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体外研究传统玻璃离子水门汀的成熟及其与牙本质的界面。

An in vitro study on the maturation of conventional glass ionomer cements and their interface to dentin.

机构信息

Department of Operative/Restorative Dentistry, Periodontology and Pedodontics, Ludwig-Maximilians-University of Munich, Goethestr. 70, 80336 Munich, Germany.

出版信息

Acta Biomater. 2013 Dec;9(12):9529-37. doi: 10.1016/j.actbio.2013.08.010. Epub 2013 Aug 13.

Abstract

The objective of the study was to investigate the influence of long-term storage (up to 1 year) and coating on the variation of micro-mechanical properties of four conventional restorative glass ionomer cements (GICs) within 3.5 mm deep class I cavities. Four commercially available GICs (Riva Self Cure (SDI), ChemFil Rock (Dentsply), Fuji IX Fast and Fuji IX GP Extra/Equia (GC)) were applied to 100 teeth. In each tooth, two similar 3.5 mm deep class I cavities were prepared and filled with the GICs, with and without resin coating. The samples were stored in artificial saliva at 37 °C for 1 week, 1 month, 3 months, 6 months and 1 year. The variation in mechanical properties (indentation modulus (E) and Vickers hardness (HV)) were determined in 100 μm steps starting from the filling surface, through the intermediate layer in between dentine and GIC, and ending 100 μm in dentin. HV and E were strongly influenced by the material (P<0.05, partial eta-squared ηP(2) = 0.31 and 0.23) but less by aging duration (P<0.05, ηP(2) = 0.02 and 0.12) and resin coating (P<0.05, ηP(2) = 0.02 and 0.03). The depth of measurement (0-2 mm) has no influence on HV (P = 0.789). HV shows a gentle increase over the 1 year storage period (P = 0.002). A ∼300 μm GIC zone at the areas close to dentin with weaker properties as those measured in dentin or GIC was identified in all fillings, irrespective of the presence of coating, and at all storage periods. The thickness of this zone is more strongly influenced by storage (P<0.05, ηP(2) = 0.081) than by material type (P<0.05, ηP(2) = 0.056), while coating showed no influence (P = 0.869). Filler morphology and dimension were similar to upper parts of the GIC filling; however, the amount of low cations was higher. We concluded that the development of an intermediate layer in between dentine and GIC with lower mechanical properties might be responsible for the bond quality of GIC to dentine. Moreover, class I GIC restorations are unlikely to feature constant mechanical properties throughout the cavity, regardless of conditions such as aging and coating.

摘要

本研究旨在探讨长期储存(长达 1 年)和涂层对四种常规玻璃离子水门汀(GIC)在 3.5mm 深 I 类窝洞内微观力学性能变化的影响。将四种市售的 GIC(Riva Self Cure(SDI)、ChemFil Rock(登士柏)、Fuji IX Fast 和 Fuji IX GP Extra/Equia(GC))应用于 100 颗牙齿。在每颗牙齿中,制备两个类似的 3.5mm 深 I 类窝洞并用 GIC 填充,有无树脂涂层。样本在 37°C 的人工唾液中储存 1 周、1 个月、3 个月、6 个月和 1 年。从充填表面开始,通过牙本质和 GIC 之间的中间层,在距牙本质 100μm 处,以 100μm 的步长确定机械性能(压痕模量(E)和维氏硬度(HV))的变化。HV 和 E 受材料影响较大(P<0.05,偏 eta 平方ηP(2) = 0.31 和 0.23),但受老化时间(P<0.05,ηP(2) = 0.02 和 0.12)和树脂涂层(P<0.05,ηP(2) = 0.02 和 0.03)影响较小。测量深度(0-2mm)对 HV 无影响(P = 0.789)。HV 在 1 年储存期间呈缓慢上升趋势(P = 0.002)。在所有填充物中,无论是否存在涂层,在靠近牙本质的区域都发现了一个约 300μm 的 GIC 区域,其性能弱于牙本质或 GIC 中的测量值,并且在所有储存期都存在。该区域的厚度受储存影响更大(P<0.05,ηP(2) = 0.081),而受材料类型影响较小(P<0.05,ηP(2) = 0.056),而涂层无影响(P = 0.869)。填料形态和尺寸与 GIC 填充的上部相似;然而,低阳离子的含量较高。我们得出结论,在牙本质和 GIC 之间形成具有较低机械性能的中间层可能是 GIC 与牙本质结合质量的原因。此外,无论老化和涂层等条件如何,I 类 GIC 修复体都不太可能在整个窝洞内具有恒定的机械性能。

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