在体外选择性去除红色荧光龋性牙本质后放置的粘合剂的剪切结合强度。

IF 2.9 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Caries Research Pub Date : 2024-01-01 Epub Date: 2023-10-05 DOI:10.1159/000534349
Áine M Lennon, Nina Sophie Reich, Gerlinde Ferstl, Helga Ebensberger, Karl-Anton Hiller, Wolfgang Buchalla
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引用次数: 0

摘要

红色荧光牙本质表明细菌污染[Lennon等人:Caries Res 2002;36:315-319]。我们研究了去除红色荧光牙本质龋对4种粘接方式的剪切强度和断裂模式的影响。65颗龋坏牙齿和50颗非龋坏对照被分为4组:ClearfilTM自蚀(CSE)、OptibondTM FL全蚀(OTE)、ScotchbondTM通用全蚀(STE)和自蚀(SSE)。样品在405nm处激发,并通过530nm滤光片观察。使用4种粘合剂中的一种将Carious样品研磨平整,暴露出强红色荧光牙本质(StrongRF),在其上放置复合圆柱体。在水中22小时后,分析了剪切结合强度和断裂模式。去除StrongRF,将复合圆柱体放置在弱红色荧光牙本质(WeakRF)上,并如上所述进行测试。最后,去除红色荧光牙本质,将复合圆柱体放置在非荧光牙本质(NonRF)上并进行测试。在对照中,将复合物放置在3个相应的高度。在水中22小时后,进行剪切结合强度测试和断裂模式分析。使用Mann-Whitney或Wilcoxon检验来检验差异(p≤0.05)。StrongRF上的中位(Q1,Q3)剪切粘结强度为:SSE 14.4(9.2,18.2)MPa>CSE 10.2(6.4,17.3)MPa>STE 9.1(6.9,11.2)MPa>OTE 6.8(4.0,10.8)MPa。WeakRF上所有粘合剂的剪切粘结强度均显著增加,具有统计学意义(pSTE 19.5(12.7,23.1)MPa>CSE 17.5(12.0,22.5)MPa>OTE 15.8(11.9,20.9)MPa。仅STE 25.6(22.4,29.1)MPa和CSE 22.1(17.6,24.6)MPa在NonRF上与WeakRF相比有显著差异。对于在相应深度测试的对照,表观剪切粘结强度为:OTE 18.7(16.0,22.1)MPa>STE 18.4(12.0,25.9)MPa>CSE 18.1(12.7,20.7)MPa>SSE 13.0(9.6,17.8)MPa。与StrongRF相比,除SSE外,这一强度明显更高。中心剪切结合强度与WeakRF没有显著差异,SSE和CSE的深剪切结合强度显著较低,但OTE的深剪切强度高于carious。结论:为了获得更高的剪切结合强度,应去除强红色荧光牙本质,但在不影响粘合强度的情况下,可以保留弱红色荧光牙质。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Shear Bond Strength of Adhesives Placed following Selective Removal of Red-Fluorescing Carious Dentine in vitro.

Red-fluorescing dentine indicates bacterial contamination [Caries Res 2002; 36: 315-319]. We investigated effect of removal of red fluorescent dentine caries on shear bond strength and fracture mode of 4 adhesive approaches. Sixty-five carious teeth and 50 noncarious controls were distributed into 4 groups: Clearfil™ self-etch (CSE), OptiBond™ FL total etch (OTE), Scotchbond™ Universal total etch (STE) and self-etch (SSE). Samples were excited at 405 nm and viewed through 530 nm filter. Carious samples were ground flat exposing strongly red-fluorescing (StrongRF) dentine, on which a composite cylinder was placed, using one of 4 adhesives. After 22 h in water, shear bond strength and fracture mode were analysed. StrongRF was removed; composite cylinders were placed on weakly red-fluorescing (WeakRF) dentine and tested as described above. Finally, red-fluorescing dentine was removed, and composite cylinders were placed on non-fluorescing (NonRF) dentine and tested. Composites were placed at 3 corresponding heights in controls. After 22 h in water, shear bond strength testing and fracture mode analysis were performed. Differences were tested using Mann-Whitney or Wilcoxon tests (p ≤0.05). Median (Q1, Q3) shear bond strength on StrongRF was SSE 14.4 (9.2, 18.2) MPa >CSE 10.2 (6.4, 17.3) MPa >STE 9.1 (6.9, 11.2) MPa >OTE 6.8 (4.0, 10.8) MPa. Shear bond strength increased statistically significantly for all adhesives on WeakRF: SSE 19.8 (13.6, 24.3) MPa >STE 19.5 (12.7, 23.1) MPa >CSE 17.5 (12.0, 22.5) MPa >OTE 15.8 (11.9, 20.9) MPa. Only STE 25.6 (22.4, 29.1) MPa and CSE 22.1 (17.6, 24.6) MPa were significantly different on NonRF compared to WeakRF. For controls tested at corresponding depths, superficial shear bond strength was OTE 18.7 (16.0, 22.1) MPa >STE 18.4 (12.0, 25.9) MPa >CSE 18.1 (12.7, 20.7) MPa >SSE 13.0 (9.6, 17.8) MPa. This was significantly higher compared to StrongRF except for SSE. Central shear bond strength was not significantly different to WeakRF, deep shear bond strength was significantly lower for SSE and CSE but higher for OTE compared to carious. Conclusion: StrongRF dentine should be removed for higher shear bond strength, but WeakRF dentine can often be preserved without compromising adhesive bond strength.

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来源期刊
Caries Research
Caries Research 医学-牙科与口腔外科
CiteScore
6.30
自引率
7.10%
发文量
34
审稿时长
6-12 weeks
期刊介绍: ''Caries Research'' publishes epidemiological, clinical and laboratory studies in dental caries, erosion and related dental diseases. Some studies build on the considerable advances already made in caries prevention, e.g. through fluoride application. Some aim to improve understanding of the increasingly important problem of dental erosion and the associated tooth wear process. Others monitor the changing pattern of caries in different populations, explore improved methods of diagnosis or evaluate methods of prevention or treatment. The broad coverage of current research has given the journal an international reputation as an indispensable source for both basic scientists and clinicians engaged in understanding, investigating and preventing dental disease.
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