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高分子修复材料在高龋挑战下的降解。

Degradation of polymeric restorative materials subjected to a high caries challenge.

机构信息

Brazilian Navy, Navy Central Clinic, Rio de Janeiro, RJ, Brazil.

出版信息

Dent Mater. 2011 Mar;27(3):244-52. doi: 10.1016/j.dental.2010.10.009. Epub 2010 Nov 13.

DOI:10.1016/j.dental.2010.10.009
PMID:21075443
Abstract

OBJECTIVES

The aim of this study was to evaluate the degradation of different resin filling materials after a caries challenge, by high performance liquid chromatography (HPLC) and contact angle (θ) measurement.

METHODS

Four different polymeric restorative materials (a resin composite, a polyacid-modified resin composite, an ormocer and a resin-modified glass ionomer cement) were tested. Five samples (30 mm × 6 mm × 2 mm) of each material were formed in a Teflon mold, following the manufacturer's instructions. After pH cycles, the solutions were injected in an HPLC. The θ was obtained, before and after pH cycle, by a goniometer at 60% air humidity and 25°C. A distilled water drop (0.006 ml) was put on the material surface, and after 6 min, 10 measures were obtained at 20s intervals. Each sample received 4 drops, one at a time, on different areas.

RESULTS

HPLC results showed elution of byproducts in all materials. This was greater in the acid medium. Bis-GMA and TEGDMA were detected in TPH Spectrum and Definite residues. Analyses of the contact angle by ANOVA and Student-Neuman-Keuls's test showed that the surfaces of TPH Spectrum, Dyract AP and Definite were altered, except Vitremer (p<0.05).

SIGNIFICANCE

All materials tested degraded on a caries simulated medium, suggesting that a great effort should be made to disseminate oral health information, since a high caries challenge environment (low pH) can lead to dental composite degradation, with potential toxic risks to patients.

摘要

目的

本研究旨在通过高效液相色谱(HPLC)和接触角(θ)测量来评估龋齿挑战后不同树脂填充材料的降解情况。

方法

测试了四种不同的聚合修复材料(树脂复合材料、酸改性树脂复合材料、有机硅改性树脂和树脂改性玻璃离子水门汀)。按照制造商的说明,在聚四氟乙烯模具中形成每个材料的五个样本(30mm×6mm×2mm)。在 pH 循环后,将溶液注入 HPLC。在 60%空气湿度和 25°C 的条件下,通过测角仪获得 pH 循环前后的 θ。将一滴水(0.006ml)滴在材料表面上,6 分钟后,每隔 20 秒获得 10 次测量。每个样品在不同区域一次接收 4 滴水。

结果

HPLC 结果显示所有材料都有副产物洗脱。在酸性介质中更为明显。在 TPH 光谱和 Definite 残留物中检测到 Bis-GMA 和 TEGDMA。通过方差分析和 Student-Neuman-Keuls 检验对接触角进行分析表明,TPH 光谱、Dyract AP 和 Definite 的表面发生了变化,除了 Vitremer(p<0.05)。

意义

所有测试的材料在龋齿模拟介质中降解,这表明应该大力传播口腔健康信息,因为高龋齿挑战环境(低 pH)会导致牙科复合材料降解,对患者有潜在的毒性风险。

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