Vargas M A, Cobb D S, Armstrong S R
University of Iowa, College of Dentistry, Department of Operative Dentistry, Iowa City 52242, USA.
Oper Dent. 1997 Jul-Aug;22(4):159-66.
The purpose of this study was (1) to evaluate the effect of a 2-minute exposure of 5% NaOCl following acid conditioning of the dentin on the shear bond strength for two adhesive systems and (2) to examine the ultrastructure of the resindentin interface under SEM. The mesial and distal surfaces of 28 extracted human third molars were ground to expose dentin, then polished with 600-grit SiC. Teeth were randomly assigned to four test groups (n = 14) and received the following treatments: Scotchbond Multi-Purpose (SBMP)--Samples were conditioned with 37% phosphoric acid, rinsed and left moist, SBMP primer and adhesive were applied according to the manufacturer's directions, and Restorative Z-100 composite resin was bonded to the dentin surface. SBMP/NaOCl--The same procedures were followed as for SBMP except the surfaces were treated with 5% NaOCl for 2 minutes, after acid conditioning. All-Bond 2 (AB2)--The same technique was followed as for SBMP, using AB2 according to the manufacturer's recommendations. AB2/NaOCl--The same procedure was followed as for SBMP/NaOCl, using AB2. Specimens were thermocycled in a water bath 300 times between 5 degrees-55 degrees C, then sheared in a Zwick Universal Testing Machine. A one-way ANOVA and Duncan's Multiple Range Test were used for statistical analysis of the data. A 2-minute exposure of dentin to 5% NaOCl following acid conditioning of the dentin had no significant effect on the dentin shear bond strength for Scotchbond Multi-Purpose, but significantly increased the bond strength of All-Bond 2 specimens. The interfacial structure of the dentin to resin bond for two dentin treatments and two adhesive systems was studied morphologically under the scanning electron microscope. Argon ion beam etching and acid demineralization clearly revealed the hybrid layer for the conventional treatment with phosphoric acid and indicated an absence of this resin-impregnated collagen network in those specimens treated with both phosphoric acid and NaOCl.
(1)评估牙本质酸处理后用5%次氯酸钠(NaOCl)暴露2分钟对两种粘结系统剪切粘结强度的影响;(2)在扫描电子显微镜(SEM)下观察树脂-牙本质界面的超微结构。将28颗拔除的人类第三磨牙的近中面和远中面磨平以暴露牙本质,然后用600目碳化硅砂纸抛光。牙齿被随机分为四个试验组(n = 14)并接受以下处理:Scotchbond多用途粘结剂(SBMP)——样本用37%磷酸处理,冲洗并保持湿润,按照制造商的说明应用SBMP底漆和粘结剂,然后将Z-100复合树脂粘结到牙本质表面。SBMP/NaOCl——除了在酸处理后用5% NaOCl处理表面2分钟外,其余步骤与SBMP相同。全粘结2型粘结剂(AB2)——采用与SBMP相同的技术,按照制造商的建议使用AB2。AB2/NaOCl——采用与SBMP/NaOCl相同的步骤,使用AB2。样本在5℃至55℃的水浴中进行300次热循环,然后在Zwick万能试验机上进行剪切试验。使用单因素方差分析和邓肯多重极差检验对数据进行统计分析。牙本质酸处理后用5% NaOCl暴露2分钟对Scotchbond多用途粘结剂的牙本质剪切粘结强度没有显著影响,但显著提高了全粘结2型粘结剂样本的粘结强度。在扫描电子显微镜下对两种牙本质处理方法和两种粘结系统的牙本质-树脂粘结界面结构进行了形态学研究。氩离子束蚀刻和酸脱矿清楚地显示了用磷酸进行常规处理的混合层,并表明在用磷酸和NaOCl处理的样本中不存在这种树脂浸渍的胶原网络。