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[粘结与釉柱:“斜面”仍具有重要意义吗?]

[Bonding and enamel prisms: is the "bevel" still significant?].

作者信息

Nebot D, Fortier J P, Goldberg M, Aldin P

机构信息

Faculté de Chirurgie Dentaire, Université de Paris-V.

出版信息

Actual Odontostomatol (Paris). 1990 Sep;44(171):379-91.

PMID:2239409
Abstract

Following a recall of the various preparations of the cavo-surface for posterior composites (straight, rounded, concave bevel, or without bevel), a study at the M.E.B. analysed the interface between the tooth and the filling in each case investigated. With the straight bevel with a slight angulation (40 degrees), the limit of the cavity-filling joint is clear. A disintegration of the material exists with the straight bevel having a 70 degrees angulation. The hiatus is even more marked with rounded or concave bevels. The absence of a bevel provides a clear occlusal joint without irregularity at the cavo-surface limit. In the light of this investigation and the results observed in the clinic in the medium and long term, it appears that the preparation of the cavo-surface margins of occlusal cavities of the pre-molars and molars for posterior composites may make do with a bevel which is not very extensive and not widely opened (40 degrees), or even the total absence of a bevel.

摘要

在召回各种用于后牙复合树脂修复的洞缘预备形式(直形、圆形、凹面斜切或无斜切)后,M.E.B.的一项研究分析了每种研究情况下牙齿与充填物之间的界面。对于轻微倾斜(40度)的直形斜切,洞-充填物结合处的界限清晰。对于70度倾斜的直形斜切,材料会出现崩解。圆形或凹面斜切时裂隙更为明显。无斜切可提供清晰的咬合面结合,在洞缘界限处无不规则情况。根据这项研究以及中长期临床观察结果,对于后牙复合树脂修复,前磨牙和磨牙咬合面洞的洞缘边缘预备似乎可以采用不太宽且开口不大(40度)的斜切,甚至完全不做斜切。

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