Ⅰ类银汞合金和复合树脂修复体周围微渗漏的体内与体外评估。

In vivo and in vitro evaluations of microleakage around Class I amalgam and composite restorations.

机构信息

The Ministry of Health, Beyhekim Oral and Dental Health Center, Konya, Turkey.

出版信息

Oper Dent. 2010 Nov-Dec;35(6):641-8. doi: 10.2341/10-065-L.

Abstract

This study evaluated and compared microleakage values of in vivo and in vitro placed Class I amalgam restorations with or without three different lining materials and posterior composite restorations with two dentin bonding agents. For the in vivo group, 72 standardized Class I cavities were prepared on the occlusal surfaces of molars scheduled for extraction. The test groups (n = 12) were: amalgam without lining (A), amalgam with cavity varnish (A+C), amalgam with Clearfil SE Bond (A+CSE), amalgam with Clearfil 2V (A+C2V), composite with Clearfil SE Bond (C+CSE) and composite with Protect Bond (C+PB). The restored teeth were extracted after seven days. The same grouping, materials and techniques were used in 72 extracted molars for the in-vitro part of the study. The specimens were immersed in basic fuchsin for 24 hours and sectioned. Microleakage was examined and scored at 20x magnification. Statistical analyses were performed with the Kruskal-Wallis and Mann-Whitney U-tests with the 5% level of significance. Overall, the in vivo and in vitro test groups were not different from each other. No significant differences in microleakage values were observed between the unlined and lined amalgam groups (p > 0.05). However, since lined amalgam restorations did not reveal any marginal leakage, the application of an adhesive bonding material under the amalgam restorations can be considered. In general, cavity varnish was not as effective as adhesive bonding agents in preventing microleakage in amalgam restorations. Composite restorations demonstrated higher leakage values than amalgam restorations (p < 0.05), except for A+C (p > 0.05) in the in vivo group. There was no significant difference between the two composite groups for in vitro and in vivo conditions (p > 0.05).

摘要

本研究评估和比较了体内和体外放置的 I 类银汞合金修复体的微渗漏值,这些修复体有无三种不同的衬垫材料和两种牙本质粘结剂的后牙复合修复体。对于体内组,在计划拔除的磨牙咬合面上制备了 72 个标准化的 I 类腔。实验组(n = 12)为:无衬垫银汞合金(A)、银汞合金加窝沟封闭剂(A+C)、银汞合金加 Clearfil SE Bond(A+CSE)、银汞合金加 Clearfil 2V(A+C2V)、复合树脂加 Clearfil SE Bond(C+CSE)和复合树脂加 Protect Bond(C+PB)。修复后的牙齿在七天后拔出。在研究的体外部分,用相同的分组、材料和技术在 72 颗拔出的磨牙上进行。将标本浸入碱性品红中 24 小时,然后进行切片。在 20x 放大倍数下检查并评分微渗漏。用 Kruskal-Wallis 和 Mann-Whitney U 检验进行统计学分析,显著性水平为 5%。总体而言,体内和体外实验组之间没有差异。未衬垫和衬垫银汞合金组的微渗漏值无显著差异(p > 0.05)。然而,由于衬垫银汞合金修复体没有发现任何边缘渗漏,因此可以考虑在银汞合金修复体下应用粘结材料。一般来说,窝沟封闭剂在预防银汞合金修复体的微渗漏方面不如粘结剂有效。复合修复体的渗漏值高于银汞合金修复体(p < 0.05),但体内组的 A+C 除外(p > 0.05)。在体内和体外条件下,两组复合修复体之间没有显著差异(p > 0.05)。

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