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Influence of silver diamine fluoride compared to photodynamic therapy on the bond integrity of resin modified glass ionomer cement to demineralized dentin

机译:银胺氟化物与光动力治疗对树脂改性玻璃离聚物水泥粘合完整性对脱矿质牙本质的影响

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Aim: To investigate the adhesive bond integrity of demineralized dentin (DD) treated with Silver Diamine Fluoride (SDF) and Photodynamic therapy (PDT) (SBS) bonded to resin modified glass ionomer cement (RMGIC).Material and Methods: Sixty non-carious molars were mounted within the sections of polyvinyl pipes. Dentinal tubules were exposed, homogenized and polished. 10 samples were left untreated and categorized as group 1. Fifty samples were exposed to acetic acid for artificial demineralization and randomly allocated into 5 groups. Group 2- exposed to conditioner polyacrylic acid (PAA); group 3- samples were treated with 38 % SDF; group 4-samples protected by 3.8 % SDF; group 5- topical application of 38 % SDF along with and potassium iodide (KI) and group 6- DD was treated with PDT. All specimens were bonded to RMGIC, light cured and subjected to shear bond testing in a universal testing machine. Debonded surfaces were observed under optical microscopy at 40x magnification for failure modes. SBS was examined using analysis of variance (ANOVA) with Post-hoc test. For all test p-value less than 0.5 was considered statistically significant.Results: Bond strength in group 5 specimens, (38 % SDF and KI - 15.91 +/- 0.71 MPa) was significantly higher among all study groups (p 0.05). The minimum SBS observed in group 1 samples, (mineralized dentin bonded to RMGIC- 7.44 +/- 0.29 MPa) was significantly lower among tested treatment regimes. Samples in group 2 (DD conditioned with PAA and bonded to RMGIC) (11.39 +/- 0.54 MPa), group 3 (DD treated with 38 % SDF) (12.42 +/- 0.77 MPa) and group 6 (PDT treated DD) (11.52 +/- 0.86 MPa) exhibited comparable outcomes (p 0.05).Conclusion: Demineralized dentin (DD) treated with 38 % SDF and potassium iodide when bonded to RMGIC exhibited improved bond strength compared to other treatment regimes. Use of methylene blue photosensitizer for PDT, compromised adhesive integrity applied on DD.
机译:目的:探讨用银氟化银(SDF)处理的脱矿质牙本质(DD)的粘合剂粘合完整性(SDF)和光动力治疗(PDT)(SBS)与树脂改性玻璃离聚物水泥(RMGIC)进行粘合。材料和方法:六十个非龋齿将臼齿安装在聚乙烯管的部分内。牙本质小管暴露,均匀化和抛光。将10个样品未经处理并将其分类为第1组。将50个样品暴露于乙酸以进行人工脱矿质,随机分配成5组。第2组 - 暴露于调节剂聚丙烯酸(PAA);第3组 - 样品用38%SDF治疗;第4组样品受到3.8%SDF的保护;第5组 - 用PDT处理38%SDF和碘化钾(Ki)和第6族的局部施用。将所有标本键合至RMGIC,光固化并在通用试验机中进行剪切键测试。在光学显微镜下观察到脱粘的表面,在40倍放大倍率下进行缩小。使用HOC测试的差异分析检查SBS检查SBS。对于所有测试统计学意义小于0.5的所有测试p值。结果:第5项标本中的键强度(38%SDF和Ki - 15.91 +/- 0.71MPa)在所有研究组中显着高出(P <0.05)。在第1组样品中观察到的最小SBS(键合至Rmgic-7.44 +/- 0.29MPa的矿化牙本质)在测试的治疗方案中显着降低。第2组中的样品(用PAA调节DD并键合至RMGIC)(11.39 +/- 0.54MPa),第3组(用38%SDF处理的DD)(12.42 +/- 0.77MPa)和第6组(PDT处理的DD)( 11.52 +/- 0.86MPa)表现出可比结果(P> 0.05)。结论:用38%SDF和碘化钾处理的脱蛋白(DD),当与其他治疗方案相比,用38%SDF和碘化钾表现出改善的粘合强度。使用亚甲基蓝光敏化剂进行PDT,施加在DD上的粘合剂完整性。

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