Whang Hyo-Jin, Shin Dong-Hoon
Department of Conservative Dentistry, Dankook University Graduate School and Institute of Dental Science, Cheonan, Korea.
Department of Conservative Dentistry, Dankook University College of Dentistry and Institute of Dental Science, Cheonan, Korea.
Restor Dent Endod. 2015 Feb;40(1):37-43. doi: 10.5395/rde.2015.40.1.37. Epub 2014 Oct 13.
Some antioxidants are believed to restore dentin bond strength after dental bleaching. This study was done to evaluate the influence of antioxidants on the bond strength of bleached bovine dentin.
Thirty incisors were randomly assigned to 10 groups (two unbleached control and eight bleached groups: immediate bonding IB, 4 wk delayed bonding DB, 10% sodium ascorbate treated SA, 10% α-tocopherol treated TP groups). Teeth in half of groups were subjected to thermal stress, whereas the remaining groups were not. Resin-dentin rods with a cross-sectional area of 2.25 mm(2) were obtained and microtensile bond strength was determined at a crosshead speed of 1 mm/min. Fifteen specimens were prepared for SEM to compare the surface characteristics of each group. The change in dentin bond strength from thermal stress and antioxidant treatment was evaluated using two-way analysis of variance (ANOVA) and Sheffe's post hoc test at a significance level of 95%.
The control group exhibited the highest bond strength values, whereas IB group showed the lowest value before and after thermocycling. The DB group recovered its bond strength similar to that of the control group. The SA and TP groups exhibited similar bond strength values with those of the control and DB groups before thermocycling. However, The TP group did not maintain bond strength with thermal stress, whereas the SA group did.
Applying a 10% sodium ascorbate solution rather than 10% α-tocopherol solution for 60 sec is recommended to maintain dentin bond strength when restoring non-vitally bleached teeth.
一些抗氧化剂被认为可恢复牙齿漂白后的牙本质粘结强度。本研究旨在评估抗氧化剂对漂白牛牙本质粘结强度的影响。
将30颗切牙随机分为10组(2个未漂白对照组和8个漂白组:即时粘结组IB、4周延迟粘结组DB、10%抗坏血酸钠处理组SA、10%α-生育酚处理组TP)。一半组的牙齿接受热应激,其余组不接受。制备横截面积为2.25平方毫米的树脂-牙本质棒,并以1毫米/分钟的十字头速度测定微拉伸粘结强度。制备15个样本用于扫描电子显微镜(SEM),以比较每组的表面特征。使用双向方差分析(ANOVA)和谢弗事后检验在95%的显著性水平下评估热应激和抗氧化剂处理对牙本质粘结强度的影响。
对照组表现出最高的粘结强度值,而IB组在热循环前后均表现出最低值。DB组恢复了与对照组相似的粘结强度。SA组和TP组在热循环前表现出与对照组和DB组相似的粘结强度值。然而,TP组在热应激下未保持粘结强度,而SA组保持了。
当修复非活髓漂白牙时,建议应用10%抗坏血酸钠溶液而非10%α-生育酚溶液60秒以保持牙本质粘结强度。