Geriatric Dentistry and Special Patients Care program, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
Department of Operative Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
Gerodontology. 2021 Sep;38(3):259-266. doi: 10.1111/ger.12520. Epub 2020 Dec 22.
To compare the microshear bond strength (µSBS) and microleakage of glass-ionomer cements when bonded to aged and young dentin.
Glass-ionomer cement (GIC) is frequently used to restore root caries in elders. Many studies of GIC have been conducted using young dentin; however, few studies have assessed adhesion and microleakage of GICs to aged dentin.
Seventy-eight non-carious human molars (patient age 16-30 = 39; patient age ≥ 65 = 39) were tested with three GICs (Fuji II LC, Equia Forte Fil and Fuji BULK). For µSBS, teeth were horizontally sectioned, embedded in resin and three tubes attached to the sectioned surface. Materials were mixed and injected into the tubes, allowed to set and the tubes removed leaving the GIC cylinders. Specimens were stored in deionised water for 24 hours and tested in a universal testing machine. For microleakage, a buccocervical cavity was prepared, restored with GIC and stored in deionised water. The specimens were polished, coated with varnish, placed in 0.5% basic fuchsin for 24 hours, sectioned at the midpoint and evaluated for microleakage under a stereomicroscope and scanning electron microscope.
For µSBS, Fuji II LC showed the highest bond strength among three products. There was no significant difference between age groups. (P = .93) For microleakage, Fuji II LC had more dye penetration (P < .01) and there was significant difference between age groups.
After bonding of GICs, aged dentin showed no difference in µSBS but less microleakage when compared to young dentin.
比较玻璃离子水门汀在黏接老年和年轻牙本质时的微剪切粘结强度(µSBS)和微渗漏。
玻璃离子水门汀(GIC)常用于修复老年人的根面龋。许多关于 GIC 的研究都是使用年轻牙本质进行的;然而,很少有研究评估 GIC 对老年牙本质的黏接和微渗漏。
78 颗无龋人磨牙(患者年龄 16-30 岁=39 颗;患者年龄≥65 岁=39 颗)用三种 GIC(Fuji II LC、Equia Forte Fil 和 Fuji BULK)进行测试。对于µSBS,牙齿被水平切割,嵌入树脂中,并将三个管附着在切割表面上。将材料混合并注入管中,让其凝固,然后将管取下,留下 GIC 圆柱体。将样本在去离子水中储存 24 小时,然后在万能试验机上进行测试。对于微渗漏,在颊舌面制备一个腔,用 GIC 修复,然后在去离子水中储存。将样本抛光,涂覆清漆,在 0.5%碱性品红中放置 24 小时,在中点处进行切割,并在立体显微镜和扫描电子显微镜下评估微渗漏。
对于µSBS,Fuji II LC 在三种产品中显示出最高的粘结强度。年龄组之间没有显著差异。(P=0.93)对于微渗漏,Fuji II LC 的染料渗透更多(P<0.01),且年龄组之间有显著差异。
与年轻牙本质相比,GIC 黏接后,老年牙本质的µSBS 没有差异,但微渗漏较少。