Rai Namith, Naik Rajaram, Gupta Ravi, Shetty Shobana, Singh Amith
Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Manipal, India.
Department of Conservative Dentistry and Endodontics, A. J Institute of Dental Sciences, Mangalore, Karnataka, India.
Contemp Clin Dent. 2017 Oct-Dec;8(4):604-612. doi: 10.4103/ccd.ccd_631_17.
This study aims to evaluate the effects three different conditioning agents on the shear bond strength of resin-modified glass ionomers to human dentin.
One hundred and twenty recently extracted, caries-free premolars and molars will be cleaned of debris and disinfected in a 0.5% solution of sodium hypochlorite and sterile water for 30 min. The occlusal surface of each tooth will be reduced using conventional model trimmer with water to produce the dentin surface. Then, three different resin-modified glass ionomer cements (GICs) were triturated and mixed according to the manufacturer's instructions, 10 specimens will be made of each group. The excess restorative material will be removed from matrix band dentin interface with a sharp number 25 bard parker blade. Samples were shear tested with Instron universal testing machine with a crosshead speed of 0.5 mm/min. A shearing bar beveled to a 1 mm thick contact surface area will be placed at the junction of dentin and plastic band matrix. The load required for the failure will be recorded in pounds and converted to megapascals.
Statistical analysis was done with analysis of variance and Tukey's test. Ketac primer as conditioning agent along with Fuji II LC as restorative material had the highest shear bond value whereas intact smear layer which was unmodified dentin had the least value.
Within the limitations of the present study, it can be concluded that surface conditioning of dentin resulted significantly higher bond strength than unconditioned dentin surfaces.
Resin-modified glass ionomers have several advantages compared to chemically cured GICs. The advantages include command cure, ease of handling, improved physical properties, and esthetics. Resin.modified glass ionomers have been marketed as direct restorative materials for Class V lesions as well as liners, bases, and luting agents. Several conditioning agents have been evaluated to condition dentin before the application of conventional glass ionomers and resin-modified glass ionomers. These have mainly included polyacrylic acid, citric acid, phosphoric acid, and ethylenediamine tetra.acetic acid. Of late, manufactures have recommended other conditioners to replace polyacrylic acid which includes Ketac primer as one of the conditioning agents.
本研究旨在评估三种不同的预处理剂对树脂改性玻璃离子水门汀与人类牙本质之间剪切粘结强度的影响。
120颗近期拔除的无龋前磨牙和磨牙将被清理碎屑,并在0.5%的次氯酸钠溶液和无菌水中消毒30分钟。使用常规模型修整器加水对每颗牙齿的咬合面进行打磨以制备牙本质表面。然后,按照制造商的说明研磨并混合三种不同的树脂改性玻璃离子水门汀(GIC),每组制作10个样本。用锋利的25号巴德·帕克刀片从基质带与牙本质的界面去除多余的修复材料。使用英斯特朗万能材料试验机以0.5毫米/分钟的十字头速度对样本进行剪切测试。将一个斜面为1毫米厚接触表面积的剪切杆放置在牙本质和塑料带基质的交界处。破坏所需的载荷将以磅为单位记录并转换为兆帕。
采用方差分析和Tukey检验进行统计分析。以Ketac底漆作为预处理剂并搭配Fuji II LC作为修复材料时,剪切粘结值最高,而未改性牙本质的完整玷污层的粘结值最低。
在本研究的局限性范围内,可以得出结论,牙本质的表面预处理导致粘结强度显著高于未预处理的牙本质表面。
与化学固化的GIC相比,树脂改性玻璃离子水门汀有几个优点。这些优点包括可控固化、易于操作、改善的物理性能和美观性。树脂改性玻璃离子水门汀已作为V类洞的直接修复材料以及衬层、基底和粘结剂上市销售。在应用传统玻璃离子水门汀和树脂改性玻璃离子水门汀之前,已经评估了几种预处理剂来处理牙本质。这些主要包括聚丙烯酸、柠檬酸、磷酸和乙二胺四乙酸。最近,制造商推荐了其他预处理剂来替代聚丙烯酸,其中包括Ketac底漆作为预处理剂之一。