Maurya Rajkumar, Tripathi Tulika, Rai Priyank
Department of Orthodontics and Dentofacial Orthopaedics, Maulana Azad Institute of Dental Sciences, New Delhi, India.
Indian J Dent Res. 2011 Sep-Oct;22(5):733-4. doi: 10.4103/0970-9290.93472.
Newer available composite resin adhesives have chromatic agents that change their color during setting from pink to colorless. It has an advantage of easy flash removal thus reducing the amount of plaque accumulation and helping patients to maintain better hygiene.
The aim of the present study was to compare shear bond strengths of light-cure orthodontic bonding agents, namely glass ionomer (FujiOrthoLC, GC Orthodontics), conventional composite resin (Transbond XT, 3M Unitek), and color-changing composite resin (Transbond Plus, 3M Unitek) with conventional etch and self-etch primer (Transbond PlusSEP, 3M Unitek).
Maxillary premolars (n=300) were bonded on the facial surface in five groups. The INSTRON machine was used for shear bond strength testing.
Comparison of the mean rank among the groups was done by Kruskal-Wallis one-way analysis of variance (ANOVA). To determine the mean difference among groups, the Mann-Whitney test with Bon Ferroni adjustment was applied.
It was observed that light-cure conventional composite resin with the conventional etchant group had the highest and glass ionomer resin adhesive had the lowest shear bond strength. There was no statistically significant difference between conventional composite used with conventional etchant and color-changing composite resin used with conventional etchant or with self-etch primer.
Considering the advantages of a color-changing composite and self-etch primer especially in patients having high DMFT scores or physically and mentally compromised patients unable to maintain their hygiene properly, it was concluded in the present study that it would be the most suitable material for direct bonding.
新型复合树脂粘合剂含有色剂,在固化过程中会从粉红色变为无色。它具有易于去除飞边的优点,从而减少牙菌斑积聚量,并帮助患者保持更好的口腔卫生。
本研究的目的是比较光固化正畸粘合剂的剪切粘结强度,即玻璃离子水门汀(FujiOrthoLC,GC正畸)、传统复合树脂(Transbond XT,3M Unitek)以及变色复合树脂(Transbond Plus,3M Unitek)与传统蚀刻剂和自酸蚀底漆(Transbond PlusSEP,3M Unitek)的剪切粘结强度。
将300颗上颌前磨牙在颊面粘结成五组。使用INSTRON机器进行剪切粘结强度测试。
通过Kruskal-Wallis单因素方差分析(ANOVA)对各组的平均秩进行比较。为确定组间平均差异,应用经Bon Ferroni校正的Mann-Whitney检验。
观察到,使用传统蚀刻剂的光固化传统复合树脂组的剪切粘结强度最高,而玻璃离子树脂粘合剂的剪切粘结强度最低。使用传统蚀刻剂的传统复合树脂与使用传统蚀刻剂或自酸蚀底漆的变色复合树脂之间无统计学显著差异。
考虑到变色复合树脂和自酸蚀底漆的优点,特别是对于龋失补牙面(DMFT)评分高的患者或身心状况不佳、无法妥善保持口腔卫生的患者,本研究得出结论,它将是直接粘结最适合的材料。