Poureslami Hamid Reza, Sajadi Fatemeh, Sharifi Maryam, Farzin Ebrahimi Shahram
Oral & Dental Diseases Research Center, Kerman University of Medical Sciences, Kerman, Iran ; Associate Professor, Department of Pediatric Dentistry, Dental School, Kerman University of Medical Sciences, Kerman, Iran.
J Dent Res Dent Clin Dent Prospects. 2012 Summer;6(3):94-7. doi: 10.5681/joddd.2012.020. Epub 2012 Sep 1.
Despite the increasing demand for adhesive restorations in pediatric dentistry, polymerization shrinkage and subsequent marginal microleakage remains a problem. The aim of this study was to evaluate of the sealing ability of novel low-shrinkage composite silorane in class V cavity of primary canines in comparison with three types of composite resin.
Ninety-one non-carious extracted primary canines were randomly divided in six groups (n=15). Standard class V cavities were prepared on the buccal surface of each tooth that the occlusal margin was in the enamel and the cervical margin extending 1 mm below the cemento-enamel junction. The preparations were restored with the different composite materials in normal consistency with application the bonding in six groups (Filtek silorane; etch + Filtek Silorane; Z250; Filtek supreme; els saremco; Aelite LS). Teeth were then exposed to thermal cycles (1000 cycles, 5°C and 55°C), sealed and immersed in a 0.5% basic fuchsine for 24 hours, and finally sectioned. Buccolingual and mar-ginal leakage was assessed with dye penetration.
The best seal were obtained with etch + Filtek Silorane (P < 0.05) and the weakest seal with Z250 composite res-torations (P > 0.05). Except for etch + silorane, there was no significant differences in sealing ability (P > 0.05), and in the microleakage degree at the cementum and enamel margins (P > 0.05) between the groups.
According to the results, low-shrinkage silorane composite restorations with etching the cavity provide the highest seal in primary teeth.
尽管儿童牙科对粘结修复体的需求不断增加,但聚合收缩及随后的边缘微渗漏仍是一个问题。本研究的目的是评估新型低收缩复合硅橡胶与三种复合树脂相比,在乳牙Ⅴ类洞中的封闭能力。
91颗非龋性拔除的乳牙随机分为六组(n = 15)。在每颗牙齿的颊面制备标准Ⅴ类洞,咬合边缘位于釉质,颈部边缘延伸至牙骨质-釉质界下方1mm。用不同的复合材料以正常稠度进行修复,并在六组中应用粘结剂(Filtek硅橡胶;酸蚀+Filtek硅橡胶;Z250;Filtek Supreme;els saremco;Aelite LS)。然后将牙齿进行热循环(1000次循环,5°C和55°C),密封并浸入0.5%碱性品红中24小时,最后进行切片。通过染料渗透评估颊舌向和边缘渗漏情况。
酸蚀+Filtek硅橡胶获得了最佳封闭效果(P < 0.05),Z250复合树脂修复体的封闭效果最差(P > 0.05)。除酸蚀+硅橡胶外,各组之间的封闭能力(P > 0.05)以及牙骨质和釉质边缘的微渗漏程度(P > 0.05)均无显著差异。
根据结果,对窝洞进行酸蚀处理的低收缩硅橡胶复合修复体在乳牙中提供了最高的封闭性。