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酸性饮料对牙科修复中树脂复合材料的影响及意义的深入研究:一项体外研究

Insights Into the Effects and Implications of Acidic Beverages on Resin Composite Materials in Dental Restorations: An In Vitro Study.

作者信息

Das Kualsmita, Murthy Chethana S, Naganath Meena, Mehta Deepak, Anitha Kumari R, Karobari Mohmed Isaqali, Venkataiah Venkata Suresh

机构信息

Department of Conservative Dentistry and Endodontics, V.S Dental College and Hospitals, Bangalore, Karnataka, India.

Department of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India.

出版信息

J Esthet Restor Dent. 2025 Apr;37(4):1013-1023. doi: 10.1111/jerd.13372. Epub 2024 Nov 30.

Abstract

BACKGROUND

Dental composite resins are commonly used due to their excellent physical and mechanical properties. However, exposure to beverages like Coca-Cola, Apple juice, and Black coffee can negatively impact these materials. This study examined the effects of these drinks on the surface microhardness and surface roughness of Nanohybrid, Giomer, and Dual-Cure Bulk-fill resin composites.

METHODS

Seventy-two disc-shaped resin composite specimens were prepared and divided into four groups (n = 18) based on immersion liquid: Group 1 (Coca-Cola), Group 2 (Apple juice), Group 3 (Black coffee), and Group 4 (Distilled water). The composites were further categorized into NeoSpectra (Subgroup 1), Beautifil II (Subgroup 2), and Predicta (Subgroup 3). Specimens were immersed for 14 days, alternating 18 h in beverages and 6 h in distilled water daily. Microhardness was measured using a Vickers microhardness tester, and surface roughness was analyzed by atomic force microscopy. Data were assessed using one-way ANOVA and Tukey's post hoc test, with significance set at p < 0.05.

RESULTS

All groups experienced significant decrease in microhardness and surface roughness. Coca-Cola led to the highest roughness and hardness reduction. Among composites, the Nanohybrid resin (NeoSpectra) showed the least alteration.

CONCLUSION

NeoSpectra ST, a nanohybrid composite, demonstrated superior resistance to acidic beverages compared to Giomer and Bulk-fill composites.

CLINICAL SIGNIFICANCE

The study finds that out of three composite materials, nanohybrid composites are the most acid resistant which provides a suitable material for patients who consume acidic beverages more frequently. In this way, clinicians can use this information to help optimally increase the longevity of their restorations by selecting materials according to oral exposure levels of acids in their patients.

摘要

背景

牙科复合树脂因其优异的物理和机械性能而被广泛使用。然而,接触可口可乐、苹果汁和黑咖啡等饮料会对这些材料产生负面影响。本研究考察了这些饮料对纳米混合树脂、聚硅氧烷增强树脂和双重固化大容量充填树脂复合材料表面显微硬度和表面粗糙度的影响。

方法

制备72个圆盘状树脂复合材料试件,根据浸泡液体分为四组(n = 18):第1组(可口可乐)、第2组(苹果汁)、第3组(黑咖啡)和第4组(蒸馏水)。复合材料进一步分为NeoSpectra(亚组1)、Beautifil II(亚组2)和Predicta(亚组3)。试件浸泡14天,每天在饮料中浸泡18小时,在蒸馏水中浸泡6小时。使用维氏显微硬度测试仪测量显微硬度,通过原子力显微镜分析表面粗糙度。数据采用单因素方差分析和Tukey事后检验进行评估,显著性设定为p < 0.05。

结果

所有组的显微硬度和表面粗糙度均显著降低。可口可乐导致的粗糙度和硬度降低最为明显。在复合材料中,纳米混合树脂(NeoSpectra)的变化最小。

结论

与聚硅氧烷增强树脂和大容量充填复合材料相比,纳米混合复合材料NeoSpectra ST对酸性饮料具有更强的耐受性。

临床意义

该研究发现,在三种复合材料中,纳米混合复合材料的耐酸性最强,这为更频繁饮用酸性饮料的患者提供了合适的材料。通过这种方式,临床医生可以利用这些信息,根据患者口腔中酸的暴露水平选择材料,从而帮助最佳地延长修复体的使用寿命。

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