Malekipour M R, Shirani F, Tahmourespour S
Assistant Professor of Operative Dentistry Department, School of Dentistry, Azad University, Isfahan(Khorasgan Branch), Iran.
J Dent (Tehran). 2010 Fall;7(4):218-25. Epub 2010 Sep 30.
In this study, the effect of bur cutting efficacy was evaluated on microleakage of class V composite restorations with two adhesive systems.
Class V cavities were produced on sound extracted human teeth, which had been assigned randomly to one of six groups (N=15) as follows: Groups 1 and 6 were prepared using used rough diamond bur; Group 2 and 5 were prepared using new rough diamond bur; Group 3 and 4 were prepared using soft diamond bur. After application of Single Bond (3M Dental Product, USA) in groups 4,5 and 6 and Clearfil SE Bond [Kurary Medical Inc. Japan] in groups 1,2 and 3, all cavities were restored with composite resin. The teeth were thermocycled and microleakage was evaluated by dye penetration. Kruskal-Wallis and Mann-Whitney tests with Bonferroni's correction were used for statistical analysis.
The results showed that gingival margins significantly leaked more than occlusal margins for all bur types and bonding systems. Using the same adhesive system in gingival margins, significant difference was seen between bur types and using the same bur type in occlusal margins, there was a significant difference between the two types of adhesive systems.
Cutting efficiency of bur had a great effect on microleakage of resin composite restorations. So long term use of burs may result in an increase in microleakage of composite resin restorations.
在本研究中,评估了两种粘结系统下车针切割效能对Ⅴ类复合树脂修复体微渗漏的影响。
在完好拔除的人牙上制备Ⅴ类洞,随机分为6组(每组n = 15),分组如下:第1组和第6组使用用过的粗金刚砂车针制备;第2组和第5组使用新的粗金刚砂车针制备;第3组和第4组使用软质金刚砂车针制备。在第4、5和6组应用单键粘结剂(美国3M牙科产品公司),在第1、2和3组应用Clearfil SE Bond粘结剂(日本可乐丽医疗株式会社)后,所有窝洞均用复合树脂修复。对牙齿进行热循环处理,并通过染料渗透评估微渗漏情况。采用Kruskal-Wallis检验和经Bonferroni校正的Mann-Whitney检验进行统计学分析。
结果显示,对于所有车针类型和粘结系统,牙龈边缘的微渗漏明显多于咬合边缘。在牙龈边缘使用相同的粘结系统时,车针类型之间存在显著差异;在咬合边缘使用相同的车针类型时,两种粘结系统之间存在显著差异。
车针的切割效率对树脂复合修复体的微渗漏有很大影响。车针的长期使用可能会导致复合树脂修复体微渗漏增加。