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不同键合系统与不同聚合模式和根管区域对核修复树脂复合材料粘结强度的影响。

Effects of different bonding systems with various polymerization modes and root canal region on the bond strength of core build-up resin composite.

机构信息

Division of Operative Dentistry and Endodontics, Department of Conservative Dentistry, School of Dentistry, Iwate Medical University, Iwate, Japan.

Department of Biomedical Engineering, Iwate Medical University, Iwate, Japan.

出版信息

J Prosthodont Res. 2021 Oct 15;65(4):521-527. doi: 10.2186/jpr.JPR_D_20_00251. Epub 2021 Mar 25.

Abstract

Purpose The aim of this study was to clarify the effects of different bonding systems (BSs) with various polymerization modes and root canal regions on the bond strength of core build-up resin composite to dentin.Methods Post cavities were prepared in the roots of 54 bovine teeth. Three types of BS with various polymerization modes (light, chemical, and dual-cure) were applied to the walls of the cavities, which were subsequently filled with core build-up resin composite, and stored in 37°C water for 7 days. Each tooth was then sectioned perpendicular to the long axis of the tooth into 9-disk from the coronal to the apical side. Bond strengths were measured on two-thirds of the disks, while dye penetration was examined in the remaining third.Results Statistical analysis revealed significant differences between the bond strengths of BSs with different polymerization modes, indicating chemical-cured BS had higher bond strength than light-cured BS. The chemical-cured BS group showed cohesive failure in both resin composite and dentin regardless of the root canal region, while adhesive failure was observed in the coronal region for dual-cured BS and in the apical region for light-cured BS. Dye penetration was significantly more at the bonding interface at the apical region of the light-cured BS.Conclusions Chemical-cured BS displayed a greater bond strength than light-cured BS. Cohesive failure was observed in both core build-up resin and dentin, indicating that the integration of tooth structure with resin composite was effective for retaining the resin core and sealing the root canal.

摘要

目的 本研究旨在阐明不同聚合模式和根管区域的不同粘接系统(BS)对牙本质核修复树脂复合材料粘结强度的影响。

方法 在 54 颗牛牙的根部制备了后腔。将三种不同聚合模式(光、化学和双重固化)的 BS 应用于腔壁,随后用核修复树脂复合材料填充,并在 37°C 水中储存 7 天。然后,将每颗牙齿沿牙长轴垂直于牙冠方向从根部分为 9 个圆盘。三分之二的圆盘上测量粘结强度,剩余的三分之一圆盘检查染料渗透情况。

结果 统计分析显示,不同聚合模式的 BS 的粘结强度存在显著差异,表明化学固化 BS 的粘结强度高于光固化 BS。无论根管区域如何,化学固化 BS 组的树脂复合材料和牙本质均发生内聚性破坏,而双重固化 BS 的冠部发生粘结性破坏,光固化 BS 的根尖部发生粘结性破坏。光固化 BS 的根尖部粘结界面的染料渗透明显更多。

结论 化学固化 BS 的粘结强度大于光固化 BS。树脂复合材料和牙本质均发生内聚性破坏,表明牙体结构与树脂复合材料的有效结合有助于保持树脂核并密封根管。

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