摘要
背景:氧化锆陶瓷具有良好的美学性能、生物相容性及耐腐蚀性能,已成为目前临床理想的口腔修复材料之一。优良的粘接强度和耐久性是修复体获得良好临床效果的必备条件。目的:针对氧化锆和氧化锆粘接处理剂进行综述,回顾氧化锆陶瓷的理化特性、临床粘接标准操作流程,归纳临床常用的氧化锆粘接处理剂及其粘接表现。方法:以"zirconia;surface treatment;universal adhesive;self-adhesive resin cement;bonding strength"为英文检索词,"氧化锆;表面处理;通用型粘接剂;自粘接树脂水门汀;粘接强度"为中文检索词,检索2005年3月至2020年3月PubMed数据库、万方数据库及CNKI中国期刊全文数据库中的相关文献。按照纳入与排除标准筛选后,对最终纳入的36篇文献进行归纳总结。结果与结论:氧化锆具有优良的理化特性,但其具有的疏水表面很难与底物形成适当结合,目前以物理喷砂粗化与化学反应相结合的处理手段最为常见。喷砂可有效增加反应面积。在化学结合方面,通用型粘接剂与氧化锆专用处理剂均能够改善自粘接树脂水门汀水储24 h后的粘接强度,而通用型粘接剂的粘接耐久性优于氧化锆专用处理剂。在牙面预处理方面,常用的方法是使用37%磷酸酸蚀处理,而磷酸处理会阻碍氧化锆化学粘接。喷砂被认为是物理上增加反应面积最实用的方法之一,其能有效促进含10-甲基丙烯酰氧癸基磷酸酯专用处理剂或通用型粘接剂与氧化锆的化学粘接。
BACKGROUND: Zirconia ceramic was considered as one of the optimal materials in prosthodontics and widely used in daily clinical treatment for its features, such as aesthetic properties, biocompatibility and corrosion resistance. Ideal bond strength and durability are necessary for the restoration to achieve satisfied clinical performance.OBJECTIVE: To systematically review zirconia and common zirconia bonding agents, the physical and chemical properties of zirconia ceramics, the clinical operating process standard, the common zirconia bonding agents and their bonding performance.METHODS: We searched the articles from March 2005 to March 2020 in PubMed, CNKI, Wanfang databases with the key words of "zirconia;surface treatment;universal adhesive;self-adhesive resin cement;bonding strength" in Chinese and English. After screening according to inclusion and exclusion criteria, the final 36 included articles were summarized.RESULTS AND CONCLUSION: Zirconia has excellent physical and chemical properties with hydrophobic surface, so it is difficult to form a proper bonding surface with the substrate. At present, the combination of physical sand blasting and chemical reaction is the most common treatment. The sand blasting can effectively increase the reaction area. In the aspect of chemical bonding, the bond strength of the self-adhesive resin cement can be significantly improved by both the universal adhesive and zirconia primer after 24 hours of water storage;however, the durability of universal adhesive is better than that of zirconia primer. As common sense, 37% phosphoric acid is daily used on tooth surface before bonding procedure, which can prohibit chemical reaction to zirconia. Sand blasting was considered as one of the most practical way to physically increase the surface for 10-MDP contained primers or universal adhesives chemically reacted with zirconia.
作者
江楠
王楠
张懿范
陈静思
么紫烟
战德松
付佳乐
Jiang Nan;Wang Nan;Zhang Yifan;Chen Jingsi;Yao Ziyan;Zhan Desong;Fu Jiale(School of Stomatology,China Medical University,Shenyang 110002,Liaoning Province,China;Department of Dental Materials,the Second Department of Prosthodontics,School and Hospital of Stomatology,China Medical University,Shenyang 110002,Liaoning Province,China)
出处
《中国组织工程研究》
CAS
北大核心
2021年第10期1635-1640,共6页
Chinese Journal of Tissue Engineering Research
基金
中国医科大学大学生创新创业项目 (S202010159007),项目负责人:江楠。
