Palma Paulo J, Marques Joana A, Falacho Rui I, Vinagre Alexandra, Santos João Miguel, Ramos João Carlos
Department of Dentistry, Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal.
Materials (Basel). 2018 Nov 8;11(11):2216. doi: 10.3390/ma11112216.
The purpose of the present study was to assess the proper time to perform a restoration (immediately or delayed) after placement of two calcium silicate-based cements (CSCs) and to test the performance of two different restorative protocols regarding shear bond strength (SBS). Seventy-five acrylic blocks were randomly divided into five groups ( = 15). Specimens were filled with either ProRoot MTA (Dentsply Tulsa Dental) or Biodentine (Septodont). The restoration was performed at an immediate (12 min) or delayed (seven days) timeframe, using a resin-based flowable composite (SDR) (bonded to the CSC using a universal bonding system) or glass ionomer cement (GIC) as restorative materials. SBS was measured using a universal testing machine. Fractured surfaces were evaluated, and the pattern was registered. Statistical analysis was performed using the Dunn⁻Sidak post hoc test ( < 0.05). Biodentine/immediate SDR showed the highest mean SBS value (4.44 MPa), with statistically significant differences when compared to mineral trioxide aggregate (MTA)/GIC (1.14 MPa) and MTA/immediate SDR (1.33 MPa). MTA/GIC and MTA/immediate SDR did not present significant differences regarding SBS. No statistical differences were verified concerning mean SBS between both CSCs within the 7 day groups. MTA/delayed SDR (3.86 MPa) presented statistical differences compared to MTA/immediate SDR, whereas no differences were observed regarding Biodentine performance (Biodentine/immediate SDR and Biodentine/delayed SDR (3.09 MPa)). Bonding procedures directly on top of MTA might be preferably performed at a delayed timeframe, whereas Biodentine might allow for immediate restoration.
本研究的目的是评估在放置两种硅酸钙基水门汀(CSCs)后进行修复(即刻或延迟)的合适时间,并测试两种不同修复方案在剪切粘结强度(SBS)方面的性能。将75个丙烯酸树脂块随机分为五组(每组n = 15)。样本分别用ProRoot MTA(登士柏 Tulsa Dental)或BioDentine(Septodont)填充。在即刻(12分钟)或延迟(7天)的时间框架内进行修复,使用树脂基可流动复合树脂(SDR)(使用通用粘结系统粘结到CSC上)或玻璃离子水门汀(GIC)作为修复材料。使用万能试验机测量SBS。对断裂表面进行评估,并记录断裂模式。采用Dunn-Sidak事后检验进行统计分析(P < 0.05)。BioDentine/即刻SDR显示出最高的平均SBS值(4.44 MPa),与三氧化矿物凝聚体(MTA)/GIC(1.14 MPa)和MTA/即刻SDR(1.33 MPa)相比,具有统计学显著差异。MTA/GIC和MTA/即刻SDR在SBS方面没有显著差异。在7天组内,两种CSCs之间的平均SBS未发现统计学差异。MTA/延迟SDR(3.86 MPa)与MTA/即刻SDR相比有统计学差异,而BioDentine的性能(BioDentine/即刻SDR和BioDentine/延迟SDR(3.09 MPa))未观察到差异。直接在MTA之上进行粘结程序可能最好在延迟的时间框架内进行,而BioDentine可能允许即刻修复。