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在脱矿牙本质中,腔消毒剂和黏结系统对黏结程序的影响——为期一年的体外评估。

Influence of cavity disinfectant and adhesive systems on the bonding procedure in demineralized dentin - a one-year in vitro evaluation.

机构信息

State University of Campinas, Piracicaba Dental School, Piracicaba, Brazil.

出版信息

J Adhes Dent. 2012 Dec;14(6):575-83. doi: 10.3290/j.jad.a28730.

Abstract

PURPOSE

To evaluate the influence of a 2% chlorhexidine solution (CHX) on the bond strength and nano leakage of two self-etching adhesive systems on demineralized dentin over a 12-month period.

MATERIALS AND METHODS

The middle dentin from sound third molars was exposed and demineralized in vitro. Twelve groups were formed using different adhesive systems (Clearfil Protect Bond [PB], Clearfil SE Bond [SE]) dentin treatment (with or without CHX application), and water-storage times (24 h, 6 and 12 months). Composite resin cylinders were bonded to the prepared dentin, and these specimens underwent microshear bond strength (µSBS) testing and nano leakage evaluation. µSBS data were submitted to a three-way ANOVA and Tukey's test. The failure mode and nano leakage were analyzed descriptively by score.

RESULTS

There was a statistically significant interaction only between the adhesive system and CHX, and adhesive system and water-storage times. SE showed the lowest µSBS just at 24 h water-storage time regardless of CHX. A significant decrease in µSBS values after 6 months of water storage occurred in all of the groups and was maintained until 12 months. Adhesive failure increased with storage time. All groups showed nano leakage at the resin/dentin interfaces and an increased silver deposition was noticed after 6 and 12 months of water storage. The highest percentages of nano leakage were found in CHX groups.

CONCLUSION

CHX did not interfere with µSBS values for either self-etching adhesive system, but water storage did. Bond strength decreased for both adhesive systems after 6 and 12 months, regardless of CHX application. Nano leakage increased with water-storage time and with CHX application.

摘要

目的

评估 2%氯己定溶液(CHX)对两种自酸蚀粘接剂系统在脱矿牙本质上的粘接强度和纳米渗漏的影响,为期 12 个月。

材料与方法

体外暴露并脱矿第三磨牙的中层牙本质。使用不同的粘接系统(Clearfil Protect Bond [PB]、Clearfil SE Bond [SE])、牙本质处理(有无 CHX 应用)和水储存时间(24 h、6 个月和 12 个月)形成 12 组。将复合树脂圆柱体粘接到制备好的牙本质上,对这些样本进行微剪切粘接强度(µSBS)测试和纳米渗漏评估。µSBS 数据采用三因素方差分析和 Tukey 检验。通过评分对失效模式和纳米渗漏进行描述性分析。

结果

仅在粘接系统和 CHX 以及粘接系统和水储存时间之间存在统计学上的显著相互作用。无论 CHX 如何,SE 在 24 h 水储存时间时显示出最低的 µSBS。所有组在 6 个月水储存后 µSBS 值均显著下降,并持续至 12 个月。粘接失败随着储存时间的增加而增加。所有组在树脂/牙本质界面均出现纳米渗漏,并且在 6 和 12 个月水储存后观察到银沉积增加。CHX 组的纳米渗漏百分比最高。

结论

CHX 不影响两种自酸蚀粘接剂系统的 µSBS 值,但水储存会影响。两种粘接系统在 6 和 12 个月后,无论 CHX 的应用如何,粘接强度均下降。纳米渗漏随水储存时间和 CHX 应用而增加。

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