Pakshir Hamidreza, Ajami Shabnam
Professor, Orthodontics Research Center, Department of Orthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
Assistant Professor, Orthodontics Research Center, Department of Orthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
J Dent (Tehran). 2015 Jun;12(6):436-46.
This study aimed to compare the microleakage beneath metallic brackets following two different methods of enamel preparation and light curing.
A total of 120 bovine deciduous lower incisors were randomly divided into four groups of 30 teeth. The preparations were as follows: Group I: Acid etching + Transbond XT primer + direct illumination, group II: acid etching + Transbond XT primer + transillumination, group III: Transbond XT self-etching primer + direct illumination and Group IV: Transbond XT self-etching primer + transillumination. Dye penetration was used as the method of microleakage evaluation. Sections made at the enamel-adhesive and adhesive-bracket interfaces were evaluated under a stereomicroscope. The Kruskal-Wallis and Mann-Whitney U tests were used for statistical analysis. The level of significance was set at P<0.05.
All groups showed greater microleakage at the gingival in comparison to the incisal margin and the differences were significant among groups with transillumination (P<0.001). No significant differences were observed in the microleakage scores at the gingival and incisal margins in any of the interfaces (P>0.05). Mesiodistal margins of the self-etching group with direct illumination showed significantly lower scores in comparison with acid etched group (P<0.05).
Use of self-etching primers for bonding of orthodontic brackets yields acceptable results if all bracket margins are cured directly.
本研究旨在比较两种不同的釉质预备和光固化方法后金属托槽下方的微渗漏情况。
将120颗牛乳牙下颌切牙随机分为四组,每组30颗牙。预备情况如下:第一组:酸蚀+Transbond XT底漆+直接光照,第二组:酸蚀+Transbond XT底漆+透照,第三组:Transbond XT自酸蚀底漆+直接光照,第四组:Transbond XT自酸蚀底漆+透照。采用染料渗透法评估微渗漏情况。在立体显微镜下评估釉质-黏结剂和黏结剂-托槽界面处制作的切片。采用Kruskal-Wallis检验和Mann-Whitney U检验进行统计分析。显著性水平设定为P<0.05。
与切缘相比,所有组在牙龈处的微渗漏均更严重,且在透照组之间差异显著(P<0.001)。在任何界面的牙龈和切缘处,微渗漏评分均未观察到显著差异(P>0.05)。直接光照的自酸蚀组的近远中边缘与酸蚀组相比,评分显著更低(P<0.05)。
如果所有托槽边缘都直接固化,使用自酸蚀底漆粘结正畸托槽可产生可接受的结果。