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通用粘结剂系统对现实生活中龋齿周围牙釉质的粘结。

Bonding of universal adhesive system to enamel surrounding real-life carious cavities.

机构信息

Centro Universitário da Serra Gaúcha - FSG, School of Dentistry, Caxias do Sul, RS, Brazil.

Universidade Federal do Rio Grande do Sul, Department of Surgery and Orthopedics, Porto Alegre, RS, Brazil.

出版信息

Braz Oral Res. 2019 May 27;33:e038. doi: 10.1590/1807-3107bor-2019.vol33.0038.

Abstract

This study aimed to evaluate the bond strength of a universal adhesive system to enamel surrounding real-life carious cavities. Twenty-eight permanent molars (n = 7) with carious lesions in dentin were subjected to selective carious tissue removal to firm dentin and had their crowns sectioned longitudinally. A universal adhesive system (Single Bond Universal [SBU] used in either etch-and-rinse and self-etch strategies) was compared with an etch-and-rinse Adper Single Bond 2 (ASB) and a self-etch Clearfil SE Bond (CSE) adhesive systems (control systems). Adhesives were applied on the enamel, assumed demineralized, surrounding the cavity margins and on sound enamel (control substrate). Composite cylinders were built (0.72 mm2) and microshear bond strength (µSBS) test was performed after 24 h of water storage. The µSBS values (MPa) were analyzed using two-way ANOVA and Tukey's post hoc tests (α = 0.05). Bond strength values obtained in demineralized enamel surrounding carious cavity margins were significantly lower than that obtained in sound enamel (distant from carious cavity margins) (p = 0.035). The bonding strategy of the SBU did not influenced the bond strength values, which were higher than that obtained with ASB. CSE showed similar µSBS values to ASB and SBU in the self-etch mode. In conclusion, the bond strength to enamel assumed demineralized is lower than to sound enamel. The enamel surrounding carious cavities jeopardize the bonding of universal adhesive system. The bond strength of universal adhesive is similar, regardless to bonding strategy.

摘要

本研究旨在评估通用粘结剂系统在真实龋损窝洞周围牙釉质的粘结强度。28 颗(n = 7)有牙本质龋损的恒牙进行选择性龋坏组织去除,以保留健康牙本质,并将牙冠沿纵向劈开。将通用粘结剂系统(Single Bond Universal [SBU],采用酸蚀-冲洗和自酸蚀两种粘结策略)与酸蚀-冲洗粘结剂 Adper Single Bond 2(ASB)和自酸蚀 Clearfil SE Bond(CSE)粘结系统(对照组)进行比较。粘结剂分别应用于窝洞边缘周围假定脱矿的牙釉质和健康牙釉质(对照基底)。构建复合圆柱体(0.72mm2),在水储存 24 小时后进行微剪切粘结强度(µSBS)测试。使用双因素方差分析和 Tukey 事后检验(α = 0.05)分析 µSBS 值(MPa)。在龋损窝洞边缘周围假定脱矿的牙釉质中获得的粘结强度值明显低于在健康牙釉质(远离龋损窝洞边缘)中获得的粘结强度值(p = 0.035)。SBU 的粘结策略并未影响粘结强度值,其值高于 ASB。在自酸蚀模式下,CSE 与 ASB 和 SBU 具有相似的µSBS 值。总之,假定脱矿的牙釉质的粘结强度低于健康牙釉质。龋损窝洞周围的牙釉质会损害通用粘结剂系统的粘结性能。通用粘结剂的粘结强度相似,与粘结策略无关。

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