Department of Restorative Dentistry, Araçatuba Dental School, UNESP-São Paulo State University, Araçatuba, SP, Brazil.
Department of Dental Materials and Prosthodontics, Araçatuba Dental School, UNESP-São Paulo State University, Araçatuba, SP, Brazil.
PLoS One. 2018 Nov 26;13(11):e0208024. doi: 10.1371/journal.pone.0208024. eCollection 2018.
The purpose of this study was to evaluate the bonding interface between a self-adhesive resin cement to in vitro eroded dentin. Seventy-two third molars were used and divided into two groups: sound dentin and in vitro eroded dentin. The in vitro erosion was performed following a demineralization protocol, in which the specimens were immersed in a demineralizing solution for 2 minutes per cycle and remineralizing solution for 10 minutes per cycle for 9 days. Both groups were submitted to four dentin surface treatments: control group (without any treatment), 2% chlorhexidine, 20% polyacrylic acid, and 0.1 M EDTA (n = 9). Blocks of resin-based composite were bonded with RelyX U200 self-adhesive resin cement applied on the pretreated dentin surfaces. The teeth were sectioned into beams (1mm2) and submitted to microtensile bond strength testing to evaluate the bond strength of self-adhesive resin cement to dentin after 24 hours and 8 months of immersion in artificial saliva. Three specimens of each group were longitudinally cut and evaluated using confocal laser scanning microscopy to analyze the dentin/cement interface. Eroded dentin showed higher bond strength values when compared to sound dentin for the 2% chlorhexidine group (p = 0.03), 24 hours after adhesion. When considering eroded dentin, the 0.1M EDTA group showed higher bond strength values with a statistically significant difference only for the control group (p = 0.002). After 8 months of storage, the present results showed that there was no statistically significant difference between the two substrates for all experimental groups (p>0.05). Analysis of the microscopy confocal showed different types of treatments performed on dentin generally increased tags formation when compared to the control group. The eroded dentin showed a significant increase in density and depth of resinous tags when compared to sound dentin. The storage of samples for 8 months seems to have not caused significant degradation of the adhesive interface.
本研究旨在评估自粘接树脂水门汀与体外酸蚀牙本质的粘结界面。共使用 72 颗第三磨牙,分为两组:正常牙本质和体外酸蚀牙本质。体外酸蚀采用脱矿液,每循环 2 分钟,矿化液每循环 10 分钟,共 9 天。两组均进行四种牙本质表面处理:对照组(不做任何处理)、2%洗必泰、20%聚丙烯酸、0.1M EDTA(n=9)。将树脂基复合材料块用 RelyX U200 自粘接树脂水门汀粘接在预处理后的牙本质表面。将牙齿切成小梁(1mm2),并进行微拉伸粘结强度测试,以评估自粘接树脂水门汀在人工唾液中 24 小时和 8 个月浸泡后的粘结强度。每组 3 个标本进行纵向切割,并用共聚焦激光扫描显微镜评估,以分析牙本质/粘结剂界面。与正常牙本质相比,24 小时后,2%洗必泰组酸蚀牙本质的粘结强度值更高(p=0.03)。考虑到酸蚀牙本质,只有对照组的 0.1M EDTA 组粘结强度值更高,差异有统计学意义(p=0.002)。8 个月储存后,目前的结果表明,所有实验组的两种基底之间没有统计学上的显著差异(p>0.05)。共聚焦显微镜分析显示,与对照组相比,牙本质上进行的各种处理通常会增加标记的形成。与正常牙本质相比,酸蚀牙本质的树脂标记密度和深度显著增加。样品储存 8 个月似乎没有对粘结界面造成明显的降解。