›› 2017, Vol. 37 ›› Issue (12): 1057-1060.

• 基础研究 •    下一篇

自酸蚀和选择性酸蚀釉质处理下SonicFillTM超声树脂充填系统修复后牙Ⅱ类洞微渗漏的体外研究

瞿灵丽1,徐艳2,李璐3   

  1. 1. 南京市玄武区东苑路26号 江苏省口腔医院第三门诊部
    2. 南京医科大学口腔疾病研究江苏省重点实验室;南京医科大学附属口腔医院
    3. 南京医科大学
  • 收稿日期:2017-05-18 修回日期:2017-07-16 出版日期:2017-12-28 发布日期:2017-12-28
  • 通讯作者: 瞿灵丽 E-mail:905763789@qq.com
  • 基金资助:
    江苏校优势学科建设工程资助项目; 江苏省高校自然科学研究重大项目

The evaluation of the marginal microleakage of class-Ⅱ restorations with SonicFillTM composite under self-etch and selective enamel etch conditions: A vitro study

  • Received:2017-05-18 Revised:2017-07-16 Online:2017-12-28 Published:2017-12-28

摘要: [摘要] 目的 自酸蚀和选择性酸蚀釉质处理下比较SonicFillTM 超声树脂充填系统与传统3M FiltekTM Z350树脂充填系统修复后牙Ⅱ类洞微渗漏程度的差别,为临床应用提供依据。方法 在新鲜拔除的人上下颌恒磨牙制备Ⅱ类洞,随机分为4组,分别用3M Single Bond Universal粘接剂+ 3M FiltekTM Z350纳米树脂充填(A组)、37%磷酸选择性酸蚀洞壁釉质+ 3M Single Bond Universal粘接剂+ 3M FiltekTM Z350纳米树脂充填(B组)、Kerr Optibond Versa粘接剂+ SonicFillTM 超声树脂充填(C组)、37%磷酸选择性酸蚀洞壁釉质+ Kerr Optibond Versa粘接剂+ SonicFillTM 超声树脂充填(D组)。标本经冷热温度循环、亚甲基蓝染色后,近远向沿长轴切片,体视显微镜下分别观察龈壁和侧壁染料渗漏情况。结果 龈壁微渗漏程度B组低于A组、D组低于C组,C组低于A组、D组低于B组,差异均有统计学意义;侧壁微渗漏程度B组低于A组、D组低于C组,C组低于A组、D组低于B组,差异均有统计学意义。结论 SonicFillTM 超声树脂充填系统修复后牙Ⅱ类洞微渗漏程度轻于传统3M FiltekTM Z350树脂,临床上充填大体积II类洞使用选择性酸蚀釉质的方法可进一步降低微渗漏程度。

关键词: SonicFillTM 超声树脂充填系统, 微渗漏, 选择性酸蚀釉质

Abstract: Abstract: Objective To evaluate the marginal microleakage of class-Ⅱrestorations separately with SonicFillTM composite and 3M FiltekTMZ350composite under self-etch and selective enamel etch conditions. Methods Class-II cavities were prepared in 48 molars and randomly divided into 4 groups according to different composite and etch ways (n=12): Group A: Self-etch with 3M single bond Universal adhesive + 3M FiltekTM Z350; Group B: Selective enamel etch + 3M single bond Universal adhesive+3M FiltekTM Z350; Group C: Self-etch with Kerr Optibond Versa adhesive + SonicFillTM composite; Group D: Selective enamel etch + Kerr Optibond Versa adhesive + SonicFillTM composite. After thermocycling, the specimens were submitted to Methylene blue for 24 hours. Then each sample was sectioned into 4 pieces in mesio-distal direction. Dye penetrations were examined under stereomicroscope. Results The differences which were statistically significant in the microleakage of gingival wall were that Group B less than Group A, Group D less than Group C, Group C less than Group A and Group D less than Group B. And the differences which were statistically significant in the microleakage of side wall were that Group B less than Group A, Group D less than Group C, Group C less than Group A and Group D less than Group B. Conclusions  Less microleakage of class-Ⅱ restorations in posterior teeth has been found in SonicFillTM composite than 3M FiltekTMZ350composite. And it is suggested to use selective enamel etching to reduce the marginal microleakage while filling posterior teeth with big cavities.

Key words: SonicFillTM Ultrasonic Composite System, Microleakage, Selective enamel etching

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