牛牙本质与采用不同粘接技术的粘接剂形成的界面中的边缘渗漏

Ana Natália Oliveira, R. A. Caldas, R. Consani
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摘要

目的:本体外研究的目的是评估牛牙本质和使用不同粘接技术的粘接剂形成的界面的边缘微渗漏:制作 30 个牛牙牙本质块,大小为 5 mm x 5 mm x 1 mm,其中一面完全为牙本质基底(20 mm2)。根据所使用的粘接技术,将牙本质块随机分为三组:CTS+RX(传统三步粘接剂+双激活树脂水门汀)、SBS+RX(单瓶自酸洗粘接剂+双激活树脂水门汀)和SAC(自粘水门汀)。根据每种粘接技术的使用说明,在牙本质块上固定一个相同尺寸的光聚合复合树脂块。将使用每种粘接技术制作的牙本质复合树脂块分成子组(n = 5),分别存放 7 天(对照组)和 6 个月。每个阶段结束后,将树脂块分别浸入装有中性亚甲基蓝染料的试管中 2 小时。样品经清洗、干燥后用立体放大镜进行评估,并使用分光光度计(Beckman DU 65)分析浸润色素的数量。数据进行了双向方差分析和 Tukey's 检验(5%):结果:传统三步法和自酸技术的微渗漏水平在 7 天(分别为 18 ± 25 和 43 ± 45 μm)或 6 个月(分别为 42 ± 55 和 52 ± 87 μm)内保持相似。与其他粘合技术相比,自粘技术在 7 天(263 ± 98 μm)和 6 个月(441 ± 226 μm)期间的微渗漏水平更高。只有自粘技术在评估时间上存在显著差异:结论:在两个评估时间段内,自粘技术在水中储存的微渗漏水平更高:临床意义:在长期使用粘合剂的临床程序中,应考虑牙本质-复合树脂界面上的不同微渗漏水平。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Marginal Leakage in Interfaces Formed by Bovine Dentin and Adhesive Cements Applied with Different Bonding Techniques
Objectives: The aim of this in vitro study was to evaluate the marginal microleakage in interfaces formed by bovine dentin and adhesive cements applied with different bonding techniques. Materials and Methods: Thirty bovine teeth dentin blocks measuring 5 mm x 5 mm x 1 mm were made with one side completely in dentin substract (20 mm2). The dentin blocks were randomly divided into three groups according to the cementation technique used: CTS+RX (conventional 3-step adhesive + dual-activation resin cement), SBS+RX (single-bottle self-etching adhesive + dual-activation resin cement), and SAC (self-adhesive cement). A photopolymerizable composite resin block with the same dimensions was fixed on the dentin block according to the instructions for each adhesive technique. The dentin-composite resin blocks made with each adhesive technique were separated into subgroups (n = 5) for 7 days (control) and for 6 months of water storage. After each period, the blocks were individually immersed in test tubes containing neutral methylene blue dye for 2 hours. The samples were washed, dried, and evaluated with a stereoscopic magnifying glass, and the amount of infiltrated pigment was analyzed using spectrophotometry (Beckman DU 65). The data were submitted to two-way ANOVA and Tukey’s test (5%). Results: Microleakage level for the conventional 3-step or self-etching technique remained similar for 7 days (18 ± 25 and 43 ± 45 μm, respectively) or 6 months (42 ± 55 and 52 ± 87 μm, respectively). The self-adhesive technique showed higher microleakage levels for 7-day (263 ± 98 μm) and 6-month periods (441 ± 226 μm) compared to other adhesive techniques. There was a statistically significant difference between evaluation times only for the self-adhesive technique. Conclusions: Higher microleakage levels by storage in water occurred with the self-adhesive technique in both evaluation periods. Clinical Relevance: The different microleakage levels promoted at the dentin-composite resin interface should be considered in adhesive clinical procedures in relation to long-term use.
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