Kanniappan Ghayathri, Hari Padmini, Jujare Ravikanth H
Faculty of Dentistry, MAHSA University, Kuala Lumpur, Malaysia.
Eur J Dent. 2022 Feb;16(1):153-160. doi: 10.1055/s-0041-1734469. Epub 2021 Oct 1.
This study aimed to compare the resin-dentin interface of sound and eroded dentin using universal and total-etch adhesive systems.
Forty caries-free extracted human premolars were collected, and the occlusal surfaces were ground by using slow speed diamond disc with copious water supply until a flat superficial dentin was exposed. The test group underwent erosive cycle (n = 20), and another group (n = 20) was reserved for control group. Erosive protocol consisted of immersion in 1.23% citric acid for 1 minute every 12 hours and stored in artificial saliva. Both the control and eroded teeth were further subdivided (n = 10) for composite restoration by using either self-etch or total-etch systems. Then the tooth samples were sectioned longitudinally and observed under confocal laser scanning microscope at ×10 magnification to evaluate resin tag length and hybrid layer thickness.
The data obtained were analyzed by using independent t-test.
The highest mean value of the resin tag length and thickness of hybrid layer was observed with total-etch system in sound dentin group compared with other groups (p < 0.001).
The resin-dentin interface of sound dentin was found to be better than eroded dentin by using total-etch system. The resin-dentin interface of eroded dentin was superior to sound dentin by using self-etch adhesive system.
本研究旨在使用通用型和全酸蚀粘结系统比较健康牙本质与酸蚀牙本质的树脂-牙本质界面。
收集40颗无龋的拔除人类前磨牙,使用低速金刚石切割盘并大量喷水对咬合面进行研磨,直至暴露出平整的表层牙本质。试验组进行酸蚀循环(n = 20),另一组(n = 20)作为对照组。酸蚀方案包括每12小时在1.23%柠檬酸中浸泡1分钟,并保存在人工唾液中。对照组和酸蚀组的牙齿均进一步细分(n = 10),分别使用自酸蚀或全酸蚀系统进行复合树脂修复。然后将牙齿样本纵向切片,在共聚焦激光扫描显微镜下以×10放大倍数观察,以评估树脂突长度和混合层厚度。
所得数据采用独立样本t检验进行分析。
与其他组相比,全酸蚀系统在健康牙本质组中观察到树脂突长度和混合层厚度的最高平均值(p < 0.001)。
使用全酸蚀系统时,健康牙本质的树脂-牙本质界面优于酸蚀牙本质。使用自酸蚀粘结系统时,酸蚀牙本质的树脂-牙本质界面优于健康牙本质。