Falcon Aguilar Milagros, Ferretti Marcela Alvarez, Lins Rodrigo Barros Esteves, Silva Jardel Dos Santos, Lima Débora Alves Nunes Leite, Marchi Giselle Maria, Baggio Aguiar Flávio Henrique
Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, SP, Brazil.
School of Dentistry, Federal University of Alagoas, Maceió, AL, Brazil.
Clin Cosmet Investig Dent. 2024 May 31;16:191-199. doi: 10.2147/CCIDE.S456826. eCollection 2024.
This study aimed to evaluate the bond strength of a universal adhesive to dentin (μTBS) using different time periods of airborne particle abrasion (APA) and two types of acid etching.
Seventy-two human third molars were divided into 9 groups (n=8) according to dentin pretreatment: APA duration (0, 5, or 10s) and acid etching (no acid - NA, 37% phosphoric acid - PhoA, or 1% phytic acid - PhyA). APA was performed at a 0.5 cm distance and air pressure of 60 psi using 50 μm aluminum oxide particles. Afterwards, two coats of Single Bond Universal adhesive (3M) were applied to the dentin surface. Composite blocks were built using the incremental technique, sectioned into 1×1 mm slices and subjected to microtensile bond strength (μTBS) testing. Fracture patterns and surface topography of each dentinal pretreatment were evaluated using a Scanning electron microscope (SEM). Bond strength data were analyzed using two-way ANOVA and Bonferroni tests.
The group that received pretreatment with 5s APA and PhoA presented higher μTBS values among all groups, which was statistically different when compared with the PhoA, 10APA+PhoA, and 5APA+PhyA groups. PhyA did not significantly influence the bond strength of the air-abraded groups. Finally, adhesive failure was considered the predominant failure in all groups.
Dentin pretreated by airborne particle abrasion using aluminum oxide demonstrated an increase in bond strength when abraded for 5 seconds and conditioned with phosphoric acid in a universal adhesive system.
本研究旨在评估使用不同时长的空气颗粒喷砂(APA)和两种酸蚀方法时,一种通用型粘结剂与牙本质的粘结强度(微拉伸粘结强度,μTBS)。
根据牙本质预处理方法,将72颗人第三磨牙分为9组(每组n = 8):APA时长(0、5或10秒)和酸蚀处理(无酸蚀 - NA、37%磷酸 - PhoA或1%植酸 - PhyA)。使用50μm氧化铝颗粒,在距离为0.5cm、气压为60psi的条件下进行APA处理。之后,在牙本质表面涂抹两层Single Bond Universal粘结剂(3M公司)。采用分层堆塑技术制作复合树脂块,切成1×1mm薄片,进行微拉伸粘结强度(μTBS)测试。使用扫描电子显微镜(SEM)评估每种牙本质预处理的断裂模式和表面形貌。粘结强度数据采用双向方差分析和Bonferroni检验进行分析。
在所有组中,接受5秒APA预处理和PhoA酸蚀处理的组呈现出更高的μTBS值,与PhoA组、10秒APA + PhoA组和5秒APA + PhyA组相比,具有统计学差异。PhyA对空气喷砂处理组的粘结强度没有显著影响。最后,在所有组中,粘结剂断裂被认为是主要的断裂类型。
在通用粘结剂系统中,使用氧化铝进行空气颗粒喷砂预处理5秒并经磷酸处理的牙本质,其粘结强度有所提高。