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重衬玻璃纤维桩:树脂水门汀厚度及牙本质-树脂界面的体外研究

Relined fiberglass post: an ex vivo study of the resin cement thickness and dentin-resin interface.

作者信息

Souza Niélli Caetano de, Marcondes Maurem Leitão, Breda Ricardo Vaz, Weber João Batista Blessmann, Mota Eduardo Gonçalves, Spohr Ana Maria

机构信息

Pontifícia Universidade Católica do Rio Grande do Sul - PUC-RS, School of Dentistry, Department of Restorative Dentistry, Porto Alegre, RS, Brazil.

Pontifícia Universidade Católica do Rio Grande do Sul - PUC-RS, Institute of Biomedical Research, Porto Alegre, RS, Brazil.

出版信息

Braz Oral Res. 2016 Aug 18;30(1):S1806-83242016000100274. doi: 10.1590/1807-3107BOR-2016.vol30.0077.

Abstract

The aim of this study was to evaluate the thickness of resin cements in the root thirds when using conventional fiberglass posts (CP) and relined fiberglass posts (RP) in weakened roots and to evaluate the morphological characteristics of the dentin-resin interface. Forty human maxillary anterior teeth had the crown sectioned below the cemento-enamel junction. The canals were endodontically treated and weakened with diamond burs. Teeth were divided into four groups (n = 10): Group 1 - CP + RelyX ARC; Group 2 - CP + RelyX U200; Group 3 - RP + RelyX ARC; and Group 4 - RP + RelyX U200. Prior to luting, 0.1% Fluorescein and 0.1% Rhodamine B dyes were added to an adhesive and resin cement, respectively. Slices were obtained from the apical, middle, and cervical thirds of the root. Confocal laser scanning microscopy images were recorded in four areas (buccal, lingual, mesial, distal) of each third. In each area, four equidistant measures of the resin cement were made and the mean value was calculated. The interface morphology was observed. The data were submitted to three-way ANOVA and Tukey's test (α = 0.05). The interaction between fiberglass posts, resin cement, and root thirds was significant (p < 0.0001). The resin cement thicknesses were significantly lower for RP in comparison with CP, except in the apical third. There was no significant difference between the resin cements for RP. There was formation of resin cement tags and adhesive tags along the root for RP. RP favored the formation of thin and uniform resin cement films and resin tags in weakened roots.

摘要

本研究的目的是评估在薄弱牙根中使用传统玻璃纤维桩(CP)和衬里玻璃纤维桩(RP)时,牙根三分之一处树脂水门汀的厚度,并评估牙本质 - 树脂界面的形态特征。40颗人类上颌前牙在牙骨质 - 釉质界下方进行冠部切割。根管进行了牙髓治疗并用金刚砂车针削弱。牙齿分为四组(n = 10):第1组 - CP + RelyX ARC;第2组 - CP + RelyX U200;第3组 - RP + RelyX ARC;第4组 - RP + RelyX U200。在粘接之前,分别向一种粘接剂和树脂水门汀中添加0.1%的荧光素和0.1%的罗丹明B染料。从牙根的根尖、中部和颈部三分之一处获取切片。在每个三分之一处的四个区域(颊侧、舌侧、近中、远中)记录共聚焦激光扫描显微镜图像。在每个区域,对树脂水门汀进行四个等距测量并计算平均值。观察界面形态。数据进行三因素方差分析和Tukey检验(α = 0.05)。玻璃纤维桩、树脂水门汀和牙根三分之一之间的相互作用具有显著性(p < 0.0001)。与CP相比,RP的树脂水门汀厚度显著更低,但在根尖三分之一处除外。RP的树脂水门汀之间没有显著差异。沿牙根存在RP的树脂水门汀标签和粘接标签的形成。RP有利于在薄弱牙根中形成薄而均匀的树脂水门汀膜和树脂标签。

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