固化时牙本质与填充物结合强度形成过程中的影响因素

Determining the temporal development of dentin-composite bond strength during curing
2016-12-27 12:19发表评论
作者:Guo, J. , Holmes, B. , Yang, B. , Li, Y. , Heo, Y.C. , Chen, J. , Fok, A.
机构: 第四军医大学口腔医学院口腔修复科,军事口腔医学国家重点实验室
期刊: DENT MATER2016年8月8期32卷

Objectives As composite restorations cure a competition develops between bond formation and shrinkage stress at the composite-dentin interface. Thus, understanding the temporal development of tooth-composite bond strength should enable better assessment of tooth-composite debonding. Methods In this study, bond strengths of composite-dentin specimens obtained from tensile test at different curing times were used to determine the bond formation rate. By varying the composite thickness and output from the curing light, their effects on the rate of bond formation for two different materials (a conventional and a bulk-fill composite) were also investigated. The proportions of cohesive and adhesive failure were determined by analysis of electron micrographs of the fractured surfaces. Results The development of dentin-composite bond strength (S) with time (t) can be described by the equation: S = Smax(1 − exp(−αt)), where Smax is the final bond strength (∼12 MPa for both composites) and α the rate of bond formation. Using bulk-fill and thinner specimens gave faster bond formation. In fact, the higher the irradiance at the interface, the higher the rate of bond formation. However, α had a maximum value of ∼0.6 s−1 and the rule of reciprocity did not hold. A minimum dose of ∼2 J/cm2 was required to achieve adequate bond strength. The predominant failure mode changed from cohesive in the composite and adhesive to interfacial at the adhesive-dentin interface, indicating the latter to be the weakest link in the cured dentin-composite assemblies considered. Significance When combined with the temporal development of shrinkage stress, the current results will help determine the likelihood of tooth-composite debonding. © 2016 The Academy of Dental Materials

通讯机构:State Key Laboratory of Military Stomatology, Department of Prosthodontics, School of Stomatology, Fourth Military Medical University, Xi'an, China
学科代码:口腔医学   关键词:牙本质 填充物结合 ,中国作者重要发表 爱思唯尔医学网, Elseviermed
来源: Scopus
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