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传统车针与接触式或非接触式Er:YAG激光治疗恒牙时可流动复合树脂剪切粘结强度的比较研究

Comparative Study of the Shear Bond Strength of Flowable Composite in Permanent Teeth Treated with Conventional Bur and Contact or Non-Contact Er:YAG Laser.

作者信息

Parhami Parisa, Pourhashemi Seyed Jalal, Ghandehari Mehdi, Mighani Ghasem, Chiniforush Nasim

机构信息

School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.

Department of Pediatric Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Lasers Med Sci. 2014 Summer;5(3):140-5.

Abstract

INTRODUCTION

The aim of this study was to evaluate and compare the in vitro effect of the Erbium-Doped Yttrium Aluminum Garnet (Er:YAG) laser with different radiation distances and high-speed rotary treatment on the shear bond strength of flowable composite to enamel of human permanent posterior teeth.

METHODS

freshly extracted human molar teeth with no caries or other surface defects were used in this study (n=45). The teeth were randomly divided into 3 groups. Group 1: treated with non-contact Er:YAG Laser and etched with Er:YAG laser, Group 2: treated with contact Er:YAG Laser and etched with Er:YAG laser, Group 3 (control): treated with diamond fissure bur and etched with acid phosphoric 37%. Then the adhesive was applied on the surafces of the teeth and polymerized using a curing light appliance. Resin cylinders were fabricated from flowable composite. Shear bond strength was tested at a crosshead speed of 0.5 mm/min.

RESULTS

The amount of Shear Bond Strength (SBS) in the 3 treatment groups was not the same (P<0.05).The group in which enamel surfaces were treated with diamond fissure bur and etched with acid (conrtol group) had the highest mean shear bond strength (19.92±4.76) and the group in which the enamel surfaces were treated with contact Er:YAG laser and etched with Er:YAG laser had the lowest mean shear bond strength (10.89±2.89). Mann-whitney test with adjusted P-value detected significant difference in shear bond strength between the control group and the other 2 groups (P < 0.05).

CONCLUSION

It was concluded that both contact and non-contact Er:YAG laser treatment reduced shear bond strength of flowable resin composite to enamel in comparison with conventional treatment with high speed rotary. Different Er:YAG laser distance irradiations did not influence the shear bond strength of flowable composite to enamel.

摘要

引言

本研究的目的是评估和比较掺铒钇铝石榴石(Er:YAG)激光在不同辐射距离下以及高速旋转处理对可流动复合树脂与人类恒牙后牙牙釉质之间剪切粘结强度的体外影响。

方法

本研究使用了45颗刚拔除的无龋坏或其他表面缺陷的人类磨牙。将牙齿随机分为3组。第1组:用非接触式Er:YAG激光处理并用Er:YAG激光蚀刻;第2组:用接触式Er:YAG激光处理并用Er:YAG激光蚀刻;第3组(对照组):用金刚石裂钻处理并用37%的磷酸蚀刻。然后将粘结剂涂覆在牙齿表面,并用固化光器具进行聚合。用可流动复合树脂制作树脂圆柱体。以0.5mm/min的十字头速度测试剪切粘结强度。

结果

3个治疗组的剪切粘结强度(SBS)量不同(P<0.05)。用金刚石裂钻处理牙釉质表面并用酸蚀刻的组(对照组)平均剪切粘结强度最高(19.92±4.76),而用接触式Er:YAG激光处理牙釉质表面并用Er:YAG激光蚀刻的组平均剪切粘结强度最低(10.89±2.89)。经调整P值的曼-惠特尼检验检测到对照组与其他2组之间的剪切粘结强度存在显著差异(P<0.05)。

结论

得出的结论是,与传统的高速旋转处理相比,接触式和非接触式Er:YAG激光处理均降低了可流动树脂复合材料与牙釉质之间的剪切粘结强度。不同的Er:YAG激光距离照射对可流动复合材料与牙釉质之间的剪切粘结强度没有影响。

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