自酸蚀论文：第七代牙本质粘接剂粘接强度和边缘微渗漏研究.docVIP

自酸蚀论文：第七代牙本质粘接剂粘接强度和边缘微渗漏研究 【中文摘要】比较3M第七代自酸蚀粘接剂Adper EasyTM one和传统全酸蚀粘接剂Single bond 2对正常和龋损影响牙本质的粘接强度；同时观察比较第七代自酸蚀粘接剂Adper EasyTM one和传统全酸蚀粘接剂Single bond 2分别与3MP60和3MP90两种后牙树脂充填窝洞的边缘微渗漏情况,以期为临床应用提供参考。方法：实验一：取健康磨牙和牙合面慢性龋磨牙各20颗,分为A、B(健康磨牙组,去除牙合面釉质层),C、D(慢性龋坏达牙本质磨牙,用龋显示剂指导去除病变组织和牙合面软化牙本质,将颜色较深但探诊坚硬的龋病影响牙本质保留)4组,其中A、C组用Adper EasyTM one, B、D组酸蚀后用Single bond 2作用于牙本质,四组试件均用P60树脂堆积至5mm高度。用低速锯将牙齿片切成横截面积为1mm2的长方体状样品。测试四组试件的微拉伸强度,根管显微镜下观察断裂界面形态。采用计量资料两样本均数比较的t检验对资料进行统计学分析。实验二：选择健康离体后牙40颗随机分为A, B, C, D4组,(每组10颗).在其颊面正中釉质范围内制备5mm×3mm×2mm的箱状洞型。A组用Adper EasyTM one粘接剂,3Mp90后牙树脂充填窝洞,B组用Single bond 2全酸蚀粘接剂,3Mp90后牙树脂充填,C组用Adper EasyTM one粘接剂,3Mp90后牙树脂充填,D组用Single bond 2全酸蚀粘接剂,3M P60后牙树脂充填。所有标本经温度循环(×50,5和55℃)后用1%亚甲基蓝溶液染色48h,然后在人工唾液中浸泡24h后沿充填体的正中和近、远中边缘剖开,25倍根管显微镜下观察每颗牙3个剖面6个位点的充填体染色情况,采用计量资料两样本均数比较的t检验对资料进行统计学分析。结果：实验一结果显示：第七代自酸蚀粘接剂Adper EasyTM one的粘接强度低于全酸蚀粘接剂Single bond 2,差异有统计学意义(P0.05)；无论使用哪种粘接剂,正常牙本质的粘接强度高于龋损影响牙本质,差异有统计学意义(P0.05)；微拉伸断裂多发生在树脂-牙本质粘接界面。实验二结果显示：显微镜下观察各实验组样本均有不同程度的染料渗入。所有标本在龈壁处的微渗漏大于牙合壁处,差异有统计学意义(P0.05)。无论在龈壁处还是牙合壁处,自酸蚀粘接剂Adper EasyTM one的封闭情况略优于全酸蚀粘接剂Single bond 2,但差异没有统计学意义(P0.05)。同一种粘接剂,P90树脂的微渗漏情况明显小于P60,差异有统计学意义(P0.05)。结论：无论在正常牙本质还是龋损影响牙本质,全酸蚀粘接剂的粘接强度强于第七代自酸蚀粘接剂；使用同一种粘接剂,正常牙本质能获得比龋损影响牙本质更大的粘接强度。自酸蚀粘接剂Adper EasyTM one的边缘封闭效果较好,其粘接强度可满足临床需求且操作步骤简单,适合推广。p90树脂是修复牙体缺损较好的材料。 【英文摘要】:To evaluate the bond strength and the marginal fitness of the Adper EasyTM one and Single bond 2 which were applied to both normal dentin (ND) and caries-affected dentine (CAD).Analysis the fracture type of the samples.Study the marginal microleakage of cavities filled with 3MP90 and P60 two different composit resins to provide a reference for clinical application.Methords:Experiment 20 sound molars were randomly divided into group A and B (removal of occlusal ename);20 occusal chronic caries molars were randomly divided into group C and D(under the guidance of the caries marker,the soft occusal caries and dentin were removed,the hard carried affected edntin were retained). Adper EasyTM one