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牙齿表面处理对直接复合贴面剪切粘结强度的影响:一项扫描电子显微镜研究。

The effect of surface treatments of tooth on the shear bond strength of direct composite veneers: An scanning electron microscope study.

作者信息

Shah Tanvi, Adimulapu Sandeep Hima, Nivedhitha M S, Mehta Astha, Sugumaran Surendar

机构信息

Department of Conservative Dentistry and Endodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India.

Nair Hospital Dental College, Mumbai, Maharashtra, India.

出版信息

J Conserv Dent Endod. 2023 Sep-Oct;26(5):539-543. doi: 10.4103/jcd.jcd_354_23. Epub 2023 Sep 16.

Abstract

BACKGROUND

The bond strength between tooth structure and restorative materials is critical for the long-term success of dental restorations. This study sought to determine how the shear bond strength (SBS) and type of bond breakdown were affected by the inclusion of sandblasting (SB) as a conditioning step before acid etching (AE).

MATERIALS AND METHODS

A total of 40 extracted human molars were split into two groups at random: intervention (SB followed by AE) and control (AE only). Composite resin cylinders were constructed on the tooth surface following the application of the bonding agent. A universal testing device was used to determine the SBS, and scanning electron microscopy was used to assess the kind of bond failure.

RESULTS

In comparison to the control group, the intervention group displayed a significantly higher SBS ( < 0.05). In contrast to the control group, which showed more adhesive failure at the tooth-resin interface, the intervention group also demonstrated a larger percentage of cohesive failure within the composite resin.

CONCLUSION

As an extra conditioning step, AE after SB considerably increased the SBS between tooth structure and composite resin. The fact that the intervention group experienced a higher percentage of cohesive failure shows that this technique could boost the bond's longevity.

摘要

背景

牙齿结构与修复材料之间的粘结强度对于牙科修复体的长期成功至关重要。本研究旨在确定在酸蚀(AE)之前加入喷砂(SB)作为预处理步骤如何影响剪切粘结强度(SBS)和粘结破坏类型。

材料与方法

总共40颗拔除的人类磨牙随机分为两组:干预组(先SB后AE)和对照组(仅AE)。在应用粘结剂后,在牙齿表面构建复合树脂圆柱体。使用万能测试装置测定SBS,并使用扫描电子显微镜评估粘结失败的类型。

结果

与对照组相比,干预组显示出显著更高的SBS(<0.05)。与在牙齿-树脂界面显示更多粘结失败的对照组相比,干预组在复合树脂内也表现出更高比例的内聚破坏。

结论

作为额外的预处理步骤,SB后进行AE可显著提高牙齿结构与复合树脂之间的SBS。干预组内聚破坏百分比更高这一事实表明,该技术可提高粘结的持久性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64ba/10823960/6217b8c5a6ee/JCDE-26-539-g001.jpg

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