首都医科大学学报 ›› 2006, Vol. 27 ›› Issue (2): 257-260.

• 临床研究 • 上一篇    下一篇

自酸蚀和全酸蚀粘接系统粘接界面的形态学观察

师保江, 张琛, 侯本祥   

  1. 首都医科大学附属北京口腔医院牙体牙髓科
  • 收稿日期:2005-11-01 修回日期:1900-01-01 出版日期:2006-04-24 发布日期:2006-04-24
  • 通讯作者: 侯本祥

Interfacial Micromorphology of Total-etching Vers Self-etching System Created in Dentin

Shi Baojiang, Zhang Chen, Hou Benxiang   

  1. Departmtne of Operative Dentistry and Endodontics, Beijing Stomatological Hospital, Capital University of Medical Sciences
  • Received:2005-11-01 Revised:1900-01-01 Online:2006-04-24 Published:2006-04-24

摘要: 目的 探讨5种牙本质自酸蚀粘接剂及1种牙本质全酸蚀粘接系统粘接界面的超微形态学特点.方法 选择无龋人离体磨牙,片切冠部牙釉质,暴露牙本质,按说明书要求分别使用5种牙本质自酸蚀剂(FL-Bond、Adper Prompt、Cleaxfil SE Bond、Xena、One-UP Bond F)和1种牙本质全酸蚀剂(Frime & Bond NT),表面充填树脂,厚2 mm.光固化后平行牙长轴方向将其片切,制备扫描电镜试样,观察各种粘接剂粘接界面的超微形态.结果 自酸蚀粘接系统形成的混合层较薄,但均匀一致,树脂突与管周牙本质结合紧密,无裂隙出现;全酸蚀粘接系统形成的混合层较厚,其下方有裂隙及断裂的树脂突出现.结论 自酸蚀组牙本质小管口封闭良好;全酸蚀Prime & Bond NT组,可见树脂突的断裂,牙本质小管暴露,封闭不严密.自酸蚀粘接系统在引起术后敏感方面优于全酸蚀粘接系统.

关键词: 粘接剂, 牙本质, 酸蚀, 术后敏感

Abstract: Objective To study the micromorphological characteristics of dentin bonding interface in 5 different self-etching systems and a total-etching system.Methods Extracted human molars were bonded with all kinds of adhesives according to the manufacturers' instructions,and a thin layer of composite applied.The teeth were sectioned parallel to the bonded surface to obtain a bonded dentin disc.All the ultrastructures of dentin bonding interface were observed with SEM.Results All teeth showed hybrid layer formation.However,the thickness varied depending on the adhesive systems and the total-etching(Prime & Bond NT) showed the thick hybrid layer whereas SE bonded to dentin exhibited the thinner hybrid layer.Moreover,in the teeth which were used total-etching,the composite did not penetrate to the depth of the zone of demineralized dentin,leaving a substantial area of exposed dentin matrix at the dentin/cement interface.In contrast,there was substantial composite diffusion throughout the demineralized dentin when the self-etching primer was used without acid etching pretreatment.Conclusion Good obturation appeared in self-etching groups.The resin tag was broken and the dentinal tubules were open in total-etching group,however.Postoperative sensitivity of SE is less than that of TE.

Key words: adhesive, dentin, etching, postoperative sensitivity

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