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新型粘结系统的树脂浸润牙本质层形成

Resin-infiltrated dentin layer formation of new bonding systems.

作者信息

Prati C, Chersoni S, Mongiorgi R, Pashley D H

机构信息

University of Bologna, School of Dentistry, Department of Operative/Emergency Dentistry, Italy.

出版信息

Oper Dent. 1998 Jul-Aug;23(4):185-94.

PMID:9760921
Abstract

The purpose of this study was to evaluate the resin-dentin interfacial morphology and shear bond strength of several new and experimental dentin bonding systems classified as single-bottle/total etch, multi-step/total etch, and self-etching. Class 1 and 5 cavities were prepared from freshly extracted permanent molars and restored with composite resin. Each bonded sample was cross sectioned and one-half was completely demineralized and deproteinized, while the other half was polished along the cut surface to permit measurement of the thickness of resin-infiltrated dentin layer (RIDL) within intertubular dentin (iRIDL) and around the peritubular walls (pRIDL) of resin tags by SEM. Shear bond strength was measured for all the systems 2 minutes after photocuring. SEM showed iRIDL and resin tags of different morphology depending on material and dentin location. The iRIDL was thinner in superficial dentin and thicker in deep dentin. Peritubular RIDL (pRIDL) was thinner than intertubular RIDL. Bond strength measurements varied from 12 to 21 MPa, depending on the materials used. Self-etching primer systems exhibited the highest bond strength, although one of the one-step/total etch systems also yielded very high values. The contribution of pRIDL to adhesion onto superficial dentin is limited by the small number of tubules. Single-component bonding agents produced SEM morphology and bond strengths similar to those of multi-step systems. Self-etching systems, despite their limited RIDL thickness, produced the highest immediate bond strengths. Bond strength did not correlate well with the thickness and morphology of RIDL.

摘要

本研究的目的是评估几种新的和实验性牙本质粘结系统的树脂-牙本质界面形态和剪切粘结强度,这些系统分为单瓶/全酸蚀、多步骤/全酸蚀和自酸蚀类型。从新鲜拔除的恒牙制备Ⅰ类和Ⅴ类洞型,并用复合树脂进行修复。将每个粘结样本进行横截面切割,一半完全脱矿和脱蛋白,另一半沿切割面抛光,以便通过扫描电子显微镜(SEM)测量管间牙本质内树脂浸润牙本质层(RIDL)的厚度(iRIDL)以及树脂突周围管周壁的厚度(pRIDL)。在光固化2分钟后测量所有系统的剪切粘结强度。扫描电子显微镜显示,iRIDL和树脂突的形态因材料和牙本质位置而异。iRIDL在表层牙本质中较薄,在深层牙本质中较厚。管周RIDL(pRIDL)比管间RIDL薄。粘结强度测量值在12至21兆帕之间,具体取决于所使用的材料。自酸蚀底漆系统表现出最高的粘结强度,尽管一种单步骤/全酸蚀系统也产生了非常高的值。由于管周数量较少,pRIDL对表层牙本质粘结的贡献有限。单组分粘结剂产生的扫描电子显微镜形态和粘结强度与多步骤系统相似。自酸蚀系统尽管RIDL厚度有限,但产生了最高的即时粘结强度。粘结强度与RIDL的厚度和形态相关性不佳。

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