不同酸蚀方法对非龋性硬化牙本质黏结强度的影响

上海口腔医学 ›› 2016, Vol. 25 ›› Issue (1): 38-41.

不同酸蚀方法对非龋性硬化牙本质黏结强度的影响

刘可乐，张晓芳，魏鑫

中国医科大学口腔医学院干诊科辽宁省口腔疾病重点实验室，辽宁沈阳 110002

收稿日期:2015-03-02 修回日期:2015-06-10 出版日期:2016-02-25 发布日期:2016-03-09
通讯作者: 张晓芳，Tel:024-22891863，E-mail:zhangxf1992@126.com E-mail:774166543@qq.com
作者简介:刘可乐（1988-），女，硕士,医师
基金资助:
辽宁省科技计划项目（2009225001-2）

Influence of different acid etching modes on bond strengths to non-carious sclerotic dentin

LIU Ke-le, ZHANG Xiao-fang, WEI Xin.

VIP Department, School of Stomatology, China Medical University. Shengyang 110002, Liaoning Province, China

Received:2015-03-02 Revised:2015-06-10 Online:2016-02-25 Published:2016-03-09

摘要/Abstract

摘要： 目的： 测试不同酸蚀方法处理非龋性硬化性牙本质对黏结强度的影响，为临床工作提供参考。方法： 牙颈部具有典型楔状缺损的前磨牙共30颗，随机分为2大组，分别应用全酸蚀黏结系统AdperTM Single Bond2（ASB2）与自酸蚀黏结系统AdperTM Easy one（AEO），每大组各分为3个亚组（ASB21、ASB22、ASB23、AEO1、AEO2、AEO3），每亚组5颗牙。其中，ASB21组：磷酸处理15 s后ASB2处理15 s，ASB22组：磷酸处理30 s后ASB2处理15 s，ASB23组:磷酸处理15 s后ASB2处理 30 s；AEO1 1组:AEO1处理20 s；AEO2组:AEO处理40 s；AEO3组:磷酸处理15 s后AEO处理20 s。进行树脂充填后，室温下放入蒸馏水中24 h后取出，制作成黏结面积为1 mm2的哑铃型试件，微力材料试验机测量各试件的微拉伸黏结强度。采用SPSS17.0软件包对数据进行单因素方差分析，多重比较采用SNK-q检验。结果： 各组微拉伸黏结强度依次为AEO3组> ASB22组> ASB23组> ASB21组> AEO2组> AEO1组，AEO3组的黏结强度最高，AEO1组最低，差异显著（P<0.05）；ASB22组黏结强度低于AEO3组高于其他组，差异显著（P<0.05）。结论： 使用全酸蚀黏结系统，加倍延长磷酸处理时间，黏结强度增加。使用自酸蚀黏结系统，联合磷酸处理或延长自酸蚀黏结剂处理时间，均会使黏结强度增加。其中，磷酸处理硬化性牙本质15 s联合自酸蚀黏结剂处理20 s获得的黏结强度最高。无论使用全酸蚀系统或自酸蚀系统，磷酸处理硬化性牙本质15 s联合自酸蚀黏结剂处理20 s获得的强度最好，单独使用自酸蚀黏结系统黏结强度最差。

关键词: 非龋性硬化牙本质, 全酸蚀, 自酸蚀, 黏结强度

Abstract: PURPOSE: To evaluate the effect of different acid etching modes on bond strength between composite resin and non-carious sclerotic dentin, and to provide references for clinical application. MOTHODS: Thirty premolars with naturally-occurring non-carious cervical lesions were divided into 2 groups based on self-etch adhesive system AdperTM Easy one (AEO) and total-etch adhesive system AdperTM Single Bond2 (ASB2). Each group was further divided into 3 subgroups (ASB21, ASB22, ASB23, AEO1, AEO2, AEO3) and subjected to the following processing: ASB21 subgroup was etched for 15 s with 35% phosphoric acid and coated with binder for 15 s; ASB22 subgroup was etched for 30 s with 35% phosphoric acid and coated with binder for 15 s; ASB23 subgroup was etched for 15 s with 35% phosphoric acid and coated with binder for 30 s; AEO1 subgroup was only etched with binder for 20 s; AEO2 subgroup was etched with binder for 40 s; AEO3 subgroup was etched for 15 s with 35% phosphoric acid and coated with binder for 20 s. The samples were restored with composite resin; 24 h after saved in distilled water at room temperature, the teeth were cut into dumbbell-shaped specimens with surface areas of approximately 1.0 mm2. The microtensile bond strength (μTBS) was detected and evaluated by one-way ANOVA and SNK-q test using SPSS 17.0 software package. RESULTS: μTBS was given in MPa: AEO3> ASB22> ASB23> ASB21>AEO2>AEO1, AEO3 resulted in statistically highest bond strength and AEO1 had the lowest bond strength(P<0.05), ASB22 acquired bond strength just lower than AEO3 (P<0.05). CONCLUSIONS: Use of total-etch adhesive system increasing the etching time of phosphoric time can enhance bond strength. For self-etch adhesive system, both duplicated the time of adhesive treatment and use of phosphoric acid can improve the bond strength. Use of phosphoric acid to etch for 15 s and coated with self-etch adhesive system for 20 s achieved the highest bond strength. In either self-etch or total-etch adhesive system, use of phosphoric acid to etch for 15 s and coated with self-etch adhesive system for 20 s achieved optimal bond strength, there was the lowest bond strength when the self-etch adhesive system used as recommended time.

Key words: Non-carious sclerotic dentine, Total-etch adhesive system, Self-etch adhesive system, Microtensile bond strength

中图分类号:

R781.2

刘可乐，张晓芳，魏鑫. 不同酸蚀方法对非龋性硬化牙本质黏结强度的影响[J]. 上海口腔医学, 2016, 25(1): 38-41.

LIU Ke-le, ZHANG Xiao-fang, WEI Xin.. Influence of different acid etching modes on bond strengths to non-carious sclerotic dentin[J]. Shanghai Journal of Stomatology, 2016, 25(1): 38-41.

参考文献

[1] Lopes GC, Baratieri CM, Baratieri LN, et al. Bonding to cervical sclerotic dentin: effect of acid etching time[J]. J Adhes Dent, 2004, 6(1): 19-23.
[2] Camargo MA, Roda MI, Marques MM, et al. Micro-tensile bond strength to bovine sclerotic dentine: influence of surface treatment [J]. J Dent, 2008, 36(11): 922-927.
[3] Ohno H, Endo K, Kaga M, et al. The effect of hybrid layer thickness on bond strength: demineralized dentin zone of the hybrid layer [J]. Dent Mater, 2000, 16(6): 406-411.
[4] 周丽晶, 胡白河. 酸蚀时间对牙颈部非龋性硬化牙本质粘接界面形态的影响 [J]. 北京大学学报, 2006, 38(2): 204-206.
[5] 刘芳, 赵信义, 何惠明. 预酸蚀对非龋性硬化牙本质黏结强度的影响 [J]. 牙体牙髓牙周病学杂志, 2007, 17(5): 272-275.
[6] Kusunoki M, Itoh K, Hisamitsu H, et al. The efficacy of dentine adhesive to sclerotic dentine [J]. J Dent, 2002, 30(2): 91-97.
[7] Kwong SM, Cheung GS, Kei LH, et al. Micro-tensile bond strengths to sclerotic dentin using a self-etching and a total-etching technique [J]. Dent Mater, 2002, 18(5): 359-369.
[8] 孙海燕, 仇丽鸿. 硬化牙本质的复合树脂黏结修复研究进展[J].中国实用口腔科杂志，2009,5(2):306-308.
[9] Tay FR, Kwong SM, Itthagarun A, et al. Bonding of a self-etching primer to non-carious cervical sclerotic dentin: interfacial ultrastructure and micro-tensile bond strength evaluation[J]. J Adhes Dent, 2000, 2(1): 9-28.
[10] Tay FR, Pashley DH. Resin bonding to cervical sclerotic dentin: a review [J]. J Dent, 2004, 32(3): 173-196.
[11] Breschi L, Mazzoni A, Ruggeri A, et al. Dental adhesion review: aging and stability of the bonded interface [J]. Dent Mater, 2008, 24(1): 90-101.
[12] 谭建国, 周丽晶, 冯海兰. 3种酸蚀方法处理硬化牙本质表面的超微形态研究 [J]. 口腔医学, 2005, 25(3): 143-145.
[13] Karan K, Yao X, Xu C, et al. Chemical characterization of etched dentin in non-carious cervical lesions [J]. J Adhes Dent, 2012, 14(4): 315- 322.
[14] Nair M, Paul J, Kumar S, et al. Comparative evaluation of the bonding efficacy of sixth and seventh generation bonding agents: an in-vitro study [J]. J Conserv Dent, 2014, 17(1): 27-30.
[15] Mena-Serrano AP, Garcia EJ, Perez MM, et al. Effect of the application time of phosphoric acid and self-etch adhesive systems to sclerotic dentin[J]. J Appl Oral Sci,2013,21(2):196-202.
[16] 周磊,臧艳君.酸蚀时间对再矿化牙本质黏结强度影响的研究 [J]. 口腔医学, 2013, 33 (3): 168-170.
[17] Nakajima M, Okuda M, Pereira PN, et al. Dimensional changes and ultimate tensile strengths of wet decalcified dentin applied with one-bottle adhesives[J]. Dent Mater, 2002, 18(8) : 603-608.
[18] Manso AP, Marquezini L Jr, Silva SM, et al. Stability of wet versus dry bonding with different solvent-based adhesives [J]. Dent Mater, 2008, 24(4): 476-482.
[19] D?fer CE, Staehle HJ, Wurst MW, et al. The nanoleakage phenomenon: influence of different dentin bonding agents, thermocycling and etching time [J]. Eur J Oral Sci, 2000, 108(4): 346-351.
[20] Atash R, van den Abbeele A. Bond strengths of eight contemporary adhesives to enamel and to dentine: an in vitro study on bovine primary teeth[J]. Int J Paediatr Dent,2005,15(4): 264-273.
[21] O’Brien JA 3rd, Retief DH, Bradley EL, et al. Shear bond strength of a new dentin bonding restorative system[J]. Dent Mater, 1988, 4(4): 179-183.
[22] Haller B, Hofmann N, Klaiber B, et al. Effect of storage media on microleakage of five dentin bonding agents [J]. Dent Mater, 1993, 9(3): 191-197.
[23] 闫晶,赵信义,施长溪,等. 冷热循环对龋坏内层和正常牙本质黏结强度的影响 [J].临床口腔医学杂志, 2006, 22(1): 5-7.