Leuven BIOMAT Research Cluster, Department of Conservative Dentistry, School of Dentistry, Oral Pathology and Maxillo-Facial Surgery, Catholic University of Leuven, Kapucijnenvoer 7, B-3000 Leuven, Belgium.
J Dent Res. 2010 Oct;89(10):1045-50. doi: 10.1177/0022034510375285. Epub 2010 Jul 14.
The mechanisms behind bond degradation are still largely unknown, in particular with respect to self-etch adhesives. One-step adhesives have been especially documented with problems, such as insufficient polymerization, water-uptake and subsequent plasticization, water- and enzyme-induced nanoleakage, and/or the presence of voids due to phase-separation or osmosis. It was hypothesized that these shortcomings may weaken the adhesive layer and, as such, may jeopardize long-term bonding. In contrast to the control three-step etch & rinse adhesive, the bond strength to dentin of both one-step and two-step self-etch adhesives decreased after six-month water storage. TEM revealed not only that they exhibited filler de-bonding within the adhesive resin layer, due to hydrolysis of the filler-matrix coupling, but also that they failed predominantly directly under the hybrid layer at dentin, in spite of the presence of interfacial droplets and nanoleakage in the adhesive layer. These failures just under the hybrid layer may be attributed to insufficient encapsulation of surface smear.
黏结剂降解的机制在很大程度上仍然未知,特别是对于自酸蚀黏结剂。一步法黏结剂的问题尤其突出,例如聚合不足、吸水和随后的塑化、水和酶诱导的纳米渗漏、以及由于相分离或渗透而存在空隙。据推测,这些缺陷可能会削弱黏结层,并因此危及长期黏结。与对照的三步酸蚀-冲洗黏结剂相比,两种一步法和两步法自酸蚀黏结剂的牙本质黏结强度在 6 个月水储存后降低。TEM 不仅显示它们表现出由于填充剂-基质偶联水解而在黏结树脂层内的填充剂脱黏,而且尽管在黏结层内存在界面液滴和纳米渗漏,它们主要在牙本质的混合层下失效,在混合层下直接失效。混合层下的这些失效可能归因于表面玷污层的不完全包埋。