Tam L E, Dev S, Pilliar R M
Faculty of Dentistry, University of Toronto, Ontario, Canada.
Oper Dent. 1995 Jul-Aug;20(4):144-50.
Several new light-cured glass-ionomer materials have been developed for restorative use. It is not yet clear, however, whether the ability of the conventional glass ionomers to bond chemically to dentin has been preserved in the new light-cured glass ionomers whose chemical compositions have been modified. The fracture toughness test was recently introduced as an appropriate method of measuring the fracture resistance of an interface. We have applied this test to the glass ionomer/dentin interface for the first time. Ten mini short-rod fracture-toughness specimens were fabricated for each group. Each specimen contained a chevron-shaped glass ionomer/dentin interface along its midplane. After 24 hours in 37 degrees C water, the specimens were tested by loading at 0.5 mm/min. The interfacial Kic results (MPa X m (1/2)) (SD), analyzed by ANOVA and Fisher's LSD test (P<0.05), were: Chem-fil II, 0.17 (0.04); Vitremer, 0.18 (0.15); Fuji II LC, 0.33 (0.16). There were no significant differences in interfacial Kic between the conventional and light-cured glass ionomers. Interfacial Kic's for a light-cured glass ionomer were, however, significantly higher when an intermediary dentin bonding agent was used. SEM examinations of the fractured surfaces indicated that crack propagation generally occurred along the bond interface, and indicated the formation of a resin-infiltrated layer when the dentin bonding agents were used. It was concluded that the fracture-toughness test could be a useful measure of the integrity of the glass ionomer/dentin interface. The clinical effect of an intermediary layer between the glass ionomer and the tooth structure is, however, unknown and requires further investigation.
已经开发出几种新型光固化玻璃离子材料用于修复。然而,目前尚不清楚,在化学成分已被改变的新型光固化玻璃离子材料中,传统玻璃离子与牙本质发生化学结合的能力是否得以保留。断裂韧性测试最近被引入,作为测量界面抗断裂性的一种合适方法。我们首次将此测试应用于玻璃离子/牙本质界面。每组制作了10个小型短棒断裂韧性试样。每个试样沿其中心平面包含一个人字形玻璃离子/牙本质界面。在37摄氏度的水中放置24小时后,以0.5毫米/分钟的加载速度对试样进行测试。通过方差分析和Fisher最小显著差异检验(P<0.05)分析得到的界面Kic结果(MPa×m(1/2))(标准差)为:Chem-fil II,0.17(0.04);Vitremer,0.18(0.15);Fuji II LC,0.33(0.16)。传统玻璃离子和光固化玻璃离子之间的界面Kic没有显著差异。然而,当使用中间牙本质粘结剂时,光固化玻璃离子的界面Kic显著更高。对断裂表面的扫描电子显微镜检查表明,裂纹扩展通常沿着粘结界面发生,并表明使用牙本质粘结剂时形成了树脂浸润层。得出的结论是,断裂韧性测试可能是衡量玻璃离子/牙本质界面完整性的一种有用方法。然而,玻璃离子和牙齿结构之间中间层的临床效果尚不清楚,需要进一步研究。