华西口腔医学杂志

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牙本质表面不同处理方法对粘接剂与牙本质间剪切强度的影响

韩晓艳1, 朱洪水2, 刘秋月3   

  1. 1.山东泰山医学院附属医院口腔修复科, 山东泰安271000; 2.南昌大学附属口腔医院口腔特诊室, 江西南昌330006; 3.山东威海解放军第四零四医院口腔科, 山东威海264200
  • 收稿日期:2008-04-25 修回日期:2008-04-25 出版日期:2008-04-20 发布日期:2008-04-20
  • 通讯作者: 朱洪水,Tel:0791- 6361733
  • 作者简介:韩晓艳(1979-),女,辽宁人,助教,硕士

Effect of differ ent tr eatments of dentin sur face on sheer bond str ength between differ ent bonding agents and dentin

HAN Xiao- yan1, ZHU Hong- shui2, LIU Qiu- yue3   

  1. 1. Dept. of Prosthodontics, Affiliated Hospital of Taishan Medical College, Taian 271000, China; 2. Dept. of Special Diagnosis, Affiliated Stomatology of Nanchang University, Nanchang 330006, China; 3. Dept. of Stomatology, The 404th Hospital of Liberation Army, Weihai 264200, China
  • Received:2008-04-25 Revised:2008-04-25 Online:2008-04-20 Published:2008-04-20
  • Contact: ZHU Hong- shui,Tel:0791- 6361733

摘要:

目的研究氧化锌丁香酚黏固剂和Gluma脱敏剂对牙本质与磷酸锌黏固剂、玻璃离子黏固剂和Super- BondC&B树脂粘接剂间剪切强度的影响,为临床上牙体制备后应用不同的保护方法及选用不同类型的粘接剂提供理论依据。方法90颗前磨牙在流水冲洗下去除颊面釉质暴露浅层牙本质。依次用粒度为320、400、600目的水砂纸磨平牙本质粘接面。牙根用自凝树脂包埋,牙冠暴露。包埋好的90颗牙齿随机分为3个大组,分别为:A组为对照组,牙本质表面不作任何处理;B组牙本质表面用氧化锌丁香酚黏固剂均匀涂抹一薄层;C组用Gluma脱敏剂均匀涂抹一薄层。测试两种处理剂处理牙本质表面后,3种粘接剂与牙本质间剪切强度的大小,进行统计分析及扫描电镜观察。结果应用两种处理剂后磷酸锌黏固剂与牙本质间剪切强度明显下降(P<0.05),C1组下降更明显;玻璃离子黏固剂和Super- Bond C&B树脂粘接剂与牙本质间剪切强度没有明显变化。结论两种处理剂均对磷酸锌黏固剂与牙本质间粘接强度有不利影响;对玻璃离子黏固剂和Super- Bond C&B树脂粘接剂与牙本质间粘接强度无不利影响。

关键词: 氧化锌丁香酚黏固剂, Gluma脱敏剂, 剪切强度

Abstract:

Objective To evaluate the effect of Zinc oxide- eugenol cement and Gluma desensitizer on the sheer bond strength of three kinds of dentin bonding agents. The three dentin bonding agents were Zinc phosphate cement, Glass ionomer cement and Super - Bond C&B. To find the theory depending for the using of different protective methods and the selecting of different kinds of dentin bonding agents in prepared abutment teeth. Methods The buccal surfaces of ninety freshly extracted human premolars were flattened to expose an adequate area of lower dentin. Followed by wet- grinding on a series of silicon carbide paper from number 320, 400, 600 grit to produce the dentin bonding surface. The teeth roots were embedded in self- curing resin with the crown out of the resin. The embedded ninety teeth were divided randomly into three groups. The group A was control and the dentin surfaces were not treated. The group B was covered with a paste of Zinc oxide- eugenol cement. The group C was covered with Gluma desensitizer. Calculating the sheer strength between three bonding agents and dentin after the two treatments of dentin surface. The results were statistically assessed with SPSS software. Dentin surfaces were observed with scanning electron microscope(SEM). Results The sheer bond strengths of Zinc phosphate cement had significant decrease (P<0.05), especially the C1 group. The sheer bond strengths of Glass ionomer cement and Super- Bond C&B had no significant difference. Conclusion Zinc oxide- eugenol cement and Gluma desensitizer could reduce the sheer bond strength of Zinc phosphate cement with dentin surface. Zinc oxide- eugenol cement and the Gluma desensitizer could not effect Glass ionomer cement and the Super- Bond C&B with dentin.

Key words: Zinc oxide - eugenol cement, Gluma desensitizer, sheer bond strength