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通用粘结系统与单体转化率对牙本质的粘结能力比较及其与光照时间延长和储存时间的关系。

Comparative bonding ability to dentin of a universal adhesive system and monomer conversion as functions of extended light curing times and storage.

机构信息

Department of Dentistry, School of Health Sciences, Universidade de Brasília (UnB), SQNW 109 Bloco A, Apt 422, Ed. Real Evolution, Noroeste, Brasília CEP 70686-405, DF, Brazil.

Department of Biological Science, Bauru School of Dentistry, Universidade de São Paulo, Bauru, SP, Brazil.

出版信息

J Mech Behav Biomed Mater. 2017 Nov;75:41-49. doi: 10.1016/j.jmbbm.2017.06.033. Epub 2017 Jun 27.

Abstract

OBJECTIVES

The purpose of this in vitro study was to evaluate the bonding ability and monomer conversion of a universal adhesive system applied to dentin as functions of different curing times and storage. The results were compared among a variety of commercial adhesives.

MATERIALS AND METHODS

Flat superficial dentin surfaces were exposed on human molars and assigned into one of the following adhesives (n = 15): total-etch Adper Single Bond 2 (SB) and Optibond Solo Plus (OS), self-etch Optibond All in One (OA) and Clearfil SE Bond (CSE), and Scotchbond Universal Adhesive in self-etch mode (SU). The adhesives were applied following the manufacturers' instructions and cured for 10, 20, or 40s. Specimens were processed for the microtensile bond strength (µTBS) test in accordance with the non-trimming technique and tested after 24h and 2 years. The fractured specimens were classified under scanning electron microscopy (SEM). Infrared (IR) spectra were obtained and monomer conversion (%) was calculated by comparing the aliphatic-to-aromatic IR absorption peak ratio before and after polymerization (n=5). Data were analyzed by 2-way ANOVA/Tukey's tests (α = 0.05).

RESULTS

At 24-h evaluation, OA and CSE presented similar bond strength means irrespective of the curing time, whereas SB and SU exhibited significantly higher means when cured for 40s as did OS when cured for 20 or 40s (p < 0.05). At 2-year evaluation, only OA exhibited significantly higher bond strength when cured for 20 and 40s (p < 0.05). When the evaluation times were compared, OA also exhibited the same bonding ability when cured for longer periods of time (20 and 40s). All of the adhesives tested exhibited significantly lower monomer conversion when photoactivated according to the manufacturers' instructions (10s).

CONCLUSIONS

Higher monomer conversions obtained with longer light exposure allow only higher immediate bond strength for most of the adhesives tested. After 2-year storage, only the self-etching adhesive Optibond All-In-One exhibited the same bonding ability when cured for longer periods of time.

摘要

目的

本体外研究的目的是评估通用粘结剂系统在不同固化时间和储存条件下对牙本质的粘结能力和单体转化率。结果与各种商业粘结剂进行了比较。

材料与方法

在人磨牙的表面暴露浅层牙本质,并将其分配到以下一种粘结剂(n=15)中:全酸蚀粘结剂 Adper Single Bond 2(SB)和 Optibond Solo Plus(OS)、自酸蚀粘结剂 Optibond All in One(OA)和 Clearfil SE Bond(CSE)以及自酸蚀模式的 Scotchbond Universal Adhesive(SU)。按照制造商的说明应用粘结剂,并在 10、20 或 40s 时进行固化。根据非修剪技术对试件进行微拉伸粘结强度(µTBS)测试,并在 24h 和 2 年后进行测试。将断裂的标本在扫描电子显微镜(SEM)下进行分类。获得红外(IR)光谱,并通过比较聚合前后脂肪族-芳族 IR 吸收峰的比值来计算单体转化率(%)(n=5)。数据采用双因素方差分析/Tukey 检验(α=0.05)进行分析。

结果

在 24h 评估时,OA 和 CSE 的粘结强度均值相似,无论固化时间如何,而 SB 和 SU 在 40s 时的粘结强度均值显著较高,OS 在 20s 和 40s 时的粘结强度均值也显著较高(p<0.05)。在 2 年评估时,只有 OA 在 20s 和 40s 时表现出显著较高的粘结强度(p<0.05)。当比较评估时间时,OA 在较长时间固化时也表现出相同的粘结能力。所有测试的粘结剂在按照制造商的说明进行光激活时,单体转化率均显著降低(10s)。

结论

更长时间的光照获得更高的单体转化率,仅允许大多数测试粘结剂具有更高的即时粘结强度。经过 2 年储存后,只有自酸蚀粘结剂 Optibond All-In-One 在较长时间固化时表现出相同的粘结能力。

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