Adhesives

粘合剂
  • 文章类型: Journal Article
    要求保护双硅烷(三烷氧基硅烷/氨基硅烷)通用粘合剂(UA)的玻璃陶瓷的增强的涂底漆能力。
    本研究评估了有机官能化三烷氧基硅烷-和有机官能化三烷氧基硅烷/含氨基硅烷的UAs对长期树脂-陶瓷微拉伸粘结强度(μTBS)和陶瓷润湿性的影响。
    氢氟酸蚀刻的二硅酸锂圆盘分为以下四组:(对照),未进行灌注;(MBN),使用硅烷基底漆(MonobondN);(SBU),使用含三烷氧基硅烷的UA(单键通用粘合剂)和(SBP),使用含三烷氧基硅烷/氨基硅烷的UA(ScotchbondUniversalPlus粘合剂)。将陶瓷盘胶结成块,然后切成微梁,在37°蒸馏水中储存1年。评估μTBS,然后评估失效模式。使用固滴技术用测角仪测量两个UA的接触角。
    与对照组相比,MBN显着改善了树脂-陶瓷μTBS(31.71±6.33MPa)。使用SBP(22.83±3.42MPa)打底后获得的树脂陶瓷μTBS与MBN相当。与MBN相比,SBU显示出明显较差的树脂陶瓷μTBS(16.02±6.28MPa)。混合故障模式模式在组中最常见。两种UA的陶瓷润湿性没有显着差异。
    使用UA和双硅烷单体(有机官能化三烷氧基硅烷/氨基硅烷)的陶瓷底漆导致与含硅烷底漆相当的长期粘合性。在UA配方中掺入氨基硅烷单体不会影响UA溶液的润湿特性,并增强了其玻璃陶瓷涂底漆能力。
    使用具有优化的硅烷含量的UA作为玻璃陶瓷的底漆简化了临床粘合程序,包括树脂胶结和修复陶瓷修复体。
    UNASSIGNED: The dual-silane (trialkoxysilane/aminosilane) universal adhesive (UA) is claimed for its enhanced priming capacity of glass-ceramics.
    UNASSIGNED: This study evaluated the effect of organofunctional trialkoxysilane- and organofunctional trialkoxysilane/aminosilane-containing UAs on the long-term resin-ceramic microtensile bond strength (μTBS) and wettability of ceramic.
    UNASSIGNED: Hydrofluoric acid-etched lithium disilicate discs were distributed into four groups as follows: (control), no priming was performed; (MBN), primed using a silane-based primer (Monobond N); (SBU), primed using a trialkoxysilane-containing UA (Single Bond Universal Adhesive) and (SBP), primed using a trialkoxysilane/aminosilane-containing UA (Scotchbond Universal Plus Adhesive). Ceramic discs were cemented into blocks then sectioned into microbeams stored in distilled water at 37° for 1 year. The μTBS was evaluated followed by assessment of the failure modes. The contact angle of the two UAs was measured with a goniometer using the sessile drop technique.
    UNASSIGNED: MBN significantly improved the resin-ceramic μTBS (31.71 ± 6.33 MPa) compared to the control group. The resin-ceramic μTBS obtained after priming using SBP (22.83 ± 3.42 MPa) was comparable to those of MBN. SBU showed significantly inferior resin-ceramic μTBS (16.02 ± 6.28 MPa) compared with MBN. Mixed failures mode patterns were the most frequent in the groups. The ceramic wettability of both UAs did not significantly differ.
    UNASSIGNED: Ceramic priming using a UA with dual-silane monomers (organofunctional trialkoxysilane/aminosilane) resulted in long-term adhesion comparable to a silane-containing primer. Incorporating aminosilane monomer in UA formulation did not affect the wetting of characteristics of the UA solution and enhanced its glass-ceramic priming capacity.
    UNASSIGNED: The use of UA with optimized silane content as a primer for glass-ceramics simplifies clinical adhesive procedures including resin cementation and repair of ceramic restorations.
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  • 文章类型: Journal Article
    目的:本研究旨在通过测量多余的粘合剂来评估围栏托盘匹配护理(FTMC)在托架粘合中的效果,以及线性和角度偏差,并将其与半包装托盘(HWT)进行比较。
    方法:使用口内扫描仪采集牙周炎患者上颌牙弓的数据。此外,对20个上颌牙弓模型进行3D打印。使用3Shape,PlastyCAD软件,和3D打印技术,获得了10个FTMC(方法I)和HWT(方法II)。通过术前准备,术中协调,和术后测量,支架从托盘转移到3D打印的上颌牙弓模型。此外,测量了支架的多余粘合剂以及线性和角度偏差,并分析了两种方法的差异。
    结果:在两种方法中均观察到过量的粘合剂,FTMC显示较少的粘合剂(P<0.001),具有统计学差异。此外,HWT的垂直,尖端和扭矩,显著大于FTMC(P<0.05),其他方面没有统计学差异。门牙的研究数据,犬科动物,和前磨牙,表明前磨牙有更多的粘合剂残留物,并且更可能具有线性和角度偏差。
    结论:与HWT相比,FTMC具有更高的支架粘合效果,和粘合剂残留物,线性和角度偏差较小。围栏托盘提供了一个直观的视图的精确结合的支架,并可以通过护理去除多余的粘合剂以防止白点病变,为临床应用提供了一种不同的粘接方法。
    OBJECTIVE: This study aimed to evaluate the effect of fence tray matching care (FTMC) in bracket bonding by measuring excess adhesive, as well as linear and angular deviations, and by comparing it with the half-wrapped tray (HWT).
    METHODS: An intraoral scanner was used to acquire data on the maxillary dental arch of a patient with periodontitis.Furthermore, 20 maxillary dental arch models were 3D printed. Using 3Shape, PlastyCAD software, and 3D printing technology, 10 FTMC (method I) and HWT (method II) were obtained. By preoperative preparation, intraoperative coordination, and postoperative measurement, the brackets were transferred from the trays to the 3D-printed maxillary dental arch models. Additionally, the bracket\'s excess adhesive as well as linear and angular deviations were measured, and the differences between the two methods were analyzed.
    RESULTS: Excess adhesive was observed in both methods, with FTMC showing less adhesive (P< 0.001), with a statistical difference. Furthermore, HWT\'s vertical, tip and torque, which was significantly greater than FTMC (P< 0.05), with no statistical difference among other respects. The study data of incisors, canines, and premolars, showed that the premolars had more adhesive residue and were more likely to have linear and angular deviations.
    CONCLUSIONS: The FTMC had higher bracket bonding effect in comparison to HWT, and the adhesive residue, linear and angular deviations are smaller. The fence tray offers an intuitive view of the precise bonding of the bracket, and can remove excess adhesive to prevent white spot lesions via care, providing a different bonding method for clinical applications.
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  • 文章类型: Letter
    背景:由于其闭塞和可压缩特性,泡沫胶带通常在急诊科用作胸管上的敷料。关于对这种材料的显著皮肤反应的发生率的数据很少。我们进行了一项前瞻性试验,以评估将泡沫胶带应用于健康志愿者的上臂后皮炎的发生率。
    方法:这是一个前瞻性的,介入试验。我们招募了一群同意的人,健康的医生,护士,以及对泡沫胶带不敏感的教学设施的辅助人员。研究人员将2×2英寸的3M微泡沫粘合剂施加到每个受试者上臂的内侧。对侧臂作为比较的参考。粘合剂保持48小时,研究作者使用先前验证的皮肤刺激评分系统(CISS)评估患者。用卡方分析分类变量,采用t检验的连续变量。
    结果:研究组有40名受试者,52%为女性,平均年龄40±7岁,55%的非白人种族。10/40(25%;95CI[14%,41%])的受试者有红斑;9/40(22%)的红斑评分为1,1/40(2.5%)的评分为2。关于水肿,2/40(5%;95%CI[1%,18%]);1/40(2.5%)的水肿评分为1,1/40(2.5%)的评分为2。有9/40的受试者的刺激性评分>0;(22%;95CI[12%,38%]);7/40(18%)的刺激性评分为1,2/4(5.0%)的评分为2。就严重性评分而言,10/40(25%;95CI[14%,41%])得分为>0分;9/40(22%)得分为1分,1/40(2.5%)得分为2分。总的来说,10/40(25%;95CI[14%,41%])的受试者至少有一种积极的反应。受试者\'年龄,性别和种族没有发现与红斑的发生率有统计学意义的相关,水肿,或者烦躁。此外,这些特征与严重程度评分>0无统计学意义.所有上述双变量分析的p值均>0.05。
    结论:25%的健康志愿者在手臂上使用泡沫胶带后发生皮肤反应。患者特征与皮肤反应的风险无关。
    背景:#NCT06059417。
    Foam tape is commonly used in the emergency department as a dressing over chest tubes owing to its occlusive and compressible properties. There is a paucity of data regarding the incidence of significant cutaneous reactions to this material. We conducted a prospective trial to evaluate the incidence of dermatitis following application of foam tape to the upper arm of a cohort of healthy volunteers.
    This was a prospective, interventional trial. We enrolled a cohort of consenting, healthy physicians, nurses, and ancillary staff at a teaching facility who did not have known hypersensitivity to foam tape. Study investigators applied a 2 × 2 inch piece of 3 M microfoam adhesive to the medial aspect of each subject\'s upper arm. The contralateral arm served as a reference for comparison. The adhesive remained in place for 48 h and the study authors assessed patients utilizing the previously validated Cutaneous Irritancy Scoring System (CISS). Categorical variables analyzed by chi-square, continuous variables with t-tests.
    There were 40 subjects in the study group; 52% female, mean age 40±7 years, 55% non-White race. 10/40 (25%; 95%CI[14%, 41%]) of subjects had erythema; 9/40 (22%) had an erythema score of 1 and 1/40 (2.5%) had a score of 2. With respect to edema, 2/40 (5%; 95% CI[1%,18%]); 1/40(2.5%) had an edema score of 1, and 1/40(2.5%) had a score of 2. There were 9/40 subjects with an irritancy score > 0; (22%; 95%CI[12%,38%]); 7/40(18%) had an irritancy score of 1, and 2/4(5.0%) had a score of 2. In terms of the severity score, 10/40 (25%; 95%CI[14%, 41%]) had a score > 0; 9/40(22%) had a score of 1, and 1/40(2.5%) had a score of 2. Overall, 10/40 (25%; 95%CI[14%, 41%]) of subjects had at least one positive measure of a reaction of any kind. Subjects\' age, gender and race were not found to be statistically significantly associated with the incidence of erythema, edema, or irritancy. In addition, these characteristics were not statistically significantly associated with severity score > 0. The p values for all the above bivariate analyses were > 0.05.
    Cutaneous reactions occurred in 25% of healthy volunteers after the application of foam tape to the arm. Patient characteristics were not associated with risk of a skin reaction.
    #NCT06059417.
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  • 文章类型: Journal Article
    背景正畸托槽下的微渗漏由于口腔液进入托槽-粘合剂-牙齿界面而在托槽早期脱粘和白点病变中发挥作用。这项体外研究旨在评估和比较与常规粘合剂系统粘合的正畸托槽下的微渗漏,纳米复合材料,和纳米离聚物。材料和方法出于治疗原因提取并收集了45个人类前磨牙用于本研究。将牙齿随机分为三组:A组:使用常规粘合剂进行常规蚀刻,B组:用纳米复合材料进行常规蚀刻,和C组:使用纳米离聚物的常规蚀刻。不锈钢前磨牙托槽用于粘合。热循环后,将拔出的牙齿浸入0.5%的碱性品红溶液中24小时。然后将它们纵向切割。使用立体显微镜评估沿咬合和牙龈界面的微渗漏。结果比较各组牙龈和咬合方面的微渗漏评分,进行了学生的t检验。将方差分析(ANOVA)和事后Tukey检验应用于微渗漏评分的组间比较数据。在比较微渗漏评分时,所有组的齿龈侧显示出比咬合侧齿龈侧更高的微渗漏,结果具有统计学意义(P<0.05)。在组间比较中,B组的咬合托架粘合界面和牙龈牙齿粘合界面显示出微渗漏值明显较高,其次是C组,A组最少。然而,B组和C组的微渗漏评分在组间比较差异无统计学意义(P<0.05)。结论牙龈侧的微渗漏评分高于咬合侧。纳米离聚物显示出比TransbondXT高但比纳米复合材料低的微泄漏值。根据本研究的结果,在微泄漏方面,与纳米离聚物和纳米复合材料相比,TransbondXT显示出较低的微泄漏。
    Background Microleakage under orthodontic brackets has a role in early bracket debonding and white spot lesions due to the ingress of oral fluids in the bracket-adhesive-tooth interface. This in vitro study aimed to evaluate and compare the microleakage under orthodontic brackets bonded with the conventional adhesive system, nanocomposites, and nanoionomers. Materials and methods Forty-five human premolars were extracted for therapeutic reasons and collected for this study. Teeth were randomly assigned to three groups: Group A: conventional etching with conventional adhesive, Group B: conventional etching with nanocomposite, and Group C: conventional etching with nanoionomer. Stainless steel premolar brackets were used for bonding. After thermocycling, the extracted teeth were submerged in a 0.5% solution of basic fuchsine for 24 hours. They were then cut longitudinally. A stereomicroscope was used to assess microleakage along the occlusal and gingival interfaces. Results To compare the microleakage scores between gingival and occlusal aspects within each group, the student\'s t-test was performed. Analysis of variance (ANOVA) and the post-hoc Tukey test were applied to the data for intergroup comparison of microleakage scores. On comparing the microleakage scores, the gingival side of interfaces depicted higher microleakage than the occlusal side gingival side across all groups, demonstrating statistically significant results (P <0.05).On intergroup comparison, the occlusal bracket adhesive interface and gingival tooth adhesive interface revealed significantly higher microleakage values for Group B followed by Group C with Group A the least. However, there was no significant difference in the microleakage scores between Group B and Group C on intergroup comparison of mean microleakage scores (P <0.05). Conclusion The gingival side showed higher microleakage scores than the occlusal side. Nanoionomers showed microleakage values higher than the Transbond XT but lower than nanocomposites. Based on the results of the present study, in terms of microleakage, Transbond XT demonstrated lower microleakage when compared to nanoionomers and nanocomposites.
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  • 文章类型: Journal Article
    目的:本研究的目的是分析和比较用Er:YAG激光或毛刺制备牙本质时,混合层和牙本质表面的微观形态,并且如果在用Er:YAG激光制备的牙本质上施加自蚀底漆的时间加倍,则发现是否存在任何差异。
    OBJECTIVE: The purpose of this study was to analyze and compare the micromorphology of the hybrid layer and the dentinal surface when the dentin was prepared with an Er:YAG laser or burs, and to find if there was any difference if the time of application of the self-etching primer on the dentin prepared with an Er:YAG laser was doubled.
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  • 文章类型: Journal Article
    壁虎脚趾垫表面的分层设计及其可逆粘附性多年来一直启发材料科学家。已经开发出具有令人印象深刻的粘合性能的微米和纳米图案表面来模仿壁虎的性能。虽然在一些示例中实现的粘合性能已经超过了生活同行,制造表面的耐久性是有限的,自我更新和恢复生物系统固有功能的能力是不可想象的。在这里,使用Bibron壁虎(Chondrodactylusbibronii)的皮肤样本研究了壁虎刚毛的形态发生。壁虎刚毛在皮肤表皮内不同的细胞-细胞层界面处发育为专门的顶端分化结构。作为模板结构元件的F-肌动蛋白和微管的主要作用对于刚毛的分层形态的发展是必要的。并确定了角蛋白和角膜β蛋白的稳定作用。落叶从底层的单个细胞生长,突出到上层的四个相邻细胞中。通过促进细胞-细胞界面的断裂和高纵横比刚毛的释放,所得的多细胞连接可以在脱落过程中发挥作用。结果有助于理解刚毛再生,并可能激发未来的概念,以生物工程自我再生图案化的粘合剂表面。
    The hierarchical design of the toe pad surface in geckos and its reversible adhesiveness have inspired material scientists for many years. Micro- and nano-patterned surfaces with impressive adhesive performance have been developed to mimic gecko\'s properties. While the adhesive performance achieved in some examples has surpassed living counterparts, the durability of the fabricated surfaces is limited and the capability to self-renew and restore function-inherent to biological systems-is unimaginable. Here the morphogenesis of gecko setae using skin samples from the Bibron´s gecko (Chondrodactylus bibronii) is studied. Gecko setae develop as specialized apical differentiation structures at a distinct cell-cell layer interface within the skin epidermis. A primary role for F-actin and microtubules as templating structural elements is necessary for the development of setae\'s hierarchical morphology, and a stabilization role of keratins and corneus beta proteins is identified. Setae grow from single cells in a bottom layer protruding into four neighboring cells in the upper layer. The resulting multicellular junction can play a role during shedding by facilitating fracture of the cell-cell interface and release of the high aspect ratio setae. The results contribute to the understanding of setae regeneration and may inspire future concepts to bioengineer self-renewable patterned adhesive surfaces.
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  • 文章类型: Journal Article
    长期心电图(ECG)监测是临床上重要且广泛使用的技术,有助于诊断在短时间内无法检测到的可能疾病。然而,临床使用的电极需要导电凝胶来降低皮肤和电极之间的阻抗,这很容易导致过敏的可能性。此外,当导电凝胶变干时,信号的质量会相应降低。在本文中,我们提出了一种新型的粘合剂碳糊电极(CPE),以实现方便和长期的心电监测。通过比较时域波形,R-R峰间隔差,以及在固定和不固定条件下使用传统的基于导电凝胶的电极(Gel)的ECG的信噪比(SNR),对拟议CPE的性能进行了调查。结果表明,CPE在固定和非固定条件下都能实现相似的心电监测。当第2天,凝胶获得的质量开始下降,而CPE仍然稳定,这是显而易见的,尤其是在不固定的条件下。R-R峰间隔显示在第2天,凝胶不可靠,出现一些异常点。此外,SNR和平均心率(AHR)的结果也证实,CPE在第1天可以达到与Gel相似的结果,在第2天优于Gel。相信所提出的CPE为高质量的长期ECG监测打开了更方便的窗口。
    Long-term electrocardiogram (ECG) monitoring is an important and widely-used technique in the clinic that helps with the diagnosis of possible diseases that cannot be detected in a short time monitoring. However, the clinically used electrode needs conductive gel to reduce the impedance between the skin and the electrodes, which easily causes the possibility of allergy. Moreover, as the conductive gel becomes dry, the signal\'s quality will decrease accordingly. In this paper, we proposed a novel adhesive Carbon Paste Electrode (CPE) to achieve convenient and long-term ECG monitoring. By comparing the time-domain waveforms, the R-R peak intervals difference, and the Signal-to-Noise Ratio (SNR) of ECG with the traditional conductive gel-based electrode (Gel) in fixed and unfixed conditions, the performance of the proposed CPE was investigated. The results showed that the CPE could achieve similar ECG monitoring both in fixed and unfixed conditions. When on Day 2, the quality acquired by Gel began to decrease while CPE was still stable, which was obvious especially in unfixed condition. The R-R peak intervals showed that on Day 2, the Gel was unreliable with some abnormal points occurring. Besides, the results of SNR and average heart rate (AHR) also confirmed that the CPE could achieve similar results as Gel on Day 1 and outperformed Gel on Day 2. It is believed that the proposed CPE opens a window of high-quality long-term ECG monitoring with more convenience.
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  • 文章类型: Journal Article
    Some painted pottery figurines were excavated from the tomb of Qibi Ming of the Tang Dynasty. A series of analytical techniques were employed to understand the craftsmanship of these painted pottery figurines. The pigment, cross-section, adhesive, and firing temperature were analyzed using microscopy (OM), energy X-ray fluorescence spectrometry (EDX), micro-Raman spectroscopy, pyrolysis-gas chromatography-mass spectrometry (Py-GC/MS), and a dilatometer (DIL). The results demonstrated that the surface of the pigment layers had degraded to different degrees. The pigment particles were litharge, gypsum, malachite, cinnabar, hematite, minium, white lead, and carbon black. The cross-sectional images show that the painted layer of figurines 10-0966 and 10-0678 included a pigment layer and a preparation layer. The preparation layer of both pigments was lead white. Animal glue was used as an adhesive. The firing temperature of the pottery figurines was likely 1080 °C. This study can provide more accurate information with regard to the composition of the raw materials utilized in the making of these artifacts and support the selection of appropriate substances for the purposes of conservation and restoration of the painted pottery figurines.
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  • 文章类型: Journal Article
    目的:虽然粘连式切口窗帘广泛用于减少手术部位感染(SSI),关于浸渍粘合剂切口悬垂是否可以进一步降低脊柱手术中的SSI发生率的证据仍然很少。
    方法:对2018年1月至2021年12月在作者的大批量大学脊柱中心接受手术治疗的所有患者进行了回顾性评估,并将其分为在其研究所引入碘伏浸渍的粘合剂切口盖布(而不是标准的非浸渍粘合剂切口盖布)之前(对照组)和之后(研究队列)接受治疗的队列。流行病学方面,基线特征,手术记录,分析并比较两组患者术后SSI的发生率和特点。
    结果:纳入2000名连续治疗的患者,整体SSI率为0.5%。基线患者发现和手术特征(包括适应症,本地化,procedure,和手术持续时间)在对照队列中的1125例患者和研究队列中的1154例患者之间没有显着差异。单因素和多因素分析显示,使用碘伏浸渍的粘合剂切口悬垂是与SSI风险降低显著相关的唯一因素。研究队列中的SSI率显着降低(0.2%vs0.8%,p=0.036)。虽然皮肤微生物组的细菌如表皮葡萄球菌和金黄色葡萄球菌在这两个队列中主要流行,粪便细菌如肠球菌/肠杆菌属物种仅在对照组中发现,而在研究组中未发现.
    结论:在脊柱手术中使用碘伏浸渍的粘连切口单有助于降低术后SSI的发生率,并有助于降低粪便细菌感染的风险。
    OBJECTIVE: While adhesive incision drapes are widely used for reducing surgical site infection (SSI), evidence remains scarce on whether impregnated adhesive incision draping can further reduce the rate of SSI in spine surgery.
    METHODS: All patients treated surgically in the authors\' high-volume university spine center from January 2018 to December 2021 were retrospectively evaluated and divided into cohorts treated before (the control cohort) and after (the study cohort) introduction of an iodophor-impregnated adhesive incision drape (instead of a standard nonimpregnated adhesive incision drape) at their institute. Epidemiological aspects, baseline characteristics, operative records, and rate and characteristics of postoperative SSI were analyzed and compared between cohorts.
    RESULTS: Two thousand two hundred seventy-nine consecutively treated patients were included, with an overall SSI rate of 0.5%. Baseline patient findings and surgical characteristics (including indication, localization, procedure, and duration of surgery) did not significantly differ between the 1125 patients in the control cohort and the 1154 patients in the study cohort. Uni- and multivariate analyses showed that use of an iodophor-impregnated adhesive incision drape was the only factor significantly associated with a lower risk of SSI. The SSI rate was significantly lower in the study cohort (0.2% vs 0.8%, p = 0.036). While germs of the skin microbiome such as Staphylococcus epidermidis and S. aureus were predominantly prevalent in both cohorts, fecal germs such as Enterococcus/Enterobacter species were found only in the control cohort and not in the study cohort.
    CONCLUSIONS: The use of iodophor-impregnated adhesive incision drapes in spine surgery can help to lower the rate of postoperative SSI and aid in reducing the risk of fecal germ infections.
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  • 文章类型: Journal Article
    背景:牙本质生物修饰是一种增强胶原蛋白网络的仿生方法,使其不易受酶降解的影响,并提高粘合修复材料的耐久性,使用胶原蛋白交联剂。
    目的:本研究旨在评估辣木作为天然交联剂在提高树脂牙本质修复的临床成功率方面的有效性。
    方法:双盲,控制,随机临床试验按照综合报告标准(CONSORT)指南进行,纳入50例初始龋齿病变的成年参与者(ICDAS4和5)。参与者被随机分配到实验组(接受辣木作为预处理衬垫)或对照组(没有衬垫的标准修复程序)。在基线时评估功能和生物学结果,六个月,和使用外国直接投资标准的12个月。统计分析包括Fisher精确检验,Wilcoxon符号等级检验,和曼-惠特尼U测试。
    结果:两组在基线和六个月时都表现出优异的功能特性和边缘适应。在12个月大关,试验组表现出临床更好的功能特性(97.9%,n=47)与对照组(95.8%,n=46),但差异无统计学意义(p值>0.05)。两组在6个月和12个月时观察到边缘差距(8.3%,n=4),组间无明显差异(p值>0.05)。射线照相检查显示出和谐的修复至牙齿过渡。患者满意度仍然很高,试验组4.2%(n=2)和对照组2.1%(n=1)在12个月时报告轻微问题,虽然没有统计学意义(p值>0.05)。术后敏感性最低,牙齿的完整性得到了很好的保护。
    结论:辣木,作为预处理衬垫,显示出有望提高树脂牙本质修复体的临床成功率。尽管报道了一些小问题,两组在功能和生物学结局方面无统计学显著差异.
    BACKGROUND: Dentin biomodification is a biomimetic approach that strengthens the collagen network, making it less susceptible to enzymatic degradation and improving the durability of bonded restorative materials, using collagen crosslinkers.
    OBJECTIVE: This study aimed to assess the effectiveness of Moringa oleifera as a natural crosslinker in improving the clinical success of resin-dentin restorations.
    METHODS: A double-blind, controlled, randomized clinical trial was conducted in accordance with Consolidated Standards of Reporting Trials (CONSORT) guidelines, with 50 adult participants with initial carious lesions (ICDAS 4 and 5) enrolled. Participants were randomly assigned to either the experimental group (which received Moringa oleifera as a pretreatment liner) or the control group (standard restorative procedures without a liner). Functional and biological outcomes were assessed at baseline, six months, and 12 months using the FDI criteria. Statistical analysis included Fisher\'s exact test, Wilcoxon sign rank test, and Mann-Whitney U test.
    RESULTS: Both groups exhibited excellent functional properties and marginal adaptation at baseline and six months. At the 12-month mark, the test group displayed clinically better functional properties (97.9%, n=47) compared to the control group (95.8%, n=46), but there was no significant difference (p-value>0.05). Marginal gaps were observed in both groups at six and 12 months (8.3%, n=4), with no significant inter-group variation (p-value>0.05). Radiographic examination showed a harmonious restoration-to-tooth transition. Patient satisfaction remained high, with the test group 4.2% (n=2) and control 2.1% (n=1) reporting minor issues at 12 months, though not statistically significant (p-value>0.05). Postoperative sensitivity was minimal, and tooth integrity was well-preserved.
    CONCLUSIONS: Moringa oleifera, as a pretreatment liner, showed promise in enhancing the clinical success of resin-dentin restorations. Despite minor reported issues, the groups had no statistically significant differences regarding functional and biological outcomes.
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