Firouzmandi Maryam, Valipour Fereshteh, Roshanzamir Maryam, Mobaleghi Tayebeh
Assistant Professor, Department of Operative Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.
Ph.D Student of Pharmaceutical Biomaterial, Faculty of Pharmacy, Tabriz University of Medical Sciences, Tabriz, Iran.
J Clin Exp Dent. 2017 Oct 1;9(10):e1183-e1188. doi: 10.4317/jced.52946. eCollection 2017 Oct.
The first line of intervention to alleviate tooth sensitivity is to use dentin desensitizers such as oxalate-based desensitizers. When the dentin sensitivity continues even after application of desensitizers the next intervention would be restoration of the lesion. The aim of this study was to investigate the effect of prior application of oxalate-based desensitizer on the marginal microleakage and shear bond strength of resin modified glass ionomer (RMGI) restorations.
In order to prepare the specimens for microleakage test standard class v cavities were prepared on buccal surfaces of 45 teeth. The specimens were randomly divided into three equal groups. In control group, the cavities were restored with RMGI. In group 2, oxalate-based desensitizer was applied and the specimens were kept in distilled water for 14 days before restoration. In group 3 the specimens were prepared similar to group 2 and the surface of the cavities were slightly cut with bur before restoration. Methyleneblue penetration was evaluated using stereomicroscope. The data were analyzed using non-parametric tests. For shear bond strength test cervical dentin specimens were prepared and were divided into 3 groups. Surface treatments were similar to microleakage test. RMGI was packed into cylindrical plastic molds which were placed on the cut surface of the tooth and light cured. The data were analyzed by one-way ANOVA.
There was not any significant difference in dye penetration in dentin margins among the groups, but microleakage in enamel margins of group 2 and 3 was higher than group 1. There was no significant difference in shear bond strength among the groups ( =0.285).
Non carious cervical lesions which were treated for hypersensitivity with oxalate-based desensitizers could be restored with resin modified glass ionomer if the hypersensitivity persists. Dentin hypersensitivity, oxalate-based desensitizers, microleakage, shear bond strength.
缓解牙齿敏感的一线干预措施是使用牙本质脱敏剂,如草酸盐类脱敏剂。当使用脱敏剂后牙本质敏感仍持续时,下一步干预措施将是修复病变部位。本研究的目的是调查预先应用草酸盐类脱敏剂对树脂改性玻璃离子(RMGI)修复体边缘微渗漏和剪切粘结强度的影响。
为制备用于微渗漏测试的标本,在45颗牙齿的颊面制备标准Ⅴ类洞。将标本随机分为三组。对照组用RMGI修复洞。第2组应用草酸盐类脱敏剂,标本在修复前在蒸馏水中保存14天。第3组标本制备方法与第2组相似,在修复前用钻针轻微切割洞表面。使用体视显微镜评估亚甲蓝渗透情况。数据采用非参数检验进行分析。对于剪切粘结强度测试,制备颈部牙本质标本并分为3组。表面处理与微渗漏测试相似。将RMGI填充到圆柱形塑料模具中,放置在牙齿的切割面上并光固化。数据通过单因素方差分析进行分析。
各组之间牙本质边缘的染料渗透没有显著差异,但第2组和第3组釉质边缘的微渗漏高于第1组。各组之间的剪切粘结强度没有显著差异(=0.285)。
如果牙齿敏感持续存在,用草酸盐类脱敏剂治疗过的非龋性颈部病变可用树脂改性玻璃离子进行修复。牙本质敏感、草酸盐类脱敏剂、微渗漏、剪切粘结强度。