Jia Shuang, Chen Dong, Wang Defang, Bao Xiangjun, Tian Xiaomei
Graduate Prosthodontics, Department of Restorative Dentistry, Shanghai Stomatological Hospital, Shanghai, China.
Graduate Prosthodontics, Department of General Dentistry, Shanghai Stomatological Hospital, Shanghai, China.
BDJ Open. 2017 Jan 6;3:16010. doi: 10.1038/bdjopen.2016.10. eCollection 2017.
The objectives were to evaluate the degree of dye penetration of three different dental materials as esthetic veneer restorations on anterior teeth using stereomicroscope, and to provide reference for clinical choice.
Sixty freshly extracted human maxillary central incisors were selected and randomly divided into three main groups of 20 each. Respectively, the teeth were prepared for veneer restoration by fiber-reinforced composite (FRC) (Everstick NET, Stick Tech), porcelain laminate veneer (PLV) (IPS Empress II(E-Max Press)) and 3M composites (3M ESPE) bonding with G-Cem resin cement (GC). After exposed to thermocycling (500cycles per day (5-55 °C, intervals: 30 s)) and immersed in 2% basic fuchsin dye solution for 24 h, the specimens were then sectioned buccolingual into three halves in a vertical plane parallel and measured dye penetration using stereomicroscope (Zeiss). The data collected was recorded by the dye penetration index (0-5) and statistically analysed using one-way analysis of variance (ANOVA) and -tests using SPSS 13.
It is evident that the FRC group showed the lowest mean score of 0.333 mm, and the PLV group showed a highest mean score of 0.749 mm, as compared with the FRC group and the 3M composites group. Overall, when the three groups were compared for microleakage using ANOVA, there was significant difference among the groups.
To evaluate the dye penetration of microleakage, the FRC showed a better marginal adaptability for veneer restoration. Therefore, within the limitation of this study, the use of FRC as veneer on anterior teeth can be suggested.
本研究旨在使用体视显微镜评估三种不同牙科材料作为前牙美学贴面修复体时的染料渗透程度,并为临床选择提供参考。
选取60颗新鲜拔除的人上颌中切牙,随机分为三组,每组20颗。分别采用纤维增强复合材料(FRC)(Everstick NET,Stick Tech)、瓷贴面(PLV)(IPS Empress II(E-Max Press))和3M复合材料(3M ESPE)与G-Cem树脂水门汀(GC)粘结进行贴面修复。在经过热循环(每天500次循环(5-55°C,间隔:30秒))并浸泡在2%碱性品红染料溶液中24小时后,将标本沿颊舌向在平行的垂直平面切成三半,使用体视显微镜(蔡司)测量染料渗透情况。收集的数据通过染料渗透指数(0-5)记录,并使用SPSS 13进行单因素方差分析(ANOVA)和t检验进行统计分析。
显然,与FRC组和3M复合材料组相比,FRC组的平均得分最低,为0.333毫米,PLV组的平均得分最高,为0.749毫米。总体而言,当使用ANOVA对三组的微渗漏情况进行比较时,各组之间存在显著差异。
为评估微渗漏的染料渗透情况,FRC在贴面修复中显示出更好的边缘适应性。因此,在本研究的局限性内,可建议在前牙使用FRC作为贴面。