Kumagai Rose Y, Takagaki Tomohiro, Sato Takaaki, Nikaido Toru, Giannini Marcelo, Reis Andre, Tagami Junji
J Adhes Dent. 2023 Mar 20;25:71-78. doi: 10.3290/j.jad.b3974603.
To evaluate the effects of etching mode (self-etch and etch-and-rinse) on acid-base resistant zone (ABRZ) formation at the resin cement/enamel interface and enamel etching pattern, as well as the effects of thermocycling (0, 5000, and 10,000 cycles) on the enamel microshear bond strength (μSBS) mediated by dual-cure resin cements (DCRC).
Two DCRC were used in 4 groups: Panavia V5 in self-etch (V5NE) and etch-and-rinse mode (V5E); and Estecem II in self-etch (ENE) and etch-and-rinse mode (EE). For ABRZ observation, the bonded interface was subjected to a demineralizing solution. The morphological attributes of the interface and etching patterns were observed using FE-SEM. For μ-SBS, cylinders with a 0.79-mm internal diameter and 0.5-mm height were made with DCRC and tested in shear after 0, 5000, and 10,000 thermal cycles (TC) (5°C and 55°C) (n = 10).
The formation of an enamel ABRZ was observed in all groups with different morphological features between self-etch and etch-and-rinse groups. A funnel-shaped erosion beneath the interface was present using V5NE and ENE modes where enamel was dissolved, while ABRZ formation was confirmed and no funnel-shaped erosion was noticed using V5E and EE. No significant differences in μSBS were observed between resin cements. However, significantly lower µSBSs were recorded when the self-etching mode was used. Thermocycling resulted in a significant reduction in µSBS for all groups.
Selective enamel etching should be recommended to improve the interfacial quality when dual-cure resin luting cements are used.
评估酸蚀模式(自酸蚀和酸蚀冲洗)对树脂水门汀/牙釉质界面耐酸碱区(ABRZ)形成及牙釉质酸蚀模式的影响,以及热循环(0、5000和10000次循环)对双固化树脂水门汀(DCRC)介导的牙釉质微拉伸粘结强度(μSBS)的影响。
4组中使用两种DCRC:自酸蚀模式(V5NE)和酸蚀冲洗模式(V5E)下的Panavia V5;自酸蚀模式(ENE)和酸蚀冲洗模式(EE)下的Estecem II。为观察ABRZ,将粘结界面置于脱矿溶液中。使用场发射扫描电子显微镜(FE-SEM)观察界面的形态特征和酸蚀模式。对于μ-SBS,用DCRC制作内径为0.79mm、高度为0.5mm的圆柱体,并在0、5000和10000次热循环(5°C和55°C)后进行剪切测试(n = 10)。
在所有组中均观察到牙釉质ABRZ的形成,自酸蚀组和酸蚀冲洗组之间具有不同的形态特征。使用V5NE和ENE模式时,界面下方出现漏斗状侵蚀,牙釉质溶解,而使用V5E和EE时,确认有ABRZ形成且未观察到漏斗状侵蚀。树脂水门汀之间的μSBS未观察到显著差异。然而,使用自酸蚀模式时记录到的μSBS显著较低。热循环导致所有组的μSBS显著降低。
使用双固化树脂粘结水门汀时,建议采用选择性牙釉质酸蚀以改善界面质量。