Dao Luong Minh Nguyet, Shimada Yasushi, Turkistani Alaa, Tagami Junji, Sumi Yasunori, Sadr Alireza
Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8549, Japan.
Department of Cariology and Operative Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo 113-8549, Japan.
Dent Mater. 2016 Jul;32(7):862-9. doi: 10.1016/j.dental.2016.03.019. Epub 2016 Apr 11.
To determine the effect of crosshead speed and placement technique on interfacial crack formation in microtensile bond strength (MTBS) test using swept-source optical coherence tomography (SS-OCT).
MTBS test beams (0.9×0.9mm(2)) were prepared from flat human dentin disks bonded with self-etch adhesive (Clearfil SE Bond, Kuraray) and universal composite (Clearfil AP-X, Kuraray) with or without flowable composite lining (Estelite Flow Quick, Tokuyama). Each beam was scanned under SS-OCT (Santec, Japan) at 1319nm center wavelength before MTBS test was performed at crosshead speed of either 1 or 10mm/min (n=10). The beams were scanned by SS-OCT again to detect and measure cracks at the debonded interface using digital image analysis software. Representative beams were observed under confocal laser scanning microscope to confirm the fractography findings.
Two-way ANOVA showed that for MTBS the crosshead speed was not a significant factor (p>0.05), while there was a difference between placement techniques (p<0.001), with flowable lining yielding higher mean values. On the other hand, for crack formation, there was a significant difference between crosshead speeds (p<0.01), while the placement technique did not show up as a statistically significant factor (p>0.05). The interaction of factors were not significant (p>0.05).
Testing MTBS samples at higher crosshead speeds induced more cracks in dentin. Lining with a flowable composite improved the bonding quality and increased the bond strength. SS-OCT can visualize interfacial cracks after restoration debonding.
使用扫频光学相干断层扫描(SS - OCT)确定十字头速度和放置技术对微拉伸粘结强度(MTBS)测试中界面裂纹形成的影响。
MTBS测试梁(0.9×0.9mm²)由扁平的人牙本质圆盘制备而成,该圆盘用自酸蚀粘结剂(Clearfil SE Bond,可乐丽)和通用型复合树脂(Clearfil AP - X,可乐丽)粘结,有或没有可流动复合树脂衬层(Estelite Flow Quick,德山)。在以1或10mm/min的十字头速度进行MTBS测试之前,在中心波长为1319nm的SS - OCT(日本Santec)下对每个梁进行扫描(n = 10)。使用数字图像分析软件通过SS - OCT再次扫描梁,以检测和测量脱粘界面处的裂纹。在共聚焦激光扫描显微镜下观察代表性梁以确认断口形貌结果。
双向方差分析表明,对于MTBS,十字头速度不是一个显著因素(p>0.05),而放置技术之间存在差异(p<0.001),可流动衬层产生更高的平均值。另一方面,对于裂纹形成,十字头速度之间存在显著差异(p<0.01),而放置技术未显示为统计学上的显著因素(p>0.05)。因素之间的相互作用不显著(p>0.05)。
以较高十字头速度测试MTBS样品会在牙本质中诱导更多裂纹。用可流动复合树脂衬层可改善粘结质量并提高粘结强度。SS - OCT可在修复体脱粘后可视化界面裂纹。