不同粘结系统与纤维桩粘固强度的试验研究.doc

不同粘结系统与纤维桩粘固强度的实验研究 李磊 1李冉2刘江2 1承德医学院附属医院 2华北煤炭医学院 通讯作者：李磊 硕士 主治医师 口腔修复学 河北省承德医学院附属医院口腔科 067000 cusplay@163.com[摘要] 目的 使用微推出法测试五种粘固材料对纤维桩的粘固力大小。方法 将纤维桩分别用5种粘固剂Adper Prompt，Xeno Ⅲ，Clearfil SE Bond，Prime Bond N T，Scotchbond Multi-purpose Plus粘固于离体尖牙上。万能力学试验机测试其固位力。结果 Prime Bond N T组粘结强度最高，为16.33MPa，Clearfil组最小，为9.45MPa。单因素方差分析及多重比较显示：自酸蚀粘结剂与全酸蚀粘结剂间有统计学差异（P＜0.05），自酸蚀一步法与自酸蚀两步法间有统计学差异（P＜0.05）。结论 全酸蚀粘结系统对纤维桩的粘接强度大于自酸蚀粘结系统，自酸蚀一步法粘结剂粘结强度大于自酸蚀两步法粘结剂。 [关键词]纤维桩；粘结强度；自酸蚀；全酸蚀 Study on the Bond Strength of Fiber Post Using Different Bonding Cements System LI Lei 1 LI Ran 2 LIU Jiang2 (1 Affiliated Hospital of Cheng De Medical College 2 Hua [ABSTRACT] Objective To study the retention force of fiber post with 5 different bonding cements. Methods FRC posts were cemented in the fresh in vitro tooth roots with five different cements respectively. The retention force of the samples was tested using the universal electrical testing machine。Results Prime Bond N T group obtained the highest mean value 16.33MPa，and Clearfil the lowest 9.45MPa.There is a significant difference between the total-etching adhesive system and self-etching adhesive system（P＜0.05）,and a significant difference between the two steps self-etching adhesive system and one step self-etcthing adhesive system. 　Conclusion The total-etching adhesive system may gain higher bonding strength than self-etching adhesive system. The one step self-etching adhesive system may gain higher bonding strength than two steps self-etching adhesive system [KEY WORDS] fiber post; adhesive strength；self-etching；total-etching 纤维桩以其生物相容性好，颜色美观，耐腐蚀，与牙本质弹性模量相似，不易造成根折等优点近年来逐年来近年来逐渐被广大临床医师所接受。随着纤维桩使用的增多，纤维桩修复失败的病例也随之增多。纤维桩修复失败的主要类型是粘结失败，粘结失败多发生在粘结材料与根管牙本质之间[1]。 纤维桩的粘结材料多为树脂类粘结材料，目前树脂类粘结剂根管处理方式有全酸蚀和自酸蚀两类。目前两种系统各有优点，临床上呈现交互使用的情况。本实验就这两类粘结系统与纤维桩的粘结力进行比较研究，以期为临床操作提供参考。 1 　材料与方法 1. 1 　材料与设备 材料:石英纤维桩30根(D.T.Light,美国)什么桩？，自酸蚀粘结剂：Adper Prompt (3M ESPE ,美国) Xeno Ⅲ(Dentsply , 德国)，Clearfil SE Bond, （ Kuraray, 日本) 全酸蚀粘结剂：Prime Bond N