Görkem Ulu Güzel K, Sönmez Işıl
Department of Pediatric Dentistry, Faculty of Dentistry, Adnan Menderes University, Aydın - Turkey.
J Appl Biomater Funct Mater. 2018 Apr;16(2):90-96. doi: 10.5301/jabfm.5000380.
Light-activated resin-based dental fissure sealants are the most widely accepted among clinicians. The objective of this study was to determine monomer release of 3 different light-curing fissure sealants in vitro: Control Seal (Voco, Germany), Fissurit FX (Voco, Germany) and R&D Series Fıssured Nova (Imicrly, Turkey).
Each material was polymerized with a curing light: Valo Cordless (Ultradent) LED in standard mode for 20 seconds (n = 27) and 40 seconds (n = 27) and in Xtra power mode (plasma arc) for 3 seconds (n = 27). High-performance liquid chromatography (HPLC) was used to measure the amount of monomers released over 1, 3 and 7 days.
Plasma arc groups showed the highest release of monomers at 1, 3 and 7 days in the 3 fissure sealant groups (p<0.001). The greatest release of bisphenol A glycidyl methacrylate (bis-GMA) determined for R&D Series Fissured Nova both with LED 20 seconds and LED 40 seconds and for Control Seal was with the plasma arc. With time, release of the monomer was reduced for all polymerization systems.
Efficiency of the polymerization system and applying the recommended curing time for light-activated resin-based dental materials are very important to protect the patient from potential hazards of residual monomers.
光固化树脂类牙科窝沟封闭剂是临床医生中最广泛接受的。本研究的目的是在体外测定3种不同光固化窝沟封闭剂的单体释放情况:对照封闭剂(德国沃克公司)、Fissurit FX(德国沃克公司)和研发系列Fıssured Nova(土耳其Imicrly公司)。
每种材料用固化灯进行聚合:Valo Cordless(Ultradent)发光二极管在标准模式下照射20秒(n = 27)和40秒(n = 27),并在超强功率模式(等离子弧)下照射3秒(n = 27)。采用高效液相色谱法(HPLC)测定1、3和7天内释放的单体量。
在3种窝沟封闭剂组中,等离子弧组在1、3和7天显示出最高的单体释放量(p<0.001)。对于研发系列Fissured Nova,在发光二极管照射20秒和40秒时以及对照封闭剂,双酚A甲基丙烯酸缩水甘油酯(双-GMA)的最大释放量是在等离子弧照射时。随着时间的推移,所有聚合系统的单体释放量均减少。
聚合系统的效率以及为光固化树脂类牙科材料应用推荐的固化时间对于保护患者免受残留单体的潜在危害非常重要。