Fakhri Marjan, Seraj Bahman, Shahrabi Mehdi, Motahhary Pouria, Hooshmand Tabassom
Department of Pediatric Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Pediatr Dent. 2009 Jul-Aug;31(4):334-9.
The purpose of this study was to investigate in vitro the effect of salivary contamination on the microleakage of resin composite restorations placed with a self-etching adhesive in primary teeth.
Fifty-six extracted primary molars received standardized Class V preparations. The teeth were assigned to 7 groups (n=8): 1-layer and 2-layer application of the self-etching primer (Clearfil SE Bond) with no contamination (groups 1 and 2, respectively); saliva, SE primer, and drying (group 3); SE primer, drying, saliva, and drying (group 4); SE primer, drying, saliva, and rinsing/drying (group 5); SE primer, drying, saliva, drying, SE primer, and drying (group 6); and SE primer, drying, saliva, rinsing/drying, SE primer, and drying (group 7). For all specimens, the bonding agent (SE adhesive) and a composite were applied. After thermocycling and immersing in basic fuchsin, the teeth were sectioned and evaluated under a stereomicroscope. Data were analyzed using Kruskal-Wallis and Mann-Whitney tests.
The mean occlusal and gingival microleakage for groups 4 and 5 were significantly higher than that of groups 1 and 2 (P<.04). No statistically significant difference in microleakage among groups 1, 2, 6, and 7 was found (P=.09). The degree of microleakage in the gingival margins was significantly higher than that of occlusal margins (P=.027).
The self-etching adhesive was not sensitive to saliva when contamination occurred before primer application.
本研究旨在体外调查唾液污染对乳牙中使用自酸蚀粘结剂放置的树脂复合材料修复体微渗漏的影响。
五十六颗拔除的乳牙进行标准化的V类洞制备。将牙齿分为7组(n = 8):分别为不污染情况下自酸蚀底漆(Clearfil SE Bond)的单层和双层应用(分别为第1组和第2组);唾液、SE底漆和干燥(第3组);SE底漆、干燥、唾液和干燥(第4组);SE底漆、干燥、唾液和冲洗/干燥(第5组);SE底漆、干燥、唾液、干燥、SE底漆和干燥(第6组);以及SE底漆、干燥、唾液、冲洗/干燥、SE底漆和干燥(第7组)。对所有标本应用粘结剂(SE粘结剂)和复合材料。热循环并浸入碱性品红后,将牙齿切片并在体视显微镜下评估。使用Kruskal-Wallis和Mann-Whitney检验分析数据。
第4组和第5组的平均咬合面和牙龈微渗漏显著高于第1组和第2组(P <.04)。第1、2、6和7组之间的微渗漏无统计学显著差异(P =.09)。牙龈边缘的微渗漏程度显著高于咬合边缘(P =.027)。
当在底漆应用前发生污染时,自酸蚀粘结剂对唾液不敏感。