Yoshiyama M, Matsuo T, Ebisu S, Pashley D
Department of Conservative Dentistry, Tokushima University, School of Dentistry, Japan.
J Dent. 1998 Sep;26(7):609-16. doi: 10.1016/s0300-5712(97)00046-8.
The purpose of this study was to measure the regional tensile bond strengths (TBS) at various portions of human tooth enamel and dentin, and to observe the resin-dentin interfaces of two commercially available self-etching/self-priming adhesive systems by scanning electron microscopy (SEM). Twelve extracted human cuspid teeth were used to measure TBS and four additional teeth were used for scanning electron microscopy (SEM). Outer enamel and dentin were removed from the labial tooth surfaces to form a long cavity preparation into middle dentin extending from the mid-crown to the apex of the root within the same tooth. Either Clearfil Liner Bond 2 (LB 2, Kuraray) or Fluoro Bond (FB, Shofu) was bonded to the surfaces, and covered with resin-composite. The resin-bonded teeth were serially sliced at right angles to the long axis of the tooth, and the bonded surfaces were trimmed to give a bonded cross-sectional surface area of 1 mm2 for TBS tests. LB 2 and FB showed significantly higher TBS in coronal, cervical and middle root dentin than that in enamel and apical root dentin. SEM showed that the thickness of the hybrid layer of both systems was about 1.0 microm in coronal, cervical and middle root dentin, and less than 0.5 microm in apical root dentin. These results suggested that the self-etching/self-priming systems produce good adhesion in coronal, cervical and middle root dentin by creating thin hybrid and transitional layers, but bonding to enamel and apical root dentin should be improved.
本研究的目的是测量人类牙釉质和牙本质不同部位的区域拉伸粘结强度(TBS),并通过扫描电子显微镜(SEM)观察两种市售自酸蚀/自底漆粘结系统的树脂-牙本质界面。使用12颗拔除的人类尖牙测量TBS,另外4颗牙齿用于扫描电子显微镜(SEM)检查。从唇面去除外层牙釉质和牙本质,在同一颗牙齿内形成一个从牙冠中部延伸至牙根尖的长洞形预备体至中层牙本质。将Clearfil Liner Bond 2(LB 2,可乐丽)或Fluoro Bond(FB,松风)粘结到表面,并用树脂复合材料覆盖。将粘结树脂的牙齿沿与牙齿长轴成直角的方向连续切片,修整粘结面以获得1 mm2的粘结横截面积用于TBS测试。LB 2和FB在冠部、颈部和牙根中部牙本质中的TBS显著高于牙釉质和牙根尖部牙本质。SEM显示,两种系统的混合层厚度在冠部、颈部和牙根中部牙本质中约为1.0微米,在牙根尖部牙本质中小于0.5微米。这些结果表明,自酸蚀/自底漆系统通过形成薄的混合层和过渡层在冠部、颈部和牙根中部牙本质中产生良好的粘结,但与牙釉质和牙根尖部牙本质的粘结应加以改进。