Children's Dental Clinic of Las Cruces, Southern New Mexico, USA.
Pediatr Dent. 2011 Nov-Dec;33(7):479-83.
The purpose of this study was to compare the microleakage of a self-etching sealant with a traditional phosphoric acid-etched sealant under noncontaminated and saliva-contaminated conditions.
Fifty-two sound extracted human molars were randomly divided into 4 groups (N=13). Teeth in Groups 1 and 2 were cleaned with pumice, etched with phosphoric acid, rinsed, coated with a drying agent, placed with sealants (UltraSeal XT Plus), and light cured. Teeth in Groups 3 and 4 were cleaned with a proprietary flour pumice and rinsed prior to being sealed with a self-etching sealant (Enamel Loc). Teeth in Groups 2 and 4 were contaminated with saliva and thoroughly air-dried prior to the sealant placement. All teeth were subjected to a thermocycling process, stained with silver nitrate, and sectioned, and images of the sealant on the occlusal surface were recorded. Microleakage distance was measured in millimeters and subjected to a 2-way analysis of variance.
Significantly larger microleakage distances were found for the self-etching sealant vs the traditional sealant (P<.001). Saliva contamination did not significantly affect the microleakage distance (P<.17).
Under the conditions used in this in vitro study, the self-etching sealant, regardless of contamination condition, had extensive microleakage distances vs. little microleakage in the traditional phosphoric acid-etched sealant.
本研究旨在比较自酸蚀封闭剂与传统磷酸酸蚀封闭剂在未受污染和唾液污染条件下的微渗漏情况。
将52颗完好的拔除人磨牙随机分为4组(每组n = 13)。第1组和第2组牙齿用浮石清洁,用磷酸酸蚀,冲洗,涂干燥剂,放置封闭剂(UltraSeal XT Plus),并光固化。第3组和第4组牙齿先用专用的面粉浮石清洁并冲洗,然后用自酸蚀封闭剂(Enamel Loc)封闭。第2组和第4组牙齿在放置封闭剂前用唾液污染并彻底吹干。所有牙齿均经过热循环处理,用硝酸银染色,切片,并记录咬合面上封闭剂的图像。微渗漏距离以毫米为单位测量,并进行双向方差分析。
与传统封闭剂相比,自酸蚀封闭剂的微渗漏距离明显更大(P <.001)。唾液污染对微渗漏距离没有显著影响(P <.17)。
在本体外研究使用的条件下,无论污染情况如何,自酸蚀封闭剂的微渗漏距离都很大,而传统磷酸酸蚀封闭剂的微渗漏很小。