Hiroaki Iwama, DDS, Department of Operative Dentistry, Nihon University School of Dentistry, Tokyo, Japan.
*Ryo Ishii, DDS, PhD, Department of Operative Dentistry, Nihon University School of Dentistry, Tokyo, Japan.
Oper Dent. 2024 Sep 1;49(5):586-596. doi: 10.2341/23-170-L.
This study aimed to evaluate the influence of surface pretreatment on the shear bond strength (SBS) of a resin luting cement to enamel and dentin with saliva contamination. The surface free energies (SFE) of the adherent surfaces were also determined.
Bovine enamel and dentin were used in this study. For the saliva-contamination, human saliva was applied to the adherent surface for 60 seconds and then air-dried, and the specimens without saliva contamination served as controls. One group of contaminated surfaces was untreated (SC), and the others were pretreated with Katana Cleaner (KC), Multi Etchant (ME), or Ultra-Etch (UE). Fifteen specimens were prepared to measure the SBS for each test group.The mixed resin luting cement paste was applied to the alumina-blasted surface of a stainless-steel rod and placed on the prepared tooth surface. The luting cement was light irradiated for 40 seconds. The bonded specimens were stored for 24 hours at 37°C and half of the bonded specimens underwent 10,000 thermal cycles. The SBS and SFE of the specimens after different pre-treatments were measured.
The two-way ANOVA revealed that the factors of pretreatment agent and storage condition had a significant effect on the SBS to enamel and dentin. The SFE values of the SC group were significantly lower than those of the other groups in both enamel and dentin. The SFE of pretreated surface was material dependent.
A pretreatment agent containing functional monomers was shown to be effective in removing saliva contaminants and in creating an effective bonding surface for the resin luting cement.
本研究旨在评估表面预处理对受唾液污染的牙釉质和牙本质用树脂水门汀粘结强度(SBS)的影响。同时还测定了粘结面的表面自由能(SFE)。
本研究使用牛牙釉质和牙本质。为了进行唾液污染,将人唾液应用于粘结面 60 秒,然后风干,无唾液污染的标本作为对照。一组污染表面未经处理(SC),其他组用 Katana Cleaner(KC)、Multi Etchant(ME)或 Ultra-Etch(UE)预处理。每组制备 15 个标本以测量 SBS。将混合树脂水门汀糊剂涂覆在不锈钢棒的氧化铝喷砂表面上,并放置在准备好的牙面。将水门汀用光照射 40 秒。粘结后的标本在 37°C 下储存 24 小时,一半粘结后的标本进行 10000 次热循环。测量不同预处理后标本的 SBS 和 SFE。
双因素方差分析显示,预处理剂和储存条件这两个因素对牙釉质和牙本质的 SBS 有显著影响。SC 组的 SFE 值在牙釉质和牙本质中均明显低于其他组。预处理表面的 SFE 值取决于材料。
含有功能单体的预处理剂被证明能有效去除唾液污染物,并为树脂水门汀创造有效的粘结表面。