Soares Carlos J, Santana Fernanda R, Castro Carolina G, Santos-Filho Paulo C F, Soares Paulo V, Qian Fang, Armstrong Steven R
Department of Operative Dentistry and Dental Materials, School of Dentistry, Federal University of Uberlândia, Uberlândia, Minas Gerais, Brazil.
Dent Mater. 2008 Oct;24(10):1405-11. doi: 10.1016/j.dental.2008.03.004. Epub 2008 Apr 16.
This study tested the hypothesis that the stress distribution and bond strength of glass posts to intraradicular dentin is influenced by the mechanical testing methodology.
Thirty single rooted endodontically treated teeth were prepared for luting of tapered fiber-glass posts (Reforpost, Angelus, Londrina, PR, Brazil) with a conventional adhesive system and resin luting cement (Adper Scotchbond Multi-purpose, Rely X ARC, 3M ESPE, St. Paul, MN, USA). The teeth were randomly divided (n=10 per group) into micro-push-out (Mpo), hourglass- (Mh) and rectangular stick-shaped (Ms) microtensile testing groups before sectioning each root into five 1-mm-thick specimens. During specimen preparation for microTBS testing 46/50 stick and 4/50 hourglass specimens prematurely failed; therefore, the Ms group could not be included in the mechanical testing. The remaining specimens were tested at 0.5 mm/min until bond failure. Stress distribution within each specimen type for the three mechanical test methods was analyzed by finite element analysis (FEA). Qualitative analyses were carried out through Von Mises, XY and Sy criterion.
Mpo and Mh had a mean microTBS of 11.89+/-6.55 and 14.98+/-12.72 MPa, respectively, which was not significantly different (p=0.1311). The push-out test demonstrated a more homogenous stress distribution by FEA and less variability in mechanical testing.
Therefore, the recommended testing method for determining the bond strength of glass posts to intraradicular dentin is by Mpo.
本研究验证了如下假设,即玻璃桩与根管内牙本质之间的应力分布及粘结强度受力学测试方法的影响。
选取30颗单根经根管治疗的牙齿,准备用传统粘结系统和树脂粘结水门汀(Adper Scotchbond多用途粘结剂、Rely X ARC,3M ESPE,美国明尼苏达州圣保罗)粘结锥形纤维玻璃桩(Reforpost,安热卢斯公司,巴西隆德里纳)。在将每颗牙根切成五个1毫米厚的标本之前,将牙齿随机分为(每组n = 10)微推出(Mpo)、沙漏形(Mh)和矩形棒状(Ms)微拉伸测试组。在制备用于微拉伸粘结强度测试(microTBS)的标本过程中,46/50的棒状和4/50的沙漏形标本过早失效;因此,Ms组不能纳入力学测试。其余标本以0.5毫米/分钟的速度进行测试,直至粘结失败。通过有限元分析(FEA)分析三种力学测试方法中每种标本类型的应力分布。通过冯·米塞斯、XY和Sy准则进行定性分析。
Mpo和Mh的平均微拉伸粘结强度分别为11.89±6.55和14.98±12.72兆帕,差异无统计学意义(p = 0.1311)。推出测试通过有限元分析显示应力分布更均匀,力学测试中的变异性更小。
因此,推荐用于确定玻璃桩与根管内牙本质粘结强度的测试方法是微推出测试(Mpo)。