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使用新型通用粘结剂粘结在酸蚀和未酸蚀根管内牙本质上的纤维桩的推出粘结强度

Push-out Bond Strength of Fiber Posts Cemented Using New Universal Adhesives on Etched and Nonetched Intraradicular Dentin.

作者信息

Spicciarelli Valentina, Ounsi Hani F, Ferrari Marco, Corsentino Giacomo, Marruganti Crystal, Grandini Simone

机构信息

Department of Restorative Dentistry and Endodontics, Graduate School of Dental Medicine, University of Siena, Siena, Italy, Phone: +39 3200343081, e-mail:

Department of Restorative Dentistry and Endodontics, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon; Tuscan School of Dentistry, University of Siena, Siena, Italy.

出版信息

J Contemp Dent Pract. 2020 Jan 1;21(1):91-96.

Abstract

AIM

The aim of this study was to assess if the curing mode and the etching mode could affect the push-out bond strength of different post cementation systems using two universal adhesives.

MATERIALS AND METHODS

A total of 100 single-rooted teeth were divided into Prime & Bond Elect (PBE), Prime & Bond Active (PBA), and Prime & Bond XP (PBXP) as a control. The PBE, PBA, and PBXP were used in the self-etch (SE) and etch and rinse (E&R) mode. Post cementation was performed using Core X flow used in dark-cure and in light-cure. Data were analyzed using the one-way ANOVA test and Bonferroni and Dunnet tests. The Student's test was performed to find significance between two independent groups.

RESULTS

Bond strength was significantly influenced by the adhesive strategies. The PBE and PBA obtained higher values when used in the SE mode ( < 0.001). Light-cured groups obtained significantly higher values ( < 0.001) compared to dark-cured groups. The post space region also had a significant effect on the bond strength; the apical third recorded lower values in all groups ( < 0.001).

CONCLUSION

The PBA and PBE universal adhesives obtained higher PBS values when used in the SE mode and followed by the light-curing of resin cement.

CLINICAL SIGNIFICANCE

Universal adhesives represent a good alternative to the conventional total-etch adhesive system for fiber post cementation. Since they perform better in SE, they would be recommendable in clinical practice, as they can be used with a simplified technique.

摘要

目的

本研究旨在评估固化模式和酸蚀模式是否会影响使用两种通用型粘结剂的不同桩核粘结系统的推出粘结强度。

材料与方法

将100颗单根牙分为对照组,即全酸蚀粘结剂(PBE)、自酸蚀粘结剂(PBA)和自酸蚀粘结剂升级版(PBXP)。PBE、PBA和PBXP分别用于自酸蚀(SE)和酸蚀冲洗(E&R)模式。使用光固化和暗固化的Core X flow进行桩核粘结。数据采用单因素方差分析、Bonferroni检验和Dunnet检验进行分析。采用Student检验来确定两个独立组之间的显著性差异。

结果

粘结强度受粘结策略的显著影响。PBE和PBA在SE模式下使用时获得更高的值(P<0.001)。与暗固化组相比,光固化组获得的值显著更高(P<0.001)。桩道空间区域对粘结强度也有显著影响;所有组根尖三分之一处的值均较低(P<0.001)。

结论

PBA和PBE通用型粘结剂在SE模式下使用并随后进行树脂粘结剂光固化时获得更高的推出粘结强度值。

临床意义

通用型粘结剂是纤维桩粘结传统全酸蚀粘结系统的良好替代品。由于它们在SE模式下表现更好,因此在临床实践中值得推荐,因为它们可以采用简化技术使用。

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