树脂材料SureFil SDR行预防性树脂充填的细菌黏附性
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摘要
背景:有研究发现将树脂材料SureFilSDR作为衬洞材料时,较其他流动树脂具有更好的洞壁适应性及独有的自动找平特性,但将其用于预防性树脂充填尚未见报道。目的:比较窝沟封闭剂、Z350XT流体树脂、SureFil SDR树脂材料在粗糙度与细菌黏附上的差异,探讨树脂材料SureFil SDR行预防性树脂充填的可行性。方法:将窝沟封闭剂、Z350XT流体树脂、SureFil SDR树脂材料分别制备成8 mm×2 mm×2 mm的长方体试件,利用MarSurf粗糙度仪测量3种试件的表面粗糙度。将窝沟封闭剂、Z350XT流体树脂、SureFilSDR树脂材料分别制备成8 mm×8 mm×2 mm的圆柱体试件,放入变形链球菌悬液中培养48 h,检测材料表面的细菌黏附量。结果与结论:(1)3种材料表面的粗糙度:SureFilSDR树脂材料 BACKGROUND: SureFil SDR as a lining material has better adaptability and unique automatic leveling characteristics as compared with other flowing resins, but its application in preventive resin filling has not been reported. OBJECTIVE: To compare the roughness and bacterial adhesion among pit and fissure sealant, Z350 XT fluid resin and SureFil SDR resin, and to explore the feasibility of preventive resin filling with SureFil SDR resin. METHODS: Pit and fissure sealant, Z350 XT fluid resin and SureFil SDR resin were prepared into 8 mm× 2 mm× 2 mm cuboid specimens respectively. The surface roughness of the three specimens was measured by MarSurf roughness meter. Pit and fissure sealant, Z350 XT fluid resin and SureFil SDR resin were prepared into 8 mm× 8 mm× 2 mm cylinder specimens respectively. The specimens were cultured in Streptococcus mutans suspension for 48 hours to detect the bacterial adhesion on the material surface. RESULTS AND CONCLUSION: The roughness of the three materials was ranked as follows: SureFil SDR resin < Z350 XT fluid resin < pit and fissure sealant, and there were significant differences between groups (P < 0.05). The bacterial adhesion on the surface of the three materials was ranked as follows: SureFil SDR resin < Z350 XT fluid resin < pit and fissure sealant, and there were significant difference between groups (P < 0.05). The correlation between roughness and bacterial adhesion was analyzed, and there was a high positive correlation between roughness and bacterial adhesion, indicating, with the decrease of material roughness, bacterial adhesion decreased (r=0.962, P=0.017 6). The results show that SureFil SDR is an ideal preventive resin filling and sealing material relative to pit and fissure sealant and Z350 XT fluid resin.
引文
[1]黄业翔.对现代口腔预防医学发展的探讨[J].健康必读月,2010,18(3):71-72.
[2]董树信.加强型流动树脂修复治疗窝沟龋的临床效果观察[J].中国处方药,2018,17(3):128-129.
[3]燕铁斌.物理治疗学[M].2版.北京:人民卫生出版社,2012:219-221.
[4]何伟明,江荔.Z-350流动纳米树脂与窝沟封闭剂用于预防性树脂充填3年临床疗效观察[J].江西医药,2014,49(12):1521-1523.
[5]金建娟.流体树脂在窝沟龋微创治疗中的应用初探[J].成都医学院学报,2012,7(2z):109-109.
[6]康翠平.流动树脂及流动复合体用于恒牙预防性充填的Meta分析[D].石家庄:河北医科大学,2013.
[7]韦明霞,于娜,程景霞.预防性树脂充填术治疗窝沟浅龋的疗效观察[J].疾病监测与控制,2016,10(11):930-931.
[8]张祖太.普及口腔材料教学的思考和建议[J].北京口腔医学,2009,17(4):233-234.
[9]褚敏.牙体充填材料上细菌的生长与粘附[J].口腔疾病防治,1999,7(2):158-159.
[10]谢富强.预防性Dyract flow流动复合体和光固化窝沟封闭剂3年效果评价[J].实用口腔医学杂志,2003,19(1):69-70.
[11]谢富强.预防性Dyract flow流动复合体充填窝沟龋的临床效果[J].实用口腔医学杂志,2005,21(3):409-411.
[12]倪龙兴,姜永,钟玉修.纳米金刚石填料对光固化窝沟封闭剂渗透性的影响[J].牙体牙髓牙周病学杂志,2003,13(8):443-445.
[13]Acharya M.SDR流动树脂根管口封闭能力的比较研究[D].南宁:广西医科大学,2017.
[14]陈淋瑜,刘朝进.3M Filtek^TMZ350XT复合流动树脂用于前磨牙楔状缺损充填治疗效果观察[J].基层医学论坛,2018,22(2):284-285.
[15]何伟明,江荔.Z-350流动纳米树脂与窝沟封闭剂用于预防性树脂充填3年临床疗效观察[J].江西医药,2014,49(12):1521-1523.
[16]刘景平.Filtek Z350XT流动树脂用于窝沟封闭的临床效果评价[J].医药前沿,2015,5(7):208-209.
[17]陈思宇,季于琪,刘健.新型大块充填流体树脂SureFil SDR flow修复牙颈部楔状缺损的临床研究[J].医药前沿,2017,7(35):127-128.
[18]张翠美,魏美荣,白建文.SureFil SDR流动树脂修复乳磨牙(牙合)面洞的临床疗效分析[J].牙体牙髓牙周病学杂志,2017,27(9):529-531.
[19]Nakano M.Changes of bacterial flora on inbred mouse strains using experimental dental caries model.Tsurumi Shigaku.1989;15(1):235-247.
[20]Beauchamp J,Caufield PJ,Donly K,et al.Evidence-based clinical recommendations for the use of pit-and-fissure sealants:a report of the American Dental Association Council on Scientific Affairs.Dent Clin North Am.2009;53(1):131-147.
[21]Jafarzadeh M,Malekafzali B,Tadayon N,et al.Retention of a Flowable Composite Resin in Comparison to a Conventional Resin-Based Sealant:One-year Follow-up.J Dent.2010;7(1):1-5.
[22]史艳芬,刘伟伟,刘雪.年轻恒牙应用不同窝沟封闭材料临床观察[J].济宁医学院学报,2015,38(2):114-115.
[23]王颖,郭晓龄,曹思远,等.两种窝沟封闭剂防龋效果的比较研究[J].中国实用医药,2018,13(3):70-71.
[24]李岩,陈硕,董洪宇.窝沟封闭术在儿童口腔防龋中的应用[J].全科口腔医学电子杂志,2018,5(6):15-17.
[25]Hyde F W,Alberg M,Smith K.Comparison of fluorinated polymers against stainless steel,glass and polypropylene in microbial biofilm adherence and removal.J Ind Microbiol Biotechnol.1997;19(2):142-149.
[26]丁宁,张祖太,何敏,等.几种常用口腔材料细菌粘附性能比较[J].北京口腔医学,2014,22(5):258-260.
[27]Truong VK,Rundell S,Lapovok R,et al.Effect of ultrafine-grained titanium surfaces on adhesion of bacteria.Appl Microbiol Biotechnol.2009;83(5):925-937.
[28]陈洁松.龋病预防的研究进展[J].现代医药卫生,2009,25(22):3441-3443.
[29]魏静静.不同表面处理对全瓷材料表面性状和细菌粘附的影响[D].西安:第四军医大学,2015.
[30]Siegrist BE.In vivo early human dental plaque formation on dif-ferent supporting substances.A scanning electron microscopic and bacteriological study.Clin Oral Implants Res.1991;2(1):38-46.
[31]王丽萍,尚针针,孙惠强,等.三种非贵金属合金常规研抛后的超微结构表面特征研究[J].口腔颌面修复学杂志,2011,12(6):325-329.
[32]郝立波,邢庆昌,王继芳,等.人工关节假体不同材料及材料表面粗糙度对表皮葡萄球菌勃附能力的影响[J].中华关节外科杂志,2008,2(5):532-536.
[33]刘聪,张廷发,陈娜,等.义齿软衬材料表面微生物勃附的实验室观察[J].北京口腔医学,2009,17(3):146-148.
[34]Bulad K,Taylor RL,Veoan J,et al.Colonization and penetration of denture soft lining materials by Candida albieans.Dent Mater.2004;20(2):167-175.
[35]Eick S,Glockmann E,Brandl B,et al.Adherence of Streptococcus mutans to various restora-tive materials in a continuous flow system.J Oral Rehabil.2004;31(3):278-285.
[36]Yap AU,Lye KW,Sau CW.Surface characteristics of tooth-colored restoratives polished utilizing different polishing systems.Oper Dent.1997;22(6):260-265.
[37]Ozgūnaltay G,Yazici AR,G?rūcūJ.Effect of finishing and polishing procedures on the surface roughness of new tooth-coloured restoratives.J Oral Rehabil.2003;30(2):218-224.
[38]Waheeb N,Silikas N,Watts D.Initial polishing time affects gloss retention in resin composites.Am J Dent.2012;25(5):303-306.
[39]Silva EM,Miragaya L,Noronhafilho JD,et al.Characterization of an experimental resin composite organic matrix based on a tri-functional methacrylate monomer.Dent Mater J.2016;35(2):159.
[40]Or?owski M,Tarczyd?o B,Cha?as R.Evaluation of marginal integrity of four bulk-fill dental composite materials:in vitro study.Scientific World Jl.2015;2015:701262.
[41]Ilie N,Hickel R.Investigations on a methacrylate-based flowable composite based on the SDR~(TM) technology.Dent Mater.2011;27(4):348-355.
[42]赵恒越,何文娟,周颖,等.3种复合树脂体外充填Ⅰ类洞后的微渗漏研究[J].中国社区医师,2018,34(30):59,61.
[43]Zaltsman N,Ionescu AC,Weiss EI,et al.Surface-modified nanoparticles as anti-biofilm filler for dental polymers.PLoS One.2017;12(12):e0189397.
[44]张薇.材料的表面改性对细菌粘附的影响[D].无锡:江南大学,2016.
[45]Nazari A,Sadr A,Shimada Y,et al.3D assessment of void and gap formation in flowable resin composites using optical coherence tomography.J Adhes Dent.2013;15(3):237-243.
[2]董树信.加强型流动树脂修复治疗窝沟龋的临床效果观察[J].中国处方药,2018,17(3):128-129.
[3]燕铁斌.物理治疗学[M].2版.北京:人民卫生出版社,2012:219-221.
[4]何伟明,江荔.Z-350流动纳米树脂与窝沟封闭剂用于预防性树脂充填3年临床疗效观察[J].江西医药,2014,49(12):1521-1523.
[5]金建娟.流体树脂在窝沟龋微创治疗中的应用初探[J].成都医学院学报,2012,7(2z):109-109.
[6]康翠平.流动树脂及流动复合体用于恒牙预防性充填的Meta分析[D].石家庄:河北医科大学,2013.
[7]韦明霞,于娜,程景霞.预防性树脂充填术治疗窝沟浅龋的疗效观察[J].疾病监测与控制,2016,10(11):930-931.
[8]张祖太.普及口腔材料教学的思考和建议[J].北京口腔医学,2009,17(4):233-234.
[9]褚敏.牙体充填材料上细菌的生长与粘附[J].口腔疾病防治,1999,7(2):158-159.
[10]谢富强.预防性Dyract flow流动复合体和光固化窝沟封闭剂3年效果评价[J].实用口腔医学杂志,2003,19(1):69-70.
[11]谢富强.预防性Dyract flow流动复合体充填窝沟龋的临床效果[J].实用口腔医学杂志,2005,21(3):409-411.
[12]倪龙兴,姜永,钟玉修.纳米金刚石填料对光固化窝沟封闭剂渗透性的影响[J].牙体牙髓牙周病学杂志,2003,13(8):443-445.
[13]Acharya M.SDR流动树脂根管口封闭能力的比较研究[D].南宁:广西医科大学,2017.
[14]陈淋瑜,刘朝进.3M Filtek^TMZ350XT复合流动树脂用于前磨牙楔状缺损充填治疗效果观察[J].基层医学论坛,2018,22(2):284-285.
[15]何伟明,江荔.Z-350流动纳米树脂与窝沟封闭剂用于预防性树脂充填3年临床疗效观察[J].江西医药,2014,49(12):1521-1523.
[16]刘景平.Filtek Z350XT流动树脂用于窝沟封闭的临床效果评价[J].医药前沿,2015,5(7):208-209.
[17]陈思宇,季于琪,刘健.新型大块充填流体树脂SureFil SDR flow修复牙颈部楔状缺损的临床研究[J].医药前沿,2017,7(35):127-128.
[18]张翠美,魏美荣,白建文.SureFil SDR流动树脂修复乳磨牙(牙合)面洞的临床疗效分析[J].牙体牙髓牙周病学杂志,2017,27(9):529-531.
[19]Nakano M.Changes of bacterial flora on inbred mouse strains using experimental dental caries model.Tsurumi Shigaku.1989;15(1):235-247.
[20]Beauchamp J,Caufield PJ,Donly K,et al.Evidence-based clinical recommendations for the use of pit-and-fissure sealants:a report of the American Dental Association Council on Scientific Affairs.Dent Clin North Am.2009;53(1):131-147.
[21]Jafarzadeh M,Malekafzali B,Tadayon N,et al.Retention of a Flowable Composite Resin in Comparison to a Conventional Resin-Based Sealant:One-year Follow-up.J Dent.2010;7(1):1-5.
[22]史艳芬,刘伟伟,刘雪.年轻恒牙应用不同窝沟封闭材料临床观察[J].济宁医学院学报,2015,38(2):114-115.
[23]王颖,郭晓龄,曹思远,等.两种窝沟封闭剂防龋效果的比较研究[J].中国实用医药,2018,13(3):70-71.
[24]李岩,陈硕,董洪宇.窝沟封闭术在儿童口腔防龋中的应用[J].全科口腔医学电子杂志,2018,5(6):15-17.
[25]Hyde F W,Alberg M,Smith K.Comparison of fluorinated polymers against stainless steel,glass and polypropylene in microbial biofilm adherence and removal.J Ind Microbiol Biotechnol.1997;19(2):142-149.
[26]丁宁,张祖太,何敏,等.几种常用口腔材料细菌粘附性能比较[J].北京口腔医学,2014,22(5):258-260.
[27]Truong VK,Rundell S,Lapovok R,et al.Effect of ultrafine-grained titanium surfaces on adhesion of bacteria.Appl Microbiol Biotechnol.2009;83(5):925-937.
[28]陈洁松.龋病预防的研究进展[J].现代医药卫生,2009,25(22):3441-3443.
[29]魏静静.不同表面处理对全瓷材料表面性状和细菌粘附的影响[D].西安:第四军医大学,2015.
[30]Siegrist BE.In vivo early human dental plaque formation on dif-ferent supporting substances.A scanning electron microscopic and bacteriological study.Clin Oral Implants Res.1991;2(1):38-46.
[31]王丽萍,尚针针,孙惠强,等.三种非贵金属合金常规研抛后的超微结构表面特征研究[J].口腔颌面修复学杂志,2011,12(6):325-329.
[32]郝立波,邢庆昌,王继芳,等.人工关节假体不同材料及材料表面粗糙度对表皮葡萄球菌勃附能力的影响[J].中华关节外科杂志,2008,2(5):532-536.
[33]刘聪,张廷发,陈娜,等.义齿软衬材料表面微生物勃附的实验室观察[J].北京口腔医学,2009,17(3):146-148.
[34]Bulad K,Taylor RL,Veoan J,et al.Colonization and penetration of denture soft lining materials by Candida albieans.Dent Mater.2004;20(2):167-175.
[35]Eick S,Glockmann E,Brandl B,et al.Adherence of Streptococcus mutans to various restora-tive materials in a continuous flow system.J Oral Rehabil.2004;31(3):278-285.
[36]Yap AU,Lye KW,Sau CW.Surface characteristics of tooth-colored restoratives polished utilizing different polishing systems.Oper Dent.1997;22(6):260-265.
[37]Ozgūnaltay G,Yazici AR,G?rūcūJ.Effect of finishing and polishing procedures on the surface roughness of new tooth-coloured restoratives.J Oral Rehabil.2003;30(2):218-224.
[38]Waheeb N,Silikas N,Watts D.Initial polishing time affects gloss retention in resin composites.Am J Dent.2012;25(5):303-306.
[39]Silva EM,Miragaya L,Noronhafilho JD,et al.Characterization of an experimental resin composite organic matrix based on a tri-functional methacrylate monomer.Dent Mater J.2016;35(2):159.
[40]Or?owski M,Tarczyd?o B,Cha?as R.Evaluation of marginal integrity of four bulk-fill dental composite materials:in vitro study.Scientific World Jl.2015;2015:701262.
[41]Ilie N,Hickel R.Investigations on a methacrylate-based flowable composite based on the SDR~(TM) technology.Dent Mater.2011;27(4):348-355.
[42]赵恒越,何文娟,周颖,等.3种复合树脂体外充填Ⅰ类洞后的微渗漏研究[J].中国社区医师,2018,34(30):59,61.
[43]Zaltsman N,Ionescu AC,Weiss EI,et al.Surface-modified nanoparticles as anti-biofilm filler for dental polymers.PLoS One.2017;12(12):e0189397.
[44]张薇.材料的表面改性对细菌粘附的影响[D].无锡:江南大学,2016.
[45]Nazari A,Sadr A,Shimada Y,et al.3D assessment of void and gap formation in flowable resin composites using optical coherence tomography.J Adhes Dent.2013;15(3):237-243.