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树脂-牙本质相互扩散区超微结构的扫描电镜和透射电镜对比观察

Comparative SEM and TEM examination of the ultrastructure of the resin-dentin interdiffusion zone.

作者信息

Van Meerbeek B, Dhem A, Goret-Nicaise M, Braem M, Lambrechts P, VanHerle G

机构信息

Department of Operative Dentistry and Dental Materials, Katholieke Universiteit, Leuven, Belgium.

出版信息

J Dent Res. 1993 Feb;72(2):495-501. doi: 10.1177/00220345930720020501.

Abstract

The resin-dentin interdiffusion zone produced by a dentin-adhesive system that removes the smear layer and concurrently decalcifies superficial dentin was morphologically examined by both scanning and transmission electron microscopy. Cross-sectioned resin-bonded dentin discs were etched with an argon-ion beam to make the resin-dentin interface observable by SEM. For the TEM examination, the sections were partly decalcified by an aqueous EDTA solution to facilitate ultramicrotomy and to disclose the ultrastructure of the interdiffusion zone. Both SEM and TEM confirmed the presence of the resin-dentin interdiffusion zone as the junction between the deep unaltered dentin structure and the restorative resin. Within the interdiffusion zone, three sublayers with characteristic ultrastructure and staining were identified by TEM. An upper diffuse black layer contained few structural features. Underneath, partially-altered collagen fibrils were closely packed, mostly running parallel with the interface and perpendicular to the dentinal tubules. Their outline was electron-dense, forming tunnel-like structures. At the base of the upper layer, several stained projections were found to bulge out into the underlying collagen network and appeared to be confined by obstructive, parallel-running collagen fibrils. Finally, the third dense layer, containing hydroxyapatite crystals, demarcated the superficially demineralized dentin layer from the deeper unaltered dentin. Resin diffusion into the decalcified dentin surface layer was evident, but diminished with depth, presumably reducing deeper resin impregnation into the interfibrillar spaces. The citric acid dentin-pretreatment probably caused denaturation of the superficial collagen fibrils. Its decalcifying effect gradually weakened with depth, leaving behind hydroxyapatite crystals at the base of the interdiffusion zone.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

通过扫描电子显微镜和透射电子显微镜对一种牙本质粘结系统产生的树脂 - 牙本质相互扩散区进行了形态学检查,该系统可去除玷污层并同时使表层牙本质脱钙。将树脂粘结牙本质盘进行横截面切割,用氩离子束蚀刻,以使树脂 - 牙本质界面能通过扫描电子显微镜观察到。对于透射电子显微镜检查,切片用乙二胺四乙酸水溶液进行部分脱钙,以利于超薄切片,并揭示相互扩散区的超微结构。扫描电子显微镜和透射电子显微镜均证实了树脂 - 牙本质相互扩散区的存在,它是深层未改变的牙本质结构与修复性树脂之间的交界区域。在相互扩散区内,透射电子显微镜识别出具有特征性超微结构和染色的三个亚层。上层弥散黑色层几乎没有结构特征。其下方,部分改变的胶原纤维紧密排列,大多与界面平行且垂直于牙本质小管。它们的轮廓电子密度高,形成隧道状结构。在上层底部,发现有几个染色的突起向下方的胶原网络中突出,并且似乎受到阻碍性的、平行排列的胶原纤维的限制。最后,含有羟基磷灰石晶体的第三致密层将表面脱矿的牙本质层与更深层未改变的牙本质区分开来。树脂扩散到脱钙牙本质表层是明显的,但随着深度增加而减弱,推测这减少了树脂向纤维间间隙的深层渗透。柠檬酸对牙本质的预处理可能导致表层胶原纤维变性。其脱钙作用随深度逐渐减弱,在相互扩散区底部留下羟基磷灰石晶体。(摘要截短至250字)

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