粘结面润湿度对牙本质粘结界面纳米渗漏影响.docVIP

粘结面润湿度对牙本质粘结界面纳米渗漏影响［摘要］目的：观察、比较不同粘结面润湿度对4种全酸蚀粘结剂（OptiBond Solo(OB)、Single Bond (SB)、One-Step (OS)、PrimeBond NT(PB)）牙本质粘结界面纳米渗漏的影响。方法：选取36颗无龋坏人磨牙，用600目碳化硅砂纸在流水冲洗下预备出统一的牙本质粘结面玷污层。分别用4种全酸蚀粘结剂在不同粘结面润湿度条件下进行粘结处理。每颗牙齿垂直于粘结面切割出4个4mm×0.9mm×4mm粘结试件，避光贮存于氨化硝酸银溶液中24h，在TEM下观察、比较牙本质粘结界面纳米渗漏。结果：不同的粘结面润湿度条件下，4种全酸蚀粘结剂牙本质粘结界面中均可以观察到不同程度的纳米渗漏。结论：粘结面润湿度对含不同有机溶剂粘结剂的牙本质粘结界面纳米渗漏的影响程度不同。 ［关键词］牙本质；纳米渗漏；TEM ［中图分类号］R783［文献标识码］A ［文章编号］1008-6455（2008）07-1054-04 Effects of surface moisture on nanoleakage of adhesives-dentin interface ZHAO San-jun,CHEN Ji-hua,SHEN Li-juan (Department of Prosthetics, Stomatological College,Fourth Military Medical University,Xi’an710032,Shaanxi,China) Abstract:ObjectiveThe purpose of this study was to evaluate the dentin nanoleakage in 4 total-etching adhesives (OptiBond Solo, Single Bond, One-Step, PrimeBond NT) under different dentin surface moisture.MethodsSuperficial occlusal dentin of 36 molars extracted freshly was finished with 600-grit SiC paper under running water.4 total-etching adhesives were applied to dentin surfaces according to the manufacturers’ instructions under different dentin surface moisture. The bonded teeth were sectioned occluso-gingivally into 4mm×0.9mm×4mm serial slabs which were stored in ammoniacal silver nitrate group in the dark for 24h and prepared for transmission electron microscope. RusultsDifferent amount of nanoleakage was all observed within bybrid layers of resin-dentin interfaces bonded with 4 total-etching adhesives under TEM. Conclusion The nanoleakage expression of resin-dentin interfaces under different dentin surface moisture was all observed diversely in the total-etching adhesives because of their solvent composition. Key words:dentin;nanoleakage;TEM 1991年，Kanca[1]对新型粘结剂All-Bond的理化性能进行测试时发现，湿润的牙本质表面可以获得更高的粘结强度。为此，Kanca选用了多种粘结剂进行对比测试和粘结界面的微观形态观察，并在Fusayama的牙本质全酸蚀粘结理论基础上，提出了牙本质“湿粘结”理论--即首先酸蚀处理牙本质表面，去除牙本质表面的玷污层，进而使玷污层下的牙本质亦发生一定程度的脱矿，在粘结剂涂布之前牙本质表面必须一定的湿润度，以利于粘结剂的渗透和较为理想的粘结界面形成，从而达到理想的粘结效果。 牙本质全