Burrer Phoebe, Dang Hoang, Par Matej, Attin Thomas, Tauböck Tobias T
Clinic of Conservative and Preventive Dentistry, Center for Dental Medicine, University of Zurich, Plattenstrasse 11, 8032 Zurich, Switzerland.
Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Gunduliceva 5, 10000 Zagreb, Croatia.
Polymers (Basel). 2020 Dec 3;12(12):2902. doi: 10.3390/polym12122902.
This study investigated the effect of over-etching and prolonged application time of a universal adhesive on dentin bond strength. Ninety extracted human molars were ground to dentin and randomly allocated into nine groups (G1-9; = 10 per group), according to the following acid etching and adhesive application times. In the control group (G1), phosphoric acid etching was performed for 15 s followed by application of the universal adhesive Scotchbond Universal (3M) for 20 s, as per manufacturer's instructions. In groups G2-5, both the etching and adhesive application times were either halved, doubled, quadrupled, or increased eightfold. In groups G6-9, etching times remained the same as in G2-5 (7.5 s, 30 s, 60 s, and 120 s, respectively), but the adhesive application time was set at 20 s as in the control group (G1). Specimens were then restored with a nanofilled composite material and subjected to microtensile bond strength testing. Bond strength data were statistically analyzed by ANOVA and Tukey's post-hoc tests (α = 0.05). The relationship of bond strength with etching and adhesive application time was examined using linear regression analysis. Treatment of dentin with halved phosphoric acid etching and adhesive application times (G2) resulted in a significant bond strength decrease compared to the control group (G1) and all other test groups, including the group with halved acid etching, but 20 s of adhesive application time (G6). No significant differences in bond strength were found for groups with multiplied etching times and an adhesive application time of 20 s or more, when compared to the control group (G1). In conclusion, a universal adhesive application time of at least 20 s is recommended when bonding to over-etched dentin.
本研究调查了通用型粘结剂过度酸蚀和延长涂抹时间对牙本质粘结强度的影响。将90颗拔除的人磨牙磨至牙本质,并根据以下酸蚀和粘结剂涂抹时间随机分为9组(G1 - 9;每组n = 10)。在对照组(G1)中,按照制造商的说明,用磷酸酸蚀15秒,然后涂抹通用型粘结剂Scotchbond Universal(3M)20秒。在G2 - 5组中,酸蚀和粘结剂涂抹时间均减半、加倍、四倍或增加八倍。在G6 - 9组中,酸蚀时间与G2 - 5组相同(分别为7.5秒、30秒、60秒和120秒),但粘结剂涂抹时间设定为与对照组(G1)一样的20秒。然后用纳米填充复合材料修复标本,并进行微拉伸粘结强度测试。粘结强度数据通过方差分析和Tukey事后检验进行统计学分析(α = 0.05)。使用线性回归分析检查粘结强度与酸蚀和粘结剂涂抹时间的关系。与对照组(G1)以及所有其他测试组(包括酸蚀时间减半但粘结剂涂抹时间为20秒的组(G6))相比,磷酸酸蚀和粘结剂涂抹时间减半(G2)处理牙本质导致粘结强度显著降低。与对照组(G1)相比,酸蚀时间成倍增加且粘结剂涂抹时间为20秒或更长时间的组,粘结强度没有显著差异。总之,当粘结过度酸蚀的牙本质时,建议通用型粘结剂的涂抹时间至少为20秒。