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储存时间和机械负载循环对传统型和自粘性树脂粘结水门汀牙本质粘结强度的影响。

Effect of storage times and mechanical load cycling on dentin bond strength of conventional and self-adhesive resin luting cements.

作者信息

Aguiar Thaiane R, André Carolina B, Correr-Sobrinho Lourenço, Arrais César A G, Ambrosano Gláucia M B, Giannini Marcelo

机构信息

Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, Piracicaba, SP, Brazil.

Doctoral student, Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, Piracicaba, SP, Brazil.

出版信息

J Prosthet Dent. 2014 May;111(5):404-10. doi: 10.1016/j.prosdent.2013.07.016. Epub 2013 Dec 17.

Abstract

STATEMENT OF PROBLEM

The lack of long-term bond stability between resin cements and dentin may compromise the success of indirect restorations.

PURPOSE

The purpose of this study was to evaluate the effects of long-term storage in artificial saliva and mechanical load cycling on the microtensile bond strength of conventional and self-adhesive resin cements to dentin.

MATERIAL AND METHODS

The occlusal dentin surfaces of 128 human molars were exposed and flattened. The teeth were assigned to 16 groups (n=8) according to resin cement and in vitro aging strategy. Two self-adhesive resin cements (RelyX Unicem and Clearfil SA Cement) and 2 conventional cementing systems (RelyX ARC and Clearfil Esthetic Cement) were used. Resin cements were applied to prepolymerized indirect resin disks, which were bonded to the dentin surfaces and light polymerized. The control groups were represented by immediate microtensile bond strength (24 hours) and aging methods were performed with mechanical load cycling or storage in artificial saliva (1 year and 2 years). Bonded beams were tested in tension until failure. Data (MPa) were analyzed by Proc Mixed for repeated measures and the Tukey-Kramer test (α=.05).

RESULTS

The self-adhesive resin cements exhibited higher microtensile bond strength than conventional cementing systems for all conditions studied. The microtensile bond strength of RelyX ARC and self-adhesive resin cements did not decrease after storage in artificial saliva and mechanical load cycling. The Clearfil Esthetic Cement showed the lowest microtensile bond strength and a significant reduction after 2 years of storage in artificial saliva.

CONCLUSIONS

The storage times and mechanical load cycling did not affect the microtensile bond strength of self-adhesives and RelyX ARC resin cements. The highest microtensile bond strength was obtained for self-adhesive resin cements, with no significant difference between them.

摘要

问题陈述

树脂水门汀与牙本质之间缺乏长期的粘结稳定性可能会影响间接修复体的成功率。

目的

本研究的目的是评估在人工唾液中长时间储存和机械载荷循环对传统树脂水门汀和自粘结树脂水门汀与牙本质之间微拉伸粘结强度的影响。

材料与方法

暴露并磨平128颗人磨牙的咬合面牙本质表面。根据树脂水门汀和体外老化策略将牙齿分为16组(n = 8)。使用了两种自粘结树脂水门汀(RelyX Unicem和Clearfil SA Cement)和两种传统粘结系统(RelyX ARC和Clearfil Esthetic Cement)。将树脂水门汀应用于预聚合的间接树脂盘,将其粘结到牙本质表面并光固化。对照组以即刻微拉伸粘结强度(24小时)为代表,老化方法采用机械载荷循环或在人工唾液中储存(1年和2年)。对粘结梁进行拉伸测试直至破坏。数据(MPa)采用Proc Mixed进行重复测量分析,并进行Tukey-Kramer检验(α = 0.05)。

结果

在所有研究条件下,自粘结树脂水门汀的微拉伸粘结强度均高于传统粘结系统。RelyX ARC和自粘结树脂水门汀在人工唾液中储存和机械载荷循环后,微拉伸粘结强度没有降低。Clearfil Esthetic Cement的微拉伸粘结强度最低,在人工唾液中储存2年后显著降低。

结论

储存时间和机械载荷循环对自粘结树脂水门汀和RelyX ARC树脂水门汀的微拉伸粘结强度没有影响。自粘结树脂水门汀获得了最高的微拉伸粘结强度,它们之间没有显著差异。

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