Balkaya Hacer, Demirbuğa Sezer
Department of Restorative Dentistry, Erciyes University Faculty of Dentistry, Kayseri, Turkey.
J Esthet Restor Dent. 2023 Apr;35(3):479-492. doi: 10.1111/jerd.12973. Epub 2022 Oct 4.
In this study, it was aimed to investigate the effects of different waiting periods on resin-dentin bond strength (BS), degree of conversion (DC), contact angle (CA), surface tension (ST), solvent evaporation (weight loss) and the characteristics of adhesive interfaces of the current six universal adhesive resins (ARs).
A total of 216 caries-free human lower third molar teeth were used. Composite resin restorations were performed by applying six universal ARs in etch-and-rinse and self-etch mode on standardized dentin surfaces after 0, 5, and 30 min waiting time. Then, a micro-shear BS test, SEM examination and characterization of the adhesive interface were performed. In addition, DC, CA, ST, solvent evaporation of all tested ARs were evaluated.
The obtained data were statistically anaIyzed. The tested ARs did not show any statistical difference between 0 and 5 min evaluations in all parameters evaluated except for weight loss (p > 0.05). While the weight loss, ST and CA of all ARs increased in 30 min (p < 0.05), the BS, DC, thickness of the adhesive layer and the hybrid layer, resin tag length and number of resin tags varied according to the ARs used. When the ARs were used in etch-and-rinse mode, all the parameters evaluated also varied according to the AR used. Higher adhesive layer thickness and lower hybrid layer thickness were found in the self-etch mode (p < 0.05).
All of the adhesives tested can be safely used up to 30 min. This could also prevent economical loss caused by waste adhesive material.
It is important to know how the bond strength, degree of conversion, adhesion, contact angle and surface tension properties of the adhesive resin waiting in the dispensing cup for a long time during clinical use are affected to make ideal restorations.
本研究旨在调查不同等待时间对当前六种通用粘结树脂(ARs)的树脂-牙本质粘结强度(BS)、转化率(DC)、接触角(CA)、表面张力(ST)、溶剂蒸发(失重)以及粘结界面特性的影响。
共使用216颗无龋的人类下颌第三磨牙。在0、5和30分钟等待时间后,通过在标准化牙本质表面以酸蚀冲洗和自酸蚀模式应用六种通用ARs进行复合树脂修复。然后,进行微剪切BS测试、扫描电子显微镜(SEM)检查和粘结界面表征。此外,还评估了所有测试ARs的DC、CA、ST和溶剂蒸发情况。
对获得的数据进行统计学分析。除失重外,在所有评估参数中,测试的ARs在0和5分钟评估之间未显示任何统计学差异(p>0.05)。虽然所有ARs的失重、ST和CA在30分钟时增加(p<0.05),但BS、DC、粘结层和混合层的厚度、树脂突长度和树脂突数量根据所使用的ARs而有所不同。当ARs以酸蚀冲洗模式使用时,所有评估参数也根据所使用的AR而变化。在自酸蚀模式下发现粘结层厚度较高而混合层厚度较低(p<0.05)。
所有测试的粘结剂在30分钟内均可安全使用。这也可以防止因粘结剂材料浪费而造成的经济损失。
了解临床使用过程中在分配杯中长时间等待的粘结树脂的粘结强度、转化率、附着力、接触角和表面张力特性如何受到影响,对于进行理想的修复很重要。