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不同粘结剂对乳牙牙本质超微形态及树脂-牙本质界面影响的比较评价

Comparative evaluation of the effect of different bonding agents on the ultramorphology of primary tooth dentin and the resin dentin interface.

作者信息

Vashisth Pallavi, Goswami Mousumi, Mittal Mudit, Chaudhary Seema

机构信息

Department of Pedodontics, Institute of Dental Sciences, Bareilly, Uttar Pradesh. India.

出版信息

J Conserv Dent. 2012 Oct;15(4):357-62. doi: 10.4103/0972-0707.101905.

Abstract

AIM

To analyze and compare the changes in the ultramorphology of dentin in primary teeth using different bonding agents and to study the resin/dentin interface produced by them.

MATERIALS AND METHODS

Occlusal surfaces of 50 extracted human deciduous teeth were grounded to expose the dentin. The teeth were divided into two groups (A) For viewing surface morphology- 18 teeth divided into four groups: (a) for viewing dentinal morphology (3 teeth), (b) Scotchbond multi-purpose (5 teeth), (c) Adhe SE (5 teeth), (d) Futurabond (5 teeth). (B) For viewing interfacial morphology- 32 teeth divided into four groups with 8 teeth each: (a) Scotch Bond Multipurpose (3M, ESPE),), (b) Adhe Se (Vivadent), (c) Optibond All-in-One (Kerr), (d) Futurabond NR (VOCO, Cuxhaven, Germany). The adhesives were applied to each group following the manufacturer's instruction. All the samples were then prepared for viewing under SEM.

RESULTS

The photographs were graded using a four-step (0-3) scale method proposed by Ferrari et al. For Scotchbond, 12 (75%) were graded as 2 Grade 3 was observed in only 1 observation in the entire lot of materials. The results obtained for Adhe SE and Optibond AIO were similar, i.e. in 5 (31.25%) observations each the scores were 0 and in 11 (68.75%) observations each the scores were 1. In case of Futurabond, 3 (18.75%) observations were graded as 0 and 13 (81.25%) were graded as 1, thus showing a mean score of 0.81±0.40.

CONCLUSION

Three- step bonding agent results in the complete removal of smear layer. While the self- etch approach is not efficient in removing the smear layer and opening of the dentinal tubules. The longest resin tags with lateral branches were seen in two groups- Scotch bond multipurpose and Optibond FL.

摘要

目的

分析和比较使用不同粘结剂时乳牙牙本质超微形态的变化,并研究它们产生的树脂/牙本质界面。

材料与方法

选取50颗拔除的人类乳牙,磨除其咬合面以暴露牙本质。将牙齿分为两组:(A)用于观察表面形态——18颗牙齿分为四组:(a)用于观察牙本质形态(3颗牙齿),(b)Scotchbond多功能粘结剂(5颗牙齿),(c)Adhe SE粘结剂(5颗牙齿),(d)Futurabond粘结剂(5颗牙齿)。(B)用于观察界面形态——32颗牙齿分为四组,每组8颗:(a)Scotch Bond多功能粘结剂(3M,ESPE),(b)Adhe Se粘结剂(Vivadent),(c)Optibond全合一粘结剂(Kerr),(d)Futurabond NR粘结剂(VOCO,德国库克斯港)。按照制造商的说明将粘结剂应用于每组。然后制备所有样品以供扫描电子显微镜观察。

结果

使用法拉利等人提出的四步(0 - 3)评分法对照片进行评分。对于Scotchbond粘结剂,12颗(75%)评分为2级,在整个材料批次中仅1次观察到3级。Adhe SE粘结剂和Optibond AIO粘结剂的结果相似,即每组5次(31.25%)观察评分为0,每组11次(68.75%)观察评分为1。对于Futurabond粘结剂,3次(18.75%)观察评分为0,13次(81.25%)评分为1,平均评分为0.81±0.40。

结论

三步法粘结剂可完全去除玷污层。而自酸蚀法在去除玷污层和开放牙本质小管方面效率不高。在Scotch bond多功能粘结剂和Optibond FL两组中观察到最长且带有侧支的树脂突。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6f9c/3482750/6b5e0a6f8346/JCD-15-357-g002.jpg

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