Keshvad Mohammad A, Hooshmand Tabassom, Behroozibakhsh Marjan, Davaei Sotoodeh
Department of Orthodontics, Tehran University of Medical Sciences, Tehran, Iran.
Department of Dental Biomaterials, Tehran University of Medical Sciences, Tehran, Iran.
J Investig Clin Dent. 2019 Aug;10(3):e12414. doi: 10.1111/jicd.12414. Epub 2019 Apr 5.
The aim of the present study was to investigate the effect of different dentin pretreatments on the interfacial fracture toughness of a self-adhesive flowable composite to dentin compared with that of a conventional flowable composite.
Caries-free human molars were sectioned to expose the underlying dentin and were randomly divided into seven groups (N = 12) of dentin pretreatments bonded to a self-adhesive flowable composite (Vetise Flow, VF) or a conventional flowable composite (Clearfil Magesty Flow, CM). For VF; Control group (group C-VF), there was no pretreatment, self-etching primer (SP), oxalate dentin desensitizer (OX), and chlorhexidine gluconate (CH) were used. For CM; SP (group SP-CM), OX followed by SP (OX-CM), and CH followed by SP (CH-CM) were used. The interfacial fracture toughness was measured using a universal testing machine. Data were analyzed by Kruskal-Wallis test and analysis of variance.
For VF, the fracture toughness of SP-VF was significantly higher than that of other groups. For CM, a significantly higher fracture toughness for SP-CM than that of OX-CM was found. For all dentin pretreatments, the fracture toughness values were significantly higher for CM compared with the VF.
The self-adhesive flowable composite had reduced bonding efficacy to dentin compared with that of the conventional flowable composite, regardless of the type of dentin pretreatment.
本研究旨在调查与传统可流动复合树脂相比,不同牙本质预处理对自粘性可流动复合树脂与牙本质间界面断裂韧性的影响。
将无龋的人类磨牙切片以暴露其下方的牙本质,并随机分为七组(每组n = 12),分别采用不同的牙本质预处理方法,然后粘结自粘性可流动复合树脂(Vetise Flow,VF)或传统可流动复合树脂(Clearfil Magesty Flow,CM)。对于VF组,对照组(C-VF组)不进行预处理,其余组分别使用自酸蚀底漆(SP)、草酸盐牙本质脱敏剂(OX)和葡萄糖酸氯己定(CH)。对于CM组,分别使用SP(SP-CM组)、先使用OX再使用SP(OX-CM组)以及先使用CH再使用SP(CH-CM组)。使用万能试验机测量界面断裂韧性。数据采用Kruskal-Wallis检验和方差分析进行分析。
对于VF组,SP-VF组的断裂韧性显著高于其他组。对于CM组,发现SP-CM组的断裂韧性显著高于OX-CM组。对于所有牙本质预处理,CM组的断裂韧性值均显著高于VF组。
无论牙本质预处理的类型如何,自粘性可流动复合树脂与传统可流动复合树脂相比,对牙本质的粘结效果均有所降低。