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不同粘接方案下牙本质消毒化学制剂对渗入树脂牙本质剪切粘结强度和显微硬度的影响。

Effect of Dentin-Disinfection Chemicals on Shear Bond Strength and Microhardness of Resin-Infiltrated Human Dentin in Different Adhesive Protocols.

机构信息

Department of Prosthodontics, College of Dentistry, King Khalid University, Abha 62529, Saudi Arabia.

Interns, College of Dentistry, King Khalid University, Abha 62529, Saudi Arabia.

出版信息

Medicina (Kaunas). 2022 Sep 8;58(9):1244. doi: 10.3390/medicina58091244.

Abstract

Background and Objectives: Bacteria and its remnants beneath the restorations predispose the tooth to secondary caries and pulpal pathology. Hence, various chemical antibacterial agents are suggested to disinfect the prepared tooth structure before the definitive restorative procedure. This study aimed to investigate the effects of chemical disinfectant solutions on the micro-shear bond strength (µSBS) and microhardness of total-etch and self-etch resin-infiltrated human dentin. Materials and Methods: 100 caries-free intact permanent third molar teeth were vertically sectioned into the buccal and lingual half. All these specimens were mounted on acrylic resin and underlying dentin surfaces were exposed by grinding. Samples were randomly divided into five groups [n = 20] following total-etch and self-etch adhesive protocol. Teeth samples were divided according to surface treatment, as Group I (Control-CNT), Group II (2% chlorhexidine-CHX), Group III (5.25% sodium hypochlorite-NaOCl), Group IV (17% ethylenediaminetetraacetate acid—EDTA) and Group V (10% povidone iodine-PVI). A randomly selected 10 samples from each subgroup were used for µSBS and microhardness tests. After surface treatment and bonding procedure, nono-hybrid composite cylinders with a 3-mm diameter and 2-mm height were directly cured over the dentin substrate. The samples for µSBS were subjected to 5000 thermocycles and tested using a universal testing machine. Microhardness was assessed using a micro-indenter instrument, data were statistically analyzed using a one-way analysis of variance and Tukey HSD tests at p < 0.05. Results: Amongst the chemical disinfectant assessed, 2% CHX did not affect µSBS and produced a marginal reduction in dentin microhardness compared to the control group. The 5.25% NaOCl and 17% EDTA significantly compromised the microhardness of the dentin substrate. Meanwhile, 10% PVI surface treatment resulted in a substantial reduction in µSBS between composite and dentin. Conclusions: CHX with preservation of bonding to dentin and insignificant negative effect on dentin microhardness is a safe option for tooth disinfection.

摘要

背景与目的

细菌及其残留在修复体下方会使牙齿易于发生继发龋和牙髓病理学变化。因此,在进行最终修复之前,各种化学抗菌剂被建议用于对预备好的牙体结构进行消毒。本研究旨在探讨化学消毒剂对全酸蚀和自酸蚀树脂渗透型人牙本质的微剪切粘结强度(µSBS)和显微硬度的影响。

材料与方法

将 100 颗无龋的完整第三磨牙垂直切成颊舌两半。所有这些标本均用丙烯酸树脂固定,并通过研磨暴露其下方的牙本质表面。根据全酸蚀和自酸蚀粘结剂方案,将样本随机分为五组[每组 20 个]。根据表面处理方法,将牙齿样本分为以下五组:I 组(对照组-CNT)、II 组(2%洗必泰-CHX)、III 组(5.25%次氯酸钠-NaOCl)、IV 组(17%乙二胺四乙酸酸-EDTA)和 V 组(10%聚维酮碘-PVI)。每组中随机选择 10 个样本进行 µSBS 和显微硬度测试。经过表面处理和粘结程序后,直接在牙本质基质上用光固化复合树脂制成直径为 3mm、高度为 2mm 的非混合复合圆柱体。µSBS 测试样本经 5000 次热循环后,使用万能试验机进行测试。使用显微硬度仪评估显微硬度,数据使用单因素方差分析和 Tukey HSD 检验进行统计学分析,p < 0.05 为差异有统计学意义。

结果

在所评估的化学消毒剂中,与对照组相比,2%CHX 不会影响 µSBS,仅对牙本质显微硬度产生轻微影响。5.25%NaOCl 和 17%EDTA 显著降低了牙本质基质的显微硬度。同时,10%PVI 表面处理导致复合树脂与牙本质之间的 µSBS 显著降低。

结论

具有保留与牙本质粘结性且对牙本质显微硬度无显著负面影响的 CHX 是一种安全的牙齿消毒选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96c2/9501625/3ec36b45c281/medicina-58-01244-g001.jpg

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