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自粘接树脂和传统树脂水门汀对牙釉质边缘影响下的长期粘结强度和复合树脂/牙本质界面纳米渗漏的研究。

Effects of a peripheral enamel margin on the long-term bond strength and nanoleakage of composite/dentin interfaces produced by self-adhesive and conventional resin cements.

机构信息

Department of Restorative Dentistry, Guarulhos University, Guarulhos, SP, Brazil.

出版信息

J Adhes Dent. 2012 Jun;14(3):251-63. doi: 10.3290/j.jad.a22517.

DOI:10.3290/j.jad.a22517
PMID:22282747
Abstract

PURPOSE

This study evaluated the effects of peripheral enamel margins on the long-term bond strength (µTBS) and nanoleakage in resin/dentin interfaces produced by self-adhesive and conventional resin cements.

MATERIALS AND METHODS

Five self-adhesive [RelyX-Unicem (UN), RelyX-U100 (UC), GCem (GC), Maxcem (MC), Set (SET)] and 2 conventional resin cements [RelyX-ARC(RX), Panavia F(PF)] were used. An additional group included the use of a two-step self-etching adhesive (SE Bond) with Panavia F (PS). One hundred ninety-two molars were assigned to 8 groups according to luting material. Five-mm-thick composite disks were cemented and assigned to 3 subgroups according to water-exposure condition (n = 6): 24-h peripheral exposure (24h-PE-enamel margins), or 1 year of peripheral (1 yr-PE) or direct exposure (1 yr-DE-dentin margin). Restored teeth were sectioned into beams and tested in tension at 1 mm/min. Data were analyzed by two-way ANOVA and Tukey's test. Two additional specimens in each group were prepared for nanoleakage evaluation. Nanoleakage patterns were observed under SEM/TEM.

RESULTS

Except for RX, no significant reduction in µTBS was observed between 24h-PE and 1 yr-PE. 1 yr-DE reduced µTBS for RX, PF, GC, MC, and SET. No significant reduction in µTBS was observed for PS, UC, and UN after 1 year. After 1 yr-DE, RX and PS presented the highest µTBS, and SET and MC the lowest. Nanoleakage was reduced when there was a peripheral enamel margin. SET and MC presented more silver deposition than other groups.

CONCLUSION

The presence of a peripheral enamel margin reduced the degradation rate in resin/dentin interfaces for most materials. The µTBS values produced by the multi-step luting agents RX and PS were significantly higher than those observed for self-adhesive cement.

摘要

目的

本研究评估了边缘位于牙釉质的不同位置对自粘接和传统树脂水门汀黏结后树脂/牙本质界面长期黏结强度(µTBS)和纳米渗漏的影响。

材料和方法

使用了 5 种自粘接水门汀[RelyX-Unicem(UN)、RelyX-U100(UC)、GCem(GC)、Maxcem(MC)、Set(SET)]和 2 种传统树脂水门汀[RelyX-ARC(RX)、Panavia F(PF)]。另一个组包括使用两步自酸蚀黏结剂(SE Bond)与 Panavia F(PS)联合使用。192 颗磨牙根据黏结材料分为 8 组。制作 5mm 厚的复合树脂片,根据水暴露条件分为 3 个亚组(n=6):24 小时边缘暴露(24h-PE-牙釉质边缘)、1 年边缘暴露(1 yr-PE)或直接暴露(1 yr-DE-牙本质边缘)。将修复后的牙齿切成梁并以 1mm/min 的速度进行拉伸测试。数据采用双因素方差分析和 Tukey 检验进行分析。每组另外准备了 2 个样本进行纳米渗漏评估。纳米渗漏模式在 SEM/TEM 下观察。

结果

除 RX 外,24h-PE 和 1 yr-PE 之间的 µTBS 没有明显降低。1 yr-DE 降低了 RX、PF、GC、MC 和 SET 的 µTBS。PS、UC 和 UN 1 年后 µTBS 没有明显降低。1 yr-DE 后,RX 和 PS 呈现出最高的 µTBS,而 SET 和 MC 呈现出最低的 µTBS。有边缘牙釉质存在时,纳米渗漏减少。SET 和 MC 比其他组有更多的银沉积。

结论

边缘牙釉质的存在降低了大多数材料的树脂/牙本质界面的降解速度。多步黏结剂 RX 和 PS 产生的 µTBS 值明显高于自粘接水门汀。

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