PURPOSE:To evaluate the effect of a reducing agent and plant-extract antioxidant on the bonding durability of a self-etch adhesive to normal and NaOCl-treated, smear-layer-deproteinized dentin. MATERIALS AND METHODS:Flat smear-layer-covered dentin surfaces from 60 extracted human molars were prepared by removing the occlusal enamel. The teeth were divided into two groups with or without NaOCl-deproteinizing treatment for 30 s, and further divided into three subgroups as follows: no application of antioxidant, application of Accel (p-toluenesulfinic acid sodium salt solution) for 5 s, or application of rosmarinic acid solution for 5 s. All treated dentin surfaces were bonded with a two-step self-etch adhesive (Clearfil SE Bond) and restored with composite (Clearfil AP-X). The bonded teeth were sectioned into a hourglass-shaped sticks with a composite-dentin bonded interface area of 1.0 mm2. After storage in artificial saliva for 24 h or 1 year, the specimens were subjected to the microtensile bond strength test (n = 15). Data were statistically analyzed with three-way ANOVA, Tukey's post-hoc test, and the t-test (p < 0.05). RESULTS:Without an antioxidant, 1-year storage significantly reduced the bond strengths of the self-etch adhesive to normal and smear-layer-deproteinized dentin compared with those after 24-h storage (p < 0.05). Application of Accel and rosmarinic acid restored the compromised initial bond strengths to smear-layer-deproteinized dentin (p < 0.05), and prevented long-term deterioration of bond strengths to both normal and smear-layer-deproteinized dentin (p > 0.05). CONCLUSION:Application of Accel and rosmarinic acid improved bonding durability of the self-etch adhesive to both normal and smear-layer-deproteinized dentin.

译文

目的:评估还原剂和植物提取的抗氧化剂对自蚀刻胶粘剂与正常和经NaOCl处理的涂片层脱蛋白牙本质的粘合耐久性的影响。
材料与方法:通过去除咬合牙釉质,从60颗提取的人类磨牙中涂上涂有一层涂抹层的牙本质表面。将牙齿分为两组,接受或不接受NaOCl脱蛋白处理30s,然后进一步分为三个亚组:不使用抗氧化剂,不使用Accel(对甲苯磺酸钠盐溶液)5s或不使用迷迭香酸溶液5s。所有处理过的牙本质表面均用两步自蚀刻粘合剂(Clearfil SE Bond)粘合,并用复合材料(Clearfil AP-X)修复。将粘结的牙齿切成沙漏形的棒,其复合物-牙本质粘结的界面面积为1.0mm2。在人造唾液中保存24h或1年后,对样品进行微拉伸粘合强度测试(n = 15)。数据用三项方差分析,Tukey事后检验和t检验进行统计学分析(p <0.05)。
结果:没有抗氧化剂,与24小时储存后相比,一年储存显着降低了自蚀刻粘合剂与正常和涂片层脱蛋白牙本质的粘合强度(p <0.05)。施用Accel和迷迭香酸可恢复受损的涂片层脱蛋白牙本质初始粘合强度(p <0.05),并防止正常和涂片层脱蛋白牙本质的粘合强度长期恶化(p> 0.05)。
结论:Accel和迷迭香酸的应用改善了自蚀刻胶粘剂对正常和涂抹层脱蛋白牙本质的粘合耐久性。

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