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铒激光与传统方法对牙本质黏结强度影响的比较

The effect of erbium family laser on tensile bond strength of composite to dentin in comparison with conventional method.

机构信息

Laser Research Center of Dentistry (LRCD), Dental Materials Department, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Lasers Med Sci. 2013 Jan;28(1):139-42. doi: 10.1007/s10103-012-1086-3. Epub 2012 Apr 11.

Abstract

The purpose of this study was to evaluate the effect of Er:YAG and Er,Cr:YSGG laser on tensile bond strength of composite resin to dentine in comparison with bur-prepared cavities. Fifteen extracted caries-free human third molars were selected. The teeth were cut at a level below the occlusal pit and fissure plan and randomly divided into three groups. Five cavities were prepared by diamond bur, five cavities prepared by Er:YAG laser, and the other group prepared by Er,Cr:YSGG laser. Then, all the cavities were restored by composite resin. The teeth were sectioned longitudinally with Isomet and the specimens prepared in dumbbelled shape (n = 36). The samples were attached to special jigs, and the tensile bond strength of the three groups was measured by universal testing machine at a speed of 0.5 mm/min. The results of the three groups were analyzed with one-way ANOVA and Tamhane test. The means and standard deviations of tensile bond strength of bur-cut, Er:YAG laser-ablated, and Er,Cr:YSGG laser-ablated dentine were 5.04 ± 0.93, 13.37 ± 3.87, and 4.85 ± 0.93 MPa, respectively. There is little difference in tensile bond strength of composite resin in Er,Cr:YSGG lased-prepared cavities in comparison with bur-prepared cavities, but the Er:YAG laser group showed higher bond strength than the other groups.

摘要

本研究旨在评估 Er:YAG 和 Er,Cr:YSGG 激光对牙本质与复合树脂间拉伸粘结强度的影响,并与车针预备的窝洞进行比较。选取 15 颗无龋的人第三磨牙,于咬合面下窝沟水平切割,随机分为三组。每组 5 个窝洞,一组由钻石车针预备,一组由 Er:YAG 激光预备,另一组由 Er,Cr:YSGG 激光预备。然后用复合树脂修复所有窝洞。用 Isomet 沿牙体长轴将牙齿纵向劈开,制备哑铃形试件(n = 36)。将试件固定在专用夹具上,以 0.5mm/min 的速度用万能试验机测量三组的拉伸粘结强度。采用单因素方差分析和 Tamhane 检验对三组结果进行分析。车针预备、Er:YAG 激光预备和 Er,Cr:YSGG 激光预备牙本质的复合树脂拉伸粘结强度均值和标准差分别为 5.04 ± 0.93、13.37 ± 3.87 和 4.85 ± 0.93 MPa。Er,Cr:YSGG 激光预备组与车针预备组相比,复合树脂的拉伸粘结强度差异无统计学意义,但 Er:YAG 激光组的粘结强度高于其他两组。

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