›› 2018, Vol. 38 ›› Issue (5): 433-436.

• 临床研究 • 上一篇    下一篇

不同托槽粘结剂脱粘后对釉质微裂纹影响的实验研究

王丽,武时谦,王琳琳,刘海霞   

  1. 新疆医科大学第二附属医院
  • 收稿日期:2017-11-03 修回日期:2018-01-09 出版日期:2018-05-28 发布日期:2018-05-23
  • 通讯作者: 刘海霞 E-mail:522544352@qq.com
  • 基金资助:
    COMT基因多态性及精神心理因素与颞下颌关节紊乱病的关联研究

Experimental study on the effect of different brackets on viscous micro - cracks after debonding

  • Received:2017-11-03 Revised:2018-01-09 Online:2018-05-28 Published:2018-05-23

摘要: [摘要] 目的 对比分析不同托槽粘结剂脱粘前后釉质微裂纹的变化。方法 收集因正畸需要拔除的新鲜前磨牙90颗,将其分为两组,每组45颗,第一组:明显微裂纹组,第二组:弱微裂纹组;每一组再分为3组:3M光固化粘结剂组,3M化学固化粘结剂组,对照组,每组15颗。脱粘前后用扫描电镜测量微裂纹的长度、宽度的变化。结果 在明显微裂纹组:微裂纹平均宽度与脱粘前比较3M化学固化粘结剂组和3M光固化粘结剂组均有差异有统计学意义(P<0.05);微裂纹平均长度与脱粘前比较两组均无统计学意义(P>0.05);对两组处理前后宽度和长度的差值分别进行比较差异有统计学意义(P<0.05)。在不明显的微裂纹组:微裂纹平均宽度和长度与脱粘前比较3M化学固化粘结剂组和3M光固化粘结剂组均无统计学意义(P>0.05);对3M化学固化粘结剂组和3M光固化粘结剂组处理前后宽度和长度的差值分别进行比较差异有统计学意义(P<0.05)。结论 去除托槽前后釉质微裂纹组的宽度和长度均有所增加,3M化学固化组去除托槽后对牙釉质的损伤更大,因此,在满足临床要求的条件下推荐使用3M光固化粘结剂以使对釉质表面的损害降到最低。

关键词: 托槽粘接剂, 釉质, 微裂纹, 扫描电镜

Abstract: Abstract: Objective To compare the changes of enamel micro-cracks before and after debonding with different bracket adhesives. Methods Ninety fresh premolar teeth were collected for orthodontic treatment, which were divided into two groups (45 in each group). The first group:obvious microcracks group (visible to the naked eyes under natural light), and the second group: weak microcracks group(invisible in natural light but visible under scanning electron microscope); each group was further divided into three groups(each group of 15): 3M light-cured adhesive group, 3M chemically-cured adhesive group, control group, each group of 15 . Before and after debonding, microcracks length and width changes were measured by the use of scanning electron microscopy. Results: In the obvious microcrack group, the average microcrack width before and afterthe debonding 3M chemical curing adhesive group and 3M light-cured adhesive group had statistically significant difference (P <0.05); while the average length of the microcrack before and afterde-bonding had no significant difference between the two groups (P> 0.05). The differences in width and length before and after treatment were statistically significant (P <0.05). In the weak microcracks group: the average width and length of microcracks were not statistically significant when comparing with 3M light-cured adhesive group and 3M chemically-cured adhesive group (P>0.05) The differences between the width and the length of the chemically-cured adhesive group before and after treatment with 3M light-cured adhesive group were statistically significant (P <0.05). Conclusion The width and length of the enamel microcracks group before and after removing brackets are both increased. Although 3M light-cured adhesive and 3M chemically-cured can both satisfy the requirements of adhesive strength of the enamel, 3M chemical curing group has more damage to the tooth enamel after removing the brackets. Therefore, it is recommended to use 3M light-cured adhesive to meet the clinical requirements which can minimize its damage to the enamel surface.

Key words: brackets adhesives , enamel , microcracks , scanning electron microscopy

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