三种黏结剂对银钯合金嵌体边缘微渗漏影响对比探究.docVIP

三种黏结剂对银钯合金嵌体边缘微渗漏影响对比探究 　【摘要】目的 比较银钯合金嵌体分别采用三种不同黏结剂黏结后边缘微渗漏情况，为临床选择合适黏结剂提供参考依据。 方法 在30颗近期拔除的上颌第一前磨牙上制备远中邻牙合面洞型，制作银钯嵌体，随机分为3组，分别用树脂类黏结剂、树脂改良型玻璃离子水门汀和玻璃离子水门汀黏结。将所有试件冷热循环后品红染色，沿嵌体近远中向剖开，观察染料渗入情况。 结果 三组嵌体间微渗漏值有差异，其中树脂类黏结剂和树脂改良型玻璃离子水门汀间的微渗漏差异无统计学意义（Pgt;0.05），该两者和玻璃离子水门汀间的微渗漏值差异有统计学意义（Plt;0.05）。结论 不同的黏结剂对银钯合金嵌体边缘微渗漏的影响是不同的，树脂类黏结剂和树脂改良型玻璃离子的抗微渗漏性能优于玻璃离子水门汀。 【关键词】冷热循环 银钯合金 微渗漏 黏结剂 【Abstract】Objective To evalate microleakage of three different adhesives and cement materials on finessing the Ag-Pd alloy inlays. Methods Thirty freshly extracted maxillary first molars were prepared for DO cavities , made from Ag-Pd alloy inlays and divided into three groups randomly .The groupⅠ,Ⅱand Ⅲ treated with resin adhesive system, resin-modified glass ionomer cement and glass ionomer cement.The teeth were themocycled between 5～55℃ for 1000 cycles with a dwell time of 30 seconds. The teeth were immersed in solutiong of 0.5% basic fuchsin for for 24 hours and cut twice. The depth of dye penetration was measured under stereomicroscope. Result The Ag-Pd alloy inlays treated with different luting agents demonstrated significantly different degree microleakage. While there was no difference between composite resin and resin-modified glass ionomer（Pgt;0.05）, from which the Ag-Pd alloy inlays treated with glass ionomerdemonstrated significantly different degree microleakage（Plt;0.05）. Conclusion:Different adhesives and cement materials could lead to different marginal microleakage. The effect of resin-modified glass ionomers and resin luting agents on protecting microleakage is superior to glass ionomers luting agents. 【Key words】Ag-Pd alloy microleakage inlay cement 目前，随着修复理念的不断更新，嵌体修复牙体缺损已经成为临床常用而成熟的技术。修复体的长期稳定性，取决于修复材料与牙体硬组织界面的性质，而微渗漏对其影响甚大，嵌体边缘线较长，因此发生微渗漏的可能性更大[1],很多研究表明，密合度是影响嵌体微渗漏的一个重要因素[2]，但是,不同的黏结材料，因其不同的理化性能[3],势必影响微渗漏的发生，因此，合理选用黏结材料可以大大减少微渗漏的发生。 本实验采用冷热循环试验和染色试验相结合的方法，以银钯合金嵌体为例，比较三种不同黏结材料的封闭性能，为临床选择合适黏结剂提供参考依据。 1 材料与方法 1.1 试验牙 收集30颗因正畸需要拔除的上颌前磨牙（纳入标准：牙体完好无龋，无充填体或修复体，