合着剤の接着強さに及ぼす3種の脱感作剤の効果

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Zhong Nan Da Xue Xue Bao Yi Xue Ban.2014 Feb;39(2):185-9. doi: 10.11817/j.issn.1672-7347.2014.02.013.

合着剤の接着強さに及ぼす3種の脱感作剤の効果

[Effects of 3 desensitizers on bond strength of luting agents].

Lei Chen
Fei Xu
Zhenjie Guan

PMID: 24608399 DOI: 10.11817/j.issn.1672-7347.2014.02.013.

抄録

目的:

OBJECTIVE: To explore the effect of Hybrid Coat, Prime & Bond NT, and anti-sensitivity toothpaste on the bond strength of glass ionomer cement (GIC), polycarboxylat cement (PCC), resin cement (RC), and to provide reference for clinical operations.

方法:

METHODS: A total of 96 isolated human premolar samples, which were prepared to expose dentine, were randomly divided into a GIC group, a PCC group, and an RC group. Each group was divided into 4 subgroups according different desensitizers: a control subgroup, a Hybrid Coat subgroup, a Prime & Bond NT subgroup, and an anti-sensitivity toothpaste subgroup (n=8 in each subgroup). After using Hybrid Coat, Prime & Bond NT, and anti-sensitivity toothpaste in the corresponding groups, the castings of cobalt-chromium alloy were bonded to dentine surfaces by GIC, PCC, and RC. All the dentinesurfaces were treated with selected desensitizers. Specimens were tested by a universal testing machine to obtain the shear bond strength of each specimen, and the data of the shear bond strength was analyzed by one-way analysis of variance.

結果:

GICのせん断接着強さは，Hybrid Coat群でControl群，Prime & Bond NT群および知覚過敏用歯磨群と比較して有意に増加した（P<0.05）．PCCのせん断接着強さは，Prime & Bond NT群でControl群および知覚過敏用歯磨群と比較して有意に減少した（P<0.05）．

RESULTS: The shear bond strength of GIC significantly was increased in the Hybrid Coat subgroups compared with that in the control subgroups, the Prime & Bond NT subgroups, and the antisensitivity toothpaste subgroups (P<0.05); the shear bond strength of PCC significantly reduced in the Prime & Bond NT subgroups compared with that in the control subgroups, and the antisensitivity toothpaste subgroups(P<0.05); the shear bond strength of RC was obviously enhanced in the anti-sensitivity toothpaste subgroups compared with that in a control subgroup, a Hybrid Coat subgroup, a Prime & Bond NT subgroup (P<0.05).

結論:

GICを接着剤として使用する場合には、Hybrid Coatを選択すべきであり、PCCを選択する場合にはPrime & Bond NTを避けるべきであり、RCで歯冠を接着する場合には、知覚過敏対策用の歯磨き粉を使用すべきである。選択した合着剤の中では、GICのせん断接着強さが最も低く、RCのせん断接着強さが最も高いことが分かりました。

CONCLUSION: When GIC is adopted as adhesive agent, we shoud choose Hybrid Coat; if PCC is chosen, the Prime & Bond NT should be avoided; if RC is chosen to adhere crown, the antisensitivity toothpaste is applicable. Among the selected luting agents, GIC has the lowest shear bond strength while RC has the highest.