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玻璃纤维桩适配性对其与牙根牙本质抗推出粘结强度的影响。

Effect of Glass Fiber Post Adaptation on Push-Out Bond Strength to Root Dentin.

作者信息

Freitas Thiago Lopes de, Vitti Rafael Pino, Miranda Milton Edson, Brandt William Cunha

机构信息

Department of Prosthodontics, School of Dentistry, SLMANDIC - Faculdade de Medicina e Odontologia São Leopoldo Mandic, Campinas, SP, Brazil.

Department of Operative Dentistry, School of Dentistry, FHO/UNIARARAS - Centro Universitário Hermínio Ometto, Araras, SP, Brazil.

出版信息

Braz Dent J. 2019 Jul 22;30(4):350-355. doi: 10.1590/0103-6440201902491.

Abstract

The aim of this study was to evaluate the effect of different glass fiber posts (GFPs) diameters on the push-out bond strength to dentin. Forty unirradicular human teeth were endodontically treated and used for cementation of GFPs (White Post DC, FGM) with different diameters (n=10): P1 - ø 1.6 mm coronal x 0.85 mm apical; P2 - ø 1.8 mm coronal x 1.05 mm apical; P5 - ø 1.4 mm coronal x 0.65 mm apical; and PC - customized post number 0.5 with composite resin (Tetric Ceram A2, Ivoclair Vivadent). All GFPs were cemented into the root canal using a dual-curing luting composite (Variolink II, Ivoclar Vivadent). One slice (1.7 mm) of each root third of cemented GFP (cervical, middle, and apical) was submitted to push-out testing. Failure modes of all specimens were classified as: adhesive failure between resin cement and post; adhesive failure between dentin and resin cement; cohesive failure within resin cement, post or dentin; and mixed failure. The data were analyzed with two-way ANOVA and Tukey's test (a=0.05). The highest bond strength values were presented for the P2 and PC groups. There was no statistically significant difference between the GFP thirds in each group. The groups P2, P5, and PC showed predominantly adhesive failure. For P1, the most prevalent type of failure was adhesive between resin cement and post. It may be concluded that a glass fiber post that is well adapted to the root canal presents higher bond strength values, regardless of GFP third.

摘要

本研究的目的是评估不同直径的玻璃纤维桩(GFP)对牙本质推出粘结强度的影响。选取40颗单根人牙进行根管治疗,用于粘结不同直径的GFP(White Post DC,FGM)(n = 10):P1 - 冠部直径1.6 mm×根尖部直径0.85 mm;P2 - 冠部直径1.8 mm×根尖部直径1.05 mm;P5 - 冠部直径1.4 mm×根尖部直径0.65 mm;以及PC - 定制的0.5号复合树脂桩(Tetric Ceram A2,Ivoclar Vivadent)。所有GFP均使用双固化粘结性复合树脂(Variolink II,Ivoclar Vivadent)粘结到根管内。对粘结GFP的每个牙根三分之一处(颈部、中部和根尖部)切取一片(1.7 mm)进行推出试验。所有标本的失效模式分为:树脂粘结剂与桩之间的粘结失效;牙本质与树脂粘结剂之间的粘结失效;树脂粘结剂、桩或牙本质内部的内聚失效;以及混合失效。数据采用双向方差分析和Tukey检验(α = 0.05)进行分析。P2组和PC组的粘结强度值最高。每组内GFP的三个部位之间无统计学显著差异。P2、P5和PC组主要表现为粘结失效。对于P1组,最常见的失效类型是树脂粘结剂与桩之间的粘结失效。可以得出结论,无论GFP位于牙根的哪个部位,与根管适配良好的玻璃纤维桩都具有更高的粘结强度值。

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