中国实用口腔科杂志

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六种自酸蚀粘接剂与牙本质粘接强度的研究

付佳乐1陈丽薇1李斯文1佐野英彦2   

  1. 1. 中国医科大学口腔医学院·附属口腔医院综合科,辽宁省口腔疾病重点实验室,辽宁  沈阳  110002;2. 北海道大学大学院齿学研究学科,保存修复学研究室,北海道  札幌  0608586
  • 出版日期:2017-03-15 发布日期:2017-04-11
  • 基金资助:

    中国医科大学新教师基金(XZR20160015)

  • Online:2017-03-15 Published:2017-04-11

摘要:

目的    通过微小拉伸测试和扫描电镜观察评价6种自酸蚀粘接剂与牙本质之间的粘接强度。 方法     本实验使用人离体无龋第三恒磨牙36颗。使用石膏打磨仪将冠部磨除至牙本质完全暴露,在有水状态下使用600号砂纸去除表面玷污层。将制备好的样本随机分为6组,分别使用6种自酸蚀粘接剂:Clearfil Mega Bond(MB)、Clearfil Protect Bond(PB)、BeautiBond(BB)、BondForce(BF)、EasyBond(EB)和G-Bond plus(GBp)。粘接剂的操作严格遵照说明书的指示进行,并在其表面堆砌6 mm的复合树脂。样本存放在37℃水中24 h,然后将其切割成截面积约为1.0 mm2的试件进行微小拉伸测试。使用扫描电镜对牙本质方向的断裂面进行观察,并对断裂模式进行分析。结果    MB组试件的粘接强度显著高于其他各组(P < 0.05)。在BB、BF和GBp组试件粘接剂层的电镜照片中可观察到气泡存在。断裂模式分析结果显示,MB组中牙本质或树脂断裂模式所占比例超过50%。结论       本研究中,二步法自酸蚀粘接系统MB的牙本质粘接强度优于其他自酸蚀粘接剂。

关键词: 牙本质, 粘接测试, 自酸蚀粘接剂, 微小拉伸测试

Abstract:

Objective    To evaluate the bonding performance of six self-etching adhesives on dentin by using micro-tensile bond strength test and scanning electronic microscopy (SEM) observation.  Methods    Thirty-six human third molars were used in this study. Six self-etching adhesives were employed: Clearfil Mega Bond (MB), Clearfil Protect Bond(PB),BeautiBond(BB),BondForce(BF),EasyBond(EB)and G-Bond plus(GBp). After exposing the dentin surface by gypsum model trimmer, 600-grit Sic paper was used to remove the smear layer under water cooling. Each adhesive was strictly applied under the instruction and followed by build-up with resin composite to 6mm. After storage in 37°C distilled water for 24 hours, the dentin-resin bonded teeth were sectioned into approximately 1.0mm2 specimen for the Micro-Tensile Bond Strength (μTBS) test. The fractured surfaces on dentin side and failure modes were observed and determined by SEM respectively. Results    The bond strength of MB was statistically higher than the other adhesives (P < 0.05). Bubbles could be observed in the adhesive layer of BB,BF and GBp. Failure modes analysis indicated that over 50% failure modes was dentin or resin failure in MB group.  Conclusion    In this study, MB shows significantly higher bond strength in comparison with the other self-etching adhesives.

Key words: dentin, bond testing, self-etching adhesive, micro-tensile bond strength test