中国实用口腔科杂志

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循环加载下3种黏结剂与根管牙本质间微渗漏的对比研究

严 晖,连文伟   

  1. 南昌大学附属口腔医院修复科
  • 收稿日期:2009-03-02 修回日期:2009-04-08 出版日期:2009-04-15 发布日期:2009-04-15

  • Received:2009-03-02 Revised:2009-04-08 Online:2009-04-15 Published:2009-04-15

摘要:

目的 评价循环加载对3种黏结剂与根管牙本质间微渗漏的影响。方法 2008年7—9月在南昌大学附属口腔医院修复科将因正畸需要而新鲜拔出的30颗离体人健康下颌第一前磨牙随机分为3组。截冠根管预备后分别选用3种黏结树脂及其配套黏结剂(3M ESPE RelyXTM Luting,Super-bond C&B, 3M ESPE RelyXTM Unicem)黏结直径1.4 mm树脂纤维桩,并用后牙树脂堆核,包埋后置于装满0.5%碱性品红液的试件中,循环加载20 000次,12 h后从品红溶液中取出,将试件纵向剖开,用扫描电镜观察各剖面的微渗漏情况,并用统计分析软件分析。结果 Super-bond C&B黏结剂组微渗漏最小,RelyXTM Luting黏结剂组微渗漏最大,RelyXTM Unicem黏结剂组介于两者之间,3组平均秩次分别为7.1、22.5、15.5,3组间比较差异均有统计学意义(P < 0.05) 。结论 循环加载下3种黏结剂黏结纤维桩与根管牙本质之间均存在微渗漏现象,Super-bond C&B作为黏结树脂的试件微渗漏程度最轻。

关键词: 循环加载, 纤维桩, 微渗漏

Abstract:

Objective The purpose of this study was to evaluate the microleakage between endodontically treated teeth canal dentin and three cements under cyclic mechanical loading. Methods A total of 30 extracted human mandibulars were randomly divided into 3 groups .Three cements (3M ESPE RelyXTM Luting,Super-bond C&B, 3M ESPE RelyXTM Unicem )were used respectively to bond fiber posts of 1.4 mm in diameter after the root canal was prepared with usual methods. The cores were made with the same resin. All the teeth were mounted in resin blocks. Loads were applied on the samples at 135 degrees and tested with fatigue test machine, which were immersed in a 0.5% basic fuchsin solution. After 20 000 cycling the specimens were cut into two sections longitudinally, and then observed with stereomicroscope, and Kruskal-Waillis H test was used to analyze the results. Results After thermocycling, the microleakage was observed in all the three cements for bonding tooth canal dentin but was significantly different among them ( P < 0.05 ). Conclusion There is microleakage between endodontically treated teeth canal dentin and the three cements under cyclic mechanical loading. Super-bond C & B shows the least microleakage compared with the other two.

Key words: cyclic mechanical loading, fiber posts, microleakage