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使用实验性的氧化锆氧氮化蚀刻剂对牙本质进行粘结。

Bonding to dentin using an experimental zirconium oxynitrate etchant.

机构信息

Department of Biomedical and Neuromotor Sciences, DIBINEM, University of Bologna - Alma Mater Studiorum, Via San Vitale 59, 40125, Bologna, Italy.

Department of Endodontics, The Dental College of Georgia, Augusta University, 1430 John Wesley Gilbert Drive, Augusta, GA, 30912, USA.

出版信息

J Dent. 2021 May;108:103641. doi: 10.1016/j.jdent.2021.103641. Epub 2021 Mar 20.

Abstract

OBJECTIVE

To investigate, by means of microtensile bond strength test (μTBS), nanoleakage expression analysis (NL), gelatin zymography and in situ zymography, the effects of an experimental metal salt-based zirconium oxynitrate etchant [ZrO(NO),] - ZON with two simplified adhesives on long-term bond strength and endogenous enzymatic activities.

METHODS

Middle/deep coronal dentin surfaces (N = 32) were conditioned either with a traditional 37 % HPO etchant (TE) or with ZON. Further, a single-component etch-and-rinse adhesive (EF) or a universal adhesive (AU) were applied and μTBS and NL tests were performed. Additional freshly extracted teeth were processed for gelatin zymography and in situ zymography evaluation. The tests were performed at baseline and (T0) and after 1-year-aging (T12). Bond strength and in situ zymography results were analyzed using analysis of variance (ANOVA) (three-way and one-way, respectively), while Chi-squared test was used for the NL results. Statistical significance was preset at α = 0.05.

RESULTS

All the investigated factors (adhesive system, dentin conditioner and aging) significantly influenced μTBS, with the AU and ZON performing better compared to EF and TE, respectively, and with lower bond strength values after aging (p < 0.05). Incremented silver nitrate deposits were observed at the adhesive interfaces after aging, especially for the TE groups (p < 0.05). Further, the experimental groups treated with ZON had significantly lower levels of enzymatic activity compared to TE, as shown by gelatin and in situ zymography (p < 0.05).

CONCLUSIONS

The experimental etchant demonstrated promising results in hybrid-layer preservation over time when used with simplified bonding systems, and could therefore be recommended in the clinical practice.

摘要

目的

通过微拉伸结合强度测试(μTBS)、纳米渗漏表达分析(NL)、明胶酶谱和原位酶谱,研究一种实验性金属盐基氧化锆氧氮化物蚀刻剂[ZrO(NO)]-ZON 与两种简化粘结剂对长期粘结强度和内源性酶活性的影响。

方法

将中/深冠部牙本质表面(N=32)用传统的 37% HPO 蚀刻剂(TE)或 ZON 处理。然后,应用单组分酸蚀-冲洗粘结剂(EF)或通用粘结剂(AU),并进行μTBS 和 NL 测试。另外,新鲜提取的牙齿用于明胶酶谱和原位酶谱评估。在基线和(T0)以及 1 年老化后(T12)进行测试。使用方差分析(ANOVA)分别分析粘结强度和原位酶谱结果(三向和单向),而 NL 结果使用卡方检验。统计显著性预设为α=0.05。

结果

所有研究因素(粘结系统、牙本质处理剂和老化)均显著影响μTBS,AU 和 ZON 与 EF 和 TE 相比表现更好,老化后粘结强度值降低(p<0.05)。老化后,特别是 TE 组,在粘结界面观察到硝酸银沉积物增加(p<0.05)。此外,用 ZON 处理的实验组与 TE 相比,酶活性水平显著降低,明胶和原位酶谱显示(p<0.05)。

结论

实验性蚀刻剂与简化粘结系统一起使用时,在长时间内对混合层保持具有有前景的结果,因此可以在临床实践中推荐使用。

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