Montanari Marco, Fiorillo Luca, Cervino Gabriele, Sambataro Sergio, Herford Alan Scott, Cicciù Marco
Department of Prosthodontics, University of Ferrara, Via Luigi Borsari 46, 44121 Ferrara, Italy.
Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, Policlinico G. Martino, Via Consolare Valeria, 98100 Messina, Italy.
Materials (Basel). 2021 Oct 19;14(20):6200. doi: 10.3390/ma14206200.
The objective of this study was to examine the effect of different conditions of simulated hydrostatic pulpal pressure on the μTBS of HEMA-based and HEMA-free dentin bonding agents (DBAs). The influence of dentin location (deep and superficial) on μTBS was also evaluated. Flat coronal dentin surfaces of extracted human molars were prepared. Three groups of resin-bonded specimens were exposed to different pulpal pressures. Pulpal pressure was maintained for 20 min for each group. A flowable resin composite was used for coronal build-up. The bonded teeth were sectioned and, after 24 h of water storage, stressed to failure using the microtensile tester (μTBS). Failed samples were analyzed by SEM inspection. HEMA-based DBAs were much more sensitive to pulpal pressure conditions than non-HEMA-containing DBAs. Pulpal pressure had a greater influence in deep dentin. The HEMA-free DBA was insensitive to the presence or absence of pulpal pressure condition. SEM inspection confirmed a relationship between the presence of voids inside the HEMA-based DBAs layer and the lower μTBS results. HEMA-based DBAs are more sensitive to pulpal pressure conditions than HEMA-free DBAs. Interestingly, HEMA-free DBA showed a greater number of water droplets at resin-dentin interface in all tested conditions.
本研究的目的是检测模拟牙髓静水压的不同条件对含甲基丙烯酸羟乙酯(HEMA)和不含HEMA的牙本质粘结剂(DBA)微拉伸粘结强度(μTBS)的影响。还评估了牙本质位置(深层和表层)对μTBS的影响。制备了拔除的人类磨牙的平坦牙冠牙本质表面。三组树脂粘结标本暴露于不同的牙髓压力下。每组牙髓压力维持20分钟。使用可流动树脂复合材料进行牙冠修复。将粘结的牙齿切片,在水储存24小时后,使用微拉伸测试仪(μTBS)施加应力直至破坏。通过扫描电子显微镜(SEM)检查分析失效样本。含HEMA的DBA比不含HEMA的DBA对牙髓压力条件更敏感。牙髓压力在深层牙本质中的影响更大。不含HEMA的DBA对牙髓压力条件的有无不敏感。SEM检查证实了含HEMA的DBA层内孔隙的存在与较低的μTBS结果之间的关系。含HEMA的DBA比不含HEMA的DBA对牙髓压力条件更敏感。有趣的是,在所有测试条件下,不含HEMA的DBA在树脂-牙本质界面处显示出更多的水滴。