华西口腔医学杂志

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纤维桩和粘接系统对粘接界面形态及破坏方式影响的研究

张晓1 李津乐2 郝亮2   

  1. 1.郑州大学口腔医院口腔修复科, 郑州450052; 2.口腔疾病研究国家重点实验室, 四川大学, 成都610041
  • 收稿日期:2011-04-25 修回日期:2011-04-25 出版日期:2011-04-20 发布日期:2011-04-20
  • 通讯作者: 李津乐,Tel:15828129957
  • 作者简介:张晓(1967—),女,河南人,副主任医师,硕士

Morphological and failure mode study of different fiber posts luted with different adhesive systems to root dentin

ZHANG Xiao1, LI Jin-le2, HAO Liang2   

  1. 1. Dept. of Prosthodontics, School of Stomatology, Zhengzhou University, Zhengzhou 450052, China; 2. State Key Laboratory of Oral Diseases, Sichuan University, Chengdu 610041, China
  • Received:2011-04-25 Revised:2011-04-25 Online:2011-04-20 Published:2011-04-20
  • Contact: LI Jin-le,Tel:15828129957

摘要:

目的比较不同粘接系统粘接2种纤维桩后在桩道不同深度的粘接界面形态和界面破坏方式。方法选取36颗新鲜上颌前磨牙,将其分成A、B、C、D组,A组:自粘接树脂黏固剂和POPO玻璃纤维桩;B组:全酸蚀粘接系统和POPO玻璃纤维桩;C组:自粘接树脂黏固剂和Para Post玻璃纤维桩;D组:全酸蚀粘接系统和Para Post玻璃纤维桩。根管充填、桩道预备后粘接纤维桩于根管中。制备厚约1 mm薄片推出实验试样,万能力学测试机进行加载,体视显微镜观察粘接界面气泡率、裂缝率和破坏方式。结果对于粘接界面树脂层气泡率,B组(64.2%)、D组(66.7%)显著高于A组(5.8%)、C组(13.7%)(P<0.001)。D组粘接界面裂缝率(41.2%)显著高于A组(13.5%)和C组(11.8%)(P<0.008 3)。除A组与B组间外(P=0.69),其余各组试件破坏方式间差异有统计学意义(P<0.008 3)。结论粘接界面树脂层气泡率与使用的树脂粘接系统有关;纤维桩-树脂-牙本质粘接界面形态特征与破坏方式间存在差异,2个界面的性能共同决定纤维桩桩道内的粘接固位能力;纤维桩和粘接系统间存在显著的相互作用。

关键词: 纤维桩, 自粘接树脂黏固剂, 界面形态学

Abstract:

Objective To investigate the correlation of morphological characteristics and failure modes of two types
of glass-fiber posts luted with self-adhesive resin cement and etch-and-rinse adhesive system. Methods Thirty-six
intact single-rooted premolars were collected and removed the crown. After root canal therapy, teeth were randomly divided into 4 groups. Group A: Self-adhesive with POPO fiber post. Group B: Etch-and-rinse with POPO fiber posts. Group C: Self-adhesive with Para Post. Group D: Etch-and-rinse with Para Post. Each root was sectioned into six 1mmthick serial slices and a push-out test was performed. The dentin-cement-post adhesive interface of each specimen and failure modes after fracture were evaluated by stereomicroscope observation. Results Interface morphology observe indicated that voids present in group B(64.2%) and D(66.7%) were significantly higher than group A(5.8%) and C (13.7%)(P <0.001). Interface gaps appeared at the resin -dentine interface in group D(41.2%) were significantly higher than group A(13.5%) and C(11.8%)(P<0.008 3), and the failure modes in each group were significantly different (P<0.008 3) except for group A and B(P=0.69). Conclusion Voids present in cement layer were associated with the luting agent involved. Morphological characteristics of the fiber post-resin luting agent-root dentin adhesive interface were discrepant with failure modes in different root region. There were interaction between adhesive systems and fiber posts.

Key words: fiber post, self-adhesive resin cement, interface morphology