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生物牛牙本质桩的研制与特性。

Development and characterization of biological bovine dentin posts.

机构信息

Analytical Laboratory of Restorative Biomaterials - LABiom-R, Universidade Federal Fluminense / Faculdade de Odontologia - Rua Mário Santos Braga, n° 30 - Campus Valonguinho, Centro CEP 24040-110, Niterói, RJ, Brazil.

Departamento de Dentística, Universidade Estadual de Ponta Grossa, Ponta Grossa, Paraná, Brazil.

出版信息

J Mech Behav Biomed Mater. 2019 Apr;92:197-205. doi: 10.1016/j.jmbbm.2019.01.018. Epub 2019 Jan 30.

Abstract

This study aimed at evaluating the use of biological dentin post (BDP), achieved by milling bovine root, through the analyses of mechanical and optical properties. BDPs were compared to a glass fiber post (GFP) in the following tests (n = 10): a) elastic modulus (E) and flexural resistance (σ) by three point bending test; b) fracture resistance (FR) by compressive load at 45° and failure pattern; c) light transmitting (LT) ability and their influence on the resin cement's degree of conversion (DC%); d) bond strength (BS) by push-out test and failure pattern. Bovine teeth were decoronated and root length was standardized at 14 mm. The canals were prepared and irrigated with 2.5% NaOCl. GFP's surface was conditioned by 1 min immersion in 24% HO solution before silanization. After root embedment, the root canal walls and the BDP's surface were hybridized (HPO 37% + self-cured adhesive) for FR and DC% analyses. Posts were fixed into the root canals using a conventional dual resin cement. For BS test, both posts were luted using the conventional and the self-adhesive cementation. A universal testing machine (EMIC DL2000; 1 mm/min) was employed for the mechanical tests (E, σ, FR and BS). For the LT analysis, opaque polyethylene discs were transfixed by the posts, leaving 10 mm of the posts' apical section for measurements. Posts' cervical portion was irradiated (800 mW/cm) and a spectrometer recorded the number of photons transmitted to previously chosen lateral post regions and at the apical tip. The resin cement DC% was evaluated in several sites of the cement film. After normal distribution were checked (Shapiro-Wilk test), data were submitted to ANOVA (5%) and Scheffe post-hoc test (5%). Results showed that: a) E: BDP > GFP; b) σ: BDP < GFP; c) RF: BDP < GFP; d) LT could not be observed for BDP. For GFPs, the greatest number of photons was observed at the post apical tip. An exponential decay was observed from the cervical to the apical post region; e) resin cement DC% was statistically similar at all points of measurements for both posts; and, f) BS: BDP = GFP, regardless the adhesive protocol used. It was concluded that: a) teeth restored with BDP exhibited lower fracture resistance than those restored with GFP; b) resin cement DC% was not influenced by the light transmitting ability of the post; c) the retention provided by the BDP was similar to the one provided by GFP, independently of the luting protocol.

摘要

本研究旨在通过三点弯曲试验分析机械性能和光学性能,评估通过铣削牛根制成的生物牙本质桩(BDP)的使用情况。将 BDP 与玻璃纤维桩(GFP)进行以下测试比较(n=10):a)弹性模量(E)和抗弯强度(σ);b)45°压缩负载下的断裂阻力(FR)和失效模式;c)透光率(LT)能力及其对树脂水泥的转化率(DC%)的影响;d)通过推出试验和失效模式评估的粘结强度(BS)。牛牙被截冠,根长标准化至 14mm。根管预备后,用 2.5%次氯酸钠冲洗。GFP 表面用 24% HO 溶液浸泡 1 分钟进行预处理,然后进行硅烷化处理。根管内植入后,对根管壁和 BDP 表面进行混合(HPO 37%+自固化胶),以进行 FR 和 DC%分析。使用传统的双树脂水泥将桩固定在根管内。对于 BS 测试,使用传统和自粘固剂分别对两个桩进行粘固。采用万能试验机(EMIC DL2000;1mm/min)进行机械性能测试(E、σ、FR 和 BS)。对于 LT 分析,不透光聚乙烯圆盘通过桩固定,留下 10mm 的桩根尖部分进行测量。将桩的颈部部分辐照(800mW/cm),分光光度计记录传送到先前选择的侧向桩区域和根尖尖端的光子数量。在水泥膜的几个部位评估树脂水泥的 DC%。检查正态分布(Shapiro-Wilk 检验)后,数据进行方差分析(5%)和 Scheffe 事后检验(5%)。结果表明:a)E:BDP>GFP;b)σ:BDP<GFP;c)RF:BDP<GFP;d)BDP 无法观察到 LT。对于 GFP,在桩根尖尖端观察到的光子数量最多。从颈部到根尖桩区域观察到指数衰减;e)对于两种桩,在所有测量点的树脂水泥 DC%均具有统计学上的相似性;f)BS:BDP=GFP,无论使用哪种粘固剂方案。结论是:a)用 BDP 修复的牙齿的断裂阻力低于用 GFP 修复的牙齿;b)光传输能力不影响树脂水泥的 DC%;c)BDP 提供的保留力与 GFP 相似,与粘固剂方案无关。

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