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不同脱敏剂对根面龋损充填体边缘封闭性的影响

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目的:探讨不同脱敏剂对根面龋损充填体边缘封闭性的影响.方法:收集90颗前磨牙并在前磨牙根面制备窝洞,所有前磨牙均予以流动树脂充填修复,根据不同脱敏剂使用情况将90颗前磨牙随机分为格鲁玛组(30颗)、DMG组(30颗)和对照组(30颗),其中格鲁玛组在行流动树脂充填修复前予以格鲁玛脱敏剂对根面牙本质进行表面处理,DMG组在行流动树脂充填修复前予以DMG脱敏剂对根面牙本质进行表面处理,对照组的牙本质表面则不做任何处理,经冷热循环试验后,采用2%亚甲基蓝染色并采用体视显微镜观察各组前磨牙的充填体边缘的染液微渗漏情况,并进行记录和两两对比统计分析.结果:格鲁玛组、DMG组和对照组中,格鲁玛组未渗漏占比相对较高,格鲁玛组优于DMG组和对照组(P<0.05),DMG组与对照组对比无统计学意义.通过扫描电镜检查格鲁玛组、DMG组和对照组充填体与牙体组织之间的缝隙宽度分别为(0.36±0.03)μm、(0.48±0.05)μm、(0.51±0.08)μm,其中格鲁玛组缝隙距离小于 DMG 组和对照组(t=11.272,4=9.616,P=0.000,0.000),经方差分析显示,三组缝隙距离对比差异具有统计学意义(P<0.01).结论:在行流动树脂充填修复前予以格鲁玛脱敏剂对根面牙本质进行表面处理后的微渗漏相对较小,格鲁玛脱敏剂具有较好的应用效果.
Effect of Different Desensitizers on Edge Sealing of Root Caries
objective:To investigate the effect of different desensitizers on the edge sealing of root caries.Methods:A total of 90 premolars were collected and cavities were prepared on the root surface of the premolars.All premolars were filled and repaired with flow resin.The 90 premolars were randomly divided into Grouma group(30),DMG group(30)and control group(30)according to the use of different desensitizing agents.Among them,Grumar group was treated with Grumar desensitizing agent to treat root dentin surface before flow resin filling and repair,DMG group was treated with DMG desensitizing agent to treat root dentin surface before flow resin filling and repair,and the dentin surface of control group was treated without any treatment.After cold and hot cycle test,2%methylene blue staining and stereomicroscopy were used to observe the microleakage of dye solution at the edge of the premolars in each group.Results:Among the Grouma group,DMG group and control group,the proportion of no leakage in Grouma group was relatively higher,and Grouma group was better than DMG group and control group(P<0.05).There was no statistical significance between DMG group and control group.Scanning electron microscopy(SEM)was used to detect the gap widths between the filling body and dental tissue in Gruma group,DMG group and control group,respectively,which were(0.36±0.03)μm,(0.48±0.05)μm and(0.51±0.08)μm.The gap distances in Gruma group were smaller than those in DMG group and control group(t=11.450,t=14.375,P<0.05).Variance analysis showed that,The gap distance of the three groups was statistically significant(P<0.01).Conclusion:The microleakage of root dentin after surface treatment with Gruma desensitizing agent is relatively small,and Gruma de-sensitizing agent has a good application effect.

Root cariesDesensitizing agentFlow resinMicroleakage

卢冰铃、张梓旻、李恒弈、宫浩、王挺、徐婧

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福建医科大学附属口腔医院(福建 福州 350001)

福建医科大学口腔医学院福建省高校口腔医学重点实验室(福建 福州 350004)

根面龋 脱敏剂 流动树脂 微渗漏

2024

黑龙江医药
黑龙江省药品审评认证中心

黑龙江医药

影响因子:0.597
ISSN:1006-2882
年,卷(期):2024.37(6)