Bahrololoomi Zahra, Soleymani Aliasghar, Heydari Zahra
Associate Professor, Department of Pedodontics, Faculty of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
J Dent Res Dent Clin Dent Prospects. 2011 Summer;5(3):83-6. doi: 10.5681/joddd.2011.019. Epub 2011 Sep 5.
Marginal seal of the material is extremely important in fissure sealant therapy. The aim of this study was to investigate microleakage of flowable composite resins and conventional fissure sealants with or without dentin bonding agent.
The occlusal surface of 60 intact extracted human premolars, divided into four groups, were cleaned with pumice/slurry, etched with 37% phosphoric acid for 15 seconds, rinsed and dried. Groups were treated differ-ently: Excite bonding agent followed by Helioseal F fissure sealant in group1; Helioseal F alone in group 2; Excite bonding agent followed by Tetric Flow in group 3; and Tetric Flow alone in group 4. Light-curing was done after each application. After thermocycling, the whole surface of each specimen was coated with nail varnish except for one millimeter around the fissure sealant. The teeth were immersed in 2% basic fuchsin for 24 hours and then sectioned buccolingually. The sections were analyzed for leakage under a stereomicroscope. Data was analyzed by Kruskal-Wallis and Mann-Whitney tests at asignificance level of P < 0.05.
There were no statistically significant differencesbetween the study groups in terms of the mean microleakage scores (P > 0.05), except for groups 2 and 4 (P = 0.002) and groups 3 and 4 (P = 0.033).
Use of a flowable composite with bonding agent is a good alternative for sealing pits and fissures; however, further in vitro and in vivo studies are necessary.
在窝沟封闭治疗中,材料的边缘封闭性极其重要。本研究旨在调查使用或不使用牙本质粘结剂的可流动复合树脂与传统窝沟封闭剂的微渗漏情况。
选取60颗完整拔除的人类前磨牙,将其咬合面分为四组,先用浮石/糊剂清洁,再用37%磷酸酸蚀15秒,冲洗并干燥。分组处理如下:第1组先用Excite粘结剂,再用Helioseal F窝沟封闭剂;第2组仅用Helioseal F;第3组先用Excite粘结剂,再用Tetric Flow;第4组仅用Tetric Flow。每次涂抹后进行光固化。热循环后,除窝沟封闭剂周围1毫米外,每个标本的整个表面均涂指甲油。将牙齿浸入2%碱性品红中24小时,然后沿颊舌向切片。在体视显微镜下分析切片的渗漏情况。数据采用Kruskal-Wallis检验和Mann-Whitney检验进行分析,显著性水平为P < 0.05。
除第2组和第4组(P = 0.002)以及第3组和第4组(P = 0.033)外,各研究组之间的平均微渗漏评分无统计学显著差异(P > 0.05)。
使用含粘结剂的可流动复合树脂是封闭窝沟的良好替代方法;然而,还需要进一步的体外和体内研究。