›› 2020, Vol. 40 ›› Issue (1): 39-42.

• 基础研究 • 上一篇    下一篇

酪蛋白磷酸多肽钙磷复合体的应用顺序对乳牙牙本质粘结强度的影响

袁月1,朱颐馨2,杨晓丹1,刘英群3   

  1. 1. 哈尔滨医科大学第一医院附属口腔医学院
    2. 哈尔滨医科大学附属第一医院口腔医学院
    3. 哈尔滨医科大学
  • 收稿日期:2018-12-13 修回日期:2019-01-18 出版日期:2020-01-28 发布日期:2020-01-16
  • 通讯作者: 刘英群 E-mail:lyq3311@163.com

Effect of the application sequence of casein phosphopetide-amorphic calcium phosphat pretreatment on bond strength of deciduous dentin

  • Received:2018-12-13 Revised:2019-01-18 Online:2020-01-28 Published:2020-01-16

摘要: [摘要] 目的 探讨酪蛋白磷酸多肽钙磷复合体(Casein phosphopetide-amorphic calcium phosphat, CPP-ACP) 应用顺序对乳牙牙本质粘结强度及对乳牙牙本质小管封闭作用的影响。方法 选取人56颗无龋乳磨牙,磨除牙合面釉质,制备牙本质平面。将其中48颗乳磨牙随机分3大组(n=16)。A组:仅酸蚀15s。B组:涂CPP-ACP后酸蚀15s。C组:酸蚀15s后涂CPP-ACP。各组分为2小组(n=8),其中AN,BN,CN组使用Prime&Bond NT(NT)全酸蚀粘结剂,AS,BS,CS组使用Single bond 2(SB2)全酸蚀粘结剂。制作树脂粘结试件,电子万能试验机测定剪切强度(SBS值)。其余8个乳磨牙随机分成4组(n=2),分别为空白组(S1组)、酸蚀组(S2组)、酸蚀后涂CPP-ACP组(S3组)、涂CPP-ACP后酸蚀组(S4组)分别用扫描电镜观察粘结前牙本质小管封闭情况。结果 剪切实验结果为AN组,BN组,CN组剪切强度无统计学差异(P>0.05);AS组,BS组,CS组剪切强度也无统计学差异(P>0.05);AN组>AS组,BN组>BS组,CN组>CS组差异有统计学意义(P<0.05)。扫描电镜结果为S3组中牙本质小管封闭数目最多。 结论 在酸蚀后应用CPP-ACP处理乳牙牙本质不影响NT和SB2两种全酸蚀粘结剂的粘结强度;可以达到有效的牙本质小管封闭;Prime&Bond NT(NT)全酸蚀粘结系统的粘结强度高于Single bond 2(SB2)。

关键词: 酪蛋白磷酸多肽钙磷复合体, 乳牙牙本质, 剪切强度

Abstract: Abstract: Objective To evaluata the effect of the application sequence of CPP-ACP pretreatment on bond strength of deciduous dentin and tubule occlusion . Methods 56 fresh and not crack primary molars were randomly selected and the enamel of tooth surface was grinded to form the dentin plane.48 primary molars were randomly divided into 3 group(n=16).Group A was etched with 35% phosphoric acid for 15 s.Group B wree treated with CPP-ACP. Afterward,these groups were etched with 35% phosphoric acid for 15 s.Group C were initially etched and then treated with CPP-ACP.In each group, samples were equally distributed into two subgroups (n = 8)to bond with either Adper Single Bond 2 (SB) or Prime&Bond NT(PB).The shear bond strengths (SBS) were tested .Remaining 8 primary molars were prepared to evaluate tubule occlusion prior to bonding using SEM. Results The shear bond strengths (SBS) shows there was no significant difference among the three groups of AN,BN,C(P>0.05). And there was also no significant difference among the three groups of AS,BS,CS(P>0.05).Group AN>group AS,group BN>group BS,group CN>group CS,the difference was statistically significant( P<0.05).However, the effective dentine tubule occlusion was observed in the CPP-ACP group after acid etching.Conclusions CPP-ACP treatment of deciduous dentin after acid etching did not affect the bond strength of NT and SB2,and the effective closure of dentin tubules can be realized.The adhesive strength of Prime&Bond NT (NT) is higher than that of Single bond 2 (SB2).

Key words: CPP-ACP, dentine dentin, shear bond strength

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