Toman M, Toksavul S, Tamaç E, Sarikanat M, Karagözoğlu I
Eur J Prosthodont Restor Dent. 2014 Mar;22(1):29-34.
Aim of this study was to assess the influence of chlorhexidine digluconate (CHX) application on bond strength of glass fibre reinforced composite (FRC) posts to root dentine using adhesive luting systems. Forty extracted human mandibular premolars were endodontically treated and root canals were prepared. Teeth were divided into 2 groups according to luting system as SuperBond C&B (etch-and-rinse/chemical cure) and FuturaBond DC (self-etch/ dual cure). Each group was further divided in 2 subgroups (n=10) according to whether CHX was applied or not. Group Futura/CHX: FuturaBond DC + CHX; group Futura: FuturaBond DC; group Super/CHX: Super Bond C&B + CHX; group Super: SuperBond C&B + CHX. Mean and standard deviation (in parenthesis) values of bond strength in MPa were: group Futura/CHX: 8.86 (1.96), group Futura: 7.65 (1.01), group Super/CHX: 17.47(2.93), group Super: 12.41 (3.83). Bond strength values were affected by the type of luting agent and CHX irrigation (p=0.001, two-way ANOVA). There were statistically significant differences among the groups according to one-way ANOVA (p<0.001). Significant differences were observed in bond strength between groups Super/CHX and Super (p=0.023), between groups Futura/CHX and Super/CHX (p<0.001). Application of CHX before luting procedure with etch-and-rinse/chemical cure luting agent of glass FRC post improved long-term bond strength between glass FRC and root dentine.
本研究的目的是使用粘结固位系统评估葡萄糖酸洗必泰(CHX)的应用对玻璃纤维增强复合材料(FRC)桩与牙根牙本质粘结强度的影响。选取40颗拔除的人下颌前磨牙进行根管治疗并预备根管。根据粘结固位系统将牙齿分为2组,即SuperBond C&B(酸蚀冲洗/化学固化)组和FuturaBond DC(自酸蚀/双重固化)组。每组再根据是否应用CHX进一步分为2个亚组(n = 10)。Futura/CHX组:FuturaBond DC + CHX;Futura组:FuturaBond DC;Super/CHX组:Super Bond C&B + CHX;Super组:SuperBond C&B + CHX。粘结强度的平均值和标准差(括号内)以MPa为单位,分别为:Futura/CHX组:8.86(1.96),Futura组:7.65(1.01),Super/CHX组:17.47(2.93),Super组:12.41(3.83)。粘结强度值受粘结剂类型和CHX冲洗的影响(p = 0.001,双向方差分析)。根据单向方差分析,各组之间存在统计学显著差异(p < 0.001)。在Super/CHX组和Super组之间(p = 0.023)、Futura/CHX组和Super/CHX组之间(p < 0.001)观察到粘结强度存在显著差异。在使用玻璃FRC桩的酸蚀冲洗/化学固化粘结剂进行粘结程序之前应用CHX可提高玻璃FRC与牙根牙本质之间的长期粘结强度。