Colak Hakan, Ercan Ertugrul, Hamidi Mehmet Mustafa
Department of Restorative Dentistry, Faculty of Dentistry, Zirve University, Gaziantep, Turkiye.
Adjunct Lecturer Department of Conservative Dentistry, College of Dentistry, Ishik University, Erbil City, Iraq.
Eur J Dent. 2016 Jan-Mar;10(1):40-45. doi: 10.4103/1305-7456.175697.
Bulk-fill composite materials are being developed for preparation depths of up to 4 mm in an effort to simplify and improve the placement of direct composite posterior restorations. The aim of our study was to compare shear-bond strength of bulk-fill and conventional posterior composite resins.
In this study, 60 caries free extracted human molars were used and sectioned parallel to occlusal surface to expose midcoronal dentin. The specimens were randomly divided into four groups. Total-etch dentine bonding system (Adper Scotchbond 1XT, 3M ESPE) was applied to dentin surface in all the groups to reduce variability in results. Then, dentine surfaces covered by following materials. Group I: SonicFill Bulk-Fill, Group II: Tetric EvoCeram (TBF), Group III: Herculite XRV Ultra, and Group IV: TBF Bulk-Fill, 2 mm × 3 mm cylindrical restorations were prepared by using application apparatus. Shear bond testing was measured by using a universal testing machine. Kruskal-Wallis and Mann-Whitney U-tests were performed to evaluate the data.
The highest value was observed in Group III (14.42 ± 4.34) and the lowest value was observed in Group IV (11.16 ± 2.76) and there is a statistically significant difference between these groups (P = 0.046). However, there is no statistically significant difference between the values of other groups. In this study, Group III was showed higher strength values.
There is a need for future studies about long-term bond strength and clinical success of these adhesive and bulk-fill systems.
正在研发可用于高达4毫米制备深度的大块充填复合材料,以简化和改进直接复合树脂后牙修复体的放置。我们研究的目的是比较大块充填和传统后牙复合树脂的剪切粘结强度。
在本研究中,使用了60颗无龋的拔除人类磨牙,并平行于咬合面进行切片以暴露牙冠中部牙本质。将标本随机分为四组。在所有组中,将全酸蚀牙本质粘结系统(Adper Scotchbond 1XT,3M ESPE)应用于牙本质表面,以减少结果的变异性。然后,用以下材料覆盖牙本质表面。第一组:SonicFill大块充填材料;第二组:Tetric EvoCeram(TBF);第三组:Herculite XRV Ultra;第四组:TBF大块充填材料。使用涂布装置制备2毫米×3毫米的圆柱形修复体。使用万能试验机测量剪切粘结力。进行Kruskal-Wallis和Mann-Whitney U检验以评估数据。
第三组观察到最高值(14.42±4.34),第四组观察到最低值(11.16±2.76),这些组之间存在统计学显著差异(P = 0.046)。然而,其他组的值之间没有统计学显著差异。在本研究中,第三组显示出更高的强度值。
需要对这些粘结剂和大块充填系统的长期粘结强度和临床成功率进行进一步研究。