School of Dentistry, School of Medicine adn Public Health of Bahia (EBMSP), Cabula, Salvador, BA, Brazil.
J Adhes Dent. 2010 Jun;12(3):183-8. doi: 10.3290/j.jad.a17524.
The aim of this study was to evaluate the Knoop hardness number (KHN) of dentin and the microtensile bond strength (microTBS) at different walls of MOD preparations, and the correlation between microTBS and the KHN of dentin.
Human molars with MOD preparations were allocated into 3 groups according to the preparation wall (axial, gingival, pulpal). Each tooth was sectioned into halves, resulting in two similar preparation walls: one was used for measuring the KHN of dentin and the other for microTBS testing. Flat surfaces of the respective walls were obtained by cutting away adjacent walls. For the KHN measurement, twelve indentations were performed along the preparation wall (50 g/15 s). For microTBS testing, specimens were distributed into 3 groups according to the adhesive system (Adper Single Bond Plus/SB, Clearfil SE Bond/SE, Adper Prompt/AP). Composite blocks were built over surfaces; specimens were sectioned (3 slabs/wall) and trimmed to an hourglass shape (1 mm(2)).
The KHN of dentin walls was significantly different (ANOVA/Tukey); pulpal wall > axial wall > gingival wall. The effect of preparation walls on microTBS was dependent on the bonding system (2-way ANOVA/Tukey's test). SB had higher bond strength than the other systems at the gingival wall; and higher than SE at the axial wall. At the pulpal wall, SE presented a higher mean compared to AP. A significant negative correlation between microTBS and KHN was observed at the gingival wall.
It could be concluded that dentin structure can affect bond strengths, but the impact of the substrate varies according to the type of adhesive system.
本研究旨在评估 MOD 制备体不同壁面的牙本质科努普硬度值(KHN)和微拉伸粘结强度(microTBS),以及 microTBS 与牙本质 KHN 的相关性。
根据制备体壁(轴向、龈向、牙髓向)将人磨牙分为 3 组。每颗牙被分为两半,得到两个相似的制备体壁:一个用于测量牙本质的 KHN,另一个用于 microTBS 测试。通过去除相邻壁面来获得各自壁面的平面。对于 KHN 测量,在制备体壁上沿壁面进行 12 个压痕(50 g/15 s)。对于 microTBS 测试,根据粘结系统(Adper Single Bond Plus/SB、Clearfil SE Bond/SE、Adper Prompt/AP)将试件分为 3 组。在表面上构建复合块;将试件切成 3 个壁(3 个薄片/壁)并修整成沙漏形(1 mm(2))。
牙本质壁的 KHN 有显著差异(ANOVA/Tukey 检验);牙髓壁>轴向壁>龈向壁。制备体壁对 microTBS 的影响取决于粘结系统(2 因素方差分析/Tukey 检验)。SB 在龈向壁的粘结强度高于其他系统;在轴向壁高于 SE。在牙髓壁,SE 的平均值高于 AP。在龈向壁,microTBS 与 KHN 之间存在显著负相关。
牙本质结构会影响粘结强度,但基底的影响根据粘结系统的类型而不同。