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使用两种不同分层技术对II类洞形预备中基于硅烷的复合材料和基于甲基丙烯酸酯的复合材料进行微渗漏评估:一项体外研究。

Microleakage evaluation of Silorane-based composite and methacrylate-based composite in class II box preparations using two different layering techniques: an in vitro study.

作者信息

Joseph Asha, Santhosh Lekha, Hegde Jayshree, Panchajanya Srinivas, George Reshmi

机构信息

Department of Conservative Dentistry and Endodontics, The Oxford Dental College, Research Centre and Hospital, Bangalore, India.

出版信息

Indian J Dent Res. 2013 Jan-Feb;24(1):148. doi: 10.4103/0970-9290.114943.

Abstract

AIM

The aim of this study was to compare the microleakage in Class II box preparations with the gingival margin above and below the cemento-enamel junction (CEJ) restored with Silorane composite and methacrylate composite using two different layering techniques.

MATERIALS AND METHODS

Standardized box preparations (mesial box 1 mm above the CEJ and distal box 1 mm below the CEJ) were prepared in 60 upper premolars. The teeth were randomly divided into four groups containing 15 samples each; Group I: Restored with a Silorane composite using an oblique layering technique, Group II: Restored with Silorane composite using a vertical layering technique, Group III: Restored with methacrylate composite using the oblique layering technique, and Group IV: Restored with methacrylate composite using the vertical layering technique. The samples were stored in distilled water, followed by thermocycling and immersed in 2% methylene blue. The samples were sectioned and evaluated for microleakage at the gingival margin.

STATISTICAL ANALYSIS

Kruskal-Wallis, Fischer exact test, Wilicoxon test, and Mann-Whitney U test.

RESULTS

Silorane composite had significantly lesser microleakage. No significant difference in microleakage was observed above and below the CEJ for Silorane-based composite.

CONCLUSION

Silorane composite resin showed lesser microleakage compared to methacrylate composite resin.

CLINICAL SIGNIFICANCE

The Silorane-based composites improve the marginal adaptation due to their reduced shrinkage, thereby decreasing the residual stress at the adhesive-tooth interface.

摘要

目的

本研究旨在比较使用两种不同分层技术,用硅氧烷复合树脂和甲基丙烯酸酯复合树脂修复牙骨质-釉质界(CEJ)上方和下方的Ⅱ类盒状洞形时的微渗漏情况。

材料与方法

在60颗上颌前磨牙上制备标准化的盒状洞形(近中洞在CEJ上方1mm,远中洞在CEJ下方1mm)。将牙齿随机分为四组,每组15个样本;第一组:使用倾斜分层技术用硅氧烷复合树脂修复,第二组:使用垂直分层技术用硅氧烷复合树脂修复,第三组:使用倾斜分层技术用甲基丙烯酸酯复合树脂修复,第四组:使用垂直分层技术用甲基丙烯酸酯复合树脂修复。样本储存在蒸馏水中,接着进行热循环,然后浸泡在2%亚甲蓝中。将样本切片并评估牙龈边缘的微渗漏情况。

统计分析

采用Kruskal-Wallis检验、Fisher精确检验、Wilicoxon检验和Mann-Whitney U检验。

结果

硅氧烷复合树脂的微渗漏明显较少。对于基于硅氧烷的复合树脂,在CEJ上方和下方观察到的微渗漏无显著差异。

结论

与甲基丙烯酸酯复合树脂相比,硅氧烷复合树脂的微渗漏较少。

临床意义

基于硅氧烷的复合树脂因其收缩减少而改善边缘适应性,从而降低粘结剂与牙齿界面处的残余应力。

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