Ferracane J L, Mitchem J C, Adey J D
Oregon Health Sciences University, Portland 97201, USA.
Am J Dent. 1998 Feb;11(1):23-8.
To evaluate the in vitro microleakage of a new fluoride-containing dentin adhesive and to provide evidence for fluoride release from the adhesive and penetration into the dentin.
Class V preparations with margins in enamel and dentin were made in the buccal and lingual surfaces of six extracted human third molars. Six preparations were restored with Scotchbond Multipurpose (SBMP)/Z100 composite and six with a new fluoride containing dentin adhesive (FB)/Litefil composite. After aging for 30 days in water at 37 degrees C, the teeth were stained with silver nitrate, sectioned and graded by two observers for leakage at the enamel and dentin margins. Selected FB specimens were examined in the scanning electron microprobe using WDS for fluoride and EDS for calcium and phosphorous. Fluoride release into water from disks of FB adhesive was evaluated for up to 112 days using a specific ion electrode.
Fluoride leached from the adhesive at a decreasing rate with time. The final rate over 112 days was 0.02 ppm/day (0.2 microgram/cm2/day). Leakage at the enamel and dentin margins was similar for both adhesives (Mann-Whitney U-test; P < or = 0.05). SEM evaluation showed the presence of a discontinuous hybrid layer of 2-3 microns. Fluoride was present within, but limited to, the hybrid layer for the FB adhesive. The penetration of fluoride could only be confirmed in areas where leakage had occurred.
评估一种新型含氟牙本质黏结剂的体外微渗漏情况,并为该黏结剂释放氟以及氟渗透进入牙本质提供证据。
在六颗拔除的人类第三磨牙的颊面和舌面制备边缘位于釉质和牙本质的V类洞。六颗洞用Scotchbond多功能黏结剂(SBMP)/Z100复合树脂修复,另外六颗用一种新型含氟牙本质黏结剂(FB)/Litefil复合树脂修复。在37℃水中老化30天后,牙齿用硝酸银染色,切片后由两名观察者对釉质和牙本质边缘的渗漏情况进行分级。选用的FB标本在扫描电子微探针上用波长色散光谱仪(WDS)检测氟,用能谱仪(EDS)检测钙和磷。使用特定离子电极评估FB黏结剂圆盘在长达112天内氟向水中的释放情况。
氟从黏结剂中渗出的速率随时间降低。112天的最终速率为0.02 ppm/天(0.2微克/平方厘米/天)。两种黏结剂在釉质和牙本质边缘的渗漏情况相似(曼-惠特尼U检验;P≤0.05)。扫描电镜评估显示存在2 - 3微米厚的不连续混合层。对于FB黏结剂,氟存在于混合层内,但仅限于混合层。氟的渗透仅在发生渗漏的区域得到证实。