Perdigão Jorge, Sezinando Ana, Gomes George
University of Minnesota, Department of Restorative Sciences, 515 SE Delaware St, 8-450 Moos Tower, Minneapolis, MN 55455, USA.
Am J Dent. 2011 Aug;24(4):215-20.
To study the effect of acid etching and the application of a hydrophobic bonding resin on the microtensile bond strengths (microTBS) and marginal sealing of the 1-step self-etch adhesive Adper Easy Bond (AEB).
Middle dentin was exposed in 30 extracted molars and randomly divided into six groups: (1) AEB applied as per manufacturer's directions; (2) as in AEB, but one coat of hydrophobic resin (HR) was applied and cured over AEB (AEB+HR); (3) etching with 35% H3PO4 for 15 seconds followed by AEB (Etch+AEB); (4) as in group Etch+AEB, but one coat of HR was applied and cured over AEB (Etch+AEB+HR); (5) Adper Single Bond Plus, the 2-step etch-&-rinse adhesive control (ASB); (6) Adper Scotchbond Multi-Purpose, the 3-step etch-&-rinse adhesive control (SBMP). Buildups were constructed with Filtek Z250 and cured in three increments of 2 mm each. Specimens were sectioned with a slow-speed diamond saw under water in X and Y directions to obtain bonded sticks with a cross section of 0.8 +/- 0.2 mm2 and tested to failure in tension mode at a crosshead speed of 1 mm/minute. Statistical analyses were computed using one-way ANOVA followed by Duncan's post-hoc test at P<0.05. For marginal sealing, 36 Class V preparations were restored with one of the six adhesive combinations and processed with 50% ammoniacal silver nitrate. After sectioning, specimens were observed under a backscattered FE-SEM to evaluate silver infiltration into the resin-dentin interface, which was measured in ranks (0-4) and compared with non-parametric statistical tests (P<0.05).
AEB resulted in statistically lower mean microTBS than all other groups at P0.05. All the remaining groups resulted in statistically similar mean microTBS. For marginal sealing, data were grouped in three statistical subsets: Groups AEB and AEB+HR resulted in statistically less silver infiltration than groups Etch+AEB and Etch+AEB+HR. Groups ASB and SBMP resulted in similar silver infiltration compared to Groups AEB and AEB+HR. The nanoleakage pattern consisted of agglomerates of silver deposits located predominantly in the hybrid layer, while reticular or water-tree silver deposits were observed in both the AEB and ASB adhesive layers.
研究酸蚀处理及应用疏水粘结树脂对一步法自酸蚀粘结剂Adper Easy Bond(AEB)的微拉伸粘结强度(microTBS)和边缘封闭性的影响。
在30颗拔除的磨牙中暴露中层牙本质,并随机分为六组:(1)按照制造商说明应用AEB;(2)同AEB组,但在AEB之上涂一层疏水树脂(HR)并固化(AEB+HR);(3)用35%磷酸蚀刻15秒,然后应用AEB(蚀刻+AEB);(4)同蚀刻+AEB组,但在AEB之上涂一层HR并固化(蚀刻+AEB+HR);(5)Adper Single Bond Plus,两步法酸蚀冲洗粘结剂对照组(ASB);(6)Adper Scotchbond Multi-Purpose,三步法酸蚀冲洗粘结剂对照组(SBMP)。用Filtek Z250构建堆塑体,并分三次每次2mm进行固化。标本在水下用低速金刚石锯沿X和Y方向切片,以获得横截面为0.8±0.2mm²的粘结棒,并在拉伸模式下以1mm/分钟的十字头速度测试至破坏。使用单因素方差分析,随后进行P<0.05的Duncan事后检验进行统计分析。对于边缘封闭性,用六种粘结剂组合之一修复36个V类洞型,并使用50%氨性硝酸银处理。切片后,在背散射场发射扫描电子显微镜下观察标本,以评估银渗入树脂-牙本质界面的情况,按等级(0-4)进行测量,并与非参数统计检验进行比较(P<0.05)。
AEB的平均microTBS在统计学上低于所有其他组(P<0.05)。所有其余组的平均microTBS在统计学上相似。对于边缘封闭性,数据分为三个统计子集:AEB组和AEB+HR组的银渗入在统计学上少于蚀刻+AEB组和蚀刻+AEB+HR组。ASB组和SBMP组的银渗入与AEB组和AEB+HR组相似。纳米渗漏模式包括主要位于混合层的银沉积物团聚体,而在AEB和ASB粘结剂层中均观察到网状或水树状银沉积物。