Nayakar Ramesh P, Patil Narendra P, Lekha K
Department of Prosthodontics and Crown and Bridge, K L E V K Institute of Dental Sciences, Belgaum, 590010 Karnataka India.
J Indian Prosthodont Soc. 2012 Sep;12(3):168-74. doi: 10.1007/s13191-012-0127-8. Epub 2012 Jun 4.
The coronal cast restoration continues to be used commonly to restore mutilated, endodontically treated teeth. The tensile bond strength of luting cements is of critical importance as many of failures are at the core and the crown interface. An invitro study with aim to evaluate and compare bond strengths of luting cements between different core materials and cast crowns. A total of 45 extracted identical mandibular second premolars were endodontically treated and divided into 3 groups of 15 each. Specimens in first group were restored with cast post and core (Group C), and specimens in second group were restored with stainless steel parapost and composite core material (Group B) and specimens in third group were restored with stainless steel parapost and glass ionomer core build (Group G). Standardized crown preparation was done for all the specimens to receive cast crowns. Each group was further divided into 3 subgroups and were cemented using 3 different luting cements namely, resin cement, polycarboxylate cement, glass ionomer cement (Type I). The samples of each subgroup (n = 5) were subjected to tensile testing using Universal Testing Machine at a crosshead speed of 2 mm/min till the dislodgement of crown from the core surface was observed. The bond strengths were significantly different according one way ANOVA (F-150.76 and p < 0.0000). The results of the study showed that the specimens cemented with resin cement in cast core, composite core and glass ionomer core exhibited significantly higher bond strengths as compared to specimens cemented with glass ionomer and polycarboxylate cement. Composite resin core and resin cement combinations were superior to all other cement and core combinations tested.
冠核铸造修复体仍常用于修复残损的、经过根管治疗的牙齿。粘结水门汀的拉伸粘结强度至关重要,因为许多失败情况发生在核与冠的界面处。一项体外研究旨在评估和比较不同核材料与铸造冠之间粘结水门汀的粘结强度。总共45颗拔除的相同下颌第二前磨牙经过根管治疗后分为3组,每组15颗。第一组标本用铸造桩核修复(C组),第二组标本用不锈钢辅助桩和复合核材料修复(B组),第三组标本用不锈钢辅助桩和玻璃离子核构建修复(G组)。对所有标本进行标准化的牙冠预备,以安装铸造冠。每组进一步分为3个亚组,分别使用3种不同的粘结水门汀进行粘结,即树脂水门汀、聚羧酸锌水门汀、I型玻璃离子水门汀。每个亚组的样本(n = 5)使用万能材料试验机以2 mm/min的十字头速度进行拉伸测试,直至观察到冠从核表面脱落。根据单因素方差分析,粘结强度有显著差异(F = 150.76,p < 0.0000)。研究结果表明,与用玻璃离子水门汀和聚羧酸锌水门汀粘结的标本相比,用树脂水门汀粘结的铸造核、复合核和玻璃离子核标本的粘结强度显著更高。复合树脂核与树脂水门汀的组合优于所有其他测试的水门汀和核的组合。