Shafiei Fereshteh, Akbarian Sahar, Asadi Fatemeh
Gen Dent. 2017 May-Jun;65(3):45-49.
Successful repair of defective composite resin restorations is considered a conservative treatment. The aim of this study was to compare the repair bond strengths of a methacrylate composite (MC) and a silorane composite (SC) repaired after 5 different intervals. Seventy-two test specimens of each material (MC and SC) were prepared. The specimens of each material were divided into 6 groups (n = 12): 1, control (additional composite bonded immediately after polymerization of the substrate composite resin); 2, repaired after 20 minutes; 3, repaired after 24 hours; 4, repaired after 1 week; 5, repaired after 1 month; and 6, repaired after 6 months. Repair consisted of placement of a layer of adhesive bonding agent and then new composite using a plastic mold. Each repair was made with the same material as the original specimen but in a different shade to facilitate fracture assessment. The repaired specimens were stored in distilled water at 37°C for 24 hours before they were submitted to a shear test. There was no statistically significant difference between group MC1 and the other MC groups, except for group MC4, which had lower shear bond strength (SBS) values than groups MC1, MC2, and MC3. Among the SC specimens, all the groups had significantly lower SBS values than group SC1. The mean SBS values of groups SC4, SC5, and SC6 were significantly lower than the SBS of group SC2. All the SC repair time groups presented significantly lower SBS values compared to their corresponding MC groups (P ≤ 0.004). The results showed that the repair bond strength of SC was adversely affected at all time periods, while this effect was not detected for MC groups except for group MC4. The SC material exhibited less repairability than the MC material.
成功修复有缺陷的复合树脂修复体被认为是一种保守治疗方法。本研究的目的是比较甲基丙烯酸酯复合树脂(MC)和硅氧烷复合树脂(SC)在5个不同间隔时间后修复的粘结强度。每种材料(MC和SC)制备了72个测试样本。每种材料的样本分为6组(n = 12):1,对照组(在基底复合树脂聚合后立即粘结额外的复合树脂);2,20分钟后修复;3,24小时后修复;4,1周后修复;5,1个月后修复;6,6个月后修复。修复包括先放置一层粘结剂,然后使用塑料模具填充新的复合树脂。每次修复使用与原始样本相同的材料,但颜色不同以便于评估断裂情况。修复后的样本在37°C的蒸馏水中储存24小时,然后进行剪切试验。MC1组与其他MC组之间没有统计学上的显著差异,但MC4组的剪切粘结强度(SBS)值低于MC1、MC2和MC3组。在SC样本中,所有组的SBS值均显著低于SC1组。SC4、SC5和SC6组的平均SBS值显著低于SC2组。与相应的MC组相比,所有SC修复时间组的SBS值均显著更低(P≤0.004)。结果表明,SC在所有时间段的修复粘结强度均受到不利影响,而除MC4组外,MC组未检测到这种影响。SC材料的可修复性低于MC材料。