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[使用通用粘结剂粘结牙本质对成人恒牙和青少年恒牙不同时长的粘结强度评估的影响]

[Effects of bond strength evaluation on different durations of adult permanent teeth and youth permanent teeth by using universal adhesives to dentin].

作者信息

Sun Yuan, Liu He, Sun Zhi-Hui

机构信息

Dept. of Pediatric Dentistry, Peking University School and Hospital of Stomatology, Beijing 100081, China.

Dental Materials Research Laboratory, Peking University School and Hospital of Stomatology, Beijing 100081, China.

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2018 Oct 1;36(5):482-487. doi: 10.7518/hxkq.2018.05.004.

Abstract

OBJECTIVE

To compare the dentin bonding strength evaluation between adult permanent teeth and youth permanent teeth after treatment for different durations by universal adhesives.

METHODS

Ten adult permanent teeth and ten youth permanent teeth were selected for this study. The occlusal enamel layer was removed, and each tooth was cut into three pieces along the long axis. In total, 30 pieces of adult and youth teeth were prepared. The adult and youth teeth pieces were randomly divided into three groups and treated by universal adhesives for 10, 20, and 30 s. In this study, Scotchbond Universal (SBU) was selected as the universal adhesive. Slabs were treated by dual-cure resin cements. The specimens were tested by microshear strength test through a universal testing machine. Fracture modes were observed by a stereomicroscope. Other adult teeth and youth teeth were selected, two for each type, and treated and grouped in the same manner. Fluorescein (0.1% Rhodamine B) was dissolved in SBU adhesive, and the specimens were treated by the adhesives for 10, 20, and 30 s. Micromorphology of the resin protrusions on the adhesive surface was observed by laser confocal microscopy (CLSM).

RESULTS

For the adult teeth, the highest micro-shear bonding strength was observed in the 20 and 30 s groups, and the values were higher than that of the 10 s group (P<0.05). For the youth teeth, the highest micro-shear bonding strength was observed in the 10 and 20 s groups, and the values were higher than that of the 30 s group (P<0.05). The micro-shear bonding strength in the 10 s youth teeth group was higher than that of the 10 s adult teeth (P<0.05) and was same as the adult teeth treated for 20 s (recommendation time of material instructions) (P>0.05). The main break patterns in different groups comprised adhesive failure fractures and several mixed failure fractures. No resin fracture mode was observed. CLSM revealed very few short resin protrusions in 10 s adult teeth group, whereas the number and length of resin protrusions significantly increased in the 20 s adult teeth group. The resin protrusions of the 30 s group were shorter than those of the 20 s adult teeth group. In different durations, the bonding interface in different youth teeth groups presented the same trend of change as the adult teeth. However, the number and length of resin protrusions in the 10 s group of youth teeth were all higher than those of the 10 s adult teeth group.

CONCLUSIONS

In clinical practice, the bonding agent treatment duration shall be shortened appropriately for youth permanent teeth, and that for adult permanent teeth shall not be shortened to less than 20 s. On the whole, the bond strength of youth permanent teeth can achieve no significant difference with the adult permanent teeth.

摘要

目的

比较通用型粘结剂对成人恒牙和青少年恒牙治疗不同时长后的牙本质粘结强度评估。

方法

本研究选取10颗成人恒牙和10颗青少年恒牙。去除咬合面釉质层,沿长轴将每颗牙齿切成3片。共制备30片成人牙和青少年牙样本。将成人牙和青少年牙样本随机分为三组,分别用通用型粘结剂处理10、20和30秒。本研究选用Scotchbond Universal(SBU)作为通用型粘结剂。用双固化树脂水门汀处理样本。通过万能试验机进行微剪切强度测试。用体视显微镜观察断裂模式。另外选取成人牙和青少年牙各两颗,以相同方式处理和分组。将荧光素(0.1%罗丹明B)溶解于SBU粘结剂中,对样本分别用粘结剂处理10、20和30秒。用激光共聚焦显微镜(CLSM)观察粘结剂表面树脂突的微观形态。

结果

对于成人牙,20秒和30秒组的微剪切粘结强度最高,其值高于10秒组(P<0.05)。对于青少年牙,10秒和20秒组的微剪切粘结强度最高,其值高于30秒组(P<0.05)。青少年牙10秒组的微剪切粘结强度高于成人牙10秒组(P<0.05),且与成人牙处理20秒(材料说明书推荐时间)时相同(P>0.05)。不同组的主要断裂模式包括粘结剂断裂和几种混合断裂。未观察到树脂断裂模式。CLSM显示成人牙10秒组树脂突短且数量少,而成人牙20秒组树脂突数量和长度显著增加。30秒组的树脂突比成人牙20秒组的短。在不同时长下,青少年牙不同组的粘结界面变化趋势与成人牙相同。然而,青少年牙10秒组的树脂突数量和长度均高于成人牙10秒组。

结论

在临床实践中,青少年恒牙粘结剂处理时长应适当缩短,成人恒牙粘结剂处理时长不应缩短至少于20秒。总体而言,青少年恒牙的粘结强度与成人恒牙无显著差异。

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