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不同牙科粘合剂与经铒激光(ER:YAG)制备的牙釉质之间的剪切粘结强度及扫描电子显微镜形态学评估

Shear bond strength and SEM morphology evaluation of different dental adhesives to enamel prepared with ER:YAG laser.

作者信息

Pires Patrícia T, Ferreira João C, Oliveira Sofia A, Azevedo Alvaro F, Dias Walter R, Melo Paulo R

机构信息

Department of Operative Dentistry, Faculty of Dentistry, University of Porto, Porto, Portugal.

出版信息

Contemp Clin Dent. 2013 Jan;4(1):20-6. doi: 10.4103/0976-237X.111588.

Abstract

CONTEXT

Early observations of enamel surfaces prepared by erbium lasers motivated clinicians to use laser as an alternative to chemical etching.

AIMS

Evaluate shear bond strength (SBS) values of different dental adhesives on Erbium:Yttrium Aluminum Garnet (Er:YAG) laser prepared enamel and to evaluate possible etching patterns correlations between dental adhesives and SBS values.

SUBJECTS AND METHODS

One hundred bovine incisors were randomly assigned to SBS tests on enamel (n = 15) and to enamel morphology analysis (n = 5) after Er:YAG laser preparation as follows: Group I - 37% phosphoric acid (PA)+ ExciTE(®); Group II - ExciTE(®); Group III - AdheSE(®) self-etching; Group IV - FuturaBond(®) no-rinse. NR; Group V - Xeno(®) V. Teeth were treated with the adhesive systems and subjected to thermal cycling. SBS were performed in a universal testing machine at 5 mm/min.

STATISTICAL ANALYSIS USED

One-way ANOVA and post-hoc tests (P < 0.05). For the morphology evaluation, specimens were immersed in Ethylenediamine tetraacetic acid (EDTA) and the etching pattern analyzed under Scanning Electron Microscope (SEM).

RESULTS

Mean bond strengths were Group I - 47.17 ± 1.61 MPa (type I etching pattern); Group II - 32.56 ± 1.64 MPa, Group III - 29.10 ± 1.34 MPa, Group IV - 23.32 ± 1.53 MPa (type III etching pattern); Group V - 24.43 MPa ± 1.55 (type II etching pattern).

CONCLUSIONS

Different adhesive systems yielded significantly different SBSs. Acid etching significantly increased the adhesion in laser treated enamel. No differences in SBS values were obtained between AdheSE(®) and ExciTE(®) without condition with PA. FuturaBond(®) NR and Xeno(®) V showed similar SBS, which was lower in comparison to the others adhesives. No correlation between enamel surface morphology and SBS values was observed, except when PA was used.

摘要

背景

对铒激光制备的牙釉质表面的早期观察促使临床医生将激光用作化学酸蚀的替代方法。

目的

评估不同牙科粘结剂在掺铒钇铝石榴石(Er:YAG)激光制备的牙釉质上的剪切粘结强度(SBS)值,并评估牙科粘结剂与SBS值之间可能的酸蚀模式相关性。

对象与方法

将100颗牛切牙随机分为两组,一组用于牙釉质的SBS测试(n = 15),另一组用于Er:YAG激光制备后的牙釉质形态分析(n = 5),分组如下:第一组 - 37%磷酸(PA)+ ExciTE(®);第二组 - ExciTE(®);第三组 - AdheSE(®)自酸蚀;第四组 - FuturaBond(®)免冲洗(NR);第五组 - Xeno(®) V。用粘结系统处理牙齿并进行热循环。在万能试验机上以5 mm/min的速度进行SBS测试。

统计分析方法

单向方差分析和事后检验(P < 0.05)。对于形态学评估,将标本浸入乙二胺四乙酸(EDTA)中,并在扫描电子显微镜(SEM)下分析酸蚀模式。

结果

平均粘结强度为:第一组 - 47.17 ± 1.61 MPa(I型酸蚀模式);第二组 - 32.56 ± 1.64 MPa,第三组 - 29.10 ± 1.34 MPa,第四组 - 23.32 ± 1.53 MPa(III型酸蚀模式);第五组 - 24.43 MPa ± 1.55(II型酸蚀模式)。

结论

不同的粘结系统产生了显著不同的SBS值。酸蚀显著提高了激光处理牙釉质的粘结力。在未用PA处理的情况下,AdheSE(®)和ExciTE(®)之间的SBS值没有差异。FuturaBond(®) NR和Xeno(®) V显示出相似的SBS值,与其他粘结剂相比更低。除了使用PA的情况外,未观察到牙釉质表面形态与SBS值之间的相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3f5/3703689/03d1f79a59a8/CCD-4-20-g002.jpg

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