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评价抛光系统对牙科复合树脂表面粗糙度和形貌的影响。

Evaluation of the effects of polishing systems on surface roughness and morphology of dental composite resin.

机构信息

Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, London, UK.

出版信息

Br Dent J. 2020 Apr;228(7):527-532. doi: 10.1038/s41415-020-1370-8.

Abstract

Objectives The aim of this in vitro study was to evaluate the effects of five different two-step diamond impregnated polishing systems (Sof-Lex Spiral, Venus Supra, Komet Spiral, CompoMaster and Shapeguard) on the surface roughness and morphology of a submicron hybrid composite resin material (Brilliant Everglow).Materials and methods Two-hundred composite resin discs were prepared with 180 SiC paper to produce a uniform baseline surface. The samples were randomly assigned to one of five groups and polishing was completed by one operator. The arithmetic mean surface roughness (Ra) was measured using contact profilometry and the surfaces were examined under an SEM.Results Statistical differences (p <0.05) were identified between the surface roughness remaining after use of the polishers. Diatech Shapeguard (0.22 μm, SD 0.08) and Komet Spiral (0.26 μm, SD 0.09) polishers yielded the lowest Ra values, while the CompoMaster polishing system led to the highest surface roughness values (0.55 μm, SD 0.19).Conclusions Within the limits of this in vitro study of the efficacy of diamond impregnated two-step polishing systems, Diatech Shapeguard and Komet Spiral polishing systems produced the lowest surface roughness values. These polishing systems yielded acceptable surface roughness values with regards to oral health and patient comfort.Clinical relevance Similarly designed polishing systems do not produce comparable surface roughness levels and clinicians should be aware of this when considering polishing protocols for composite restorations.

摘要

目的 本体外研究旨在评估五种不同两步式金刚石渗透抛光系统( Sof-Lex Spiral 、 Venus Supra 、 Komet Spiral 、 CompoMaster 和 Shapeguard )对亚微米混合复合材料( Brilliant Everglow )表面粗糙度和形貌的影响。

材料与方法 用 180SiC 砂纸制备 200 个复合树脂盘,以产生均匀的基线表面。将样本随机分为五组之一,并由一名操作员完成抛光。使用接触式轮廓仪测量算术平均表面粗糙度(Ra),并用 SEM 检查表面。

结果 五种抛光器使用后剩余表面粗糙度之间存在统计学差异(p<0.05)。Diatech Shapeguard(0.22μm,SD0.08)和 Komet Spiral(0.26μm,SD0.09)抛光器产生的 Ra 值最低,而 CompoMaster 抛光系统导致最高的表面粗糙度值(0.55μm,SD0.19)。

结论 在这项评估两步式金刚石渗透抛光系统功效的体外研究中,Diatech Shapeguard 和 Komet Spiral 抛光系统产生的表面粗糙度最低。这些抛光系统产生的表面粗糙度值可接受,有利于口腔健康和患者舒适度。

临床意义 具有类似设计的抛光系统不会产生可比的表面粗糙度水平,临床医生在考虑复合修复体的抛光方案时应注意这一点。

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