Kim Mijoo, Jo Deuk-Won, Khalifah Shahed Al, Yu Bo, Hayashi Marc, Kim Reuben H
Restorative Materials and Applied Dental Research Laboratory, UCLA School of Dentistry, Los Angeles, CA 90095, USA.
Section of Restorative Dentistry, UCLA School of Dentistry, Los Angeles, CA 90095, USA.
Polymers (Basel). 2022 Jun 30;14(13):2665. doi: 10.3390/polym14132665.
This in vitro study aimed to examine the shear bond strength of composite on the dentin and enamel substrates when mixed with different composite-handling agents (CHAs). Eighty extracted molars were embedded into acrylic resin and sectioned sagittally. On the prepared specimens, four groups of resin mixtures were bonded onto the enamel or dentin surfaces—composite only, composite mixed with Composite Wetting Resin (CWR), composite mixed with Brush and Sculpt (BS), and composite mixed with Modeling Resin (MR). All groups were prepared by mixing at a 1:1 ratio by weight. Each specimen was subjected to the shear bond strength test. After the test, adhesive or cohesive failures were examined at the fractured sites. Data were analyzed using one-way and two-way analysis of variance (ANOVA) and the Tukey post hoc test. All composite groups mixed with CHAs displayed a reduced shear bond strength on dentin and enamel substrates compared to composite alone (p < 0.05). The shear bond strength on dentin decreased in the following order: CWR > BS > MR. A similar pattern was observed on enamel, except that there was no statistically significant difference between BS and MR. Statistically significant interactions between resin mixtures and substrates were found (p < 0.001). On the dentin substrate, adhesive failure dominated while adhesive/cohesive failure dominated on the enamel substrate. Conclusions: The shear bonding strength of composite decreases when mixed with CHAs on both dentin and enamel substrates.
这项体外研究旨在检测复合树脂与不同复合树脂处理剂(CHA)混合时,在牙本质和牙釉质基底上的剪切粘结强度。80颗拔除的磨牙被嵌入丙烯酸树脂中并矢状切开。在制备好的标本上,将四组树脂混合物粘结到牙釉质或牙本质表面——仅复合树脂、复合树脂与复合树脂湿润剂(CWR)混合、复合树脂与刷塑剂(BS)混合以及复合树脂与造型树脂(MR)混合。所有组均按重量比1:1混合制备。每个标本都进行了剪切粘结强度测试。测试后,在断裂部位检查粘结或内聚破坏情况。数据采用单向和双向方差分析(ANOVA)以及Tukey事后检验进行分析。与单独的复合树脂相比,所有与CHA混合的复合树脂组在牙本质和牙釉质基底上的剪切粘结强度均降低(p < 0.05)。牙本质上的剪切粘结强度按以下顺序降低:CWR > BS > MR。在牙釉质上观察到类似的模式,只是BS和MR之间没有统计学上的显著差异。发现树脂混合物和基底之间存在统计学上的显著相互作用(p < 0.001)。在牙本质基底上,粘结破坏占主导,而在牙釉质基底上粘结/内聚破坏占主导。结论:复合树脂与CHA混合时,在牙本质和牙釉质基底上的剪切粘结强度均降低。