Barkmeier Wayne W, Erickson Robert L, Kimmes Nicole S, Latta Mark A, Wilwerding Terry M
Department of General Dentistry, Creighton University Medical Center School of Dentistry, Omaha, NE, USA.
Oper Dent. 2009 Mar-Apr;34(2):217-22. doi: 10.2341/08-72.
The current study examined the effect of different enamel conditioning times on surface roughness and bond strength using an etch-and-rinse system and four self-etch adhesives. Surface roughness (Ra) and composite to enamel shear bond strengths (SBS) were determined following the treatment of flat ground human enamel (4000 grit) with five adhesive systems: (1) Adper Single Bond Plus (SBP), (2) Adper Prompt L-Pop (PLP), (3) Clearfil SE Bond (CSE), (4) Clearfil S3 Bond (CS3) and (5) Xeno IV (X4), using recommended treatment times and an extended treatment time of 60 seconds (n = 10/group). Control groups were also included for Ra (4000 grit surface) and SBS (no enamel treatment and Adper Scotchbond Multi-Purpose Adhesive). For surface roughness measurements, the phosphoric acid conditioner of the SBP etch-and-rinse system was rinsed from the surface with an air-water spray, and the other four self-etch adhesive agents were removed with alternating rinses of water and acetone. A Proscan 2000 non-contact profilometer was used to determine Ra values. Composite (Z100) to enamel bond strengths (24 hours) were determined using Ultradent fixtures and they were debonded with a crosshead speed of 1 mm/minute. The data were analyzed with ANOVA and Fisher's LSD post-hoc test. The etch-and- rinse system (SBP) produced the highest Ra (microm) and SBS (MPa) using both the recommended treatment time (0.352 +/- 0.028 microm and 40.5 +/- 6.1 MPa) and the extended treatment time (0.733 +/- 0.122 microm and 44.2 +/- 8.2 MPa). The Ra and SBS of the etch-and-rinse system were significantly greater (p < 0.05) than all the self-etch systems and controls. Increasing the treatment time with phosphoric acid (SBP) and PLP produced greater surface roughness (p < 0.05) but did not result in significantly higher bond strengths (p > 0.05).
本研究使用酸蚀冲洗系统和四种自酸蚀粘结剂,检测了不同牙釉质预处理时间对表面粗糙度和粘结强度的影响。使用五种粘结系统处理平整的人类牙釉质(4000目砂纸打磨)后,测定表面粗糙度(Ra)和复合树脂与牙釉质的剪切粘结强度(SBS):(1)Adper Single Bond Plus(SBP);(2)Adper Prompt L-Pop(PLP);(3)Clearfil SE Bond(CSE);(4)Clearfil S3 Bond(CS3);(5)Xeno IV(X4),分别采用推荐处理时间和延长至60秒的处理时间(每组n = 10)。还设置了Ra(4000目砂纸打磨表面)和SBS(未处理牙釉质和使用Adper Scotchbond多用途粘结剂)的对照组。对于表面粗糙度测量,用空气-水喷雾从SBP酸蚀冲洗系统的磷酸处理剂表面冲洗掉,其他四种自酸蚀粘结剂用水和丙酮交替冲洗去除。使用Proscan 2000非接触式轮廓仪测定Ra值。使用Ultradent固定装置测定复合树脂(Z100)与牙釉质的粘结强度(24小时),并以1毫米/分钟的十字头速度使其脱粘。数据采用方差分析和Fisher最小显著差事后检验进行分析。酸蚀冲洗系统(SBP)在推荐处理时间(0.352±0.028微米和40.5±6.1兆帕)和延长处理时间(0.733±0.122微米和44.2±8.2兆帕)下均产生了最高的Ra(微米)和SBS(兆帕)。酸蚀冲洗系统的Ra和SBS显著高于所有自酸蚀系统和对照组(p < 0.05)。用磷酸(SBP)和PLP延长处理时间会产生更大的表面粗糙度(p < 0.05),但粘结强度并未显著提高(p > 0.05)。