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评价不同放射剂量放疗后牙釉质表面各种粘结剂的抗剪粘结强度。

Evaluation of the shear bond strength of various adhesives on the surface of enamel irradiated with various doses of radiotherapy.

机构信息

Department of Orthodontics, Faculty of Dentistry, Van Yüzüncü Yıl University, Van, Turkey.

Department of Orthodontics, Faculty of Dentistry, Van Yüzüncü Yıl University, Van, Turkey.

出版信息

Am J Orthod Dentofacial Orthop. 2024 Mar;165(3):285-293. doi: 10.1016/j.ajodo.2023.09.008. Epub 2023 Oct 28.

DOI:10.1016/j.ajodo.2023.09.008
PMID:37897485
Abstract

INTRODUCTION

We aimed to compare the shear bond strength (SBS) forces on the enamel surface with 2 adhesives after treatment with various radiation doses.

METHODS

A total of 120 premolars were included in the study. The teeth were randomly divided into 5 main groups (n = 24): negative control (without aging), positive control (with aging), 40 Gy, 60 Gy, and 70 Gy radiation. The 40 Gy, 60 Gy, and 70 Gy groups underwent conventional radiotherapy 5 days a week with a dose of 2 Gy each day. After the radiotherapy, all samples except the negative control group were subjected to thermal cycle aging. In all 5 groups, the specimens were divided into 2 subgroups, and half were bonded using 2 adhesives. After bonding, the universal Shimadzu test device was used to analyze the SBS. After the test, the tooth surfaces were examined under a stereomicroscope to determine the adhesive remnant index.

RESULTS

When adhesives were compared, Biofix adhesive's bond strength value was statistically higher in the 40 Gy group than in the Transbond XT group (P = 0.001). The SBS value was higher in all irradiated groups than in nonirradiated groups (P = 0.001). When the adhesive remnant index score was analyzed, no significant difference was found among the groups.

CONCLUSIONS

The SBS increased in irradiated teeth compared with unirradiated teeth, and the SBS values of both adhesives were within the acceptable limits in all radiation groups.

摘要

简介

本研究旨在比较两种黏合剂在经过不同辐射剂量处理后对牙釉质表面的剪切结合强度(SBS)。

方法

本研究共纳入 120 颗前磨牙。将牙齿随机分为 5 个主要组(n=24):阴性对照组(未经老化)、阳性对照组(经老化)、40 Gy、60 Gy 和 70 Gy 辐射组。40 Gy、60 Gy 和 70 Gy 组接受常规放疗,每周 5 天,每天剂量为 2 Gy。放疗后,除阴性对照组外,所有样本均进行热循环老化。在所有 5 个组中,将样本分为 2 个亚组,其中一半用 2 种黏合剂进行黏合。黏合后,使用万能 Shimadzu 测试设备分析 SBS。测试后,在立体显微镜下检查牙面,以确定黏附残余指数。

结果

当比较黏合剂时,Biofix 黏合剂的结合强度值在 40 Gy 组显著高于 Transbond XT 组(P=0.001)。所有辐照组的 SBS 值均高于未辐照组(P=0.001)。当分析黏附残余指数评分时,各组之间无显著差异。

结论

与未辐照的牙齿相比,辐照后的牙齿 SBS 增加,两种黏合剂的 SBS 值在所有辐射组均在可接受范围内。

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