MOST KLOS & KLOBM, School & Hospital of Stomatology, Wuhan University, Wuhan, China.
Eur Rev Med Pharmacol Sci. 2019 Sep;23(18):7722-7731. doi: 10.26355/eurrev_201909_18981.
Infiltration resins provide an ideal treatment alternative for white spot lesions on teeth. The icon infiltrant has been widely used as a dental material for a few years, but there are some studies on the in vitro accelerated aging process and the change of hardness and microstructure on this material. The innovation of this work is to aim at investigating characteristics associated with this infiltrant resin and comparing the Icon infiltrant with universal Filtek Z350 and flowable Filtek Z350 resins when exposed to artificial accelerated aging.
Materials were prepared as disc-shaped specimens sized to 12 mm × 2.2 mm and were aged through exposure to 150 kJ/m2 in an artificial accelerated aging machine. Two-time points, 24 h after aging and 96 h after aging, were selected for evaluation in the following trials. The morphology was observed using a scanning electron microscopy. The standard CIELab* color system was employed for color measurements. Microhardness of all specimens was analyzed by a Knoop indenter. Chemical components were examined by Fourier transform infrared spectroscopy.
Compared with universal Z350 and flowable Z350, the ICON infiltrant resin presented a uniform, slightly scratched surface before and after accelerated aging. The 24 h artificial accelerated aging of the three investigated materials resulted in acceptable color alterations, a ΔE* range of 2.52±0.63 for universal Z350, 2.43±0.59 for flowable Z350 and 3.31±0.32 for ICON. After 96 h aging, significant color changes were noted for universal Z350 (7.51±0.63) and ICON (4.70±0.69). The ICON infiltrant displayed reduced microhardness when compared to universal Z350 and flowable Z350. The absorption peaks of the chemical bonds were significantly altered after the accelerated aging process.
Composed in a triethylene glycol dimethacrylate (TEGDMA) monomer-based network, the color stability and microhardness of the infiltrant resin provided suitable material for treating white spot lesions (WSLs), yet presented susceptibility under accelerated aging. Thus, osmotic resin therapy has strict limitations to be most effective.
渗透树脂为牙齿白斑提供了理想的治疗选择。Icon 渗透剂作为一种牙科材料已经广泛应用了几年,但对其体外加速老化过程以及硬度和微观结构变化的研究较少。这项工作的创新之处在于研究与这种渗透树脂相关的特性,并在人工加速老化的情况下将 Icon 渗透剂与通用型 Filtek Z350 和流动性 Filtek Z350 树脂进行比较。
将材料制备成直径为 12mm×2.2mm 的圆盘状试件,并在人工加速老化机中暴露于 150kJ/m2 下进行老化。在以下试验中选择老化后 24 小时和 96 小时两个时间点进行评估。使用扫描电子显微镜观察形貌。采用标准的 CIELab*颜色系统进行颜色测量。使用 Knoop 压痕仪分析所有试件的显微硬度。采用傅里叶变换红外光谱法检测化学组成。
与通用型 Z350 和流动性 Z350 相比,ICON 渗透树脂在加速老化前后均呈现均匀、略有划痕的表面。三种被研究材料的 24 小时人工加速老化导致可接受的颜色变化,通用型 Z350 的ΔE*范围为 2.52±0.63,流动性 Z350 为 2.43±0.59,ICON 为 3.31±0.32。96 小时老化后,通用型 Z350(7.51±0.63)和 ICON(4.70±0.69)的颜色变化显著。与通用型 Z350 和流动性 Z350 相比,ICON 渗透剂的显微硬度降低。在加速老化过程后,化学结合键的吸收峰明显改变。
ICON 渗透树脂由三乙二醇二甲基丙烯酸酯(TEGDMA)单体基网络组成,其颜色稳定性和微硬度可为治疗白斑(WSLs)提供合适的材料,但在加速老化下易受影响。因此,渗透树脂疗法的有效性有严格的限制。