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聚合收缩与球形玻璃超微填料:对牙尖挠曲的影响。

Polymerization shrinkage and spherical glass mega fillers: effects on cuspal deflection.

作者信息

Andreasi Bassi M, Serra S, Andrisani C, Lico S, Baggi L, Lauritano D

机构信息

Private practice in Rome, Italy.

Private practice in Matera, Italy.

出版信息

Oral Implantol (Rome). 2017 Feb 14;9(Suppl 1-2016 to N 4-2016):71-79. doi: 10.11138/orl/2016.9.1S.071. eCollection 2016 Jan-Mar.

Abstract

PURPOSE

The Authors analyzed the effect of spherical glass mega fillers (SGMF) on reducing contraction stress in dental composite resins, by means of a cavity model simulating the cuspal deflection which occurs on filled tooth cavity walls in clinical condition.

MATERIALS AND METHODS

20 stylized MOD cavities (C-factor = 0.83) were performed in acrylic resin. The inner surface of each cavity was sand blasted and adhesively treated in order to ensure a valid bond with the composite resin. Three different diameter of SGMF were used (i.e. 1, 1,5, 2 mm). The samples were divided in 4 groups of 5 each: Group 1 samples filled with the composite only; Group 2 samples filled with composite added with SGMFs, Ø1mm (16 spheres for each sample); Group 3 samples filled with composite added with SGMFs, Ø1,5 mm (5 spheres for each sample); Group 4 samples filled with composite added with SGMFs, Ø2 mm (2 spheres for each sample). Digital pictures were taken, in standardized settings, before and immediately after the polymerization of the composite material, placed into the cavities. With a digital image analysis software the distances from the coronal reference points of the cavity walls were measured. Then the difference between the first and second measurement was calculated. The data were analyzed by means of the ANOVA test.

RESULTS

A significative reduction on cavity walls deflection, when the composite resin is used in addiction with the SGMFs was observed. The SGMFs of smallest diameter (1mm) showed the better outcome.

CONCLUSION

The SGMFs are reliable in reducing contraction stress in dental composite resins.

摘要

目的

作者通过一个模拟临床情况下充填牙洞壁上牙尖偏斜的洞形模型,分析球形玻璃大颗粒填料(SGMF)对降低牙科复合树脂收缩应力的影响。

材料与方法

在丙烯酸树脂中制备20个标准化的近中邻面洞(C因子 = 0.83)。对每个洞的内表面进行喷砂和粘结处理,以确保与复合树脂有有效的粘结。使用了三种不同直径的SGMF(即1、1.5、2毫米)。将样本分为4组,每组5个:第1组样本仅用复合树脂充填;第2组样本用添加了直径1毫米SGMF的复合树脂充填(每个样本16个球体);第3组样本用添加了直径1.5毫米SGMF的复合树脂充填(每个样本5个球体);第4组样本用添加了直径2毫米SGMF的复合树脂充填(每个样本2个球体)。在将复合材料放入洞中聚合之前和之后,在标准化设置下拍摄数码照片。使用数码图像分析软件测量洞壁冠部参考点之间的距离。然后计算第一次和第二次测量之间的差值。通过方差分析检验对数据进行分析。

结果

当复合树脂与SGMF一起使用时,观察到洞壁偏斜有显著降低。最小直径(1毫米)的SGMF显示出更好的效果。

结论

SGMF在降低牙科复合树脂收缩应力方面是可靠的。

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