Kasraei Shahin, Azarsina Mohadese, Khamverdi Zahra
Dental Research Center, Department of Operative Dentistry, Dental School, Hamadan University of Medical Sciences, Hamadan, Iran.
J Conserv Dent. 2013 May;16(3):243-6. doi: 10.4103/0972-0707.111324.
Attempts to improve bond strength of self-etch adhesives can enhance the durability of composite restorations.
The aim of the present study was to evaluate the effect of collagen and smear layer removal with sodium hypochlorite solution (NaOCl) and EDTA on micro-tensile bond strength (μTBS) of self-etch adhesives to dentin.
It was an in-vitro study.
Seventy-two teeth were divided into eight groups and their crowns were ground perpendicular to their long axis to expose dentin. The teeth were polished with silicon-carbide papers. The groups were treated as follows: No conditioning, 0.5-M EDTA conditioning, 2.5% NaOCl conditioning, NaOCl + EDTA conditioning. The surfaces were rinsed and blot-dried. Clearfil S3 and I-Bond were applied according to manufacturers' instructions and restored with Z100 composite. After 500 cycles of thermo-cycling between 5°C and 55°C, the samples were sectioned and tested for μTBS.
Data were analyzed by two-way ANOVA and Tukey-HSD test.
The highest μTBS was recorded with Clearfil S3 + NaOCl + EDTA, and the lowest was recorded with I-Bond without conditioning. μTBS in EDTA-and EDTA + NaOCl-treated groups was significantly higher than the control and NaOCl-conditioned groups.
Application of EDTA or EDTA + NaOCl before one-step self-etch adhesives increased μTBS.
提高自酸蚀粘结剂的粘结强度有助于增强复合树脂修复体的耐久性。
本研究旨在评估胶原蛋白以及用次氯酸钠溶液(NaOCl)和乙二胺四乙酸(EDTA)去除玷污层对自酸蚀粘结剂与牙本质微拉伸粘结强度(μTBS)的影响。
这是一项体外研究。
将72颗牙齿分为八组,沿牙齿长轴垂直方向磨除牙冠以暴露牙本质。用碳化硅砂纸对牙齿进行抛光。分组处理如下:不进行预处理、用0.5M的EDTA预处理、用2.5%的NaOCl预处理、用NaOCl + EDTA预处理。冲洗表面并吸干水分。按照制造商说明应用Clearfil S3和I - Bond粘结剂,并用Z100复合树脂进行修复。在5°C至55°C之间进行500次热循环后,将样本切片并测试其微拉伸粘结强度。
数据采用双向方差分析和Tukey - HSD检验进行分析。
Clearfil S3 + NaOCl + EDTA组的微拉伸粘结强度最高,未进行预处理的I - Bond组最低。EDTA处理组和EDTA + NaOCl处理组的微拉伸粘结强度显著高于对照组和NaOCl预处理组。
在一步法自酸蚀粘结剂应用前使用EDTA或EDTA + NaOCl可提高微拉伸粘结强度。