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用高浓度试剂对冠状动脉内牙本质进行漂白时应用抗坏血酸钠的方案。

Protocols for sodium ascorbate application on intracoronary dentin bleached with high-concentrated agent.

作者信息

Cortez Thiago Vinicius, Ziotti Isabella Rodrigues, Scatolin Renata Siqueira, Milori Corona Silmara Aparecida, Souza-Gabriel Aline Evangelista

机构信息

Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.

出版信息

J Conserv Dent. 2018 Jan-Feb;21(1):26-31. doi: 10.4103/JCD.JCD_80_17.

Abstract

PURPOSE

Composite resin restorations are normally replaced after the internal bleaching of endodontically treated-teeth because the bleaching agent does not alter the color of the restorative material. This study evaluated the effect of 10% sodium ascorbate (SA) applied at different protocols on bleached dentin.

MATERIALS AND METHODS

One-hundred slabs of intracoronary bovine dentin were divided into 5 groups: 2 controls-GI without bleaching (positive), GII bleached with 35% hydrogen peroxide (HP) (negative); and 3 experimentals - GIII. 35% HP + SA at protocol 1 (dripping, washing and drying the solution), GIV. 35% HP + SA at protocol 2 (dripping and aspirating the solution) and GV. 35% HP + SA at protocol 3 (dripping, rubbing and aspirating the solution). Sixty fragments were restored and subjected to shear bond strength test ( = 12). Forty fragments ( = 8) were prepared for chemical analysis (energy dispersive X-ray spectrometry) and surface morphology (scanning electron microscopy). Data were analyzed by ANOVA and Tukey test ( < 0.05).

RESULTS

GI (3.169 ± 1.510a) had the highest means values, similar to GIV (2.752 ± 0.961a) and GV (2.981 ± 1.185a) ( < 0.05). Inferior values were obtained in GII (1.472 ± 0.342b) and GIII (2.037 ± 0.742ab) had intermediate values ( > 0.05). Oxygen concentration was reduced in groups treated with SA, and the surface exhibited residual granules of the solution.

CONCLUSION

The 10% SA solution reestablishes the bond strength of restorative material to bleached dentin, especially if active protocols of application and aspiration were used.

摘要

目的

根管治疗后的牙齿进行内漂白后,复合树脂修复体通常需要更换,因为漂白剂不会改变修复材料的颜色。本研究评估了不同应用方案下10%抗坏血酸钠(SA)对漂白牙本质的影响。

材料与方法

将100块冠状动脉内牛牙本质板分为5组:2个对照组——GI组未漂白(阳性),GII组用35%过氧化氢(HP)漂白(阴性);3个实验组——GIII组。按方案1使用35% HP + SA(滴加、冲洗并干燥溶液),GIV组。按方案2使用35% HP + SA(滴加并抽吸溶液),GV组。按方案3使用35% HP + SA(滴加、摩擦并抽吸溶液)。修复60个碎片并进行剪切粘结强度测试(n = 12)。制备40个碎片(n = 8)用于化学分析(能量色散X射线光谱法)和表面形态学分析(扫描电子显微镜)。数据采用方差分析和Tukey检验进行分析(P < 0.05)。

结果

GI组(3.169 ± 1.510a)的均值最高,与GIV组(2.752 ± 0.961a)和GV组(2.981 ± 1.185a)相似(P < 0.05)。GII组(1.472 ± 0.342b)的值较低,GIII组(2.037 ± 0.742ab)的值处于中间水平(P > 0.05)。用SA处理的组中氧浓度降低,表面呈现溶液的残留颗粒。

结论

10% SA溶液可恢复修复材料与漂白牙本质之间的粘结强度,特别是在使用了活性应用和抽吸方案的情况下。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/526e/5852931/d9e8118c523f/JCD-21-26-g004.jpg

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