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光固化机和粘结系统对V类复合树脂修复体边缘适合性的影响。

Effect of light-curing unit and adhesive system on marginal adaptation of class v composite restorations.

作者信息

Maia-Casseli Denise S, Faria-e-Silva André L, Cavalcanti Andréa N, Romani Eliene A O N, Martins Luis R M

机构信息

Department of Dentistry, Campus of Sobral, Federal University of Ceará, Sobral, CE, Brazil.

出版信息

Acta Odontol Latinoam. 2012;25(1):68-73.

Abstract

The aim of this study was to evaluate the effect of light-curing units (LED or halogen) on the marginal adaptation of composite restorations performed with etch-and-rinse and self-etching adhesive. Class V cavities were prepared on bovine teeth with the gingival margin on dentin and the incisal margin on enamel. The cavities were restored with a micro-hybrid resin composite using an etch-and-rinse (Single Bond 2--SB) or a self-etching adhesive (Clearfil SE Bond--CL). The light-activations were performed using halogen lamp (Optilux 501--QTH) or second-generation light-emitting diode (Radii-Cal--LED) (n = 10). After finishing and polishing the restorations, epoxy replicas were prepared. The marginal adaptation was analyzed under scanning electronic microscopy with 500x of magnification. The greatest gap width at each margin was recorded. Data were submitted to Mann-Whitney and Wilcoxon tests (a = 0.05). SB and CL showed similar behavior of enamel margins when the light-activations were performed with QTH. The same was observed for dentin margins with LED. When the LED was used, higher gap measurements at enamel margins were observed with CL, while higher gap values in dentin were observed for SB within QTH. No significant difference between substrates was found when CL was used. However, SB had significantly higher gap measurements in dentin. The light-curing unit seems to affect the marginal adaptation of resin composite restorations. However this effect was dependent on the adhesive and the location of the margin.

摘要

本研究的目的是评估光固化灯(发光二极管或卤素灯)对使用酸蚀冲洗粘结剂和自酸蚀粘结剂进行的复合树脂修复体边缘适合性的影响。在牛牙上制备V类洞,龈缘位于牙本质,切缘位于釉质。使用酸蚀冲洗粘结剂(Single Bond 2--SB)或自酸蚀粘结剂(Clearfil SE Bond--CL),用微混合树脂复合材料修复窝洞。使用卤素灯(Optilux 501--QTH)或第二代发光二极管(Radii-Cal--LED)进行光固化(n = 10)。修复体完成并抛光后,制备环氧树脂复制品。在扫描电子显微镜下以500倍放大率分析边缘适合性。记录每个边缘处的最大间隙宽度。数据采用Mann-Whitney和Wilcoxon检验(α = 0.05)。当用QTH进行光固化时,SB和CL在釉质边缘表现出相似的情况。使用LED时,在牙本质边缘也观察到同样的情况。使用LED时,CL在釉质边缘的间隙测量值更高,而在QTH条件下,SB在牙本质中的间隙值更高。使用CL时,在不同基底之间未发现显著差异。然而,SB在牙本质中的间隙测量值显著更高。光固化灯似乎会影响树脂复合材料修复体的边缘适合性。然而,这种影响取决于粘结剂和边缘的位置。

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