Der Einfluss unterschiedlicher Provisorien auf den Komposit-Dentin-Verbund bei Komposit-Inlays

Einführung: In der vorliegenden Studie sollte überprüft werden, inwieweit sich der Einsatz unterschiedlicher provisorischer Zemente (UltraTemp®, Ultradent Products Inc., Utah, USA; Temp Bond™ und Temp Bond NE™, Kerr Hawe S.A., Bioggio, Schweiz) auf den Komposit-Dentin-Haftverbund bei Komposit-Inla...

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1. Verfasser: Wickles, Larissa
Beteiligte: Frankenberger, Roland (Prof. Dr.) (BetreuerIn (Doktorarbeit))
Format: Dissertation
Sprache:Deutsch
Veröffentlicht: Philipps-Universität Marburg 2015
Zahn-, Mund- u. Kieferheilkunde
Ausgabe:http://dx.doi.org/10.17192/z2015.0178
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topic Dentin
Provisorische Versorgung
Medizin, Gesundheit
Adhäsiver Verbund
provisional arrangements
Komposit
composite-dentin bond strength
Inlay
temporary cements
Kunststoff
composite
Adhäsion
spellingShingle Dentin
Provisorische Versorgung
Medizin, Gesundheit
Adhäsiver Verbund
provisional arrangements
Komposit
composite-dentin bond strength
Inlay
temporary cements
Kunststoff
composite
Adhäsion
Wickles, Larissa
Introduction: In the present study it should be investigated to what extend the composite-dentin bond strength of resin composite inlays is influenced by temporary cements (UltraTemp®, Ultradent Products Inc., Utah, USA; Temp Bond™ and Temp Bond NE™, Kerr Hawe S.A., Bioggio, Schweiz) having been applied in dental cavities prior to the actual luting prcess. In addition, methods for removal of temporary cements should be considered, too. Methods: In this experimental in vitro study, 48 caries and filling-free human third molars were used (with or without completed root development). These teeth were randomly assigned to twelve groups (n=4). Each specimen received a conical occlusal Class-I preparation. Resin composite inlays were manufactured (Venus® Diamond PLT Refill) directly in the cavities. After the inlay´s removal, cavities were filled with several temporary cements, i.e. UltraTemp® (group 4 to 6), Temp Bond™ (group 7-9) and Temp Bond NE™ (group 10-12). These were removed from the cavity by either a scaler only (H6/H7, Hu-Friedy, Leimen, Germany; Gr. 4, 7, 10), a scaler plus pumice slurry (Gr. 5, 8,1 1) or an air abrasion device (KaVo Rondoflex plus 360 with Al2O3 27µm, KaVo Dental GmbH, Biberach, Germany; Gr. 6, 9, 12). Groups 1 to 3 were control groups without any provisorial pretreatment. In the next step, all cavities were conditioned by the multi-bottle adhesive system Syntac® (Ivoclar Vivadent, Schaan, principality of Liechtenstein). Thereafter the inlays were cemented using the flowable resin composite Tetric EvoFlow (Ivoclar Vivadent). In the following step the specimens were cut using a slow-speed diamond saw resulting in slices and sticks (Isomet 1000, Buehler, Lake Bluff, IL, USA). Sticks were loaded in tension until failure occurred using a universal testing machine (Microtensile MTD-500 Plus, Universal-Prüfmaschine, SD-Mechatronik GmbH, Feldkirchen, Germany) at a crosshead speed of 0.5 mm/min. The composite-dentine-interface was qualitatively analysed using a scanning eletron microscope (REM Phenom, Phenom World BV, Eindhoven, Netherlands). The results of the microtensile bond strength test were statistically analysed by the SPSS 14.0 software (SPSS Inc., Chicago, IL, USA). Results: It could be shown that more the choice of removing method than the temporary cement´s material negatively influenced the composite-dentin bond strength. In comparison with the control groups without provisorial pretreatment, only the experimental groups treated with a sandblaster showed comparable results (p>0.05). Cement emoval by scaler was shown to be an inadequate method pertaining to dentin bond strength. According to the statistical analysis there were no essential differences between the temporary cements (p>0.05). Only experimental group 5 (UltraTemp® with scaler / pumice slurry) showed a significant increase of dentin bond strength compared to other groups pretreated with other temporary cements using the same method of removal. Finally it should be stated, that the provisorial pretreatment with temporary cements negatively influenced bond strength compared with the result of control groups regardless which kind of type was used.
Der Einfluss unterschiedlicher Provisorien auf den Komposit-Dentin-Verbund bei Komposit-Inlays
ref_str_mv references
oai_set_str_mv ddc:610
open_access
doc-type:doctoralThesis
xMetaDissPlus
dewey-raw 610
dewey-search 610
genre Medical sciences, Medicine
genre_facet Medical sciences, Medicine
topic_facet Medizin, Gesundheit
description Einführung: In der vorliegenden Studie sollte überprüft werden, inwieweit sich der Einsatz unterschiedlicher provisorischer Zemente (UltraTemp®, Ultradent Products Inc., Utah, USA; Temp Bond™ und Temp Bond NE™, Kerr Hawe S.A., Bioggio, Schweiz) auf den Komposit-Dentin-Haftverbund bei Komposit-Inlays auswirkt und wie zudem unterschiedliche Entfernungsmethoden den Haftverbund beeinflussen. Methode: Für den experimentellen Versuch wurden 48 karies- und füllungsfreie humane dritte Molaren verwendet (mit oder ohne abgeschlossenes Wurzelwachstum). Die Zähne wurden willkürlich auf zwölf Versuchsgruppen zu je vier Proben verteilt. Okklusal wurde eine konische Klasse I- Kavität präpariert, deren Kavitätenboden vollständig im Dentin lag. Darin wurden Komposit-Inlays (Venus® Diamond PLT Refill) per Hand gefertigt. Nach Entnahme der Inlays wurden in den Versuchsgruppen 4-12 die Kavitätenböden mit den provisorischen Zementen UltraTemp® (VG 4-6), Temp Bond™ (VG 7-9) und Temp Bond NE™ (VG 10-12) ausgestrichen und entweder mit Scaler (H6/H7, Fa. Hu-Friedy, Leimen, Deutschland; VG 4,7,10), mit Scaler und Bimsmehl (VG 5,8,11) oder mit einem Sandstrahler (KaVo Rondoflex plus 360 mit Al2O3 der Körnung 27µm, KaVo Dental GmbH, Biberach, Deutschland; VG 6,9,12) wieder aus der Kavität entfernt. Die Versuchsgruppen 1-3 waren hierbei Kontrollgruppen ohne provisorische Vorbehandlung. Im Anschluss wurden die Kavitäten mittels des Syntac® Classic Adhäsiv-Systems (Ivoclar Vivadent; Vier-Schritt-Etch-and-Rinse-Technik) vorbehandelt und die Inlays mittels Tetric Evo Flow (Ivoclar Vivadent) zementiert. Den mit Komposit-Inlays versehenen Zähnen wurden im nächsten Schritt mittels einer diamantierten Trennscheibe die Wurzeln entfernt und sie wurden mittels einer Präzisionssäge (Isomet 1000, Fa.Buehler, Illinois, USA) zunächst in Scheiben und danach in Stäbchen gesägt. Diese Prüfkörper wurden einer Mikrozugfestigkeitsprüfung (Microtensile MTD-500 Plus, Universal-Prüfmaschine, SD-Mechatronik GmbH, Feldkirchen, Deutschland) unterzogen. Das Dentin-Komposit-Interface wurde qualitativ mittels eines Rasterelektronenmikroskops (REM Phenom, Phenom World BV, Eindhoven, Niederlande) untersucht. Die Ergebnisse des Mikrozugversuches wurden statistisch mit Hilfe des Programmes SPSS 14.0 (SPSS Inc., Chicago, Illinois, USA) ausgewertet. Ergebnisse: Es konnte gezeigt werden, dass mehr die Wahl der Entfernungsmethode des temporären Zementes, als das Material selbst einen entscheidenden Einfluss auf den Komposit-Dentin-Haftverbund hat. Grundsätzlich konnten lediglich die Versuchsgruppen, in denen das Zementmaterial mit dem Sandstrahler entfernt wurde, vergleichbare Haftwerte wie in den Kontrollgruppen liefern, in denen keine provisorische Vorbehandlung vorgeschaltet wurde. Das Entfernen rein mittels Scaler erwies sich als unzureichende Methode der Wahl in Bezug auf die Haftfestigkeitswerte. Entsprechend der statistischen Analyse konnten unter den verschiedenen Zementmaterialien keine wesentlichen Unterschiede festgestellt werden. Einzig in VG 5 (UltaTemp® mit Scaler/Bimsmehl) konnte gegenüber gleicher Entfernungsmethode bei anderen temporären Zementen eine Steigerung der Haftwerte erzielt werden. Letztlich beeinflusst allgemein die provisorische Vorbehandlung mittels verschiedener Zementmaterialien dennoch den Komposit-Dentin-Haftverbund verglichen mit den Werten der Kontrollgruppen, in denen die besten Haftwerte erzielt wurden.
building Medizin
title_alt The influence of different provisional arrangements to the composite-dentin bond strength of resin composite inlays
language German
first_indexed 2015-04-15T00:00:00Z
last_indexed 2015-04-15T23:59:59Z
publisher Philipps-Universität Marburg
doi_str_mv http://dx.doi.org/10.17192/z2015.0178
edition http://dx.doi.org/10.17192/z2015.0178
institution Zahn-, Mund- u. Kieferheilkunde
url http://archiv.ub.uni-marburg.de/diss/z2015/0178/pdf/dlw.pdf
author Wickles, Larissa
publishDate 2015
era_facet 2015
license_str http://archiv.ub.uni-marburg.de/adm/urhg.html
author2 Frankenberger, Roland (Prof. Dr.)
author2_role ths
contents Introduction: In the present study it should be investigated to what extend the composite-dentin bond strength of resin composite inlays is influenced by temporary cements (UltraTemp®, Ultradent Products Inc., Utah, USA; Temp Bond™ and Temp Bond NE™, Kerr Hawe S.A., Bioggio, Schweiz) having been applied in dental cavities prior to the actual luting prcess. In addition, methods for removal of temporary cements should be considered, too. Methods: In this experimental in vitro study, 48 caries and filling-free human third molars were used (with or without completed root development). These teeth were randomly assigned to twelve groups (n=4). Each specimen received a conical occlusal Class-I preparation. Resin composite inlays were manufactured (Venus® Diamond PLT Refill) directly in the cavities. After the inlay´s removal, cavities were filled with several temporary cements, i.e. UltraTemp® (group 4 to 6), Temp Bond™ (group 7-9) and Temp Bond NE™ (group 10-12). These were removed from the cavity by either a scaler only (H6/H7, Hu-Friedy, Leimen, Germany; Gr. 4, 7, 10), a scaler plus pumice slurry (Gr. 5, 8,1 1) or an air abrasion device (KaVo Rondoflex plus 360 with Al2O3 27µm, KaVo Dental GmbH, Biberach, Germany; Gr. 6, 9, 12). Groups 1 to 3 were control groups without any provisorial pretreatment. In the next step, all cavities were conditioned by the multi-bottle adhesive system Syntac® (Ivoclar Vivadent, Schaan, principality of Liechtenstein). Thereafter the inlays were cemented using the flowable resin composite Tetric EvoFlow (Ivoclar Vivadent). In the following step the specimens were cut using a slow-speed diamond saw resulting in slices and sticks (Isomet 1000, Buehler, Lake Bluff, IL, USA). Sticks were loaded in tension until failure occurred using a universal testing machine (Microtensile MTD-500 Plus, Universal-Prüfmaschine, SD-Mechatronik GmbH, Feldkirchen, Germany) at a crosshead speed of 0.5 mm/min. The composite-dentine-interface was qualitatively analysed using a scanning eletron microscope (REM Phenom, Phenom World BV, Eindhoven, Netherlands). The results of the microtensile bond strength test were statistically analysed by the SPSS 14.0 software (SPSS Inc., Chicago, IL, USA). Results: It could be shown that more the choice of removing method than the temporary cement´s material negatively influenced the composite-dentin bond strength. In comparison with the control groups without provisorial pretreatment, only the experimental groups treated with a sandblaster showed comparable results (p>0.05). Cement emoval by scaler was shown to be an inadequate method pertaining to dentin bond strength. According to the statistical analysis there were no essential differences between the temporary cements (p>0.05). Only experimental group 5 (UltraTemp® with scaler / pumice slurry) showed a significant increase of dentin bond strength compared to other groups pretreated with other temporary cements using the same method of removal. Finally it should be stated, that the provisorial pretreatment with temporary cements negatively influenced bond strength compared with the result of control groups regardless which kind of type was used.
format Dissertation
title Der Einfluss unterschiedlicher Provisorien auf den Komposit-Dentin-Verbund bei Komposit-Inlays
title_short Der Einfluss unterschiedlicher Provisorien auf den Komposit-Dentin-Verbund bei Komposit-Inlays
title_full Der Einfluss unterschiedlicher Provisorien auf den Komposit-Dentin-Verbund bei Komposit-Inlays
title_fullStr Der Einfluss unterschiedlicher Provisorien auf den Komposit-Dentin-Verbund bei Komposit-Inlays
title_full_unstemmed Der Einfluss unterschiedlicher Provisorien auf den Komposit-Dentin-Verbund bei Komposit-Inlays
title_sort Der Einfluss unterschiedlicher Provisorien auf den Komposit-Dentin-Verbund bei Komposit-Inlays
thumbnail http://archiv.ub.uni-marburg.de/diss/z2015/0178/cover.png
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J Dent 2013; 10: 1016-1026. 2013 Effect of smear layer deproteinizing on resin-dentine interface with self-etch adhesive Labella R, Lambrechts P, Van Meerbeek B, Vanherle G. Polymerization shrinkage and elasticity of flowable composites and filled adhesives. Dent Mater 1999; 15: 128–137. 1999 Polymerization shrinkage and elasticity of flowable composites and filled adhesives Einführung: In der vorliegenden Studie sollte überprüft werden, inwieweit sich der Einsatz unterschiedlicher provisorischer Zemente (UltraTemp®, Ultradent Products Inc., Utah, USA; Temp Bond™ und Temp Bond NE™, Kerr Hawe S.A., Bioggio, Schweiz) auf den Komposit-Dentin-Haftverbund bei Komposit-Inlays auswirkt und wie zudem unterschiedliche Entfernungsmethoden den Haftverbund beeinflussen. Methode: Für den experimentellen Versuch wurden 48 karies- und füllungsfreie humane dritte Molaren verwendet (mit oder ohne abgeschlossenes Wurzelwachstum). Die Zähne wurden willkürlich auf zwölf Versuchsgruppen zu je vier Proben verteilt. Okklusal wurde eine konische Klasse I- Kavität präpariert, deren Kavitätenboden vollständig im Dentin lag. Darin wurden Komposit-Inlays (Venus® Diamond PLT Refill) per Hand gefertigt. Nach Entnahme der Inlays wurden in den Versuchsgruppen 4-12 die Kavitätenböden mit den provisorischen Zementen UltraTemp® (VG 4-6), Temp Bond™ (VG 7-9) und Temp Bond NE™ (VG 10-12) ausgestrichen und entweder mit Scaler (H6/H7, Fa. Hu-Friedy, Leimen, Deutschland; VG 4,7,10), mit Scaler und Bimsmehl (VG 5,8,11) oder mit einem Sandstrahler (KaVo Rondoflex plus 360 mit Al2O3 der Körnung 27µm, KaVo Dental GmbH, Biberach, Deutschland; VG 6,9,12) wieder aus der Kavität entfernt. Die Versuchsgruppen 1-3 waren hierbei Kontrollgruppen ohne provisorische Vorbehandlung. Im Anschluss wurden die Kavitäten mittels des Syntac® Classic Adhäsiv-Systems (Ivoclar Vivadent; Vier-Schritt-Etch-and-Rinse-Technik) vorbehandelt und die Inlays mittels Tetric Evo Flow (Ivoclar Vivadent) zementiert. Den mit Komposit-Inlays versehenen Zähnen wurden im nächsten Schritt mittels einer diamantierten Trennscheibe die Wurzeln entfernt und sie wurden mittels einer Präzisionssäge (Isomet 1000, Fa.Buehler, Illinois, USA) zunächst in Scheiben und danach in Stäbchen gesägt. Diese Prüfkörper wurden einer Mikrozugfestigkeitsprüfung (Microtensile MTD-500 Plus, Universal-Prüfmaschine, SD-Mechatronik GmbH, Feldkirchen, Deutschland) unterzogen. Das Dentin-Komposit-Interface wurde qualitativ mittels eines Rasterelektronenmikroskops (REM Phenom, Phenom World BV, Eindhoven, Niederlande) untersucht. Die Ergebnisse des Mikrozugversuches wurden statistisch mit Hilfe des Programmes SPSS 14.0 (SPSS Inc., Chicago, Illinois, USA) ausgewertet. Ergebnisse: Es konnte gezeigt werden, dass mehr die Wahl der Entfernungsmethode des temporären Zementes, als das Material selbst einen entscheidenden Einfluss auf den Komposit-Dentin-Haftverbund hat. Grundsätzlich konnten lediglich die Versuchsgruppen, in denen das Zementmaterial mit dem Sandstrahler entfernt wurde, vergleichbare Haftwerte wie in den Kontrollgruppen liefern, in denen keine provisorische Vorbehandlung vorgeschaltet wurde. Das Entfernen rein mittels Scaler erwies sich als unzureichende Methode der Wahl in Bezug auf die Haftfestigkeitswerte. Entsprechend der statistischen Analyse konnten unter den verschiedenen Zementmaterialien keine wesentlichen Unterschiede festgestellt werden. Einzig in VG 5 (UltaTemp® mit Scaler/Bimsmehl) konnte gegenüber gleicher Entfernungsmethode bei anderen temporären Zementen eine Steigerung der Haftwerte erzielt werden. Letztlich beeinflusst allgemein die provisorische Vorbehandlung mittels verschiedener Zementmaterialien dennoch den Komposit-Dentin-Haftverbund verglichen mit den Werten der Kontrollgruppen, in denen die besten Haftwerte erzielt wurden. The influence of different provisional arrangements to the composite-dentin bond strength of resin composite inlays 2015-04-15 http://dx.doi.org/10.17192/z2015.0178 2015 2015-03-27 Introduction: In the present study it should be investigated to what extend the composite-dentin bond strength of resin composite inlays is influenced by temporary cements (UltraTemp®, Ultradent Products Inc., Utah, USA; Temp Bond™ and Temp Bond NE™, Kerr Hawe S.A., Bioggio, Schweiz) having been applied in dental cavities prior to the actual luting prcess. In addition, methods for removal of temporary cements should be considered, too. Methods: In this experimental in vitro study, 48 caries and filling-free human third molars were used (with or without completed root development). These teeth were randomly assigned to twelve groups (n=4). Each specimen received a conical occlusal Class-I preparation. Resin composite inlays were manufactured (Venus® Diamond PLT Refill) directly in the cavities. After the inlay´s removal, cavities were filled with several temporary cements, i.e. UltraTemp® (group 4 to 6), Temp Bond™ (group 7-9) and Temp Bond NE™ (group 10-12). These were removed from the cavity by either a scaler only (H6/H7, Hu-Friedy, Leimen, Germany; Gr. 4, 7, 10), a scaler plus pumice slurry (Gr. 5, 8,1 1) or an air abrasion device (KaVo Rondoflex plus 360 with Al2O3 27µm, KaVo Dental GmbH, Biberach, Germany; Gr. 6, 9, 12). Groups 1 to 3 were control groups without any provisorial pretreatment. In the next step, all cavities were conditioned by the multi-bottle adhesive system Syntac® (Ivoclar Vivadent, Schaan, principality of Liechtenstein). Thereafter the inlays were cemented using the flowable resin composite Tetric EvoFlow (Ivoclar Vivadent). In the following step the specimens were cut using a slow-speed diamond saw resulting in slices and sticks (Isomet 1000, Buehler, Lake Bluff, IL, USA). Sticks were loaded in tension until failure occurred using a universal testing machine (Microtensile MTD-500 Plus, Universal-Prüfmaschine, SD-Mechatronik GmbH, Feldkirchen, Germany) at a crosshead speed of 0.5 mm/min. The composite-dentine-interface was qualitatively analysed using a scanning eletron microscope (REM Phenom, Phenom World BV, Eindhoven, Netherlands). The results of the microtensile bond strength test were statistically analysed by the SPSS 14.0 software (SPSS Inc., Chicago, IL, USA). Results: It could be shown that more the choice of removing method than the temporary cement´s material negatively influenced the composite-dentin bond strength. In comparison with the control groups without provisorial pretreatment, only the experimental groups treated with a sandblaster showed comparable results (p>0.05). Cement emoval by scaler was shown to be an inadequate method pertaining to dentin bond strength. According to the statistical analysis there were no essential differences between the temporary cements (p>0.05). Only experimental group 5 (UltraTemp® with scaler / pumice slurry) showed a significant increase of dentin bond strength compared to other groups pretreated with other temporary cements using the same method of removal. Finally it should be stated, that the provisorial pretreatment with temporary cements negatively influenced bond strength compared with the result of control groups regardless which kind of type was used. urn:nbn:de:hebis:04-z2015-01785 Der Einfluss unterschiedlicher Provisorien auf den Komposit-Dentin-Verbund bei Komposit-Inlays Philipps-Universität Marburg Wickles, Larissa Wickles Larissa ths Prof. Dr. Frankenberger Roland Frankenberger, Roland (Prof. Dr.)
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