Leesungbok Richard, Lee Sang-Min, Park Su-Jung, Lee Suk-Won, Lee Do Yun, Im Byung-Jin, Ahn Su-Jin
Department of Biomaterials & Prosthodontics, Kyung Hee University Hospital at Gangdong, School of Dentistry, Kyung Hee University, Seoul, Republic of Korea.
Department of Prosthodontics, Graduate School of Dentistry, Kyung Hee University, Seoul, Republic of Korea.
J Adv Prosthodont. 2015 Jun;7(3):224-32. doi: 10.4047/jap.2015.7.3.224. Epub 2015 Jun 23.
The purpose of this study was to find out the effect of immediate dentin sealing (IDS) on bond strength of ceramic restoration under various thermocycling periods with DBA (dentin bonding agent system).
Fifty freshly extracted human mandibular third molars were divided into 5 groups (1 control and 4 experimental groups) of 10 teeth. We removed enamel layer of sound teeth and embedded them which will proceed to be IDS, using All Bond II. A thermocycling was applied to experimental groups for 1, 2, 7, 14 days respectively and was not applied to control group. IPS Empress II for ceramic was acid-etched with ceramic etchant (9.5% HF) and silane was applied. Each ceramic disc was bonded to specimens with Duo-link, dual curable resin cement by means of light curing for 100 seconds. After the cementation procedures, shear bond strength measurement and SEM analysis of the fractured surface were done. The data were analyzed with a one-way ANOVA and Tukey multiple comparison test (α=.05).
There were no statistically significant differences between 4 experimental groups and control group, however the mean value started to decrease in group 7d, and group 14d showed the lowest mean bond strength in all groups. Also, group 7d and 14d showed distinct exposed dentin and collapsed hybrid layer was observed in SEM analysis.
In the present study, it can be concluded that ceramic restorations like a laminate veneer restoration should be bonded using resin cement within one week after IDS procedure.
本研究旨在探究即刻牙本质封闭(IDS)在不同热循环周期下,对使用牙本质粘结剂系统(DBA)的陶瓷修复体粘结强度的影响。
选取50颗新鲜拔除的人类下颌第三磨牙,分为5组(1个对照组和4个实验组),每组10颗牙齿。我们去除完好牙齿的釉质层,使用全粘结二代(All Bond II)进行即刻牙本质封闭处理后将其包埋。对实验组分别进行1、2、7、14天的热循环处理,对照组不进行热循环处理。用陶瓷蚀刻剂(9.5%氢氟酸)对IPS Empress II陶瓷进行酸蚀,然后涂覆硅烷。通过光固化100秒,使用双固化树脂粘结剂(Duo-link)将每个陶瓷盘粘结到样本上。粘结程序完成后,进行剪切粘结强度测量和断裂表面的扫描电子显微镜(SEM)分析。数据采用单因素方差分析和Tukey多重比较检验进行分析(α = 0.05)。
4个实验组与对照组之间无统计学显著差异,但7天组的平均值开始下降,14天组在所有组中显示出最低的平均粘结强度。此外,在扫描电子显微镜分析中,7天组和14天组显示出明显的暴露牙本质和塌陷的混合层。
在本研究中,可以得出结论,对于诸如贴面修复体之类的陶瓷修复体,应在即刻牙本质封闭程序后的一周内使用树脂粘结剂进行粘结。