Kadam Ajay, Pujar Madhu, Patil Chetan
Department of Conservative Dentistry and Endodontics, Tatyasaheb Kore Dental College and Research Center, New Pargaon, Kolhapur, India.
J Conserv Dent. 2013 Sep;16(5):444-8. doi: 10.4103/0972-0707.117522.
The concept of using a "post" for the restoration of teeth has been practiced to restore the endodontically treated tooth. Metallic posts have been commonly used, but their delirious effects have led to the development of fiber-reinforced materials that have overcome the limitations of metallic posts. The use of glass and quartz fibers was proposed as an alternative to the dark color of carbon fiber posts as far as esthetics was concerned. "Debonding" is the most common failure in fiber-reinforced composite type of posts. This study was aimed to compare the push-out bond strength of a self-adhesive dual-cured luting agent (RelyX U100) with a total etch resin luting agent (Variolink II) used to cement two different FRC posts.
Eighty human maxillary anterior single-rooted teeth were decoronated, endodontically treated, post space prepared and divided into four groups (n = 20); Group I: D.T. light post (RTD) and Variolink II (Ivoclare vivadent), Group II: D.T. light post (RTD) and RelyX U100 (3M ESPE), Group III: Glassix post (Nordin) and Variolink II (Ivoclare vivadent) and Group IV: Glassix post (Nordin) and RelyX U100 (3M ESPE). Each root was sectioned to get slices of 2 ± 0.05-mm thickness. Push-out tests were performed using a triaxial loading frame. To express bond strength in megapascals (Mpa), load value recorded in Newton (N) was divided by the area of the bonded interface. After testing the push-out strengths, the samples were analyzed under a stereomicroscope.
The mean values of the push-out bond strength show that Group I and Group III had significantly higher values than Group II and Group IV. The most common mode of failure observed was adhesive between dentin and luting material and between post and luting material.
The mean push-out bond strengths were higher for Groups I and III where Variolink II resin cement was used for luting the fiber post, which is based on the total etch adhesive approach. In most of the samples, failure was observed between cement-dentine interface, followed by post-cement interface, which shows difficulty in bonding between post-cement-dentine interface.
使用“桩”修复牙齿的概念已被应用于根管治疗后的牙齿修复。金属桩一直被广泛使用,但其不良影响促使了纤维增强材料的发展,这些材料克服了金属桩的局限性。就美观性而言,玻璃纤维和石英纤维被提议作为碳纤维桩深色的替代品。“脱粘”是纤维增强复合桩最常见的失败形式。本研究旨在比较自粘双固化粘结剂(RelyX U100)与全酸蚀树脂粘结剂(Variolink II)用于粘结两种不同纤维增强复合桩时的推出粘结强度。
选取80颗人上颌前牙单根牙,截冠、进行根管治疗、预备桩道后分为四组(n = 20);第一组:D.T. light桩(RTD)和Variolink II(Ivoclare vivadent),第二组:D.T. light桩(RTD)和RelyX U100(3M ESPE),第三组:Glassix桩(Nordin)和Variolink II(Ivoclare vivadent),第四组:Glassix桩(Nordin)和RelyX U100(3M ESPE)。将每颗牙根切片,得到厚度为2±0.05毫米的薄片。使用三轴加载框架进行推出试验。为了以兆帕(Mpa)表示粘结强度,将以牛顿(N)记录的载荷值除以粘结界面的面积。测试推出强度后,在体视显微镜下对样本进行分析。
推出粘结强度的平均值表明,第一组和第三组的值显著高于第二组和第四组。观察到的最常见失败模式是牙本质与粘结材料之间以及桩与粘结材料之间的粘结失败。
使用基于全酸蚀粘结方法的Variolink II树脂粘结剂粘结纤维桩时,第一组和第三组的平均推出粘结强度更高。在大多数样本中,粘结失败发生在粘结剂 - 牙本质界面,其次是桩 - 粘结剂界面,这表明桩 - 粘结剂 - 牙本质界面的粘结存在困难。