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修整方案对四种纳米复合树脂复合材料光泽度获取与保持的影响

Effect of Finishing Protocol on Obtaining and Maintaining Gloss in Four Nanohybrid Resin Composites.

作者信息

Marín-Velasquez Julissa, Osorio-Vélez Laura, Lassila Lippo, Ardila Carlos M

机构信息

Prosthodontics Postgraduate Program, University of Antioquia, Medellín, COL.

Biomaterials Science, Turku Clinical Biomaterials Centre, University of Turku, Turku, FIN.

出版信息

Cureus. 2024 Sep 10;16(9):e69073. doi: 10.7759/cureus.69073. eCollection 2024 Sep.

Abstract

OBJECTIVE

Within the clinical objectives of performing direct restorations with resin composites is the achievement of an optimal surface in mechanical terms, while also resembling the natural optical characteristics of dental enamel. The aim of this study is to compare the gloss levels achieved in four nanohybrid resins using four different finishing/polishing (F/P) protocols and assess the retention of gloss after an aging process.

METHODS

Forty-eight A2-colored samples from four commercial brands (Filtek Z250 XT, Tetric N-Ceram, Zafira, and Spectra Smart) were prepared, with 12 specimens per resin. The samples were divided into four subgroups based on the F/P treatment: T1 (clinical polishing sequence with ShapeGuard system), T2 (metallographic polishing sequence), T3 (clinical polishing sequence with PermaSeal), and T4 (final polymerization through glycerin and clinical polishing sequence). Gloss measurements were taken before and after aging. ANOVA one-way was done.

RESULTS

Before aging, Z250 showed the highest average gloss in T1 (77.2 gloss units - GU), while Zafira (43.8 GU), Tetric (39.5 GU), and Spectra (33.5 GU) had lower values. In T2, Zafira (92.7 GU) and Spectra (87.4 GU) had the highest average gloss, and Tetric (75.7 GU) and Z250 (78.3 GU) had the lowest. No significant differences were found in T3, and in T4, Z250 had the highest average gloss (78.9 GU), followed by Tetric (74.7 GU) and Zafira (52.5 GU), with Spectra having the lowest (42.7 GU). Control group gloss levels ranged from 61.8 to 71.8 GU and remained consistent after aging, except for Tetric in T1 (p=0.045).

CONCLUSIONS

The impact of F/P strategies on gloss retention varies with the material, even within the same resin composite classification. The initial gloss level appears to be a more critical factor for long-term gloss retention than the specific F/P protocol used.

摘要

目的

使用树脂复合材料进行直接修复的临床目标之一是在机械性能方面实现最佳表面,同时还要接近牙釉质的自然光学特性。本研究的目的是比较四种纳米混合树脂在采用四种不同的修整/抛光(F/P)方案后所达到的光泽度水平,并评估老化过程后的光泽度保持情况。

方法

制备了来自四个商业品牌(Filtek Z250 XT、Tetric N-Ceram、Zafira和Spectra Smart)的48个A2色样本,每种树脂12个标本。根据F/P处理将样本分为四个亚组:T1(使用ShapeGuard系统的临床抛光程序)、T2(金相抛光程序)、T3(使用PermaSeal的临床抛光程序)和T4(通过甘油进行最终聚合及临床抛光程序)。在老化前后进行光泽度测量。进行单因素方差分析。

结果

老化前,Z250在T1中显示出最高的平均光泽度(77.2光泽单位 - GU),而Zafira(43.8 GU)、Tetric(39.5 GU)和Spectra(33.5 GU)的值较低。在T2中,Zafira(92.7 GU)和Spectra(87.4 GU)的平均光泽度最高,Tetric(75.7 GU)和Z250(78.3 GU)最低。在T3中未发现显著差异,在T4中,Z250的平均光泽度最高(78.9 GU),其次是Tetric(74.7 GU)和Zafira(52.5 GU),Spectra最低(42.7 GU)。对照组的光泽度水平在61.8至71.8 GU之间,除T1中的Tetric外(p = 0.045),老化后保持一致。

结论

F/P策略对光泽度保持的影响因材料而异,即使在同一树脂复合材料类别中也是如此。初始光泽度水平似乎比所使用的特定F/P方案对长期光泽度保持更为关键。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/00a3/11465800/cc216bf4fde1/cureus-0016-00000069073-i01.jpg

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