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六种两步法和两种一步法自酸蚀粘结系统与釉质和牙本质的微拉伸粘结强度。

Microtensile bond strengths for six 2-step and two 1-step self-etch adhesive systems to enamel and dentin.

作者信息

Reis Alessandra, Loguercio Alessandro Dourado, Manso Adriana Pigozzo, Grande Rosa Helena Miranda, Schiltz-Taing Michelle, Suh Byoung, Chen Liang, Carvalho Ricardo Marins

机构信息

Department of Restorative Dentistry, Faculty of Dentistry, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748 Bloco M, sala 64, CEP 84030-900 Ponta Grossa, PR, Brazil.

出版信息

Am J Dent. 2013 Feb;26(1):44-50.

Abstract

PURPOSE

To examine the microtensile bond strengths (microTBS) of six 1-step and one 2-step self-etch systems to dentin and ground enamel.

METHODS

Resin composite buildups were bonded to buccal and lingual ground enamel surfaces, and to occlusal dentin of third molars using the following 1-step adhesives: Xeno IV (XE), GBond (GB), Clearfil S3 Bond (CS3); Adper Prompt L-Pop (AD); Go (GO) and All Bond SE (1-step; ABSE), in comparison to the 2-steps (All Bond SE; (2-step ABSE) and Clearfil SE Bond (CSE). After storage in water (24 hour/37 degrees C), the bonded specimens were sectioned into beams approximately 0.9 mm2. These beams were tested until failure at a crosshead speed of 0.5 mm/minute. Data were subjected to appropriate statistical analysis (alpha = 0.05).

RESULTS

The total number of specimens/premature debonding specimens (PDS) for each adhesive were, respectively, in enamel: XE (59/36), GB (63/33), CS3 (62/29), AD (47/19), GO (53/14), 1-step ABSE (61/29), 2-step ABSE (57/14) and CSE (58/13); and in dentin: XE (51/24), GB (50/7), CS3 (53/13), ADP (51/1), GO (43/8), 1-step ABSE (59/2), 1-step ABSE (56/0) and CSE (47/0). The fracture pattern was predominantly adhesive/mixture for all adhesives in dentin (51.5 to 99%) and in enamel (34.8 to 75.4%), however XE (61.2) and GB (52.5) had more than 50% PDS. For ground enamel, no significant difference was detected among materials in the same subgroup (with or without PDS). However, there was a significant difference for all adhesives when subgroups (with and without PDS, respectively) were tested against each other: XE (7.9/10.5 double dagger 19.7/5.5), GB (8.6/10.5 double dagger 17.2/7.4), CS3 (8.8/10.3 double dagger 15.7/5.6), AD (13.0/12.0 = 20.3/8.9), Go (18.2/13.8 = 25.1/10.0), 1-step ABSE (15.9/11.4 = 16.2/5.4), 2-step ABSE (8.4/9.1 double dagger 25.3/7.9) and CSE (17.6/16.3 = 19.9/7.8). For dentin, no difference was found when subgroups for the same adhesive were tested against each other (with or without PDS). However, significantly higher resin-dentin bond strength was observed for adhesives in the following order: CSE (38.5/6.5 = 38.5/6.5) > or = 2-step ABSE (41.4/16.3 double dagger 42.4/19.3) = 1-step ABSE (43.9/17.7 = 44.2/17.1) = AD (34.4/14.2 = 35.2/13.3) < or = CS3 (31.9/19.4 = 40.1/13.4) double dagger GB (14.3/6.3 = 16.3/5.9) = Go (14.2/13.9 = 22.4/12.6) double dagger XE (7.1/5.4 = 9.5/5.1), respectively for with PDS and without PDS. All materials showed similar performance on ground enamel. The performance of one-step self-etch systems to dentin appears to be material-dependent. Adper Prompt L-Pop, Clearfil S3 Bond and the 1-step All Bond SE had microTBS similar to Clearfil SE Bond and the 2-step All Bond SE, while Xeno IV and GBond had significantly lower microTBS values. Go had an intermediate performance.

摘要

目的

检测六种一步法和一种两步法自酸蚀系统与牙本质及磨除釉质的微拉伸粘结强度(microTBS)。

方法

使用以下一步法粘结剂将树脂复合体粘结到颊侧和舌侧磨除釉质表面以及第三磨牙的咬合面牙本质上:Xeno IV(XE)、GBond(GB)、Clearfil S3 Bond(CS3);Adper Prompt L-Pop(AD)、Go(GO)和全粘结自酸蚀一步法(ABSE),并与两步法(全粘结自酸蚀两步法(2-step ABSE)和Clearfil SE Bond(CSE))作比较。在水中(24小时/37℃)储存后,将粘结标本切成约0.9平方毫米的小梁。以0.5毫米/分钟的十字头速度对这些小梁进行测试直至破坏。数据进行适当的统计分析(α = 0.05)。

结果

每种粘结剂在釉质中的标本总数/早期脱粘标本(PDS)分别为:XE(59/36)、GB(63/33)、CS3(62/29)、AD(47/19)、GO(53/14)、一步法ABSE(61/29)、两步法ABSE(57/14)和CSE(58/13);在牙本质中的为:XE(51/24)、GB(50/7)、CS3(53/13)、ADP(51/1)、GO(43/8)、一步法ABSE(59/2)、一步法ABSE(56/0)和CSE(47/0)。在牙本质(51.5%至99%)和釉质(34.8%至75.4%)中,所有粘结剂的断裂模式主要为粘结/混合模式,然而XE(61.2)和GB(52.5)的早期脱粘标本超过50%。对于磨除釉质,同一亚组内的材料(有或无早期脱粘标本)之间未检测到显著差异。然而,当亚组(分别有和无早期脱粘标本)相互测试时,所有粘结剂之间存在显著差异:XE(7.9/10.5‡19.7/5.5)、GB(8.6/10.5‡17.2/7.4)、CS3(8.8/10.3‡15.7/5.6)、AD(13.0/12.0 = 20.3/8.9)、Go(18.2/13.8 = 25.1/10.0)、一步法ABSE(15.9/11.4 = 16.2/5.4)、两步法ABSE(8.4/9.1‡25.3/7.9)和CSE(17.6/16.3 = 19.9/7.8)。对于牙本质,同一粘结剂的亚组(有或无早期脱粘标本)相互测试时未发现差异。然而,观察到粘结剂与牙本质的粘结强度显著更高,顺序如下:CSE(38.5/6.5 = 38.5/6.5)≥两步法ABSE(41.4/16.3‡42.4/19.3)=一步法ABSE(43.9/17.7 = 44.2/17.1)= AD(3

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