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论文摘要

脱敏性粘接材料预防活髓基牙过敏的研究

The Effects of Desensitizing Bonding System for Prevention of Vital Abutment Hypersensitivity

作者:张怀勤,巢永烈

Author:ZHANGHuai-qin, CHAO Yong-lie

收稿日期:2005-04-25          年卷(期)页码:2005,23(02):130-

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:基牙,过敏,脱敏性粘接材料,

Key words:abutment,hypersensitivity,desensitizing bonding system,

基金项目:

中文摘要

学华西口腔医院 修复科,四川 成都610041) [摘要] 目的 观察GLUMA脱敏性粘接材料预防活髓基牙过敏的临床效果。方法 69颗进行活髓烤瓷修复的上 颌中切牙随机分为A、B、C 3组。备牙后A组用GLUMA表面处理剂处理整个牙面,B组仅处理颈1/3,然后2组均用 GLUMA粘接剂涂布整个牙面;C组为对照组,不作特殊处理。常规制作修复体,1周后试戴并用玻璃离子粘固剂粘 固,3个月后复查。分别于备牙脱敏后、备牙1周后修复体粘固前及3个月复查时采用低温滴水法检查试验牙敏感 度。将新鲜的离体中切牙进行常规牙体预备,标本1经GLUMA表面处理剂处理,标本2不作特殊处理,置于扫描电 镜下观察表面形态。结果 C组牙敏感度在3次检查时均高于A、B组(P0·05)。扫描电镜观察可见经 表面处理剂处理后的标本1,牙本质小管口开放,表面无玷污层。结论 GLUMA脱敏粘接剂能有效去除玷污层,降 低牙齿敏感度,预防烤瓷修复时活髓基牙的过敏现象。

英文摘要

Objective To evaluate the effects of GLUMA desensitizing bonding system in desensitizing hypersensitivity of vital abutment.Methods 69 central incisors with vital pulp from 69 patients were randomly divided into A, B and C group. After tooth preparation, group A coated with primer after etching, group B coated with primer after etching cervical dentin only, and group C was control group without special treatment. The cold sensitivity of abutments was tested after coating with primer, after cementation of crown and three months later. Two fresh extracted caries and restoration-free middle incisorwere prepared in routine way. The surface of specimen 1 was etched with conditioner and the control specimen 2 was prepared without any special surface treatment. Scanning electron microscope(SEM) observation was used to examine the details on dentin surface.Results In all three times of examination, the sensitivities of two experimental groups had been significantly reduced compared with the control group. Immediately after coating, group B were more sensitive than group A (P

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