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额外酸蚀及固化机制对复合树脂牙本质粘结强度的影响。

The effect of additional etching and curing mechanism of composite resin on the dentin bond strength.

机构信息

Department of Conservative Dentistry, School of Dentistry, Pusan National University, Dental Research Institute, Yangsan, Republic of Korea.

Department of Dental Materials, School of Dentistry, Pusan National University, Yangsan, Republic of Korea.

出版信息

J Adv Prosthodont. 2013 Nov;5(4):479-84. doi: 10.4047/jap.2013.5.4.479. Epub 2013 Nov 28.

Abstract

PURPOSE

The aim of this study was to evaluate the effects of additional acid etching and curing mechanism (light-curing or self-curing) of a composite resin on the dentin bond strength and compatibility of one-step self-etching adhesives.

MATERIALS AND METHODS

Sixteen human permanent molars were randomly divided into eight groups according to the adhesives used (All-Bond Universal: ABU, Clearfil S3 Bond: CS3), additional acid etching (additional acid etching performed: EO, no additional acid etching performed: EX), and composite resins (Filtek Z-250: Z250, Clearfil FII New Bond: CFNB). Group 1: ABU-EO-Z250, Group 2: ABU-EO-CFNB, Group 3: ABU-EX-Z250, Group 4: ABU-EX-CFNB, Group 5: CS3-EO-Z250, Group 6: CS3-EO-CFNB, Group 7: CS3-EX-Z250, Group 8: CS3-EX-CFNB. After bonding procedures, composite resins were built up on dentin surfaces. After 24-hour water storage, the teeth were sectioned to make 10 specimens for each group. The microtensile bond strength test was performed using a microtensile testing machine. The failure mode of the fractured specimens was examined by means of an optical microscope at ×20 magnification. The data was analyzed using a one-way ANOVA and Scheffe's post-hoc test (α=.05).

RESULTS

Additional etching groups showed significantly higher values than the no additional etching group when using All-Bond Universal. The light-cured composite resin groups showed significantly higher values than the self-cured composite resin groups in the Clearfil S3 Bond.

CONCLUSION

The additional acid etching is beneficial for the dentin bond strength when using low acidic one-step self-etch adhesives, and low acidic one-step self-etch adhesives are compatible with self-cured composite resin. The acidity of the one-step self-etch adhesives is an influencing factor in terms of the dentin bonding strength and incompatibility with a self-cured composite resin.

摘要

目的

本研究旨在评估额外酸蚀和固化机制(光固化或自固化)对一步自酸蚀黏结剂的牙本质黏结强度和相容性的影响。

材料和方法

将 16 个人工恒磨牙随机分为 8 组,根据使用的黏结剂(All-Bond Universal:ABU、Clearfil S3 Bond:CS3)、额外酸蚀(进行额外酸蚀:EO,不进行额外酸蚀:EX)和复合树脂(Filtek Z-250:Z250、Clearfil FII New Bond:CFNB)进行分组。第 1 组:ABU-EO-Z250,第 2 组:ABU-EO-CFNB,第 3 组:ABU-EX-Z250,第 4 组:ABU-EX-CFNB,第 5 组:CS3-EO-Z250,第 6 组:CS3-EO-CFNB,第 7 组:CS3-EX-Z250,第 8 组:CS3-EX-CFNB。黏结程序完成后,将复合树脂堆积在牙本质表面。经过 24 小时水储存后,将牙齿切割成每组 10 个试件。使用微拉伸试验机进行微拉伸黏结强度测试。通过光学显微镜以×20 放大倍数检查断裂试件的失效模式。使用单向方差分析和 Scheffe 事后检验(α=.05)对数据进行分析。

结果

当使用 All-Bond Universal 时,进行额外酸蚀的组的数值明显高于未进行额外酸蚀的组。当使用 Clearfil S3 Bond 时,光固化复合树脂组的数值明显高于自固化复合树脂组。

结论

在使用低酸性一步自酸蚀黏结剂时,额外酸蚀有利于牙本质黏结强度,并且低酸性一步自酸蚀黏结剂与自固化复合树脂兼容。一步自酸蚀黏结剂的酸度是影响牙本质黏结强度和与自固化复合树脂不兼容的因素。

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