Rossomando K J, Wendt S L
University of Connecticut, School of Dental Medicine, Farmington, USA.
Dent Mater. 1995 Jan;11(1):47-51. doi: 10.1016/0109-5641(95)80008-5.
To answer criticisms of an insufficient number of cycles in thermocycling in an earlier paper (Wendt et al., 1992), this study was initiated to evaluate the effect of different dwell times during long-term thermocycling in microleakage analysis of bonded restoratives.
A total of 90 resin-bonded restorations, Tytin/Liner F, (Kerr/Bisco), APH/Universal Bond 3, (LD Caulk) and Heliomolar/Syntac, (Vivadent), were inserted in Class V preparations in human third molars. Group A restorations were stored in 0.5% basic fuchsin dye for 166 h. Group B restorations were thermocycled for 5000 cycles in 0.5% basic fuchsin dye baths at 5 +/- 1 degrees C and 55 +/- 1 degrees C with a dwell time of 10 s in each bath. Group C was thermocycled as in Group B but with a dwell time of 60 s. Readings by defined criteria were taken from each of two 1 mm sections along the cemental margin.
There were no significant differences (p < 0.05) in the extent of dye penetration at the tooth restoration interface for the thermocycled composite restorations when compared to composite restorations with no thermocycling. There was a significant difference (p < 0.05) in the extent of dye penetration at the tooth restoration interface for the thermocycled amalgam restorations when compared to dye-exposed amalgam specimens with no thermocycling.
During microleakage analysis, the need for thermocycling is dependent upon the extent the restorative is thermally conductive in relation to its mass. The dwell time should be clinically relevant, i.e., 10 s, and is important only if the restorative is thermally conductive.
为回应早期一篇论文(温德特等人,1992年)中关于热循环次数不足的批评,本研究旨在评估长期热循环过程中不同停留时间对粘结修复体微渗漏分析的影响。
将总共90个树脂粘结修复体,即Tytin/Liner F(克尔/必思科)、APH/通用粘结剂3(LD卡尔克)和Heliomolar/Syntac(维他登),植入人类第三磨牙的V类洞型中。A组修复体在0.5%碱性品红染料中储存166小时。B组修复体在0.5%碱性品红染料浴中于5±1℃和55±1℃进行5000次热循环,每次浴中的停留时间为10秒。C组热循环方式与B组相同,但停留时间为60秒。沿着牙骨质边缘从两个1毫米的切片中分别按照既定标准进行读数。
与未进行热循环的复合树脂修复体相比,热循环后的复合树脂修复体在牙齿修复体界面处的染料渗透程度无显著差异(p<0.05)。与未进行热循环的暴露于染料的汞合金标本相比,热循环后的汞合金修复体在牙齿修复体界面处的染料渗透程度有显著差异(p<0.05)。
在微渗漏分析中,热循环的必要性取决于修复体相对于其质量的热传导程度。停留时间应具有临床相关性,即10秒,并且仅在修复体具有热传导性时才重要。