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陶瓷和聚碳酸酯托槽脱粘后的失败特征及粘结强度评估:托槽基底硅烷化的影响

Evaluation of failure characteristics and bond strength after ceramic and polycarbonate bracket debonding: effect of bracket base silanization.

作者信息

Ozcan M, Finnema K, Ybema A

机构信息

Department of Dentistry and Dental Hygiene, Clinical Dental Biomaterials, University Medical Centre Groningen, The Netherlands.

出版信息

Eur J Orthod. 2008 Apr;30(2):176-82. doi: 10.1093/ejo/cjm100. Epub 2008 Jan 21.

Abstract

The objectives of this study were to evaluate the effect of silanization on the failure type and shear-peel bond strength (SBS) of ceramic and polycarbonate brackets, and to determine the type of failure when debonded with either a universal testing machine or orthodontic pliers. Silanized and non-silanized ceramic and polycarbonate brackets (N = 48, n = 24 per bracket type) were bonded to extracted caries-free human maxillary central incisors using an alignment apparatus under a weight of 750 g. All bonded specimens were thermocycled 1000 times (5-55 degrees C). Half of the specimens from each group were debonded with a universal testing machine (1 mm/minute) to determine the SBS and the other half by an operator using orthodontic debonding pliers. Failure types of the enamel surface and the bracket base were identified both from visual inspection and digital photographs using the adhesive remnant index (ARI) and base remnant index (BRI). As-received ceramic brackets showed significantly higher bond strength values (11.5 +/- 4.1 MPa) than polycarbonate brackets [6.3 +/- 2.7 MPa; (P = 0.0077; analysis of variance (ANOVA)]. Interaction between bracket types and silanization was not significant (P = 0.4408). Silanization did not significantly improve the mean SBS results either for the ceramic or polycarbonate brackets (12.9 +/- 3.7 and 6.3 +/- 2.7 MPa, respectively; P = 0.4044; two-way ANOVA, Tukey-Kramer adjustment). There was a significant difference between groups in ARI scores for ceramic (P = 0.0991) but not polycarbonate (P = 0.3916; Kruskall-Wallis) brackets. BRI values did not vary significantly for ceramic (P = 0.1476) or polycarbonate (P = 0.0227) brackets. Failure type was not significantly different when brackets were debonded with a universal testing machine or with orthodontic debonding pliers. No enamel damage was observed in any of the groups.

摘要

本研究的目的是评估硅烷化对陶瓷和聚碳酸酯托槽的失败类型及剪切-剥离粘结强度(SBS)的影响,并确定使用万能试验机或正畸钳进行脱粘时的失败类型。将硅烷化和未硅烷化的陶瓷及聚碳酸酯托槽(N = 48,每种托槽类型n = 24)在750 g重量下使用定位装置粘结到拔除的无龋人类上颌中切牙上。所有粘结标本进行1000次热循环(5 - 55摄氏度)。每组一半的标本使用万能试验机(1毫米/分钟)进行脱粘以确定SBS,另一半由操作人员使用正畸脱粘钳进行脱粘。通过视觉检查和数码照片,使用粘结剂残留指数(ARI)和基底残留指数(BRI)确定釉质表面和托槽基底的失败类型。收到的陶瓷托槽显示出比聚碳酸酯托槽显著更高的粘结强度值(11.5±4.1兆帕)[6.3±2.7兆帕;(P = 0.0077;方差分析(ANOVA))]。托槽类型与硅烷化之间的相互作用不显著(P = 0.4408)。硅烷化对于陶瓷或聚碳酸酯托槽的平均SBS结果均未显著改善(分别为12.9±3.7和6.3±2.7兆帕;P = 0.4044;双向ANOVA,Tukey-Kramer校正)。陶瓷托槽的ARI评分在组间存在显著差异(P = 0.0991),但聚碳酸酯托槽无显著差异(P = 0.3916;Kruskal-Wallis检验)。陶瓷(P = 0.1476)或聚碳酸酯(P = 0.0227)托槽的BRI值没有显著变化。当使用万能试验机或正畸脱粘钳进行托槽脱粘时,失败类型没有显著差异。在任何组中均未观察到釉质损伤。

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