论著

不同牙体修复材料与Ⅱ类洞龈壁适合性的显微CT观察

  • 聂杰 ,
  • 王晓燕 ,
  • 高学军
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  • (北京大学口腔医学院·口腔医院牙体牙髓科, 北京100081)

网络出版日期: 2015-04-18

Micro-CT observations of the adaptation at gingival wall in Class Ⅱ restorations with different dental restorative materials

  • NIE Jie ,
  • WANG Xiao-Yan ,
  • GAO Xue-Jun
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  • (Department of Cariology and Endodontology, Peking University School and Hospital of Stomatology, Beijing 100081, China)

Online published: 2015-04-18

摘要

目的:使用显微CT观察不同牙体修复材料用于Ⅱ类洞充填修复时材料与龈壁的适合性。方法:选择人离体前磨牙18颗,制备邻牙合面Ⅱ类洞,随机分为6组进行分层充填。使用6种材料作为龈壁层材料,包括4种注射式充填材料:Beautifil Flow Plus F00(F00)、Beautifil Flow F10(F10)、Filtek Z350 Flowable(Z350F)和FujiⅡ LC CAPSULE(Fuji),以及2种膏体状填压式充填材料:BeautifilⅡ(BF)和Filtek Z350(Z350)。将充填修复后离体牙进行显微CT扫描和三维重建,分析龈壁层充填体牙齿界面孔隙体积和分布。孔隙体积采用Jonckheere-Terpstra非参检验方法进行统计分析。结果:龈壁层充填体-牙齿界面孔隙体积(mm3)由小到大依次为:Z350F(0.000 15)、F10(0.000 39)、F00(0.012)、Fuji(0.070)、Z350(0.16)和BF(0.20),Z350F/F10组与Fuji/Z350/BF组差异具有统计学意义(P<0.05)。孔隙分布结果显示,绝大多数孔隙位于窝洞的点线角。结论:龈壁层充填体牙齿界面孔隙主要位于窝洞点线角,高流动注射式充填材料可以有效减少界面孔隙的产生。

本文引用格式

聂杰 , 王晓燕 , 高学军 . 不同牙体修复材料与Ⅱ类洞龈壁适合性的显微CT观察[J]. 北京大学学报(医学版), 2015 , 47(2) : 317 -320 . DOI: 10.3969/j.issn.1671-167X.2015.02.025

Abstract

Objective: To evaluate the adaptation of different materials for gingival layer in Class Ⅱ restorations using Micro-CT.  Methods: Eighteen extracted human premolars were selected, and Class Ⅱ cavities were prepared. The teeth were randomly divided into six groups and restored using layering technique. Six materials were used for gingival layer, including four injectable materials: Beautifil Flow Plus F00 (F00), Beautifil Flow F10 (F10), Filtek Z350 Flowable (Z350F), FujiⅡ LC CAPSULE (Fuji), and two packable materials: BeautifilⅡ (BF), Filtek Z350 (Z350). The restored teeth were scanned with micro-CT and the images were 3D reconstructed to evaluate the volumes and the distribution of the voids on the restorationtooth interface of the gingival layer. The volume of the voids were statistically analyzed using nonparametric Jonckheere-Terpstra tests. Results: The volumes (mm3) of the voids on the restorationtooth interface were: Z350F (0.000 15), F10 (0.000 39), F00 (0.012), Fuji (0.070), Z350 (0.16) and BF (0.20). There were significant differences between Z350F/F10 and Fuji/Z350/BF (P<0.05). Most of the voids were found on the point-line angles of the cavities. Conclusion: The voids on the restoration-tooth interface were mainly on the point-line angles of the cavities. Injectable materials with high flowablility could reduce the restorationtooth interface voids significantly when used for the gingival layer in Class Ⅱ restorations.
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