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一种新的黏结系统应用方法提高了纤维桩与根管牙本质之间的黏结强度。

A new method of adhesive system application improves the bond strength between fiber post and root dentin.

机构信息

Department of Conservative Dentistry, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.

Department of Stomatology, Federal University of Santa Maria, Santa Maria, RS, Brazil.

出版信息

Braz Dent J. 2024 May 10;35:e245720. doi: 10.1590/0103-6440202405720. eCollection 2024.

Abstract

This study evaluated a new method of adhesive system application on the bond strength between fiber post and root dentin using two adhesive systems. The canals of sixty bovine incisors were prepared and obturated. The roots were divided into six groups (n=10) according to the adhesive system (Clearfil SE - CSE and Single Bond Universal - SBU) and the application strategy (microbrush - MB; rotary brush - RB; and ultrasonic tip - US). The glass fiber posts were cemented with resin cement (RelyX ARC). The roots were sectioned perpendicularly to their long axis, and three slices per root were obtained. Previously to the push-out test, confocal laser scanning microscopy (CLSM) was performed to illustrate the interfacial adaptation of the cement to the root canal walls. Failure patterns were analyzed with 40x magnification. Shapiro-Wilk indicated a normal distribution of the data. The bond strength values were compared using one-way ANOVA and Tukey's tests. Student's T test analyzed the differences between the adhesive systems within each third and protocol. A significance level of 5% was used. CSE with RB showed higher mean bond strength values compared to MB (conventional technique) (P < 0.05). US application resulted in intermediate bond strength values for CSE (P > 0.05). The application of SBU using RB generated higher mean bond strength values compared to MB and US (P < 0.05). Adhesive failures were predominant (65.5%). CSE and SBU application with the new rotary brush improved the bond strength of fiber posts to root dentin compared to the conventional strategy.

摘要

本研究评估了一种新的黏结系统应用方法,该方法使用两种黏结系统评估纤维桩和根管牙本质之间的黏结强度。将 60 颗牛切牙的根管制备并填充。根据黏结系统(Clearfil SE - CSE 和 Single Bond Universal - SBU)和应用策略(微毛刷 - MB;旋转刷 - RB;超声尖 - US)将牙根分为六组(n=10)。用树脂水门汀(RelyX ARC)黏结玻璃纤维桩。将牙根沿其长轴垂直切割,每个牙根获得三个切片。在进行推出试验之前,通过共聚焦激光扫描显微镜(CLSM)观察黏结剂与根管壁的界面适应性。用 40x 放大倍数分析失效模式。Shapiro-Wilk 表明数据呈正态分布。使用单向方差分析和 Tukey 检验比较黏结强度值。学生 T 检验分析每个第三和方案内黏结系统之间的差异。使用 5%的显著水平。与 MB(传统技术)相比,RB 下的 CSE 显示出更高的平均黏结强度值(P < 0.05)。US 应用导致 CSE 的中间黏结强度值(P > 0.05)。与 MB 和 US 相比,RB 下的 SBU 应用产生更高的平均黏结强度值(P < 0.05)。黏结失败为主(65.5%)。与传统策略相比,CSE 和 SBU 应用新的旋转刷可提高纤维桩与根管牙本质的黏结强度。

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