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树脂水门汀和 1%次氯酸钠对乳牙间接复合树脂修复体边缘适合性的影响。

Effects of resin luting agents and 1% NaOCl on the marginal fit of indirect composite restorations in primary teeth.

机构信息

Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.

出版信息

J Appl Oral Sci. 2011 Oct;19(5):455-61. doi: 10.1590/s1678-77572011000500004.

DOI:10.1590/s1678-77572011000500004
PMID:21986649
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3984190/
Abstract

OBJECTIVE

The purpose of this study was to provide information regarding the marginal adaptation of composite resin onlays in primary teeth previously treated with 1% sodium hypochlorite (NaOCl) (pulp irrigant) using two different resin luting agents.

MATERIAL AND METHODS

Forty extracted sound primary molars had their crowns prepared in a standardized machine and were randomly divided into 4 groups (n=10): G1 (1% NaOCl irrigation+EnForce); G2 (EnForce); G3 (1% NaOCl irrigation+Rely X); G4 (Rely X). The onlays were made with Z250 composite resin on plaster models. After luting, the tooth/restoration set was stored in 100% relative humidity at 37ºC for 24 h and finished with Soflex discs. Caries Detector solution was applied at the tooth/restoration interface for 5 s. The specimens were washed and four digital photos of each tooth were then taken. The extents of the gaps were measured with Image Tool 3.0 software. The percentage data were submitted to a Kruskal-Wallis test (α=0.05). The Relative Risk test analyzed the chance of a gap presence correlated to each group.

RESULTS

There were no statistically significant differences (p>0.05) among the groups. The relative risk test revealed that some groups were more apt to have a presence of gaps than others.

CONCLUSION

Neither the 1% NaOCl treatment nor the resin luting agents caused any alterations in the dental substrate that could have influenced the marginal adaptation of composite onlays in primary teeth.

摘要

目的

本研究旨在提供关于使用两种不同树脂黏结剂对先前用 1%次氯酸钠(NaOCl)(牙髓冲洗剂)处理过的乳牙复合树脂嵌体边缘适应性的信息。

材料与方法

40 颗从口腔中拔出的完整初级磨牙在标准化机上进行牙冠预备,并随机分为 4 组(n=10):G1(1% NaOCl 冲洗+EnForce);G2(EnForce);G3(1% NaOCl 冲洗+Rely X);G4(Rely X)。嵌体使用 Z250 复合树脂在石膏模型上制作。黏结后,将牙/修复体置于 37°C、100%相对湿度下保存 24 小时,并用 Soflex 盘完成最终打磨。在牙/修复体界面上涂抹 5 秒龋齿探测器溶液。将标本洗净,然后对每颗牙拍摄 4 张数码照片。使用 Image Tool 3.0 软件测量间隙的程度。百分比数据进行 Kruskal-Wallis 检验(α=0.05)。相对风险检验分析了各组存在间隙的可能性。

结果

各组之间无统计学差异(p>0.05)。相对风险检验表明,某些组比其他组更容易存在间隙。

结论

1% NaOCl 处理或树脂黏结剂均未对牙本质基质造成任何影响,从而影响初级牙齿复合树脂嵌体的边缘适应性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f83/3984190/519894ac90d7/jaos-19-05-0455-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f83/3984190/7e6e112705d6/jaos-19-05-0455-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f83/3984190/3571a7fa8e5d/jaos-19-05-0455-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f83/3984190/519894ac90d7/jaos-19-05-0455-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f83/3984190/7e6e112705d6/jaos-19-05-0455-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f83/3984190/3571a7fa8e5d/jaos-19-05-0455-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f83/3984190/519894ac90d7/jaos-19-05-0455-g03.jpg

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本文引用的文献

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Adhesive systems: important aspects related to their composition and clinical use.黏结系统:与组成和临床应用相关的重要方面。
J Appl Oral Sci. 2010 May-Jun;18(3):207-14. doi: 10.1590/s1678-77572010000300002.
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Fracture resistance of weakened teeth restored with condensable resin with and without cusp coverage.采用可压缩树脂修复且有或无牙尖覆盖的患牙的抗折性
J Appl Oral Sci. 2009 May-Jun;17(3):161-5. doi: 10.1590/s1678-77572009000300006.
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NaOCl effects on primary and permanent pulp chamber dentin.
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The influence of the cavity preparation design on marginal accuracy of laboratory-processed resin composite restorations.窝洞预备设计对实验室加工树脂复合材料修复体边缘适合性的影响。
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Dye staining gap test: an alternative method for assessing marginal gap formation in composite restorations.染料染色间隙测试:一种评估复合树脂修复体边缘间隙形成的替代方法。
Acta Odontol Scand. 2006 Jun;64(3):141-5. doi: 10.1080/00016350500474565.
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An alternative aesthetic restoration for extensive coronal destruction in primary molars: indirect restorative technique with composite resin.一种用于乳磨牙大面积牙冠破坏的替代性美学修复方法:复合树脂间接修复技术。
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Association of photoactivation methods and low modulus liners on marginal adaptation of composite restorations.光活化方法与低模量衬层对复合树脂修复体边缘适应性的相关性
Acta Odontol Scand. 2004 Dec;62(6):298-304. doi: 10.1080/00016350410001784.
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Polymerization shrinkage: effects of constraint and filling technique in composite restorations.聚合收缩:复合树脂修复中约束和填充技术的影响
Dent Mater. 2004 Mar;20(3):236-43. doi: 10.1016/S0109-5641(03)00098-8.
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