Ashcraft D B, Staley R N, Jakobsen J R
Department of Orthodonties, College of Dentistry, University of Iowa, Iowa City 52242, USA.
Am J Orthod Dentofacial Orthop. 1997 Mar;111(3):260-5. doi: 10.1016/s0889-5406(97)70183-5.
Little is known about the release of fluoride from light-cured glass ionomer cements when used as orthodontic bonding agents. Fluoride release from three "hybrid" light-cured glass ionomer cements was measured during a 42-day period after initial curing in an in vitro test that simulated their use as orthodontic bonding agents. On day 48, the bonded teeth were exposed for 30 seconds to a stannous fluoride gel and checked for fluoride release during the following week. One cement (BL) released the most fluoride after initial cure and after an exposure to a stannous fluoride gel on day 48. The other two hybrid cements exhibited both significantly less fluoride release than material (BL) and resembled for most of the 55-day duration the composite resin control. After the 55-day duration, shear bond strengths of the composite resin control were significantly higher than the three light-cured glass ionomer cements. The light-cured glass ionomer cements in this study released fluoride after initial curing and after exposure to a topical fluoride gel. This property may help reduce or possibly even prevent enamel decalcifications seen around bracket bases. At present, the shear bond strengths of the light-cured glass ionomer cements tested appear to be too low for routine orthodontic bonding agents.
当用作正畸粘结剂时,光固化玻璃离子水门汀释放氟的情况鲜为人知。在一项体外试验中,模拟其作为正畸粘结剂的使用情况,测量了三种“混合型”光固化玻璃离子水门汀在初始固化后的42天内的氟释放量。在第48天,将粘结的牙齿暴露于氟化亚锡凝胶中30秒,并在接下来的一周内检查氟释放情况。一种水门汀(BL)在初始固化后以及在第48天暴露于氟化亚锡凝胶后释放的氟最多。另外两种混合型水门汀的氟释放量均明显低于材料(BL),并且在55天的大部分时间内与复合树脂对照相似。在55天结束后,复合树脂对照的剪切粘结强度明显高于三种光固化玻璃离子水门汀。本研究中的光固化玻璃离子水门汀在初始固化后以及暴露于局部用氟凝胶后会释放氟。这一特性可能有助于减少甚至可能预防托槽周围出现的牙釉质脱矿。目前,所测试的光固化玻璃离子水门汀的剪切粘结强度对于常规正畸粘结剂而言似乎过低。