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填料和聚合物基体的折射率对牙科树脂复合材料半透明度和颜色匹配的影响。

The effect of refractive index of fillers and polymer matrix on translucency and color matching of dental resin composite.

作者信息

Oivanen Maija, Keulemans Filip, Garoushi Sufyan, Vallittu Pekka K, Lassila Lippo

机构信息

Department of Biomaterials Science and Turku Clinical Biomaterials Center -TCBC, Institute of Dentistry, University of Turku, Turku, Finland.

City of Turku Welfare Division, Oral Health Care, Turku, Finland.

出版信息

Biomater Investig Dent. 2021 Apr 1;8(1):48-53. doi: 10.1080/26415275.2021.1906879.

Abstract

OBJECTIVE

When restorative resin composites absorb light from the surrounding tooth structures, it creates a color-match, which is known as 'a chameleon effect'. In this study, series of co-monomer mixtures were prepared with an increasing refraction index (RI) and mixed with glass fillers. The aim of this study was to optimize the mismatch of RI of resin/fillers to create the chameleon effect.

MATERIALS AND METHODS

BisGMA/TEGDMA resins were prepared with seven different mix fractions from 20 to 80%. Two different series (A&B) of submicron (Ø 0.7 μm) silanized fillers (70 wt%) (A: Schott RI = 1.53, B: Esschem RI = 1.54) were mixed with resins (30 wt%). Disc-shaped specimens (1 mm thickness, Ø10 mm) for each composite combination ( = 3) were prepared and light cured for 20 s. Commercial resin composite (OmniChroma, Tokuyama Dental) was used as control. The translucency parameter (TP) was measured using a spectrophotometer. The color matching abilities of the experimental composites were visually analyzed. Data were statistically analyzed using ANOVA.

RESULTS

The composition of resin and type of fillers had a statistically significant effect on TP values ( < .05). The highest TP values were achieved around 50%-50% fractions of Bis-GMA and TEGDMA for series A and around 60%-40% fraction of Bis-GMA and TEGDMA for series B. Data showed that a high or low fraction of BisGMA resulted in a low translucent composite. Experimental resin composite (80% Bis-GMA) from series A was behaving similarly to Omnichroma in reference to TP values and color matching.

CONCLUSIONS

Including fillers with RI of 1.53 into BisGMA/TEGDMA resin with RI of 1.524 resulted in composite resin providing a good color match with surrounding structure 'chameleon effect'.

摘要

目的

当修复性树脂复合材料吸收周围牙齿结构的光线时,会产生颜色匹配,这被称为“变色龙效应”。在本研究中,制备了一系列具有递增折射率(RI)的共聚单体混合物,并与玻璃填料混合。本研究的目的是优化树脂/填料的RI不匹配以产生变色龙效应。

材料与方法

制备了七种不同混合比例(20%至80%)的双酚A缩水甘油醚/三乙二醇二甲基丙烯酸酯(BisGMA/TEGDMA)树脂。将两种不同系列(A和B)的亚微米级(Ø 0.7μm)硅烷化填料(70 wt%)(A:肖特RI = 1.53,B:埃施姆RI = 1.54)与树脂(30 wt%)混合。为每种复合材料组合制备盘状试样(厚度1mm,Ø10mm)(n = 3),并光固化20秒。使用市售树脂复合材料(全彩,德山齿科)作为对照。使用分光光度计测量透光率参数(TP)。对实验复合材料的颜色匹配能力进行视觉分析。数据采用方差分析进行统计学分析。

结果

树脂组成和填料类型对TP值有统计学显著影响(P <.05)。对于A系列,在双酚A缩水甘油醚(Bis-GMA)和三乙二醇二甲基丙烯酸酯(TEGDMA)约50%-50%的比例附近达到最高TP值,对于B系列,在Bis-GMA和TEGDMA约60%-40%的比例附近达到最高TP值。数据表明,BisGMA的高比例或低比例都会导致复合材料的透光率较低。A系列的实验树脂复合材料(80% Bis-GMA)在TP值和颜色匹配方面与全彩表现相似。

结论

将RI为1.53的填料加入RI为1.524的BisGMA/TEGDMA树脂中,可使复合树脂与周围结构产生良好的颜色匹配,即“变色龙效应”。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ed8/8018547/4d1126191b5b/IABO_A_1906879_F0001_C.jpg

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