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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ksma</journal-id><journal-title-group><journal-title xml:lang="ru">Кубанский научный медицинский вестник</journal-title><trans-title-group xml:lang="en"><trans-title>Kuban Scientific Medical Bulletin</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1608-6228</issn><issn pub-type="epub">2541-9544</issn><publisher><publisher-name>Kuban State Medical University</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.25207/1608-6228-2021-28-4-53-71</article-id><article-id custom-type="elpub" pub-id-type="custom">ksma-2573</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРИГИНАЛЬНЫЕ СТАТЬИ. КЛИНИЧЕСКАЯ МЕДИЦИНА</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORIGINAL ARTICLES. CLINICAL MEDICINE</subject></subj-group></article-categories><title-group><article-title>Увеличение силы связи композитного материала под влиянием термовибрационного воздействия: нерандомизированное экспериментальное исследование</article-title><trans-title-group xml:lang="en"><trans-title>Composite bond strength improvement with thermal vibration: an experimental non-randomised study</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-8773-5231</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гущин</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Gushchin</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Гущин Александр Александрович — аспирант кафедры терапевтической стоматологии </p><p>ул. им. Митрофана Седина, д. 4, г. Краснодар, 350063</p><p>б-р им. Клары Лучко, 4, кв. 213, г. Краснодар, 350089 </p><p>тел.: +7 (928) 333-22-73</p><p>SPIN 2154-7861</p></bio><bio xml:lang="en"><p>Alexander A. Gushchin — Postgraduate Student, Chair of Therapeutic Dentistry </p><p>Mitrofana Sedina str., 4, Krasnodar, 350063</p><p>Imeni Klary Luchko blvd., 4, r. 213, 350089, Krasnodar </p><p>tel.: +7 (928) 333-22-73 </p><p>SPIN 2154-7861</p></bio><email xlink:type="simple">doctor-stomatolog@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2861-0260</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Адамчик</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Adamchik</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Адамчик Анатолий Анатольевич — доктор медицинских наук, доцент, заведующий кафедрой терапевтической стоматологии </p><p>ул. им. Митрофана Седина, д. 4, г. Краснодар, 350063</p><p>SPIN 1173-3559</p></bio><bio xml:lang="en"><p>Anatolii A. Adamchik — Dr. Sci. (Med.), Assoc. Prof., Head of the Chair of Therapeutic Dentistry </p><p>Mitrofana Sedina str., 4, Krasnodar, 350063</p><p>SPIN 1173-3559</p></bio><email xlink:type="simple">adamchik1@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-2561-8136</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Зобенко</surname><given-names>В. Я.</given-names></name><name name-style="western" xml:lang="en"><surname>Zobenko</surname><given-names>V. Ya.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Зобенко Владимир Яковлевич — кандидат технических наук, доцент кафедры общественного здоровья, здравоохранения и истории </p><p>ул. им. Митрофана Седина, д. 4, г. Краснодар, 350063</p></bio><bio xml:lang="en"><p>Vladimir Ya. Zobenko — Cand. Sci. (Tech.), Assoc. Prof., Chair of Public Health, Healthcare and History of Medicine </p><p>Mitrofana Sedina str., 4, Krasnodar, 350063 </p><p>SPIN 2791-5639</p></bio><email xlink:type="simple">vov1955@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-1281-6301</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Самхаев</surname><given-names>В. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Samhaev</surname><given-names>V. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Самхаев Владислав Наранович — главный врач  </p><p>ул. Горького, д. 14, г. Элиста, 358000</p></bio><bio xml:lang="en"><p>Vladislav N. Samhaev — Chief Physician </p><p>Gorkogo str., 14, Elista, 358000</p></bio><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное образовательное учреждение высшего образования «Кубанский государственный медицинский университет» Министерства здравоохранения Российской Федерации</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kuban State Medical University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Автономное учреждение Республики Калмыкия «Республиканская стоматологическая поликлиника»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Republican Dental Polyclinic</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2021</year></pub-date><pub-date pub-type="epub"><day>13</day><month>07</month><year>2021</year></pub-date><volume>28</volume><issue>4</issue><fpage>53</fpage><lpage>71</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Гущин А.А., Адамчик А.А., Зобенко В.Я., Самхаев В.Н., 2021</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="ru">Гущин А.А., Адамчик А.А., Зобенко В.Я., Самхаев В.Н.</copyright-holder><copyright-holder xml:lang="en">Gushchin A.A., Adamchik A.A., Zobenko V.Y., Samhaev V.N.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://ksma.elpub.ru/jour/article/view/2573">https://ksma.elpub.ru/jour/article/view/2573</self-uri><abstract><p>Введение. В связи с тем что в настоящее время актуальной остается проблема образования вторичного кариеса по причине неудовлетворительного качества композитных пломб в отдаленные сроки после пломбирования, такие как сколы и трещины пломбировочного материла, был разработан способ улучшения физико-механических и химических свойств существующих композитов. Новый способ включает термовибрационное воздействие на неполимеризованный композит непосредственно в сформированной полости зуба перед его полимеризацией.Цель исследования — определить влияние термовибрационного воздействия на силу связи полимерной матрицы внутри композитных пломбировочных материалов среди композитов различного производителя.Методы. В рамках данного исследования был применен синхронный термический анализ, который включает в себя дифференциально-сканирующую калориметрию и термогравиметрию, позволяющий зарегистрировать и получить данные термических эффектов физических и химических процессов в рамках температурной программы, а также определить изменения массы образца, связанные с образованием и выделением газообразных соединений, разложением и реакцией с атмосферой, термическую стабильность, кинетику реакций, химический состав полимерных компонентов, неорганического наполнителя, влажность и степень смягчения. Для данного исследования были подготовлены 90 образцов композитных материалов трех различных композитов весом 30 мг.Результаты. Благодаря проведенному синхронному термическому анализу было определено статистически достоверное повышение силы связи внутри полимерной матрицы у композитов Estelite Sigma Quick фирмы Tokuyama Dental, Filtek Bulk Fill Posterior Restorative фирмы 3M Espe и «ДентЛайт» фирмы «ВладМиВа», подвергшихся термовибрационному воздействию, по сравнению с теми же композитами, полимеризованными по классической методике (р &lt; 0,0001). Увеличение силы связи произошло на 17,00; 22,51 и 11,31% соответственно.Заключение. В лабораторных условиях было исследовано и выявлено преимущество разработанного способа воздействия на композитные пломбировочные материалы с целью изменения их физико-химических свойств. Композитные пломбы, подвергшиеся предварительному термовибрационному воздействию перед полимеризацией, имели более высокую силу связи внутри полимерной цепочки по сравнению с теми же композитами, полимеризованными при обычных условиях.В связи с тем что данный параметр напрямую влияет на такие физико-механические свойства материала, как твердость и прочность на изгиб, то предварительное термовибрационное воздействие улучшает качество композитных пломб.</p></abstract><trans-abstract xml:lang="en"><p>Background. Secondary caries formation is a relevant issue due to poor long-term quality of composite fillings, with inherent subsequent chipping and cracking of the material. We developed a method to improve physical, mechanical and chemical properties of available composites based on thermal vibration imposed on unpolymerised composite in the formed tooth cavity directly prior to polymerisation.Objectives. Effect assessment of thermal vibration exposure on bond strength in composite restorative polymer matrix in various composite brands.Methods. The study used synchronous thermal analysis, including differential scanning calorimetry and thermogravimetry, to estimate and register thermal effects of physical and chemical processes within a temperature programme, as well as determine gaseous release, air contact and decomposition-related sample mass variation, thermal stability, reaction kinetics, polymer and inorganic filler component chemical composition, humidity and softening degree. The study covered 90 specimens 30 mg each prepared of three different composites.Results. Synchronous thermal analysis revealed a statistically significant increase in polymer matrix bond strength in the composites Estelite Sigma Quick (Tokuyama Dental), Filtek Bulk Fill Posterior Restorative (3M Espe) and DentLight (VladMiVa) after thermal vibration exposure vs. classical polymerisation of same composites (p &lt; 0.0001). The bond strength increased by 17.00, 22.51 and 11.31%, respectively.Conclusion. The developed exposure method for altering the composite filling physical and chemical properties has been shown advantageous in a laboratory setting. Thermal vibration-pretreated composite fillings had a higher polymer matrix bond strength vs. same composites polymerised under standard conditions.The pretreatment improves composite filling quality via directly affecting the material physical and mechanical properties of hardness and bending strength.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>композит</kwd><kwd>термический анализ</kwd><kwd>сила связи</kwd><kwd>нагрев композита</kwd><kwd>вибрационное воздействие на композит</kwd><kwd>ультразвуковое воздействие на композит</kwd></kwd-group><kwd-group xml:lang="en"><kwd>composite</kwd><kwd>thermal analysis</kwd><kwd>bond strength</kwd><kwd>composite heating</kwd><kwd>composite vibration exposure</kwd><kwd>composite thermal vibration exposure</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Авторы выражают благодарность Учебно-научному производственному коллективу (УНПК «Аналит»), а именно старшему научному сотруднику кафедры аналитической химии ФГБОУ ВО «КубГУ», доценту Васильеву Александру Михайловичу за помощь в проведении лабораторных испытаний и интерпретации полученных данных.</funding-statement><funding-statement xml:lang="en">The authors are grateful to the team of “Analit” Academic and Research Production Association and personally to Alexander M. Vasilyev, Assoc. Prof. and Senior Researcher at the Chair of Analytical Chemistry of Kuban State University, for assistance in laboratory testing and evidence interpretation.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Wright M.C. Bulk and Microscale Composition Analysis. In: Miller B.A., Shipley R.J., Parrington R.J., Dennies D.P. editors. Failure Analysis and Prevention. ASM International; 2021. 85–91. DOI: 10.31399/asm.hb.v11.a0006759</mixed-citation><mixed-citation xml:lang="en">Wright M.C. Bulk and Microscale Composition Analysis. In: Miller B.A., Shipley R.J., Parrington R.J., Dennies D.P. editors. Failure Analysis and Prevention. ASM International; 2021. 85–91. 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