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纤维增强桩与脱蛋白根管牙本质的粘结强度

Bond strength of fiber-reinforced posts to deproteinized root canal dentin.

作者信息

Furuse Adilson Yoshio, Cunha Leonardo Fernandes, Baratto Samantha Pugsley, Leonardi Denise Piotto, Haragushiku Gisele Aihara, Gonzaga Carla Castiglia

机构信息

Assistant Professor, Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of Sao Paulo Bauru, Sao Paulo, Brazil, e-mail:

Private Practice, Graduate Program in Dentistry, Positivo University, Curitiba Parana, Brazil.

出版信息

J Contemp Dent Pract. 2014 Sep 1;15(5):581-6. doi: 10.5005/jp-journals-10024-1583.

Abstract

AIM

This study evaluated the push-out bond strength of cemented fiber posts after deproteinization of root canal dentin walls with NaOCl. The effect of the application of an antioxidant solution (sodium ascorbate) was also evaluated.

MATERIALS AND METHODS

A three-step etch-and-rinse (Scotch-bond - 3M Espe) and a one-step self-etching adhesive (Xeno III - Dentsply Caulk) were evaluated. Thirty bovine incisor roots were divided into 3 groups: a. Irrigation with physiologic solution (control). b. Deproteinization with 10 minutes irrigation of 5% NaOCl. c. Deproteinization with NaOCl followed by 10 minutes irrigation with 10% ascorbic acid. Fiber posts were cemented with a dual-cured cement (Rely X ARC - 3M ESPE). The push-out bond strength was evaluated after 24 hours of storage in distilled water. The data were analyzed with three-way ANOVA, one-way ANOVA and Tukey's test (α = 0.05).

RESULTS

There were significant differences between groups (p < 0.05). The bond strength of Scotchbond was not influenced by the deproteinization. Xeno III showed a decrease in bond strength when deproteinized with 5% NaOCl (p < 0.05). For Xeno III, the subsequent irrigation with ascorbic acid was able to reverse the effect of the deproteinization. Considering the radicular thirds, the bond strength varied in the sequence-apical < middle < coronal.

CONCLUSION

Only the all-in-one adhesive was influenced by the deproteinization. Considering the respective control groups, both systems showed similar bond strength results.

CLINICAL SIGNIFICANCE

The decreased bond strength of the self-etching adhesive following deproteinization seams to be related to the oxidant effect of the NaOCl solution and the subsequent irrigation with ascorbic acid was able to reverse the effect of the deproteinization.

摘要

目的

本研究评估了用次氯酸钠对根管牙本质壁进行脱蛋白处理后,粘结纤维桩的推出粘结强度。还评估了应用抗氧化剂溶液(抗坏血酸钠)的效果。

材料与方法

评估了一种三步酸蚀冲洗粘结剂(Scotch - bond - 3M Espe)和一种一步自酸蚀粘结剂(Xeno III - Dentsply Caulk)。将30颗牛切牙根分为3组:a. 用生理溶液冲洗(对照组)。b. 用5%次氯酸钠冲洗10分钟进行脱蛋白处理。c. 先用次氯酸钠进行脱蛋白处理,然后用10%抗坏血酸冲洗10分钟。用双固化粘结剂(Rely X ARC - 3M ESPE)粘结纤维桩。在蒸馏水中储存24小时后评估推出粘结强度。数据采用三因素方差分析、单因素方差分析和Tukey检验(α = 0.05)进行分析。

结果

各组之间存在显著差异(p < 0.05)。Scotchbond的粘结强度不受脱蛋白处理的影响。用5%次氯酸钠脱蛋白处理时,Xeno III的粘结强度降低(p < 0.05)。对于Xeno III,随后用抗坏血酸冲洗能够逆转脱蛋白处理的效果。考虑牙根的三个部分,粘结强度按根尖<中部<冠部的顺序变化。

结论

只有一体化粘结剂受脱蛋白处理的影响。考虑各自的对照组,两种系统显示出相似的粘结强度结果。

临床意义

脱蛋白处理后自酸蚀粘结剂粘结强度降低似乎与次氯酸钠溶液的氧化作用有关,随后用抗坏血酸冲洗能够逆转脱蛋白处理的效果。

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