Ratnakar P, Biradar Kasturi A, Patil Veerendra, Rairam Surabhi G, Patil Supriya, Kulkarni Sangeeta
Department of Conservative Dentistry and Endodontics, H.K.E.S's S. Nijalingappa Institute of Dental Sciences and Research, Kalaburagi, Karnataka, India.
J Conserv Dent Endod. 2023 Sep-Oct;26(5):525-529. doi: 10.4103/JCDE.JCDE_36_23. Epub 2023 Sep 16.
To determine the effect of three different dentin hypersensitivity treatment procedures on the microtensile bond strength of etch and rinse and self-etch adhesive system.
Eighty extracted intact human permanent lower premolars were decoronated, and dentin was exposed on the buccal surface. The teeth were randomly assigned to two experimental groups of 40 teeth each: etch and rinse system or self-etch system. The 40 samples assigned were further randomly assigned to four desensitizing treatment subgroups: Control, Gluma, NovaMin, and GC tooth Mousse with 10 samples per subgroup. Desensitizing treatment was performed two times each day for 2 weeks respectively. The exposed dentin was subjected to etch and rinse or self-etch adhesive system bonding agent as per the group and restored using composite to 4-mm thickness. Samples were then subjected to universal testing machine for microtensile bond strength.
The bond strength to the dentin obtained with etch and rinse adhesive system group where significantly higher ( < 0.05) when compared to self-etch adhesive system. However, there was no significant effect of the desensitizing agent on the microtensile bond strength in its own. Scanning electron microscope imaging reviled tubular occlusion in all specimens treated with desensitizer.
The bond strength was majorly impacted by the type of adhesive system used. While the desensitizing agents used in the study had little or no adverse effect on the bond strength of composites to dentin surface.
确定三种不同的牙本质过敏治疗程序对酸蚀冲洗和自酸蚀粘结系统微拉伸粘结强度的影响。
选取80颗完整拔除的人类恒牙下颌前磨牙,去除牙冠,暴露颊面牙本质。将牙齿随机分为两个实验组,每组40颗牙:酸蚀冲洗系统组或自酸蚀系统组。将分配的40个样本进一步随机分为四个脱敏治疗亚组:对照组、Gluma组、NovaMin组和GC护齿素组,每组10个样本。分别每天进行两次脱敏治疗,持续2周。根据分组情况,对暴露的牙本质进行酸蚀冲洗或自酸蚀粘结系统粘结剂处理,并用复合树脂修复至4毫米厚度。然后将样本置于万能试验机上测试微拉伸粘结强度。
与自酸蚀粘结系统相比,酸蚀冲洗粘结系统组获得的牙本质粘结强度显著更高(<0.05)。然而,脱敏剂本身对微拉伸粘结强度没有显著影响。扫描电子显微镜成像显示,所有用脱敏剂处理的标本中均有牙本质小管堵塞。
粘结强度主要受所用粘结系统类型的影响。而本研究中使用的脱敏剂对复合材料与牙本质表面的粘结强度几乎没有不利影响。