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功能单体在与牙釉质结合中的作用:酸碱抵抗区和结合性能。

The role of functional monomers in bonding to enamel: acid-base resistant zone and bonding performance.

机构信息

Department of Prosthodontics, School of Stomatology, Fourth Military Medical University, No. 145, Changlexi Road, 710032 Xi'an, China.

出版信息

J Dent. 2010 Sep;38(9):722-30. doi: 10.1016/j.jdent.2010.05.015. Epub 2010 Jun 12.

Abstract

OBJECTIVES

To investigate the effects of two functional monomers on caries-inhibition potential and bond strength of two-step self-etching adhesive systems to enamel.

METHODS

Clearfil SE Bond and similar experimental formulations different in the functional monomer were used. Four combinations of primer and bonding agents were evaluated: (1) Clearfil SE Bond which contains MDP in both primer and bonding (M-M); (2) Clearfil SE Bond primer and Phenyl-P in bonding (M-P); (3) Phenyl-P in primer and Clearfil SE Bond bonding (P-M); (4) Phenyl-P in primer and bonding (P-P). Ground buccal enamel surfaces of human sound premolars were treated with one of the systems and the bonded interface was exposed to an artificial demineralising solution (pH 4.5) for 4.5 h, and then 5% NaOCl with ultrasonication for 30 min. After argon-ion etching, the interfacial ultrastructure was observed using SEM. Micro-shear bond strength to enamel was measured for all groups and results were analysed using one-way ANOVA and Turkey's HSD, while failure modes were analysed by chi-square test.

RESULTS

An acid-base resistant zone (ABRZ) was found with all adhesive systems containing MDP either in primer or bond; however, ultramorphology and crystallite arrangement in the ABRZ were different among groups. P-P was the only group devoid of this protective zone. Micro-shear bond strength in M-M was significantly higher than those in M-P, P-M and P-P, while the latter three were not different from each other. Failure modes were significantly different (p<0.05).

CONCLUSIONS

Functional monomers in two-step self-etching systems influence both the bonding performance and the formation of ABRZ on enamel.

摘要

目的

研究两种功能性单体对两步自酸蚀粘结系统对牙釉质抑制龋能力和粘结强度的影响。

方法

使用 Clearfil SE Bond 和不同功能性单体的类似实验配方。评估了四种底漆和粘结剂的组合:(1)Clearfil SE Bond,其底漆和粘结剂中均含有 MDP(M-M);(2)Clearfil SE Bond 底漆和苯丙基-P(M-P);(3)苯丙基-P 底漆和 Clearfil SE Bond 粘结剂(P-M);(4)苯丙基-P 底漆和粘结剂(P-P)。将人类健康前磨牙的颊面釉质表面用其中一种系统处理,将粘结界面暴露于人工脱矿溶液(pH 4.5)中 4.5 小时,然后用 5%次氯酸钠超声处理 30 分钟。用氩离子蚀刻后,用 SEM 观察粘结界面的超微结构。对所有组进行牙釉质微拉伸粘结强度测量,并使用单因素方差分析和 Turkey's HSD 进行分析,而失效模式则使用卡方检验进行分析。

结果

含有 MDP 的底漆或粘结剂的所有粘结系统均发现有酸碱抗性区(ABRZ),但 ABRZ 的超微结构和结晶排列在各组之间有所不同。P-P 是唯一没有这种保护区域的组。M-M 的微拉伸粘结强度明显高于 M-P、P-M 和 P-P,而后三者之间没有差异。失效模式有显著差异(p<0.05)。

结论

两步自酸蚀粘结系统中的功能性单体既影响粘结性能,又影响牙釉质上 ABRZ 的形成。

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