填充粘结树脂(Adper Single Bond 2)的弹性模量,修复材料为混合树脂复合材料(Z250)。
在拔除的前磨牙上制备颊侧Ⅴ类洞,分别用(1)未填充粘结树脂、(2)填充粘结树脂、(3)未填充粘结树脂和可流动复合树脂、(4)填充粘结树脂和可流动复合树脂衬洞。所有洞均用混合树脂复合材料修复。将标本沿颊舌向切割,嵌入环氧树脂并抛光。通过纳米压痕试验在牙本质层、混合层、粘结树脂、低粘度树脂和树脂复合材料层评估抛光标本的弹性模量。
牙本质的弹性模量为25111MPa,Adper Single Bond混合层为12243MPa,Adper Single Bond 2混合层为11765MPa,Adper Single Bond为7595MPa,Adper Single Bond 2为8430MPa,Filtek Flow为13543MPa,Filtek Z250树脂复合材料为24494MPa。统计分析表明,除未填充和填充粘结剂的混合层之间(p = 1.0)外各层弹性模量差异有统计学意义(p < 0.05)。
与未填充粘结树脂相比,填充粘结剂的应用并未增加混合层的弹性模量。填充粘结树脂的模量显著高于未填充粘结树脂。