[铒激光预处理对牙本质和珐琅质之间的粘接强度以及用于修复牙齿缺损的 CAD/CAM 玻璃离子粘合剂修复体边缘微渗漏的影响]。

Q4 Medicine
上海口腔医学 Pub Date : 2024-06-01
Hua-Xuan Yang, Ren-Sheng Chen, Jia-Hui Huang, Hai-Ying Kong, Lin-Lin Zhang
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引用次数: 0

摘要

目的:研究铒激光预处理对牙本质和釉质粘接强度的影响,以及用计算机辅助设计(CAD)和计算机辅助制造(CAM)玻璃陶瓷修复体修复牙缺损边缘微渗漏的影响:2020年1月至2023年1月期间,在口腔外科门诊共收集了62颗新鲜、未龋坏、未变色、未裂开的智齿。根据不同的预处理方法,将其随机分为两组,即铒激光组和磷酸组,每组 31 颗牙齿。每组又分为两个子组,分别进行粘接强度测试(16 颗牙)和微渗漏测试(15 颗牙)。比较两组牙釉质和牙本质之间的剪切粘接强度,以及微渗漏的程度和分布:结果:铒激光组牙釉质与牙本质之间的剪切粘接强度明显高于磷酸组(P<0.05);铒激光组牙龈侧壁和牙龈缘微渗漏的程度和分布明显低于磷酸组(P<0.05)。铒激光组侧壁微渗漏评分主要集中在 1 级和 2 级,而磷酸组主要集中在 2 级。两组侧壁微渗漏评分分布差异有学意义(P<0.05)。铒激光组牙龈缘微渗漏评分主要集中在 1 级和 2 级,而磷酸组主要集中在 2 级和 3 级。两组牙龈微渗漏评分分布差异有学意义(P<0.05):铒激光预处理可提高玻璃离子水门汀与牙本质和釉质的粘结强度,减少CAD/CAM玻璃离子水门汀修复体边缘的微渗漏,增强边缘密合度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[The effect of erbium laser pretreatment on bond strength between dentin and enamel and microleakage at the edge of CAD/CAM glass ionomer cement restorations for repairing tooth defects].

Purpose: To investigate the effects of erbium laser pretreatment on the bond strength of dentin and enamel,as well as microleakage at the edge of tooth defects repaired with computer-aided design (CAD) and computer-assisted manufacturing (CAM) glass-ceramic restorations for repairing dental defects.

Methods: A total of 62 fresh, nondecayed, nondiscoloration and noncracked wisdom teeth were collected from the Oral Surgery Clinic between January 2020 and January 2023. According to different pretreatment methods, they were randomly divided into two groups, erbium laser group and phosphoric acid group, with 31 teeth in each group. Each group was further divided into two subsets for bond strength testing (16 teeth) and microleakage testing (15 teeth).The shear bond strength between enamel and dentin of both groups was compared, as well as the degree and distribution of microleakage.Statistical analysis was performed with SPSS 17.0 software package.

Results: The shear bond strength between enamel and dentin of the erbium laser group was significantly higher than that of the phosphoric acid group (P<0.05); the degree and distribution of microleakage at the lateral walls and gumline of the erbium laser group were significantly lower than those of the phosphoric acid group (P<0.05). The scores of microleakage at the lateral walls of the erbium laser group mainly concentrated in grade 1 and 2, whereas those of the phosphoric acid group mainly concentrated in grade 2. There was significant difference in the distribution of lateral wall microleakage scores between the two groups (P<0.05). The scores of microleakage at the gumline of the erbium laser group mainly concentrated in grade 1 and 2, whereas those of the phosphoric acid group mainly concentrated in grade 2 and 3. There was significant difference in the distribution of gumline microleakage scores between the two groups (P<0.05).

Conclusions: Erbium laser pretreatment can improve bonding strength between glass ionomer cement and dentin and enamel, reduce microleakage at the edge of CAD/CAM glass ionomer cement restorations, and enhance marginal fit.

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上海口腔医学
上海口腔医学 Medicine-Medicine (all)
CiteScore
0.30
自引率
0.00%
发文量
5299
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