Silva Nelson R F A, de Souza Grace M, Coelho Paulo G, Stappert Christian F J, Clark Elizabeth A, Rekow Elizabeth D, Thompson Van P
Department of Prosthodontics, New York University College of Dentistry, New York, NY, USA.
J Biomed Mater Res B Appl Biomater. 2008 Jan;84(1):117-23. doi: 10.1002/jbm.b.30851.
Static Hertzian contact tests of monolayer glass-ceramics in trilayer configurations (glass-ceramic/cement/composite) have shown that thick cement layers lower strength. This study sought to test the hypothesis that thick resin cement layers lower mouth motion fatigue reliability for flat glass-ceramic/cement/composite trilayer systems and that aging in water reduces reliability.
Dicor plates (n > or = 12 per group) (10 x 10 x 0.8 mm(3)) were aluminum-oxide abraded (50 microm), etched (60 s), silanized, and bonded (Rely X ARC) to water aged (30 days) Z100 resin blocks (10 x 10 x 4 mm(3)). Four groups were prepared: (1) thick cement layer (>100 microm) stored in water for 24-48 h, (2) thick cement layer stored for 60 days, (3) thin cement layer (< or =100 microm) stored for 24-48 h, and (4) thin cement layer stored for 60 days. The layered structures were fatigued (2 Hz) utilizing mouth motion loading with a step-stress acceleration method. A master Weibull distribution was calculated and reliability determined (with 90% confidence intervals) at a given number of cycles and load.
The aged group (60 d) with thick cement layer had statistically lower reliability for 20,000 cycles at 150 N peak load (0.11) compared with both nonaged groups (24-48 h) (thin layer = 0.90 and thick layer = 0.82) and aged group with thin cement layer (0.89).
Trilayer specimens with thick cement layers exhibited significantly lower reliability under fatigue testing only when stored for 60 days in water. The hypothesis was accepted. These results suggest that diffusion of water into the resin cement and also to the glass-ceramic interface is delayed in the thick cement specimens at 24-48 h. .
对三层结构(微晶玻璃/粘结剂/复合材料)中的单层微晶玻璃进行静态赫兹接触试验表明,较厚的粘结剂层会降低强度。本研究旨在验证以下假设:对于平板状微晶玻璃/粘结剂/复合材料三层系统,较厚的树脂粘结剂层会降低口腔运动疲劳可靠性,且在水中老化会降低可靠性。
将Dicor板(每组n≥12)(10×10×0.8mm³)用氧化铝研磨(50微米)、蚀刻(60秒)、硅烷化,然后与在水中老化(30天)的Z100树脂块(10×10×4mm³)粘结(使用Rely X ARC)。制备四组:(1)厚粘结剂层(>100微米)在水中储存24 - 48小时;(2)厚粘结剂层储存60天;(3)薄粘结剂层(≤100微米)储存24 - 48小时;(4)薄粘结剂层储存60天。采用阶跃应力加速法,利用口腔运动加载使分层结构疲劳(2赫兹)。计算主威布尔分布,并在给定的循环次数和载荷下确定可靠性(90%置信区间)。
与两个未老化组(24 - 48小时)(薄层=0.90,厚层=0.82)以及薄粘结剂层的老化组(0.89)相比,厚粘结剂层的老化组(60天)在150N峰值载荷下20000次循环时的可靠性在统计学上更低(0.11)。
仅在水中储存60天时,具有厚粘结剂层的三层试样在疲劳试验下表现出显著更低的可靠性。该假设得到验证。这些结果表明,在24 - 48小时时,厚粘结剂试样中水分向树脂粘结剂以及微晶玻璃界面的扩散会延迟。