SonicFill声波树脂直接和间接法修复后牙Ⅱ类洞的微渗漏表现

doi:10.13701/j.cnki.kqyxyj.2021.08.013

摘要/Abstract

摘要： 目的: 探讨SonicFill声波树脂通过直接充填技术或树脂嵌体技术修复人离体后牙的Ⅱ类洞,比较两种修复方法边缘微渗漏的差异。方法: 收集50颗人离体前磨牙制备标准的Ⅱ类洞型腔,随机分成两组,每组25颗。A组使用SonicFill声波树脂直接充填修复,B组使用SonicFill声波树脂制作树脂嵌体进行修复。通过温度循环后每组随机选取5个样本进行扫描电镜观察,剩余样本用品红染色后在体式显微镜下观察牙合缘和龈缘的染色情况,测量染料渗透深度并分级。结果: 扫描电镜下观察到两组修复体与牙体组织均结合良好,但均观察到少量间隙的出现,A组的间隙范围要大于B组;在牙合缘处,B组染料渗透深度低于A组(P＜ 0.05);而在龈缘处两组间染色深度比较差异无统计学意义(P>0.05)。结论: 本研究结果表明,使用SonicFill声波树脂进行间接法修复比直接充填法获得较好的微渗漏表现。

关键词: 树脂嵌体, 声波树脂, 间接修复, 微渗漏

Abstract: Objective: To compare the marginal microleakage of SonicFill between direct and indirect restoration of class Ⅱ cavities in posterior teeth. Methods: 50 human premolars were randomly divided into two groups with 25 teeth in each group. Group A was directly filled with SonicFill, and Group B was restored with SonicFill inlay. After thermocycling, 5 samples were randomly selected from each group for scanning electron microscope, and the remaining samples were stained with magenta and observed the staining of the occlusal and gingival margins under a stereomicroscope, and the penetration depth of the dye was measured and graded. Results: Under the scanning electron microscope, it was found that the restorations of two groups were well integrated with the tooth tissue, and little gaps were observed in both groups. The amount of gaps in group A was larger than that of group B. The dye penetration depth of group B was lower than that of group A (P<0.05) at the gingival margin, but there was no significant difference between the two groups (P>0.05) at the occlusal margin. Conclusion: SonicFill inlay is better than direct SonicFill restoration in the performance of microleakage.

Key words: composite resin inlay, SonicFill, indirect restoration, microleakage

朱运握, 何万志. SonicFill声波树脂直接和间接法修复后牙Ⅱ类洞的微渗漏表现[J]. 口腔医学研究, 2021, 37(8): 732-736.

ZHU Yunwo, HE Wanzhi. Microleakage Performance of SonicFill in Direct and Indirect Restoration of Class Ⅱ Cavities in Posterior Teeth[J]. Journal of Oral Science Research, 2021, 37(8): 732-736.

参考文献

[1] Penha KS, Souza AF, Dos Santos MJ, et al. Could sonic delivery of bulk-fill resins improve the bond strength and cure depth in extended size class I cavities? [J]. J Clin Exp Dent, 2020, 12(12):e1131-e1138.
[2] Van Ende A, De Munck J, Van Landuyt K, et al. Effect of bulk-filling on the bonding efficacy in occlusal class Ⅰ cavities [J]. J Adhes Dent, 2016,18(2):119-124.
[3] 张磊,曹佩琳,潘伊莎,等.不同大块充填树脂对Ⅱ类洞龈壁密合性的影响[J].口腔医学研究,2018,34(3):319-322.
[4] Haak R, Näke T, Park KJ, et al. Internal and marginal adaptation of high-viscosity bulk-fill composites in class Ⅱ cavities placed with different adhesive strategies [J]. Odontology, 2019,107(3):374-382.
[5] Gamarra VSS, Borges GA, Júnior LHB,et al. Marginal adaptation and microleakage of a bulk-fill composite resin photopolymerized with different techniques [J]. Odontology, 2018, 106(1):56-63.
[6] Soares LM, Razaghy M, Magne P. Optimization of large MOD restorations: Composite resin inlays vs. short fiber-reinforced direct restorations [J]. Dent Mater, 2018, 34(4):587-597.
[7] Santos ERD, Busato AL. Microleakage in posterior teeth with different materials and different types of cavities [J]. Indian J Dent Res, 2019, 30(5):783-787.
[8] Souza J, Fuentes MV, Baena E, et al. One-year clinical performance of lithium disilicate versus resin composite CAD/CAM onlays [J]. Odontology, 2021, 109(1):259-270.
[9] Tunac AT, Celik EU, Yasa B. Two-year performance of CAD/CAM fabricated resin composite inlay restorations: A randomized controlled clinical trial [J]. J Esthet Restor Dent, 2019, 31(6):627-638.
[10] Yu P, Xiong Y, Zhao P, et al. On the wear behavior and damage mechanism of bonded interface: Ceramic vs resin composite inlays [J]. J Mech Behav Biomed Mater, 2020, 101:103430.
[11] Politi I, McHugh LEJ, Al-Fodeh RS, et al. Modification of the restoration protocol for resin-based composite (RBC) restoratives (conventional and bulk fill) on cuspal movement and microleakage score in molar teeth [J]. Dent Mater, 2018, 34(9):1271-1277.
[12] 魏玉华,杨苗.疲劳循环对复合树脂微渗漏影响的体外研究[J].口腔医学研究,2017,33(6):668-670.
[13] Orowski M, Tarczydo B, Chaas R. Evaluation of marginal integrity of four bulk-fill dental composite materials: in vitro study [J]. ScientificWorldJournal, 2015, 2015:701262.
[14] Ebaya MM, Ali AI, Mahmoud SH. Evaluation of marginal adaptation and microleakage of three glass ionomer-based class Ⅴ restorations: in vitro study [J]. Eur J Dent, 2019,13(4):599-606.
[15] Meshram P, Meshram V, Palve D, et al. Comparative evaluation of microleakage around Class Ⅴ cavities restored with alkasite restorative material with and without bonding agent and flowable composite resin: An in vitro study [J]. Indian J Dent Res, 2019, 30(3):403-407.
[16] 姜雪,高平,魏茜茜,等.大块充填树脂的研究进展[J].口腔医学,2019,39(1):89-92.
[17] Alshali RZ, Silikas N, Satterthwaite JD. Degree of conversion of bulk-fill compared to conventional resin-composites at two time intervals [J]. Dent Mater, 2013, 29(9):213-217.
[18] AlSagob EI, Bardwell DN, Ali AO,et al. Comparison of microleakage between bulk-fill flowable and nanofilled resin-based composites [J]. Interv Med Appl Sci,2018, 10(2):102-109.
[19] Alqarni MA, Abdelaziz KM, Al Shahrani OS, et al. Microleakage of aesthetic restorations following functional simulation and immersion in saudi-traditional mouth rinses [J]. Open Access Maced J Med Sci, 2019, 7(21):3630-3633.
[20] Furness A, Tadros MY, Looney SW, et al. Effect of bulk/incremental fill on internal gap formation of bulk-fill composites [J]. J Dent, 2014, 42(4):439-449.
[21] Moorthy A, Hogg CH, Dowling AH, et al. Cuspal deflection and microleakage in premolar teeth restored with bulk-fill flowable resin-based composite base materials [J]. J Dent, 2012, 40(6):500-505.
[22] Pereira R, Lima DANL, Giorgi MCC, et al. Evaluation of Bond Strength, Nanoleakage, and Marginal Adaptation of Bulk-fill Composites Submitted to Thermomechanical Aging [J]. J Adhes Dent, 2019, 21(3):255-264.
[23] 吕雨霏, 郭笑, 仪虹,等. SonicFill超声流体后牙树脂充填后的微渗漏研究[J].中国医刊,2015,(10):60-62.
[24] 王晓荣,姚丽萍.3种树脂材料修复离体牙Ⅱ类洞的边缘裂隙和微渗漏比较[J].口腔材料器械杂志,2019,28(4):199-203.
[25] Benetti AR, Havndrup-Pedersen C, Honoré D,et al. Bulk-fill resin composites: polymerization contraction, depth of cure, and gap formation [J]. Oper Dent, 2015, 40(2):190-200.