CarisolvⅢ化学机械去龋法对牙本质黏结强度影响研究

doi:10.7504/kq.2014.10.012

摘要/Abstract

摘要：

目的探讨化学机械去龋制剂CarisolvⅢ对牙本质黏结强度的影响。方法收集2014年3—6月在中国医科大学口腔医学院口腔颌面外科门诊因各种原因拔除的龋坏恒磨牙40颗，将每颗牙齿沿龋洞中心纵剖为两部分（即为两组，每组40个样本）。CarisolvⅢ去龋组：采用CarisolvⅢ化学机械法去龋；机械去腐组：采用慢速球钻去龋。将两组再各自随机均分为两组，分别用3M ESPE自酸蚀黏结剂和Adper Single Bond 2全酸蚀黏结剂黏结，然后用3M Z350光固化复合树脂分层充填。制作各样本的微拉伸试件，测试微拉伸黏结强度并进行比较分析。结果 CarisolvⅢ去龋组的微拉伸黏结强度：采用3M ESPE自酸蚀黏结系统为（19.50 ± 6.83）MPa，采用Adper Single Bond 2全酸蚀黏结系统为（24.35 ± 7.97）MPa。机械去腐组的微拉伸黏结强度：采用3M ESPE自酸蚀黏结系统为（18.10 ± 7.55）MPa，采用Adper Single Bond 2全酸蚀黏结系统为（23.50 ± 8.33）MPa。采用相同黏结系统的两种去龋方法的微拉伸黏结强度比较，差异无统计学意义（P > 0.05）；而同一种去龋法，采用Adper Single Bond 2全酸蚀黏结系统的微拉伸黏结强度高于3M ESPE自酸蚀黏结系统，差异有统计学意义（P < 0.05）。结论 CarisolvⅢ化学机械去龋法能够获得与机械去腐法同样的牙本质黏结强度。

关键词: Carisolv, 微拉伸, 化学机械去龋

Abstract:

Abstract：Objective To study the effects of CarisolvⅢ caries removal method on micro-tensile bond strength of resin fillings to the carity dentin. Methods The study was carried out in School of Stomatology，China Medical University from March to June 2014. Forty extracted human molars with caries were used. Each molar was split into two parts，one part was prepared by CarisolvⅢ and the other part was prepared by the low-speed burs. For each group，the samples were randomly divided into two sub-groups. One was treated with 3M ESPE and restored with 3M Z350 rensin. The other group was treated with Single Bond 2 and restored with 3M Z350 rensin. MTBS of the two adhesive systems were tested. Results The MTBS of the two adhensive systems were（19.50 ± 6.83）MPa and（24.35 ± 7.97）MPa in CarisolvⅢ group， treated with 3M ESPE and Single Bond 2，respectively，and（18.10 ± 7.55）MPa and （23.50 ± 8.33）MPa in burs group. There was no significant difference in MTBS between CarisolvⅢ group and bur group. Conclusion Carisolv caries shows the same MTBS as the traditional removal method by burs.

Key words: Carisolv, micro-tensile bond strength, chemo-mechanical caries removal

中图分类号:

Ｒ78

朱晓华，邵丽娜，仇丽鸿，詹福良. CarisolvⅢ化学机械去龋法对牙本质黏结强度影响研究[J]. 中国实用口腔科杂志, DOI: 10.7504/kq.2014.10.012.

ZHU Xiao-hua，SHAO Li-na，QIU Li-hong，ZHAN Fu-liang. Effects of CarisolvⅢ caries removal method on dentin bonding strength.[J]. Acta Metallurgica Sinica, DOI: 10.7504/kq.2014.10.012.

参考文献

［1］ Sirin Karaarslan E，Yildiz E，Cebe MA，et al. Evaluation of micro-tensile bond strength of caries-affected human dentine after three different caries removal techniques ［J］. J Dent，2012，40（10）：793-801.

［2］ Banerjee A，Kellow S，Mannocci F，et al. An in vitro evaluation of microtensile bond strengths of two adhesive bonding agents to residual dentine after caries removal using three excavation techniques ［J］. J Dent，2010，38（6）：480-489.

［3］ Neves Ade A，Coutinho E，Cardoso MV，et al. Micro-tensile bond strength and interfacial characterization of an adhesive bonded to dentin prepared by contemporary caries-excavation techniques ［J］. Dent Mater，2011，27（6）：552-562.

［4］ Li H，Wang WM，Yu SL，et al. Morphological and microtensile bond strength evaluation of three adhesive systems to caries-affected human dentine with chemomechanical caries removal ［J］. J Dent，2011，39（4）：332-339.

［5］ Tachibana A，Marques MM，Soler JM，et al. Erbium，chromium：yttrium scandium gallium garnet laser for caries removal：influence on bonding of a self-etching adhesive system ［J］. Lasers Med Sci，2008，23（4）：435-441.

［6］夏克俭，李姮，王文梅. Carisolv去龋及酸蚀后牙本质表面形态扫描电镜观察［J］. 口腔医学，2010，30（1）：46-48.

［7］ Xuan W，Hou BX，Lü YL. Bond strength of different adhesives to normal and caries-affected dentins ［J］. Chin Med J（Engl），2010，123（3）：332-336.

［8］ Kunawarote S，Nakajima M，Foxton RM，et al. Effect of pretreatment with mildly acidic hypochlorous acid on adhesion to caries-affected dentin using a self-etch adhesive ［J］. Eur J Oral Sci，2011，119（1）：86-92. 2014-06-12 收稿 2014-09-16 修回本文编辑：赵丽颖

[1]	郭馨蔚，张志民，赵洪岩. 变形链球菌及其耐氟菌株对玻璃陶瓷-流体树脂粘接强度的影响研究[J]. 中国实用口腔科杂志, 2020, 13(6): 348-351.
[2]	梁乙然1，郭斌1，罗强1，李冰清2，吕岩1，赵睿1，吴昊1，王一珠1. 人工唾液条件下3种自酸蚀粘接剂与牙本质粘接耐久性研究[J]. 中国实用口腔科杂志, 2018, 11(5): 286-290.
[3]	伊哲a，朱琳琳b，李柯檬a. 四种自酸蚀粘接剂的粘接强度耐久性实验研究[J]. 中国实用口腔科杂志, 2015, 8(6): 358-362.
[4]	邵丽娜，朱晓华，仇丽鸿，詹福良. CarisolvⅢ化学机械去龋法对Ⅱ类洞微渗漏影响研究[J]. 中国实用口腔科杂志, 2015, 8(2): 89-92.
[5]	李阳，贾兴亚，杜健男. 表面处理方法对激光预备牙本质黏结强度的影响[J]. 中国实用口腔科杂志, 2014, 7(5): 283-286.
[6]	安欣，贾兴亚，杨超，王抒智. Er，Cr∶YSGG激光对不同年龄牙本质与复合树脂间微拉伸粘接强度的影响[J]. 中国实用口腔科杂志, 2012, 5(9): 548-551.