改良型玻璃离子水门汀及复合体的边缘微漏研究

目的比较两种树脂改良型玻璃离子水门汀及两种树脂复合体边缘封闭性。方法选用40颗成人离体恒磨牙，制备V类洞型，分别用两种树脂改良型光固化玻璃离子水门汀(GCFujiⅡLC和Vitremer TM)及两种多元酸修饰的树脂复合体(Dyract复合体和F2000复合体)充填，经冷热交替试验(5～55℃，循环20次)，采用1％碱性品红染料渗入法观察充填体与牙体洞壁间边缘微漏。结果在V类洞壁及龈壁4种不同材料的边缘封闭性存在显著差异(P=0.026，P=0.000)，壁侧GC FGCiⅡLC组显著优于其它各组，龈壁侧Dyract复合体组显著比其它各组差。结论牙面的不同处理及充填材料的聚合收缩、吸水率以及热膨胀系数的差异等都是影响微漏的因素。树脂改良型光固化玻璃离子水门汀边缘封闭性优于树脂复合体。

Microleakage of Resin- Modified Glass Ionomer Cement and Compomer Restorations in vitro

Objective To evaluate the marginal integrity of restoration in two types of mate- rials, or resin- modified glass ionomer cement and polyacid- modified composite resin (compomer). Methods Restorations of four kinds of material (GC Fuji Ⅱ LC, VitremerTM, Dyract compomer and F2000 compomer) were placed in the facial Class V cavity preparations in forty noncarious human molar teeth. The teeth were randomly assigned to 4 experimental groups of 10 teeth each. After thermal cy- cling( × 20,5 ～55℃ ), the teeth were immersed in 1％ basic fuchsin dye for 24 hours at room tempera- ture. Staining along the teeth restoration interface was recorded. Results The data indicated signifi- cant differences between all the restorative materials for both occlusal and gingival scores ( P=0.026, P = 0. 000)respectively. Further analysis revealed there were statistically significant differences between GC Fuji Ⅱ LC and others on occlusal margins versus Dyract compomer and others on gingival margins. Conclusion Factors such as dental conditioning, rates of water absorption and thermal coefficient were related to microleakage. Resin - modified glass ionomer cement showed less microleakage than polyacid- modified composite resin tested.