Avsar Aysun, Yuzbasioglu Emir, Sarac Duygu
Department of Pedodontics, Ondokuz Mayis University Faculty of Dentistry, Turkey.
Department of Prosthodontics, Istanbul Medipol University School of Dentistry, Turkey.
Adv Clin Exp Med. 2015 Sep-Oct;24(5):881-90. doi: 10.17219/acem/23971.
Rough, poorly polished surfaces contribute to staining, plaque accumulation, gingival irritation and recurrent caries. Finishing and polishing techniques are critical factors contributing to the longevity of the direct composite resin restorations.
The aim of this in vitro study was to evaluate the effects of finishing and polishing systems on surface roughness of six nanocomposite restorative resins.
Thirty specimens of each restorative material (n=180) were placed in a teflon mould (6 mm in diameter and 3 mm in depth) and cured with a LED curing unit. Six specimens from each of restorative material were randomly assigned to four groups for finishing and polishing (carbide burs, diamond burs, aluminium oxide discs, silicon rubber polisher) techniques. Mylar strip formed specimens were served as control group. After finishing and polishing procedures surface roughness was evaluated by a profilometer. The data was analyzed by 2-way analysis of variance and the Tukey HSD test (α=0.05).
Significant differences were found between the groups in terms roughness (p<0.001). The control group and aluminium oxide discs group had the lowest Ra values and were significantly different from other groups (p<0.001). The roughest surface was obtained with diamond burs followed by silicon rubbers and carbide burs. Overall, the smoothest surfaces were obtained with the use the complete sequence of aluminum oxide discs.
In areas that could not be reached by the aluminum oxide discs, the carbide burs produced satisfactory surface smoothness for the nanocomposite restorative materials. Although mylar matrix strip formed surfaces presents lower surface roughness values, recountouring and polishing of resin restorations are often required in clinical situations. Aluminium oxide discs and carbide finishing burs are suitable for finishing and polishing procedures for nanocomposite restorative resins.
粗糙、打磨不佳的表面会导致染色、菌斑积聚、牙龈刺激和继发龋。修整和抛光技术是影响直接复合树脂修复体使用寿命的关键因素。
本体外研究旨在评估修整和抛光系统对六种纳米复合树脂修复材料表面粗糙度的影响。
将每种修复材料的30个样本(n = 180)置于聚四氟乙烯模具(直径6 mm,深度3 mm)中,并用LED固化灯固化。每种修复材料的六个样本随机分为四组,分别采用不同的修整和抛光技术(硬质合金车针、金刚石车针、氧化铝盘、硅橡胶抛光器)。聚酯薄膜条制成的样本作为对照组。在完成修整和抛光程序后,使用轮廓仪评估表面粗糙度。数据采用双向方差分析和Tukey HSD检验进行分析(α = 0.05)。
各组之间在粗糙度方面存在显著差异(p < 0.001)。对照组和氧化铝盘组的Ra值最低,与其他组有显著差异(p < 0.001)。使用金刚石车针后表面最粗糙,其次是硅橡胶和硬质合金车针。总体而言,使用完整的氧化铝盘序列可获得最光滑的表面。
在氧化铝盘无法触及的区域,硬质合金车针可为纳米复合树脂修复材料提供令人满意的表面光滑度。尽管聚酯薄膜基质条制成的表面具有较低的表面粗糙度值,但在临床情况下,树脂修复体通常仍需要重新修整和抛光。氧化铝盘和硬质合金修整车针适用于纳米复合树脂修复材料的修整和抛光程序。