›› 2013, Vol. 33 ›› Issue (3): 168-170.

• 基础与临床研究 • 上一篇    下一篇

酸蚀时间对再矿化牙本质粘结强度影响的研究

周磊,臧艳君   

  1. 青岛市口腔医院
  • 收稿日期:2012-01-09 修回日期:2012-03-06 出版日期:2013-03-28 发布日期:2013-03-14
  • 通讯作者: 周磊 E-mail:linlin200402@hotmail.com

Effect of etching time on bond strength of remineralized dentin

  • Received:2012-01-09 Revised:2012-03-06 Online:2013-03-28 Published:2013-03-14

摘要: 目的 选取全酸蚀和自酸蚀粘结剂,比较再矿化牙本质在不同酸蚀时间下的粘结强度,为临床上更恰当掌握酸蚀时间提供一定的理论指导。 方法 选择40颗〖HT5”,7”SS〗牙〖KG-*3〗合 面慢性龋病达牙本质中层的磨牙,去除病变累及的软化牙本质,保留再矿化牙本质。平行于牙体长轴将牙齿切为3份,分别用35% Gluma酸蚀剂(或处理剂)酸蚀20、40、60 s。选用全酸蚀和自酸蚀牙本质粘结剂分别用于牙本质,树脂恢复牙冠。用低速锯将牙齿片切成横截面积约为1 mm2的长方体状样本,所有样本先在体视显微镜下观察,区分正常牙本质和再矿化牙本质,用微拉伸测试仪检测其粘结强度。 结果 再矿化牙本质其40 s组的微拉伸强度高于20 s组及60 s组(P<0.05),而60 s组与20 s则无显著差异(P>0.05)。 结论 酸蚀时间对再矿化牙本质的粘结强度有影响,对再矿化牙本质的酸蚀时间应适当延长。

关键词: 再矿化牙本质, 微拉伸强度, 全酸蚀, 自酸蚀, Remineralization of dentin, micro-tensile bond strength, total- etching, self-etching

Abstract: Objective The research selected totaletching and selfetching adhesives to compare their bond strength with the remineralized dentin in different etching time periods, which could provide certain theoretical instructions for a better controlling of etching time under clinical situations. Methods Collect 40 human molars of which chronic caries had reached the middle level of dentin. Get rid of decalcified dentin caused by caries lesion, and keep remineralized dentin. Section all teeth into three parts by paralleling the long axis, and then etch them with 35% Gluma etching reagent (or reagent) for 20, 40 and 60 seconds. Use totaletching and selfetching dentin adhesives respectively on dentin, and then build up the crown with resin. Cut the teeth into rectangular shape samples with a cross section of about 1 mm2 with a lowspeed saw, and observe them under a stereoscope microscope to distinguish normal dentin and remineralized dentin. Besides, bond strength was inspected with microtensile testing instrument. Results As to remineralized dentin, the microtensile bond strength in 40 s group was higher than that in the 20 s group and that in the 60 s group (P>0.05); but there was no significant difference between the 20 s group and 60 s group(P>0.05). Conclusions Etching time exerts an influence on the bond strength of remineralized dentin. There should be expanded etching time spans for remineralized dentin.

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