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用天然剂对根管内牙本质进行生物改性以黏合玻璃纤维桩。

Intraradicular Dentin Biomodification with Natural Agents for Bonding Glass-fiber Posts.

出版信息

J Adhes Dent. 2021 Jun 5;23(3):223-230. doi: 10.3290/j.jad.b1367855.

Abstract

PURPOSE

To evaluate the effects of pretreatment with different crosslinking agents on glass-fiber-post adhesive luting.

MATERIALS AND METHODS

Single-rooted human teeth (n = 20) were randomly assigned to four groups: proanthocyanidins (PA) from grape-seed extract, cardol and cardanol (separated from cashew nut-shell liquid) and negative control (hydroethanolic solution). The solutions were applied on 37% phosphoric acid-etched dentin for 60 s. Glass-fiber posts were cemented using a three-step etch-and-rinse adhesive (Scotchbond Multi-Purpose, 3M Oral Care) and composite cement (RelyX ARC, 3M Oral Care). Slices for the push-out bond strength test were cut and tested after 24-h or 6-month storage in distilled water. The dentin underlying the adhesive layer was analyzed by micro-Raman spectroscopy to evaluate vibrational formation of collagen crosslinks. Three additional slices per group were also made and the adhesive in-situ degree of conversion (DC) was analyzed by micro-Raman spectroscopy. The results were analyzed using two-way ANOVA and Tukey's test (p < 0.05).

RESULTS

No statistically significant changes in bond strength were found over time for any of the groups, except with cardol, which increased bond strength (8.4 ± 3.9 MPa at 24 h to 15.0 ± 2.9 MPa after 6 months, p < 0.001) after aging. The formation of peaks at 1117 cm-1 and 1235 cm-1 showed the presence of collagen crosslinks for all three biomodification agents. The DC outcomes showed no statistically significant differences between groups (p = 0.514).

CONCLUSION

Biomodification agents did not impair adhesive polymerization. Cardol demonstrated a positive influence on intraradicular dentin bonding for glass-fiber post luting.

摘要

目的

评价不同交联剂预处理对玻璃纤维桩黏结的影响。

材料与方法

将 20 颗人单根恒牙随机分为 4 组:葡萄籽提取物中原花青素(PA)、腰果壳液中的卡多醇和卡杜醇,以及阴性对照组(乙醇水溶液)。将溶液应用于 37%磷酸酸蚀牙本质 60 s。使用三步酸蚀-冲洗黏结剂(Scotchbond Multi-Purpose,3M 口腔护理)和复合树脂黏结剂(RelyX ARC,3M 口腔护理)黏结玻璃纤维桩。在 24 h 或 6 个月储存于蒸馏水中后,切割黏结强度测试的切片。通过微拉曼光谱分析黏附层下牙本质以评估胶原交联的振动形成。每组还另外制作 3 个切片,通过微拉曼光谱分析黏附原位转化率(DC)。采用双因素方差分析和 Tukey 检验(p < 0.05)进行结果分析。

结果

除卡多醇组外,各组在任何时间点的黏结强度均无显著变化,卡多醇组的黏结强度在 24 h 时为 8.4 ± 3.9 MPa,6 个月后增至 15.0 ± 2.9 MPa(p < 0.001)。在所有三种生物改性剂中,1117 cm-1 和 1235 cm-1 处峰值的形成表明胶原交联的存在。各组之间的 DC 结果无统计学差异(p = 0.514)。

结论

生物改性剂不会损害黏结剂聚合。卡多醇对玻璃纤维桩黏结的根管内牙本质具有积极影响。

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