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延迟修复是否能提高不同修复方案与硅酸钙基水门汀之间的剪切粘结强度?

Does Delayed Restoration Improve Shear Bond Strength of Different Restorative Protocols to Calcium Silicate-Based Cements?

作者信息

Palma Paulo J, Marques Joana A, Falacho Rui I, Vinagre Alexandra, Santos João Miguel, Ramos João Carlos

机构信息

Department of Dentistry, Faculty of Medicine, University of Coimbra, 3000-075 Coimbra, Portugal.

出版信息

Materials (Basel). 2018 Nov 8;11(11):2216. doi: 10.3390/ma11112216.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1217/6265959/06ee5bb4747e/materials-11-02216-g001.jpg

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