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使用交联剂处理龋损牙本质的粘结策略:葡萄籽提取物、绿茶提取物和戊二醛——一项研究

Bonding strategies to deal with caries-affected dentin using cross-linking agents: Grape seed extract, green tea extract, and glutaraldehyde - An study.

作者信息

Govil Shrusti Ajay, Asthana Geeta, Sail Vardhesh Achyut

机构信息

Department of Conservative Dentistry and Endodontics, Government Dental College and Hospital, Ahmedabad, Gujarat, India.

出版信息

J Conserv Dent. 2023 Jan-Feb;26(1):108-112. doi: 10.4103/jcd.jcd_485_22. Epub 2023 Jan 17.

Abstract

AIM

This study evaluated the effect of three collagen cross-linking agents - proanthocyanidins (grape seed extract [GSE] and green tea extract [GTE]) and glutaraldehyde [GA] on microshear bond strength (μSBS) of caries-affected dentin (CAD)-resin complex.

MATERIALS AND METHODS

Freshly extracted 96 teeth with caries up to the middle third of dentin were sectioned through the deepest part of the occlusal fissure, perpendicular to the long axis of the crown. Caries was excavated with large round bur until firm dentin was obtained, confirmed by visual inspection and tactile examination. Flat occlusal dentin surfaces were treated as follows: Group-1 - 6.5% GSE ( = 30), Group-2 - 2% GTE ( = 30), Group-3 - 5% Glutaraldehyde ( = 30), Group-4 - control group (no agents) ( = 6). Each group was further divided into Subgroup A - Etch-N-Rinse 15s, Subgroup B - Etch-N-Rinse 45s, and Subgroup C - Self-etch. Two increments of 1.5-mm thick composite (Tetric-N-Ceram - Ivoclar Vivadent) with a 1-mm diameter were built-up. Each sample was subjected to μSBS test in Universal Testing Machine. Student's -test was done for intragroup comparison and one-way ANOVA for intergroup comparison.

RESULTS

Statistically significant difference was present in mean μSBS, with Group 1B showing the best results and Group 4C, the least.

CONCLUSIONS

Thus, the application of these collagen cross-linkers, to CAD, increases μSBS and promises a new approach to improve dentin bond strength.

摘要

目的

本研究评估了三种胶原蛋白交联剂——原花青素(葡萄籽提取物[GSE]和绿茶提取物[GTE])以及戊二醛[GA]对龋损牙本质(CAD)-树脂复合体微拉伸粘结强度(μSBS)的影响。

材料与方法

选取96颗新鲜拔除的、龋坏达牙本质中1/3的牙齿,在咬合面裂隙最深部位垂直于牙冠长轴进行切片。用大球钻去除龋坏组织,直至获得坚硬牙本质,通过目视检查和触觉检查确认。平坦的咬合面牙本质表面按以下方式处理:第1组——6.5% GSE(n = 30),第2组——2% GTE(n = 30),第3组——5%戊二醛(n = 30),第4组——对照组(不使用试剂)(n = 6)。每组再进一步分为A亚组——酸蚀冲洗15秒,B亚组——酸蚀冲洗45秒,以及C亚组——自酸蚀。用直径1毫米的1.5毫米厚复合树脂(Tetric-N-Ceram - Ivoclar Vivadent)分两层堆积。每个样本在万能试验机上进行μSBS测试。组内比较采用学生t检验,组间比较采用单因素方差分析。

结果

平均μSBS存在统计学显著差异,1B组结果最佳,4C组结果最差。

结论

因此,将这些胶原蛋白交联剂应用于CAD可提高μSBS,并有望成为一种改善牙本质粘结强度的新方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a36f/10003275/2bf7cfd21f70/JCD-26-108-g001.jpg

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