不同银汞粘接剂修复根面龋的细菌学和微渗漏研究.docVIP

不同银汞粘接剂修复根面龋的细菌学和微渗漏研究 彭志庆1单春城1刘明方2魏信汉1（1.重庆医科大学附属永川医院口腔科，重庆 402160；2.重庆医科大学实验教学中心，重庆 400016） 摘要： 目的 比较不同的银汞粘接剂修复根面龋的充填体边缘细菌学和微渗漏情况。方法 将制备洞型后的100颗离体牙随机分为5组(银汞充填组；树脂加强型玻璃离子联合银汞合金组；玻璃离子组；全酸蚀粘接剂联合银汞合金组；自酸蚀粘接剂联合银汞合金组)材料充填，进行细菌培养并菌落计数，再用染色法观察微渗漏,并进行统计学分析。结果 五组材料的细菌学和微渗漏实验结果间差异具有统计学意义(P0．05)，树脂加强型玻璃离子组细菌数量和微渗漏显著少于其他组；其次分别为全酸蚀粘接剂组、自酸蚀粘接剂组、玻璃离子组，银汞合金组则最为严重。结论 用树脂加强型玻璃离子作银汞合金粘接修复的粘接剂可能更能有效地预防继发龋和充填物脱落。 关键词：银汞合金粘结修复；银汞合金；根面龋；微渗漏 中图法分类号：R783.1 文献标识码： A Experimental study of microbiology and microleakage for bonded amalgam restoration with different adhensive materials on restoration of the root decay Peng Zhiqing1,Shan Chuncheng1 ,Liu Mingfang2,Wei Xinhan1.（1.Department of stomatology, Affiliated Yongchuan Hospital,Chongqing Medical University,Chongqing, 402160; 2.Experimental center of Chongqing Medical University, Chongqing 400016, China） Abstract： Objective To compare the abilities of diferent adhesive materials to prevent bacteria and microleakage in bonded amalgam restorations of the root decay.Methods 100 isolated teeth with cavity preparation were randomly divided into five groups，each group had 20 teeth filled with five different materials (Amalgam，Amalgam ＆resin-modified glass-ionomer cement，glass-ionomer cement，Amalgam ＆total-etch adhesive cement ，Amalgam ＆self-etch adhesive cement)． Each tooth was then evaluated the bacteria and microleakage. The data were statistically analyzed．Results There were significant differences in the results of the five groups (P0．05).The Amalgam ＆resin-modified glass-ionomer cement showed the lowest amount of bacteria and incident of microleakage, the highest occurrence was Amalgam ,between them was Amalgam ＆total-etch adhesive cement 、Amalgam ＆self-etch adhesive cement and glass-ionomer cement .Conclusions Using the resin-modified glass-ionomer cement can well prevent secondary caries and filling material from being broken off． Key words：Boned amalgam restoration；Amalgam；Root decay；Microleakage Correspondi