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喷砂距离对II类修复体龈壁处自酸蚀和全酸蚀粘结系统与颈部牙本质之间剪切粘结强度的影响。

The effect of sandblasting distances on the shear bond strength of a self-etch and total-etch adhesive system to cervical dentin in the gingival wall of Class II restorations.

作者信息

Gholami Sima, Boruziniat Alireza, Bagheri Hossein, Shakiba Reza

机构信息

Department of Restorative and Cosmetic Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Restorative and Cosmetic Dentistry, Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Dent Res J (Isfahan). 2025 Jul 24;22:30. doi: 10.4103/drj.drj_398_24. eCollection 2025.

Abstract

BACKGROUND

This study aimed to examine the effect of sandblasting on the shear bond strength (SBS) of two adhesive systems on cervical dentin in the gingival wall of Class II restorations at two different distances.

MATERIALS AND METHODS

In this study, 88 intact premolars were used. After creating a natural smear layer, samples were divided into self-etch (CLEARFIL LINER BOND F) and total-etch (Adper Single Bond 2) groups ( = 44). Each group was subdivided into subgroups ( = 22) for sandblasting at 5 mm or 10 mm, with the contralateral half as control. Following sandblasting (50-μm particles, 2 bar, 2 s), the resin composite was bonded to the dentin surface, with the SBS of the samples measured using a universal testing machine. The samples were examined using a scanning electron microscope (SEM) and analyzed by an energy dispersive X-Ray (EDX). The results were analyzed using three-way repeated measures analysis of variance and Chi-square tests (α = 0.05).

RESULTS

Sandblasting significantly reduced the SBS in both adhesive groups ( < 0.001). However, the adhesive system and distance did not significantly affect the bond strength ( > 0.05). The SEM images displayed the formation of irregularities in the smear layer, and EDX analysis revealed the presence of residual alumina particles on the blasted dentin samples.

CONCLUSION

Cervical dentine sandblasting reduced the adhesive SBS regardless of the 5- or 10-mm distance or the adhesive system used. Thus, sandblasting is not recommended as a method of dentin preparation before restoring cervical lesions.

摘要

背景

本研究旨在探讨喷砂处理对两类粘结系统在Ⅱ类洞修复体龈壁处距龈缘两个不同距离的颈部牙本质上的剪切粘结强度(SBS)的影响。

材料与方法

本研究使用了88颗完整的前磨牙。在形成天然玷污层后,将样本分为自酸蚀(可乐丽菲露粘结剂F)和全酸蚀(3M单组分粘结剂2)组(每组n = 44)。每组再细分为亚组(每组n = 22),分别在5mm或10mm处进行喷砂处理,对侧牙面作为对照。喷砂处理(50μm颗粒,2 bar,2 s)后,将树脂复合材料粘结到牙本质表面,使用万能试验机测量样本的SBS。使用扫描电子显微镜(SEM)对样本进行检查,并通过能量色散X射线(EDX)进行分析。结果采用三因素重复测量方差分析和卡方检验进行分析(α = 0.05)。

结果

喷砂处理显著降低了两组粘结剂的SBS(P < 0.001)。然而,粘结系统和距离对粘结强度没有显著影响(P > 0.05)。SEM图像显示玷污层出现不规则形态,EDX分析显示喷砂后的牙本质样本上存在残留氧化铝颗粒。

结论

无论距离为5mm还是10mm,也无论使用何种粘结系统,颈部牙本质喷砂处理都会降低粘结剂的SBS。因此,不建议在修复颈部病变前将喷砂作为牙本质预处理方法。

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