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三种硅酸钙基牙髓盖髓材料的化学物理和力学评价

Chemico-physical and mechanical evaluation of three calcium silicate-based pulp capping materials.

作者信息

Al-Sherbiny Inas M, Farid Mona H, Abu-Seida Ashraf M, Motawea Inas T, Bastawy Hagar A

机构信息

Dental Biomaterials Department, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt.

Oral Biology Department, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt.

出版信息

Saudi Dent J. 2021 May;33(4):207-214. doi: 10.1016/j.sdentj.2020.02.001. Epub 2020 Feb 17.

Abstract

AIM

This study compared biointeractivity (pH of soaking water and calcium ions), porosity, water sorption, solubility, compressive strength, lap shear strength, as well as the apatite forming ability of three calcium silicate-based capping materials: Mineral trioxide aggregate (MTA), Biodentine (BD) and Tech Biosealer capping (BS).

METHODS

One hundred and five discs of the tested materials were prepared in compliance with the manufacturer's instructions. The materials' pastes were placed in Teflon molds and allowed to set before testing. The pH and Ca ions were measured by a potentiometric method. Porosity, water sorption, and solubility were calculated through the measurement of initial mass, mass, saturated mass and dry mass. Apatite forming ability was measured by an Environmental Scanning Electron Microscope that was connected to a secondary electron detector for energy dispersive X-ray analysis. Meanwhile compressive strength was measured by a computer controlled universal testing machine. Lap shear strength was measured by computer software on the testing machine. All data were statistically analyzed.

RESULTS

The tested materials showed Ca ions release and alkalization, which decreased with soaking time. The BD exhibited a very high Ca release at both short (3 h) and long times (28 days). Significant high values of open and apparent porosities, water sorption, and solubility were measured for BS, which was followed by the MTA then BD ( < .05). The BD had significant higher compressive and lap shear bond strength than the MTA and BS ( < .05).

CONCLUSION

MTA, BD and BS are biointeractive bioactive materials that possess the ability to release ions and form calcium phosphate deposits. Unlike BD, BS is incapable of alternating MTA in pulp capping due to its high porosities, water sorption and solubility, as well as poor compressive and lap shear bond strength.

摘要

目的

本研究比较了三种硅酸钙基盖髓材料的生物活性(浸泡液pH值和钙离子含量)、孔隙率、吸水性、溶解性、抗压强度、搭接剪切强度以及磷灰石形成能力,这三种材料分别是矿物三氧化物凝聚体(MTA)、生物陶瓷(BD)和技术生物封闭剂盖髓材料(BS)。

方法

按照制造商的说明制备了105个测试材料圆盘。将材料糊剂置于聚四氟乙烯模具中,在测试前使其凝固。采用电位滴定法测量pH值和钙离子含量。通过测量初始质量、质量、饱和质量和干质量来计算孔隙率、吸水性和溶解性。通过连接有用于能量色散X射线分析的二次电子探测器的环境扫描电子显微镜测量磷灰石形成能力。同时,通过计算机控制的万能试验机测量抗压强度。通过试验机上的计算机软件测量搭接剪切强度。所有数据均进行统计学分析。

结果

测试材料显示出钙离子释放和碱化现象,且随浸泡时间而降低。BD在短时间(3小时)和长时间(28天)均表现出非常高的钙释放量。测量发现BS的开放孔隙率、表观孔隙率、吸水性和溶解性显著高于其他材料,其次是MTA,然后是BD(P<0.05)。BD的抗压强度和搭接剪切粘结强度显著高于MTA和BS(P<0.05)。

结论

MTA、BD和BS是具有生物活性的生物活性材料,具有释放离子和形成磷酸钙沉积物的能力。与BD不同,BS由于其高孔隙率、吸水性和溶解性以及较差的抗压强度和搭接剪切粘结强度,无法替代MTA用于牙髓盖髓。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9dfe/8119770/fe3f70d47d7f/gr1.jpg

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