三种黏结剂对银钯合金嵌体边缘微渗漏影响的对比研究.docxVIP

三种黏结剂对银耙合金嵌体边缘微渗漏影响的对比研究 陈涛1吴凤鸣2 (1宜兴市牙病防治所口腔内科 江苏宜兴214200) (2南京医科大学附属江苏省口腔医院口腔修复科 江苏南京210029) 【中图分类号】R783.3【文献标识码】A【文章编号】2095-1752 ( 2011) 23-0119-02 【摘要】目的比较银耙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，制作银锂嵌体，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)o结论 不同的黏结剂对银耙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】冷热循环银耙合金微渗漏黏结剂 Comparative study of microleakage by using three different cements in Ag-Pd alloy in lay CHEN Tao, WU Fengmi ng (College of Stomatology, Nan jing Medical Un iversity, Nanjing 210029,China) [Abstract] Objective To evalate microleakage of three differe nt adhesives and cement materials on fin essi ng the Ag-Pd alloy in lays. 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 group I , II and III treated with resin adhesive system, resirvmodified glass ionomer cement and glass ionomer cement.The teeth were themocycled between 5~55°C for 1000 cycles with a dwell time of 30 seco nds. The teeth were immersed in solutio ng of 0.5% basic fuchsi n for for 24 hours and cut twice. The depth of dye penetration was measured under stereomicroscope. Result The Ag-Pd alloy in lays treated with different luting agents dem on strated sign 讦 icantly differe nt degree microleakage. While there was no difference between composite resin and resin-mod讦ied glass ionomer （Pgt;O.O5）, from which the Ag-Pd alloy in lays treated with glass iono merdem on strated 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 inla