Koch Tamara, Peutzfeldt Anne, Malinovskii Vladimir, Flury Simon, Häner Robert, Lussi Adrian
Department of Preventive, Restorative and Pediatric Dentistry, School of Dental Medicine, University of Bern, Bern, Switzerland.
Eur J Oral Sci. 2013 Aug;121(4):363-9. doi: 10.1111/eos.12053. Epub 2013 May 9.
Uptake of eugenol from eugenol-containing temporary materials may reduce the adhesion of subsequent resin-based restorations. This study investigated the effect of duration of exposure to zinc oxide-eugenol (ZOE) cement on the quantity of eugenol retained in dentin and on the microtensile bond strength (μTBS) of the resin composite. The ZOE cement (IRM Caps) was applied onto the dentin of human molars (21 per group) for 1, 7, or 28 d. One half of each molar was used to determine the quantity of eugenol (by spectrofluorimetry) and the other half was used for μTBS testing. The ZOE-exposed dentin was treated with either OptiBond FL using phosphoric acid (H₃PO₄) or with Gluma Classic using ethylenediaminetetraacetic acid (EDTA) conditioning. One group without conditioning (for eugenol quantity) and two groups not exposed to ZOE (for eugenol quantity and μTBS testing) served as controls. The quantity of eugenol ranged between 0.33 and 2.9 nmol mg⁻¹ of dentin (median values). No effect of the duration of exposure to ZOE was found. Conditioning with H₃PO₄ or EDTA significantly reduced the quantity of eugenol in dentin. Nevertheless, for OptiBond FL, exposure to ZOE significantly decreased the μTBS, regardless of the duration of exposure. For Gluma Classic, the μTBS decreased after exposure to ZOE for 7 and 28 d. OptiBond FL yielded a significantly higher μTBS than did Gluma Classic. Thus, ZOE should be avoided in cavities later to be restored with resin-based materials.
从含丁香酚的临时材料中摄取丁香酚可能会降低后续树脂基修复体的黏附力。本研究调查了接触氧化锌丁香酚(ZOE)水门汀的持续时间对牙本质中残留丁香酚量以及树脂复合材料微拉伸粘结强度(μTBS)的影响。将ZOE水门汀(IRM Caps)涂覆在人类磨牙的牙本质上(每组21颗),持续1、7或28天。每颗磨牙的一半用于测定丁香酚的量(通过荧光分光光度法),另一半用于μTBS测试。用磷酸(H₃PO₄)处理OptiBond FL或用乙二胺四乙酸(EDTA)处理Gluma Classic对暴露于ZOE的牙本质进行预处理。一组不进行预处理(用于测定丁香酚量)和两组未接触ZOE的组(用于测定丁香酚量和μTBS测试)作为对照。牙本质中丁香酚的量在0.33至2.9 nmol mg⁻¹之间(中位数)。未发现接触ZOE的持续时间有影响。用H₃PO₄或EDTA预处理可显著降低牙本质中丁香酚的量。然而,对于OptiBond FL,无论接触ZOE的持续时间如何,接触ZOE都会显著降低μTBS。对于Gluma Classic,接触ZOE 7天和28天后μTBS降低。OptiBond FL产生的μTBS明显高于Gluma Classic。因此,在随后要用树脂基材料修复的窝洞中应避免使用ZOE。