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酸蚀和激光蚀刻釉质对不同粘接系统微渗漏的影响。

Impact of acid and laser etching of enamel on microleakage in different adhesive systems.

机构信息

Faculty of Dentistry, Department of Restorative Dentistry, Mersin University, Mersin, Türkiye.

Faculty of Dentistry, Department of Restorative Dentistry, Nuh Naci Yazgan University, Kayseri, Türkiye.

出版信息

Lasers Med Sci. 2024 Jul 15;39(1):181. doi: 10.1007/s10103-024-04120-0.

Abstract

This study aimed to evaluate the microleakage of light-cured and self-cured adhesives on enamel surfaces selectively etched with Er, Cr: YSGG laser or 35% phosphoric acid. A total of 60 class V cavities were prepared 1 mm above the cemento-enamel junction (CEJ). The specimens were randomly divided into six groups. Group 1: Clearfil SE Bond with no conditioning, Group 2: Tokuyama Universal Bond with no conditioning, Group 3: Clearfil SE Bond conditioned with 35% phosphoric acid, Group 4: Tokuyama Universal Bond conditioned with 35% phosphoric acid, Group 5: Clearfil SE Bond conditioned with Er, Cr: YSGG laser and Group 6: Tokuyama Universal Bond conditioned with Er, Cr: YSGG laser. Microleakage was evaluated qualitatively (visually) and quantitatively (ImageJ). The data were analyzed using IBM SPSS V23 and submitted to Kruskal-Wallis and Wilcoxon tests. The significance level was set at p < 0.05. In all evaluation methods, the microleakage scores exhibit significant differences (p*<0.001). Group 1 and Group 3 exhibited similar and lower microleakage values than the Group 5. In the occlusal margin, the microleakage values were similar in Group 2, Group 4, and Group 6, whereas in the gingival margin Group 4 showed significantly lower leakage compared to Group 2. Regardless of the etching protocols and adhesive systems used, less microleakage was observed on the occlusal surface than on the gingival surface. Phosphoric acid etching provides better results than laser etching for enamel surface treatment on both occlusal and gingival surfaces.

摘要

本研究旨在评估 Er,Cr:YSGG 激光或 35%磷酸酸蚀与自酸蚀黏结剂对牙釉质表面微渗漏的影响。在牙合面釉牙骨质界(CEJ)上方 1mm 处制备了 60 个 V 类洞。将标本随机分为 6 组。第 1 组:未处理的 Clearfil SE Bond;第 2 组:未处理的 Tokuyama Universal Bond;第 3 组:用 35%磷酸酸蚀的 Clearfil SE Bond;第 4 组:用 35%磷酸酸蚀的 Tokuyama Universal Bond;第 5 组:用 Er,Cr:YSGG 激光处理的 Clearfil SE Bond;第 6 组:用 Er,Cr:YSGG 激光处理的 Tokuyama Universal Bond。采用定性(目测)和定量(ImageJ)评估微渗漏。使用 IBM SPSS V23 对数据进行分析,并进行 Kruskal-Wallis 和 Wilcoxon 检验。显著性水平设置为 p<0.05。在所有评估方法中,微渗漏评分均有显著差异(p*<0.001)。第 1 组和第 3 组的微渗漏值与第 5 组相似且较低。在牙合面边缘,第 2 组、第 4 组和第 6 组的微渗漏值相似,而在龈缘,第 4 组的渗漏明显低于第 2 组。无论使用何种酸蚀剂和黏结系统,牙合面的微渗漏值均低于龈面。磷酸酸蚀对牙合面和龈面的牙釉质表面处理均优于激光酸蚀。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71b4/11249556/8f4f37cb6626/10103_2024_4120_Fig1_HTML.jpg

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