J Adhes Dent. 2018;20(6):541-547. doi: 10.3290/j.jad.a41631.
To evaluate the effect of a polymerization accelerator on the microtensile bond strength (µTBS) of etch-and-rinse and self-etch adhesives to eugenol-contaminated dentin.
Sixty flat dentin surfaces were prepared from human molars. Half of the specimens were restored with zinc oxide eugenol temporary cement (IRM) (eugenol-contaminated group) and the other half remained without restoration (control group). After 24-h storage, the cement was mechanically removed. Then the specimens in each group were further divided into three subgroups based on the application procedure of a polymerization accelerator (p-toluenesulfinic acid sodium salt; Accel): no application, 10-s application, or 30-s application. After air drying, the dentin surfaces were bonded with either a three-step etch-and-rinse adhesive (OptiBond FL) or a two-step self-etch adhesive (Clearfil SE Bond) and restored with composite. After 24-h water storage, the bonded specimens were subjected to the µTBS test. Data were analyzed by three-way ANOVA and Dunnett's T3 test (p < 0.05).
The eugenol-contaminated groups had significantly lower µTBS than the control groups with both types of adhesives (p < 0.05), and the application of Accel significantly increased the compromised µTBS to eugenol-contaminated dentin. Optibond FL presented significantly higher µTBS to eugenol-contaminated dentin than did Clearfil SE Bond (p < 0.05).
The application of a polymerization accelerator on eugenol-contaminated dentin prior to adhesive resin application increased the μTBS of both the three-step etch-and-rinse and two-step self-etch adhesive.
评估聚合促进剂对受丁香酚污染牙本质的酸蚀-冲洗型和自酸蚀型粘结剂的微拉伸粘结强度(µTBS)的影响。
从人磨牙制备 60 个平面牙本质表面。一半的标本用氧化锌丁香酚临时粘结剂(IRM)(受丁香酚污染组)修复,另一半标本不修复(对照组)。24 小时储存后,用机械方法去除粘结剂。然后,每组标本再根据聚合促进剂(对甲苯亚磺酸纳盐水;Accel)的应用程序进一步分为三个亚组:不应用、10 秒应用或 30 秒应用。空气干燥后,用三步酸蚀-冲洗粘结剂(OptiBond FL)或两步自酸蚀粘结剂(Clearfil SE Bond)处理牙本质表面,并复合修复。24 小时水储存后,对粘结标本进行微拉伸粘结强度测试。数据采用三因素方差分析和 Dunnett's T3 检验(p < 0.05)进行分析。
受丁香酚污染的两组与两种类型的粘结剂相比,µTBS 明显降低(p < 0.05),应用 Accel 显著增加了受丁香酚污染牙本质的粘结强度。Optibond FL 对受丁香酚污染牙本质的µTBS明显高于 Clearfil SE Bond(p < 0.05)。
在应用粘结树脂之前,将聚合促进剂应用于受丁香酚污染的牙本质上,可提高三步酸蚀-冲洗型和两步自酸蚀型粘结剂的µTBS。