Ferrari M, Vichi A, Mannocci F, Davidson C L
University of Siena, Italy.
J Prosthet Dent. 1998 Feb;79(2):131-5. doi: 10.1016/s0022-3913(98)70205-7.
"Compomers" are being used with increasing frequency in Europe and North America.
This study evaluated the marginal seal of two compomers in vivo.
Periodontally involved teeth, scheduled for extraction, were selected. Four groups of a combination of materials were used (Dyract with Dyract-PSA primer, group 1; Dyract with Prime and Bond 2.0, group 2; Compoglass with SCA primer, group 3; and Compoglass with Syntac Single Component, group 4). The restorations were made in a standardized shaped cavity, across the cementoenamel junction, and the teeth were extracted after 2 to 3 months of clinical service. The specimens were kept in a solution of 2% methylene blue for 24 hours. After being embedded in epoxy resin, sections were made with a low speed saw along the longitudinal axis of the teeth. The examination of dye penetration was made with a microscope at a magnification of x20 and scoring was done at both coronal and apical sites. Kruskal-Wallis statistical analysis was performed at 5% significance level.
Groups 2 and 4 scored significantly less than groups 1 and 3 and for groups 2 and 4, 30% of the restorations exhibited leakage.
These restoration systems did not completely prevent leakage either at the incisal or the cervical margins. Therefore the use of an enamel-dentin bonding system in combination with the proprietary compomer is recommended.
“复合体”在欧洲和北美正越来越频繁地被使用。
本研究评估了两种复合体在体内的边缘封闭性。
选择计划拔除的牙周病患牙。使用四组材料组合(第一组:Dyract与Dyract - PSA底漆;第二组:Dyract与Prime and Bond 2.0;第三组:Compoglass与SCA底漆;第四组:Compoglass与Syntac单组分)。修复体在标准化形状的窝洞中制作,跨越牙骨质釉质界,临床使用2至3个月后拔牙。标本在2%亚甲蓝溶液中保存24小时。嵌入环氧树脂后,用低速锯沿牙齿纵轴制作切片。用放大20倍的显微镜检查染料渗透情况,并在冠部和根尖部位进行评分。采用Kruskal - Wallis统计分析,显著性水平为5%。
第二组和第四组的评分显著低于第一组和第三组,且第二组和第四组中有30%的修复体出现边缘渗漏。
这些修复系统在切缘或颈缘均不能完全防止边缘渗漏。因此,建议将牙釉质 - 牙本质粘结系统与专用复合体联合使用。