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修复材料的原位表面生物降解

In situ surface biodegradation of restorative materials.

作者信息

Padovani Gc, Fúcio Sbp, Ambrosano Gmb, Sinhoreti Mac, Puppin-Rontani Rm

出版信息

Oper Dent. 2014 Jul-Aug;39(4):349-60. doi: 10.2341/13-089-C. Epub 2014 Feb 20.

Abstract

SUMMARY This study aimed to evaluate the surface characteristics of restorative materials (roughness, hardness, chemical changes by energy-dispersive spectroscopy [EDX], and scanning electron microscopy [SEM]) submitted to in situ biodegradation. Fifteen discs of each material (IPS e.max [EM], Filtek Supreme [FS], Vitremer [VI], Ketac Molar Easymix [KM], and Amalgam GS-80 [AM]) were fabricated in a metallic mold (4.0 mm × 1.5 mm). Roughness, hardness, SEM, and EDX were then evaluated. Fifteen healthy volunteers used a palatal device containing one disc of each restorative material for seven days. After the biodegradation, the roughness, hardness, SEM, and EDX were once again evaluated. Data obtained from the roughness and hardness evaluations were submitted to Kolmogorov-Smirnov and Tukey-Kramer tests (p<0.05). All esthetic restorative materials showed a significant increase in the roughness after biodegradation. Before biodegradation, significant differences in the hardness among the materials were seen: EM>AM>FS>KM>VI. After biodegradation, the hardness was significantly altered among the materials studied: EM>AM>FS=KM>VI, along with a significant increase in the hardness for AM, KM, and VI. SEM images indicated degradation on the surface of all materials, showing porosities, cracks, and roughness. Furthermore, after biodegradation, FS showed the presence of Cl, K, and Ca on the surface, while F was not present on the VI and KM surfaces. EM and AM did not have alterations in their chemical composition after biodegradation. It was concluded that the dental biofilm accumulation in situ on different restorative materials is a material-dependent parameter. Overall, all materials changed after biodegradation: esthetic restorative materials showed increased roughness, confirmed by SEM, and the ionomer materials and silver amalgam showed a significantly higher hardness. Finally, the initial chemical composition of the composite resin and ionomer materials evaluated was significantly altered by the action of the biofilm in situ.

摘要

摘要 本研究旨在评估经原位生物降解的修复材料的表面特性(粗糙度、硬度、能谱仪[EDX]分析的化学变化以及扫描电子显微镜[SEM]观察结果)。每种材料(IPS e.max[EM]、Filtek Supreme[FS]、Vitremer[VI]、Ketac Molar Easymix[KM]和银汞合金GS - 80[AM])制作15个圆盘试件,在金属模具(4.0毫米×1.5毫米)中成型。随后对粗糙度、硬度、SEM和EDX进行评估。15名健康志愿者使用含每种修复材料一个圆盘试件的腭部装置,持续7天。生物降解后,再次评估粗糙度、硬度、SEM和EDX。粗糙度和硬度评估所得数据进行柯尔莫哥洛夫 - 斯米尔诺夫检验和图基 - 克莱默检验(p<0.05)。所有美学修复材料在生物降解后粗糙度均显著增加。生物降解前,材料间硬度存在显著差异:EM>AM>FS>KM>VI。生物降解后,所研究材料的硬度发生显著变化:EM>AM>FS = KM>VI,同时AM、KM和VI的硬度显著增加。SEM图像显示所有材料表面均有降解,呈现孔隙、裂纹和粗糙度。此外,生物降解后,FS表面出现Cl、K和Ca,而VI和KM表面未出现F。EM和AM生物降解后化学成分未发生改变。得出结论,不同修复材料上原位牙菌斑堆积是一个与材料相关的参数。总体而言,所有材料在生物降解后均发生变化:美学修复材料粗糙度增加,SEM证实了这一点,离聚体材料和银汞合金硬度显著更高。最后,原位生物膜的作用使所评估的复合树脂和离聚体材料的初始化学成分发生显著改变。

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