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[固化方式对两种牙本质黏结剂努氏硬度及微拉伸黏结强度的影响]

[Effect of curing modes on knoop hardness and microtensile bond strength of two dentin adhesives].

作者信息

Wei Wen-Jia, Meng Xiang-Feng, Huang Zheng, Liu Xia

机构信息

Department of Prosthodontics, Nanjing University, Nanjing, China.

出版信息

Zhonghua Kou Qiang Yi Xue Za Zhi. 2013 Jan;48(1):45-9.

Abstract

OBJECTIVE

To evaluated the effect of curing modes and light-cure times on knoop hardness (KH) and microtensile bond strength (µTBS) of dentin adhesives in vitro.

METHODS

Twenty molars were made into 80 dentin slices (about 1 mm thick). The dentin slices were prepared with an etch&rinse adhesive A (ONE-STEP PLUS) and a self-etch adhesive B (Clearfil SE Bond), and light-cured respectively under fast mode, i.e.1250 mW/cm(2) light intensity for 10 s, 15 s, 20 s, and ramp mode (soft start curing mode), i.e.initial 0 mW/cm(2) gradually increasing to 1250 mW/cm(2) in first 10 s, then steady for the next 10 s. The prepared dentin slices were kept in dark dry room for 24 h at 37°C, and KH were tested. The other 40 molars were flattened to expose coronal dentin, prepared with adhesives as above. Then the prepared teeth were restored with resin composites incrementally and cured under fast mode. The restored teeth were stored in water for 24 h at 37°C, and slowly sectioned to obtain multiple bonded beams. After 7 d water-storage, the samples received microtensile bond test, and the failure models of beams were observed under a stereomicroscope. Data were analyzed by ANOVA and LSD test (α = 0.05).

RESULTS

No statistical difference in KH [(28.20 ± 5.36), (29.13 ± 5.60), (28.13 ± 4.40), (27.06 ± 3.77) MPa] and µTBS [(22.30 ± 5.07), (22.73 ± 6.59), (26.32 ± 6.17), (25.67 ± 4.31) MPa] of adhesive A were found between four curing conditions (fast mode for 10 s, 15 s, 20 s and ramp mode for 20 s) (P > 0.05). In adhesive B, KH of Fast 20 s [(28.23 ± 3.67) MPa] were significantly higher than those of Fast 10 s [(14.15 ± 2.24) MPa] and Fast 15 s [(17.63 ± 2.17) MPa] (P < 0.05). The µTBS of Fast 20 s [(42.52 ± 3.59) MPa] were significantly higher than those of Fast 10 s [(24.21 ± 3.60) MPa], Fast 15 s [(22.25 ± 4.16) MPa] and Ramp 20 s [(31.12 ± 5.40) MPa] (P < 0.05). In Fast 20 s and Ramp 20 s modes, there were no statistical difference in KH of adhesive A and B, while µTBS of adhesive B were higher than that of adhesive A(P < 0.05).

CONCLUSIONS

As for different type dentin adhesives, the appropriate curing time in fast mode is different, and ramp mode (soft start curing mode) has no advantage over fast mode.

摘要

目的

体外评估固化模式和光固化时间对牙本质黏结剂努氏硬度(KH)和微拉伸黏结强度(µTBS)的影响。

方法

选取20颗磨牙制成80个牙本质片(约1mm厚)。用酸蚀冲洗黏结剂A(ONE-STEP PLUS)和自酸蚀黏结剂B(Clearfil SE Bond)制备牙本质片,并分别在快速模式下光固化,即光强1250mW/cm²,分别照射10s、15s、20s,以及斜坡模式(软启动固化模式),即初始光强0mW/cm²,在最初10s内逐渐增至1250mW/cm²,然后在接下来的10s保持稳定。将制备好的牙本质片置于37°C的暗室干燥环境中24h,测试KH。另外40颗磨牙磨平以暴露牙冠部牙本质,按上述方法用黏结剂处理。然后用树脂复合材料分层修复制备好的牙齿,并在快速模式下固化。修复后的牙齿在37°C水中储存24h,缓慢切片以获得多个黏结梁。水储存7d后,对样本进行微拉伸黏结测试,并在体视显微镜下观察梁的断裂模式。数据采用方差分析和LSD检验进行分析(α = 0.05)。

结果

黏结剂A在四种固化条件(快速模式10s、15s、20s和斜坡模式2Os)下的KH[(28.20±5.36)、(29.13±5.60)、(28.13±4.40)、(27.06±3.77)MPa]和µTBS[(22.30±5.07)、(22.73±6.59)、(26.32±6.17)、(25.67±4.31)MPa]无统计学差异(P>0.05)。在黏结剂B中,快速模式20s的KH[(28.23±3.67)MPa]显著高于快速模式10s[(14.15±2.24)MPa]和快速模式15s[(17.G3±2.±7)MPa](P<0.05)。快速模式20s的µTBS[(42.52±3.59)MPa]显著高于快速模式10s[(24.21±3.60)MPa]、快速模式15s[(22.25±4.16)MPa]和斜坡模式20s[(31.12±5.40)MPa](P<0.05)。在快速模式20s和斜坡模式20s下,黏结剂A和B的KH无统计学差异,而黏结剂B的µTBS高于黏结剂A(P<0.05)。

结论

对于不同类型的牙本质黏结剂,快速模式下的合适固化时间不同,且斜坡模式(软启动固化模式)并不优于快速模式。

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