Durham Samuel N, Meyers Erik J, Bailey Clifton W, Vandewalle Kraig S
Gen Dent. 2017 Mar-Apr;65(2):e12-e16.
A new fluoride-releasing sealant system is claimed to allow easier and faster placement while providing high bond strengths without the need for phosphoric acid etching. A study was designed to compare the microleakage and shear bond strength of a self-etching, Giomer-based sealant system with those of a traditional resin sealant. Group 1 received traditional sealant applied after use of a 35% phosphoric acid etchant; group 2 received Giomer sealant after use of a self-etching primer; and group 3 received Giomer sealant after the addition of an initial phosphoric acid etching step and placement of the primer. The sealants were placed in the occlusal pits and fissures of extracted human third molars, thermocycled, placed in dye, and sectioned. The extent of microleakage (dye penetration) was expressed as a percentage of the cross-sectional length of the sealed interface. The sealants were also bonded to the facial enamel of bovine incisors. Specimens were thermocycled and tested in shear mode in a universal testing machine. The new self-etching sealant demonstrated significantly greater microleakage (P < 0.017) and lower bond strength (P < 0.05) than both the traditional sealant system and the new system when placed with phosphoric acid etchant. Phosphoric acid etching significantly improved the shear bond strength and reduced the microleakage of the new sealant.
一种新型的释氟封闭剂系统据称在无需磷酸酸蚀的情况下,能更轻松、快速地应用,同时具备高粘结强度。一项研究旨在比较一种自酸蚀、基于聚硅氧烷-丙烯酸酯复合体(Giomer)的封闭剂系统与传统树脂封闭剂的微渗漏和剪切粘结强度。第1组在使用35%磷酸酸蚀剂后应用传统封闭剂;第2组在使用自酸蚀底漆后应用Giomer封闭剂;第3组在增加初始磷酸酸蚀步骤并放置底漆后应用Giomer封闭剂。将封闭剂置于拔除的人类第三磨牙的咬合窝沟中,进行热循环处理,置于染料中,然后切片。微渗漏程度(染料渗透)以封闭界面横截面长度的百分比表示。封闭剂还粘结于牛切牙的唇面釉质。对标本进行热循环处理,并在万能试验机上以剪切模式进行测试。与传统封闭剂系统以及使用磷酸酸蚀剂放置的新系统相比,新型自酸蚀封闭剂显示出显著更大的微渗漏(P < 0.017)和更低的粘结强度(P < 0.05)。磷酸酸蚀显著提高了新型封闭剂的剪切粘结强度并减少了微渗漏。