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唾液污染与去污对两种一步法自酸蚀粘结剂与乳牙和恒牙牙本质粘结强度的影响。

Effect of salivary contamination and decontamination on bond strength of two one-step self-etching adhesives to dentin of primary and permanent teeth.

作者信息

Santschi Katharina, Peutzfeldt Anne, Lussi Adrian, Flury Simon

出版信息

J Adhes Dent. 2015 Feb;17(1):51-7. doi: 10.3290/j.jad.a33514.

Abstract

PURPOSE

To evaluate the effects of human saliva contamination and two decontamination procedures at different stages of the bonding procedure on the bond strength of two one-step self-etching adhesives to primary and permanent dentin.

MATERIALS AND METHODS

Extracted human primary and permanent molars (210 of each) were ground to mid-coronal dentin. The dentin specimens were randomly divided into 7 groups (n = 15/group/molar type) for each adhesive (Xeno V+ and Scotchbond Universal): no saliva contamination (control); saliva contamination before or after light curing of the adhesives followed by air drying, rinsing with water spray/air drying, or by rinsing with water spray/air drying/reapplication of the adhesives. Resin composite (Filtek Z250) was applied on the treated dentin surfaces. The specimens were stored at 37°C and 100% humidity for 24 h. After storage, shear bond strength (SBS) was measured and data analyzed with nonparametric ANOVA followed by exact Wilcoxon rank sum tests.

RESULTS

Xeno V+ generated significantly higher SBS than Scotchbond Universal when no saliva contamination occurred. Saliva contamination reduced SBS of Xeno V+, with the reduction being more pronounced when contamination occurred before light curing than after. In both situations, decontamination involving reapplication of the adhesive restored SBS. Saliva contamination had no significant effect on Scotchbond Universal. There were no differences in SBS between primary and permanent teeth.

CONCLUSION

Rinsing with water and air drying followed by reapplication of the adhesive restored bond strength to saliva-contaminated dentin.

摘要

目的

评估在粘结过程的不同阶段,人唾液污染及两种去污程序对两种一步自酸蚀粘结剂与乳牙和恒牙牙本质粘结强度的影响。

材料与方法

拔除的人乳牙和恒牙磨牙(各210颗)磨至牙冠中部牙本质。将牙本质标本随机分为7组(每组/每种磨牙类型n = 15),每种粘结剂(Xeno V+和Scotchbond Universal)各一组:无唾液污染(对照组);粘结剂光固化前后唾液污染,随后进行空气干燥、喷水冲洗/空气干燥,或喷水冲洗/空气干燥/重新涂抹粘结剂。在处理后的牙本质表面应用树脂复合材料(Filtek Z250)。标本在37°C和100%湿度下储存24小时。储存后,测量剪切粘结强度(SBS),并使用非参数方差分析进行数据分析,随后进行精确的Wilcoxon秩和检验。

结果

在未发生唾液污染时,Xeno V+产生的SBS显著高于Scotchbond Universal。唾液污染降低了Xeno V+的SBS,污染发生在光固化前比光固化后更为明显。在这两种情况下,重新涂抹粘结剂的去污处理恢复了SBS。唾液污染对Scotchbond Universal没有显著影响。乳牙和恒牙之间的SBS没有差异。

结论

喷水冲洗和空气干燥,随后重新涂抹粘结剂可恢复被唾液污染牙本质的粘结强度。

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