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缩短自酸蚀粘结剂的酸蚀时间会增加对模拟龋损乳牙牙本质的粘结稳定性。

Shortening the etching time for etch-and-rinse adhesives increases the bond stability to simulated caries-affected primary dentin.

出版信息

J Adhes Dent. 2014 Jun;16(3):235-41. doi: 10.3290/j.jad.a31103.

Abstract

PURPOSE

To evaluate the influence of shortening the etching time on the bond degradation of one etch-and-rinse and one two-step self-etching adhesive system to sound (SD) and caries-affected (CAD) dentin of deciduous teeth.

MATERIALS AND METHODS

Flat dentin surfaces from 48 deciduous molars were assigned to 8 groups according to substrate (SD and CAD, pH cycling for 14 days), adhesive system (Adper Single Bond 2 [SB] and Clearfil SE Bond [CSEB]), and etching time (recommended by manufacturers and half the recommended etching time). Composite buildups were constructed and sectioned to obtain bonded sticks (0.8 mm2) to be subjected to microtensile testing immediately or after 12 months of water aging. Two sticks from each tooth at each time were immersed in silver nitrate solution to qualitatively assess nanoleakage. The microtensile bond strength (μTBS) values of each adhesive were submitted to three-way repeated measures ANOVA and Tukey's post-hoc tests (α = 0.05).

RESULTS

The etching time influenced the bond strength only for SB. The highest μTBS values and lowest silver nitrate uptake were observed when half the recommended acid-etching time was used, regardless of substrate. Water storage for 12 months reduced bond strengths, except to CSEB bonded to SD. The μTBS values obtained for CAD were lower than for SD, irrespective of adhesive system. Nanoleakage was more pronounced in CAD.

CONCLUSION

The effect of shortening the etching time is material dependent and results in better bond stability for sound and caries-affected dentin of deciduous teeth when an etch-and-rinse adhesive system is employed.

摘要

目的

评估缩短蚀刻时间对一种自酸蚀和一种两步自酸蚀黏结剂系统在乳牙正常(SD)和龋损(CAD)牙本质上的粘结降解的影响。

材料和方法

从 48 颗乳牙中获得的平面牙本质表面根据基底(SD 和 CAD,pH 循环 14 天)、黏结剂系统(Adper Single Bond 2 [SB]和 Clearfil SE Bond [CSEB])和蚀刻时间(制造商推荐时间和推荐时间的一半)分为 8 组。构建复合堆积物并将其切割成 0.8mm2 的粘结棒,立即或在水老化 12 个月后进行微拉伸测试。每个牙齿的每个时间点的两个粘结棒浸入硝酸银溶液中,以定性评估纳米渗漏。每个黏结剂的微拉伸粘结强度(μTBS)值均进行三因素重复测量方差分析和 Tukey 事后检验(α=0.05)。

结果

蚀刻时间仅对 SB 影响粘结强度。无论基底如何,当使用推荐酸蚀时间的一半时,观察到最高的 μTBS 值和最低的硝酸银吸收率。12 个月的水储存会降低粘结强度,但对黏结到 SD 的 CSEB 除外。无论黏结剂系统如何,CAD 的 μTBS 值均低于 SD。CAD 的纳米渗漏更为明显。

结论

缩短蚀刻时间的效果取决于材料,当使用自酸蚀黏结剂系统时,可提高乳牙正常和龋损牙本质的粘结稳定性。

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