口腔医学研究 ›› 2017, Vol. 33 ›› Issue (1): 74-77.DOI: 10.13701/j.cnki.kqyxyj.2017.01.017

• 临床研究论著 • 上一篇    下一篇

3种自酸蚀粘结剂与3种树脂对V类洞的微渗漏影响

王新迎,万娜,闫磊,尹艳娇,马俊玥,曹蓉蓉,熊梦琳,高文辉,吴佩玲*   

  1. 新疆医科大学第二附属医院口腔科 新疆 乌鲁木齐 830063
  • 收稿日期:2016-06-26 出版日期:2017-01-25 发布日期:2017-01-22
  • 通讯作者: 吴佩玲,E-mail:wplkq@sina.com
  • 作者简介:王新迎(1990~ ),女,陕西咸阳人,硕士在读,主要从事牙体牙髓病的研究工作。
  • 基金资助:
    新疆维吾尔自治区自然科学基金资助项目(编号:2015211C111)

Effects of Different Self Etching Adhesives and Resins on Microleakage of Class V Restorations.

WANG Xin-ying, WAN Na, YAN Lei, YIN Yan-jiao, CAO Rong-rong, XIONG Meng-lin, GAO Wen-hui, WU Pei-ling*   

  1. Department of Stomatology, Second Affiliated Hospital of Xinjiang Medical University, Urumqi 830063, China.
  • Received:2016-06-26 Online:2017-01-25 Published:2017-01-22

摘要: 目的:比较3种自酸蚀粘结剂与3种树脂对牙齿V类洞的微渗漏的影响。方法:在45颗新鲜拔除的第三磨牙的颊舌侧颈部制备箱状(3 mm×2 mm×2 mm)V类洞。按随机数字法分为9组,每组有5颗牙齿,10个洞。有如下组合:A+D组(Easy one+Z350)、A+E组(Easy one+AP-X)、A+F组(Easy one+TPH)、B+D组(S3+Z350)、B+E组(S3+AP-X)、B+F组(S3+TPH)、C+D组(XV+Z350)、C+E组(XV+AP-X)、C+F组(XV+TPH)。按各粘结剂与复合树脂说明书方法,对每组洞进行相应的粘结剂和树脂充填。将牙放在37 ℃恒温水浴箱24 h后,室温下浸泡于1%的亚甲基蓝24 h,然后用金刚砂片将牙齿颊舌向切开为两半,在体式显微镜下观察微漏程度。结果:粘结剂S3 bond与不同树脂配伍使用时,其微渗漏存在显著性差异(P<0.05);粘结剂Easy one、Xeno V与不同树脂配伍使用时,其微渗漏不存在显著性差异;树脂Z350、可乐丽菲露AP-X与不同粘结剂配伍使用时,其结果存在显著性差异(P<0.05);树脂TPH与不同粘结剂使用时,其结果不存在显著性差异。结论:微渗漏的发生是粘结剂与树脂共同作用的结果。在临床用粘结剂与复合树脂修复V类洞时,应考虑其配伍性。

关键词: 微渗漏, 粘结剂, 复合树脂

Abstract: Objective: To compare the effects of three kinds of self-etching adhesives and three kinds of resins on the microleakage of Class V restorations. Methods: Box-shaped class V cavities (3mm×2mm×2mm) were prepared at the neck of buccal and lingual surfaces of 45 freshly extracted third molars. The teeth were divided into 9 groups randomly. There were 5 teeth in each group with 10 cavities. The cavities in each group were restored by different combinations of adhesives and resins. After restored in the constant temperature water of 37℃ for 24 hours, the specimens were soaked in 1% methylene blue solution at room temperature for 24 hours. The specimens were cut buccolingually into two halves with carborundum disc, and the microleakage degree was observed under the stereomicroscope. Results: When matched with S3 bond adhesive, the microleakage of the specimens with different resins was significantly different (P<0.05). When matched with Easy one adhesive and Xeno V adhesive, there was no significant difference in the groups restored by different resins. When restored by Z350 resin and Clearfil AP-X Composite resins, the microleakage was significantly different with different adhesives (P<0.05). When TPH resin was matched with different adhesives, there was no significant difference. Conclusion: The occurrence of microleakage was the result of the interaction between the adhesive and the resin. When Class V cavities were restored clinically, the compatibility of the adhesives and composite resins should be taken into consideration.

Key words: icroleakage, Adhesives, Composite, resin

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