冷光美白对复合树脂充填体边缘微渗漏的影响.DOCVIP

冷光漂白对复合树脂充填体边缘微渗漏的影响 唐宇英，王青青 （400015重庆，重庆医科大学附属口腔医院牙体牙髓科，口腔疾病与生物医学重庆市重点实验室V类洞，按随机数字表法分为A～J共10组，每组4颗。A～E组使用AdperTM Single Bond2全酸蚀粘接剂，分别于漂白前、漂白后即刻、漂白后1周、漂白后2周及未漂白时充填，F～J组使用AdperTM Easy One自酸蚀粘接剂分别于上述时间充填，其中E组与J组为对照组（未漂白组），所有牙均使用FilitekTM Z350XT复合树脂进行充填。冷热循环并染色后，颊舌向剖开，牙科显微镜下测量记录染料渗入洞壁的深度。结果 ①在相同充填时间使用AdperTM Single Bond2的充填物微渗漏较使用AdperTM Easy One小（P0.05）。②冷光漂白前、漂白后即刻与漂白后1周使用2种粘接剂树脂充填，均较未漂白边缘微渗漏增加(P0.05)；漂白后2周使用2种粘接剂树脂充填，与未漂白微渗漏比较差异无统计学意义(P0.05)。结论 全酸蚀粘接剂对树脂充填物微渗漏较小，最好在冷光漂白2周后进行树脂充填，而漂白前已经存在的充填物则应该在漂白后更换。 [关键词] 冷光漂白；复合树脂；粘接剂；边缘微渗漏 [中图法分类号] [文献标志码] A Effect of cold-light-activated bleaching on marginal microleakage of composite resin in vitro Tang Yuying, Wang Qingqing （Chongqingey Laboratory for Oral Diseases and Biomedical Sciences, Department of Operative Dentistry and Endodontics, Affiliated Hospital of Stomatology, Chongqing Medical University, Chongqing, 400015,China） [Abstract] Objective To evaluate the effect of cold-light-activated bleaching on marginal microleakage of composite resin with different adhesive at different restoration moments in vitro. Methods Freshly extracted 40 healthy premolars were selected, and Class V cavities were prepared on their buccal surfaces. The teeth were divided into 10 groups according to the random number table, named A-J, with 4 of them in every group. Group A to group E applied with total-etching adhesive (AdperTM Single Bond2) were restored before bleaching, immediately after bleaching, one week after bleaching，two weeks after bleaching and without bleaching respectively, and Group F to group J applied with self-etching adhesive (AdperTM Easy One) were restore at the moments mentioned above respectively, with group E and group J as the control groups. All teeth were restored with composite resin (FilitekTM Z350XT). Then after thermo-cycled and stained, all teeth were sectioned buccolingually, and the depth of staining along the tooth restoration interface was measured and recorded with a denta