铸瓷固位钉对牙本质-树脂界面粘结强度的影响
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江苏省卫生厅医学重点人才项目(RC 2011140),江苏高校优势学科建设工程资助项目(2011-137)


Influence of all ceramic pin on the microtensile bond strength of a resin cement to dentin
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    摘要:

    目的:探讨自行研制的铸瓷固位钉对牙本质-复合树脂界面粘结强度的影响,为铸瓷固位钉进一步的临床应用提供实验依据。方法:将40颗离体牙随机分为4组:A组,铸瓷固位钉组;B组,金属自攻螺纹钉组;C组,复合树脂钉组;D组,树脂直接充填组。采用IPS e. max Press热压铸瓷系统制作铸瓷牙本质固位钉,制备标准化牙本质-固位钉-复合树脂块试件,微拉伸实验测试各组试件粘结强度,体视显微镜下观察试件断裂面形态。结果:A-B两组试件粘结强度显著高于C-D两组,差异有统计学意义(P < 0.05);A组与B组-C组与D组组间粘结强度差异无统计学意义(P > 0.05)。A-C-D三组试件断裂模式以牙本质-树脂界面断裂为主,B组以牙本质内聚断裂为主。结论:作为一种新型牙本质固位钉,IPS e.max Press铸瓷固位钉可显著提升牙本质-复合树脂界面的粘结强度。

    Abstract:

    Objective:To evaluate the effects of self-made all ceramic pin on the micro tensile bond strength of a rensin cement to dentin. Methods:Forty extracted molars were selected and randomly divided into four groups,group A,B and C were prepared with an internal pin channel,then the all ceramic pins,self-threading retentive pins and resin composite pins were inserted into dentin respectively,group D was prepared with no internal retentive features. All subjuects were filled with composite resin. For the microtensile nontrimming technique,10 beam-shaped specimens per group were obtained. Each specimen was loaded in tension until failure and the fracture mode present were observed under stero-microscope. All the results were analyzed statistically. Results:The micro tensile bond strength of group A and B was statistically higher than that of group C and D(P < 0.05),while there were no significant difference between group A and B,or between group C and D(P > 0.05). The breakage modes were observed mainly between the dentin and adhesive interface in group A,C and D,while the dentin cohesive fracture was appeared mainly in group B. Conclusion:IPS e.max Press ceramic pin can significantly enhance micro tensile bond strength of a rensin cement to dentin and is considered as the novel and useful dentin pin.

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景双林,黄丽娟,唐 哲,李 琥,张光东,于金华.铸瓷固位钉对牙本质-树脂界面粘结强度的影响[J].南京医科大学学报(自然科学版),2013,(8):1167-1170

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  • 收稿日期:2013-02-25
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  • 在线发布日期: 2013-07-30
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