酸蚀时间对牙本质Ⅰ型胶原降解的影响

摘要

目的 评价37%磷酸处理牙本质不同时间对牙本质Ⅰ型胶原降解的影响,以期为临床牙本质粘接操作提供实验依据.方法 37%磷酸酸蚀处理牙本质片0(空白对照组)、10、15、30、60 s,酶联免疫吸附法定量测定Ⅰ型胶原的降解量,场发射扫描电镜(field emission in-lens scanning electron microscope,FEISEM)观察胶原纤维的形态学变化.结果 酸蚀处理60 s时Ⅰ型胶原的降解量最多,为4.86(1.55)mg/g;其次为30 s组,为2.76(0.87)mg/g;再次为15 s组,为1.93(0.88)mg/g;10 s组胶原降解量较少,为0.95(0.38)mg/g;空白对照组胶原的降解量最少,为0.06(0.03)mg/g.两两比较显示,各组间差异均有统计学意义(P＜0.005).FEISEM显示,37%磷酸处理牙本质表面10 s,尽管已清除了玷污层,但牙本质小管口以及胶原纤维仍覆盖颗粒样物质.酸蚀15 s牙本质小管口开放,暴露清晰.酸蚀30 s暴露的胶原纤维表面比15 s组光滑,球状附着物减少;酸蚀60 s牙本质小管内主纤维数最减少,管内结构塌陷,次级纤维数量增加,存在纤维断裂的征象.结论 在实验时间0～60 s内,酸蚀15 s即可达到酸蚀目的 ,延长酸蚀时间,可引起更多的胶原纤维变性降解.%Objective To evaluate the effects of acid etching time on the degradation of type Ⅰcollagen in dentin. Methods Dentin was conditioned with 37% phosphoric acid for 10, 15, 30 and 60 s.There was no treatment for the control group. Quantity of collagen degradation in each group was determined by enzyme linked immunosorbent assay. Observations were carried out by means of a field emission in-lens scanning electron microscope (FEISEM). Results Samples conditioned with 37% phosphoric acid for 60 s showed the most degradation of collagen, which was 4. 86 (1.55) mg/g, followed by 30 s group and 15 s group, which were 2.76(0.87) mg/g and 1.93(0.88) mg/g, respectively. Group of 10 s was 0.95(0. 38) mg/g. The control group showed the least degradation of 0. 06(0. 03) mg/g. Significant differences in collagen degradation were found among groupo (P ＜ 0. 005). Smear layer were removed well but tubular orifices and collagen fibrils were covered by particles after dentin being etched with 37% phosphoric acid for 10 s, while open and clear tubular orifices were observed for 15 s group. Smoother surfaces of exposed collagen fibrils and fewer globular particles were found in 30 s group than in 15 s group. In the 60 s group,the number of major fibrils decreased while minor branching fibrils increased, which indicate that the intratubular structure collapsed and fibrils fractured. Conclusions Dentin conditioned with 37% phosphoric acid for 15 s can result in mineral dissolution without collagen structure damage. However, longer applications of 37% phosphoric acid within 60 s may increase collagen degradation.