口腔医学研究 ›› 2017, Vol. 33 ›› Issue (5): 467-470.DOI: 10.13701/j.cnki.kqyxyj.2017.05.001

• 名家论道 •    下一篇

自酸蚀粘接剂对流动树脂边缘密封性的影响

曹佩琳,张磊,潘依莎,刘强,陈瑞甜,陈智*   

  1. 武汉大学口腔医学院牙体牙髓科 湖北 武汉 430027
  • 收稿日期:2017-03-22 出版日期:2017-05-20 发布日期:2017-05-26
  • 通讯作者: 陈智,E-mail:zhichen@whu.edu.cn
  • 作者简介:曹佩琳(1990~ ),女,湖北人,博士,主要从事牙本质粘接剂、牙体修复等相关临床研究工作。
  • 基金资助:
    国家自然科学基金资助项目(编号:81420108011)

Influence of Various Self-etch Adhesives on Interfacial Integrity Restored with Flowable Resin Composite.

CAO Pei-lin, ZHANG Lei, PAN Yi-Sha, LIU Qiang, CHEN Rui-tian, CHEN Zhi*.   

  1. School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China.
  • Received:2017-03-22 Online:2017-05-20 Published:2017-05-26

摘要: 目的:比较几种不同自酸蚀粘接剂对流动树脂充填牙合面洞的边缘密封性的影响。方法:收集42颗拔除的完整第三磨牙,制备牙合面洞:2 mm×2 mm×2 mm,随机分为7组,分别使用不同粘接剂处理:A(SE Bond)、B(Liner Bond F)、C(SE Protect)、D(SE Bond 2)、E(SE One)、F(S3 Bond)、G(Universal Bond Kit)。流动树脂充填。使用声发射记录光固化开始前后2000 s的声发射事件,光学相干断层扫描检测树脂-牙体界面的密封性。结果:声发射信号在光固化开始后的150 s内声发射事件数迅速增长。E组的平均声发射事件数目最少且增长速率最慢,F组增长速率最快,B组的平均声发射事件数目最多。各组间声发射事件数无显著性差异。对于光学相干断层扫描,E组产生的界面间隙百分比最小,各组间无显著性差异。结论:声发射与光学相干断层扫描可以用来检测修复体与牙体间界面间隙的产生。一步法和两步法自酸蚀粘接剂的粘接效果没有显著性差异。

关键词: 自酸蚀粘接剂, 流动树脂, 声发射, 光学相干断层扫描, 边缘密封性

Abstract: Objective: To compare the influence of various self-etch adhesives on interfacial integrity restored with flowable resin composite. Methods: Forty-two extracted intact human third molars were selected and cavities of 2mm*2mm*2mm were prepared on the occlusal surface of the teeth. The prepared teeth were randomly divided into seven groups and treated with different self-etch adhesives: Group A (SE Bond), Group B (Liner Bond F), Group C (SE Protect), Group D (SE Bond 2), Group E (SE One), Group F (S3 Bond), and Group G (Universal Bond Kit). All of the teeth were restored with flowable resin composite and were light-cured for 20s. Acoustic emission (AE) events were recorded when the light-curing started, and last for totally 2000s during and after light-curing time. The interfacial integrity was detected by optical coherence tomography (OCT). Results: The cumulative AE number increased rapidly in the early time period until 150s. The AE number of Group E was the lowest, while the AE number of Group B was the highest. However, there were no significant differences among all groups. The percentage of interfacial debonding in Group E was the lowest. The percentages of interfacial debonding calculated by OCT were not significantly different in all groups. Conclusion: AE technology and OCT were effective methods to detect tooth-composite interfacial integrity. The interfacial integrity showed no significant difference between one-step and two-step self-etch adhesives.

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