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纤维桩修复体中粘结-牙本质结合的粘结强度、水泥的转化率和分子结构。

Bond strengths, degree of conversion of the cement and molecular structure of the adhesive-dentine joint in fibre post restorations.

机构信息

Department of Dental Materials and Prosthodontics, São Paulo State University, São José dos Campos, São Paulo, Brazil.

出版信息

J Dent. 2012 Apr;40(4):286-94. doi: 10.1016/j.jdent.2012.01.003. Epub 2012 Jan 28.

Abstract

OBJECTIVES

Because fibre post restorations are influenced by multiple factors such as the types of bonding materials, the dentine region and the time under moist exposure, this study sought to determine the bond strength of endodontic restorations and its relation to the degree of conversion of the cement layer and the molecular structure of the dentine-bonded joints.

METHODS

The performance of 2 etch-and-rinse (All-Bond 2 and One-Step Plus) and 2 self-etch (Clearfil SE Bond and Xeno III) adhesives at post spaces regions, after 7 d or 4 m, was evaluated. FRC Postec Plus posts were cemented to the root canal with a dual-cure resin cement (Duo-Link). Transverse sections of the tooth were subjected to push-out testing, to degree-of-conversion measurements and to hybrid layer evaluation through μ-Raman spectroscopy.

RESULTS

Coronal bonding was higher than cervical and middle bonding. The hybrid layer was thicker for the etch-and-rinse systems, with thicknesses decreasing towards the middle region. The degree of conversion measured for the 3-step etch-and-rinse group after 4 m was significantly higher than that for the self-etching groups.

CONCLUSIONS

Although not totally stable at the adhesive-dentine interface, the 3-step etch-and-rinse adhesive in the coronal dentine provided the best bond strength, degree of conversion of the cement and hybrid layer thickness in post restorations, in both short- and long-term analyses.

摘要

目的

由于纤维桩修复体受到多种因素的影响,如粘结材料的类型、牙本质区域和潮湿暴露时间,本研究旨在确定根管修复体的粘结强度及其与粘结层的转化率和牙本质粘结界面的分子结构的关系。

方法

评价了 2 种酸蚀冲洗(All-Bond 2 和 One-Step Plus)和 2 种自酸蚀(Clearfil SE Bond 和 Xeno III)粘结剂在桩腔区域的性能,分别在 7 天和 4 个月后进行。FRC Postec Plus 桩用双固化树脂粘结剂(Duo-Link)粘结到根管内。通过横向拉伸试验、转化率测量和 μ-Raman 光谱评估评估粘结层和混合层的情况。

结果

冠部粘结强度高于颈部和中部粘结强度。酸蚀冲洗系统的混合层较厚,从中部区域逐渐变薄。4 个月后,3 步酸蚀冲洗组的转化率明显高于自酸蚀组。

结论

虽然在粘结-牙本质界面不完全稳定,但在冠部牙本质中使用 3 步酸蚀冲洗粘结剂在短期和长期分析中均能为桩修复体提供最佳的粘结强度、粘结层转化率和混合层厚度。

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