Scheffel D L S, Delgado C C, Soares D G, Basso F G, de Souza Costa C A, Pashley D H, Hebling J
Oper Dent. 2015 Sep-Oct;40(5):533-9. doi: 10.2341/13-211-L. Epub 2015 Mar 12.
This study evaluated the long-term effect of carbodiimide treatments of acid-etched dentin on resin-dentin bond strength of a simplified etch-and-rinse adhesive system.
Forty-eight sound third molars were divided into three groups (n=16) according to the dentin treatment: G1: deionized water; G2: 0.5 mol/L 1-ethyl-3-(3-dimethylaminopropyl) carbodiimide (EDC) applied for 30 seconds; and G3: 0.5 mol/L EDC applied for 60 seconds. Flat dentin surfaces were produced, etched with 37% phosphoric acid for 15 seconds, and then treated with deionized water for 60 seconds or with 0.5 mol/L EDC for 30 or 60 seconds prior to the application of Single Bond 2. Crowns were restored with resin composite, and beam specimens were prepared for microtensile testing. The beams from each group were tested 24 hours or 6 or 12 months after the adhesive procedures. One slab from each tooth was prepared and analyzed for nanoleakage. Bond strength (MPa) data were submitted to analysis of variance and Tukey test (α=0.05).
The treatment of dentin with 0.5 mol/L EDC for 30 seconds (24.1±6.2 MPa) and 60 seconds (25.5±5.1 MPa) did not negatively affect the immediate bond strength of Single Bond 2 when compared to the control group (24.6±7.3 MPa). Additionally, EDC prevented resin-dentin bond degradation after 12 months in artificial saliva for both periods of treatment. An increased accumulation of silver ions was seen for the control group over time, while a much lower amount of silver grains was observed for the EDC-treated groups.
0.5 mol/L EDC was able to prevent resin-dentin bond degradation after 12 months, especially when applied for 60 seconds.
本研究评估了碳二亚胺处理酸蚀牙本质对一种简化的酸蚀冲洗粘结系统的树脂-牙本质粘结强度的长期影响。
根据牙本质处理方法,将48颗完好的第三磨牙分为三组(n = 16):G1:去离子水;G2:应用0.5 mol/L 1-乙基-3-(3-二甲氨基丙基)碳二亚胺(EDC)30秒;G3:应用0.5 mol/L EDC 60秒。制备平坦的牙本质表面,用37%磷酸蚀刻15秒,然后在应用Single Bond 2之前,用去离子水处理60秒或用0.5 mol/L EDC处理30或60秒。用树脂复合材料修复牙冠,并制备梁状标本进行微拉伸测试。在粘结程序后24小时、6个月或12个月对每组的梁进行测试。从每颗牙齿制备一块切片并分析纳米渗漏情况。粘结强度(MPa)数据进行方差分析和Tukey检验(α = 0.05)。
与对照组(24.6±7.3 MPa)相比,用0.5 mol/L EDC处理牙本质30秒(24.1±6.2 MPa)和60秒(25.5±5.1 MPa)对Single Bond 2的即时粘结强度没有负面影响。此外,在人工唾液中处理12个月后,两种处理时间的EDC均能防止树脂-牙本质粘结降解。随着时间的推移,对照组银离子积累增加,而EDC处理组观察到的银颗粒量要低得多。
0.5 mol/L EDC能够在12个月后防止树脂-牙本质粘结降解,尤其是处理60秒时。