J Adhes Dent. 2021 Jul 23;23(4):357-365. doi: 10.3290/j.jad.b1645379.
This study evaluated whether active application of self-etching adhesives would influence their microtensile bond strength (µTBS) to dentin cut with burs of different grit sizes.
Eighty-four human premolars were divided into 12 groups according to 1) two dentin surface preparations with either superfine- or regular-grit diamond burs; 2) three adhesives - Clearfil SE Bond 2 (SE2), Scotchbond Universal (SBU, 3M Oral Care) and G-Premio Bond (GPB, GC); and 3) two application modes of each adhesive (active or passive). Six bonded teeth per group were sectioned into sticks for µTBS testing. Statistical analyses were performed using 3-way ANOVA followed by Duncan's test (p < 0.05). Additional teeth were prepared to observe the interaction between the dentin smear layer obtained from each bur with adhesives under different application modes using transmission electron microscopy (TEM).
Active application significantly increased the dentin bond strength of SE2, irrespective of the kind of bur used (p < 0.05). The highest bond strength of SBU was observed when bonded to superfine-grit diamond bur-cut dentin with the active application. There was, however, no influence of the tested factors on GPB group (p > 0.05). TEM observation showed that active application promoted dentin smear layer dissolution in all adhesive groups.
Bond strengths of self-etching adhesives to dentin are influenced by bur-cut smear layers and mainly by application mode of adhesive materials. Active application improves µTBS of self-etching adhesives by enhancing smear layer modification and resin penetration into bur-cut dentin.
本研究评估了自酸蚀粘结剂的主动应用是否会影响其与不同粒度金钢砂车针切割牙本质的微拉伸粘结强度(µTBS)。
84 颗人前磨牙根据以下条件分为 12 组:1)两种牙本质表面处理,分别为超细粒度和常规粒度金钢砂车针;2)三种粘结剂——Clearfil SE Bond 2(SE2)、 Scotchbond Universal(SBU,3M 口腔护理)和 G-Premio Bond(GPB,GC);3)每种粘结剂的两种应用模式(主动或被动)。每组 6 个粘结牙被切成棒状进行 µTBS 测试。使用三因素方差分析(ANOVA)和 Duncan 检验(p<0.05)进行统计分析。用透射电子显微镜(TEM)观察从每个车针获得的牙本质玷污层与不同应用模式下的粘结剂之间的相互作用,准备了额外的牙齿。
主动应用显著提高了 SE2 的牙本质粘结强度,无论使用哪种车针(p<0.05)。SBU 的最高粘结强度出现在与超细粒度金钢砂车针切割牙本质结合时采用主动应用。然而,测试因素对 GPB 组没有影响(p>0.05)。TEM 观察显示,主动应用促进了所有粘结剂组牙本质玷污层的溶解。
自酸蚀粘结剂对牙本质的粘结强度受车针切割玷污层的影响,主要受粘结材料应用模式的影响。主动应用通过增强玷污层改性和树脂渗透到车针切割牙本质来提高自酸蚀粘结剂的 µTBS。