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陶瓷贴面厚度对含替代光引发剂的树脂水门汀颜色稳定性和粘结强度的影响。

Effect of Thickness of Ceramic Veneers on Color Stability and Bond Strength of Resin Luting Cements Containing Alternative Photoinitiators.

出版信息

J Adhes Dent. 2019;21(1):67-76. doi: 10.3290/j.jad.a41997.

DOI:10.3290/j.jad.a41997
PMID:30799473
Abstract

PURPOSE

To evaluate the light transmittance of ceramic veneers of different thicknesses and verify their influence on the degree of conversion, color stability, and dentin bond strength of light-curing resin cements containing different photoinitiator systems.

MATERIALS AND METHODS

Experimental resin cements were fabricated containing camphorquinone and amine (CQ-amine), TPO, Ivocerin (IVO), or TPO and Ivocerin (TPO-IVO). All photoinitiators were characterized by UV-Vis spectrophotometry. Disk-shaped lithium disilicate ceramic specimens that were 0.4, 0.7, and 1.5 mm in thickness were prepared using IPS e.max Press (Ivoclar Vivadent, shade LT/A2). Light transmittance through each specimen was measured using spectrophotometry. Specimens of each cement (n = 10) were made in a custom-designed mold and were light cured through each glass-ceramic disk using a multiwave LED (Bluephase G2, Ivoclar Vivadent). CS was evaluated using spectrophotometry before and after artificial aging with UV light. DC was evaluated using FTIR-spectroscopy. Dentin µSBS was evaluated using 0.75-mm-thick specimens that were light cured under the same protocol (n = 10). All data were submitted to two-way ANOVA and Tukey's test (α = 0.05; β = 0.2).

RESULTS

CQ-amine cements showed the highest color changes (p < 0.05) due to increased yellowing when compared to the amine-free cements (p < 0.05). However, all cements showed a significant color change after aging when cured through ceramics up to 1.5 mm thick (p < 0.05). The TPO-IVO cement showed the highest DC and the IVO cement showed a similar DC when compared to the CQ-amine cement. The TPO cement presented the lowest DC (p = 0.0377). No differences in mean dentin µSBS were found among the cements, except for the TPO cement, which presented a lower mean dentin µSBS (p = 0.0277).

CONCLUSION

Amine-free cements containing Ivocerin and TPO seem to be a better alternative to CQ-amine cements, while not reducing either DC or dentin µSBS of amine-free cements. However, CQ-amine and amine-free cements still seem to change color over time.

摘要

目的

评估不同厚度的陶瓷贴面的透光率,并验证其对不同光引发剂系统的光固化树脂水门汀的转化率、颜色稳定性和牙本质粘结强度的影响。

材料与方法

制备含有樟脑醌和胺(CQ-胺)、TPO、Ivocerin(IVO)或 TPO 和 Ivocerin(TPO-IVO)的实验性树脂水门汀。所有光引发剂均通过紫外可见分光光度法进行表征。使用 IPS e.max Press(Ivoclar Vivadent,LT/A2 色调)制备厚度为 0.4、0.7 和 1.5 毫米的锂二硅陶瓷试件。使用分光光度计测量每个试件的透光率。将每种水门汀(n = 10)的试件在定制模具中制成,并通过多波 LED(Ivoclar Vivadent 的 Bluephase G2)穿过每个玻璃陶瓷盘进行光固化。使用分光光度计在人工老化后(紫外线照射)评估 CS。使用傅里叶变换红外光谱法(FTIR)评估 DC。使用 0.75 毫米厚的试件在相同方案下光固化,评估牙本质 μSBS(n = 10)。所有数据均进行双向方差分析和 Tukey 检验(α = 0.05;β = 0.2)。

结果

与不含胺的水门汀相比,CQ-胺水门汀由于泛黄而表现出最高的颜色变化(p < 0.05)。然而,所有水门汀在通过厚度达 1.5 毫米的陶瓷光固化后均显示出显著的颜色变化(p < 0.05)。与 CQ-胺水门汀相比,TPO-IVO 水门汀显示出最高的 DC,而 Ivocerin 水门汀显示出相似的 DC。TPO 水门汀显示出最低的 DC(p = 0.0377)。除 TPO 水门汀外,各组水门汀的牙本质 μSBS 均值无差异,而 TPO 水门汀的牙本质 μSBS 均值较低(p = 0.0277)。

结论

含有 Ivocerin 和 TPO 的不含胺的水门汀似乎是 CQ-胺水门汀的更好选择,同时不会降低不含胺的水门汀的 DC 或牙本质 μSBS。然而,CQ-胺和不含胺的水门汀似乎仍会随时间变色。

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