影响金属和陶瓷托槽在不同陶瓷表面粘结强度的因素。
Factors affecting the shear bond strength of metal and ceramic brackets bonded to different ceramic surfaces.
机构信息
Department of Preventive Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, Jordan.
出版信息
Eur J Orthod. 2010 Jun;32(3):274-80. doi: 10.1093/ejo/cjp098. Epub 2009 Nov 10.
The aims of this study were to evaluate the shear bond strength (SBS) of metal and ceramic brackets bonded to two different all-ceramic crowns, IPS Empress 2 and In-Ceram Alumina, to compare the SBS between hydrofluoric acid (HFA), phosphoric acid etched, and sandblasted, non-etched all-ceramic surfaces. Ninety-six all-ceramic crowns were fabricated resembling a maxillary left first premolar. The crowns were divided into eight groups: (1) metal brackets bonded to sandblasted 9.6 per cent HFA-etched IPS Empress 2 crowns; (2) metal brackets bonded to sandblasted 9.6 per cent HFA-etched In-Ceram crowns; (3) ceramic brackets bonded to sandblasted 9.6 per cent HFA-etched IPS Empress 2 crowns; (4) ceramic brackets bonded to sandblasted 9.6 per cent HFA-etched In-Ceram crowns; (5) metal brackets bonded to sandblasted 37 per cent phosphoric acid-etched IPS Empress 2 crowns; (6) metal brackets bonded to sandblasted 37 per cent phosphoric acid-etched In-Ceram crowns; (7) metal brackets bonded to sandblasted, non-etched IPS Empress 2 crowns; and (8) metal brackets bonded to sandblasted, non-etched In-Ceram crowns. Metal and ceramic orthodontic brackets were bonded using a conventional light polymerizing adhesive resin. An Instron universal testing machine was used to determine the SBS at a crosshead speed of 0.1 mm/minute. Comparison between groups was performed using a univariate general linear model and chi-squared tests. The highest mean SBS was found in group 3 (120.15 +/- 45.05 N) and the lowest in group 8 (57.86 +/- 26.20 N). Of all the variables studied, surface treatment was the only factor that significantly affected SBS (P < 0.001). Acid etch application to sandblasted surfaces significantly increased the SBS in groups 1, 2, 5, and 6. The SBS of metal brackets debonded from groups 1, 3, and 5 were not significantly different from those of groups 2, 4, and 6. All debonded metal brackets revealed a similar pattern of bond failure at the adhesive-restorative interface. However, ceramic brackets had a significantly different adhesive failure pattern with dominant failure at the adhesive-bracket interface. Ceramic fractures after bracket removal were found more often in groups 1-4. No significant difference in ceramic fracture was observed between the IPS Empress 2 and In-Ceram groups.
本研究的目的是评估金属和陶瓷托槽与两种不同全瓷冠(IPS Empress 2 和 In-Ceram Alumina)粘结后的剪切粘结强度(SBS),并比较氢氟酸(HFA)、磷酸酸蚀、喷砂和非酸蚀全瓷表面的 SBS。制备了 96 个类似于上颌左侧第一前磨牙的全瓷冠。将这些冠分为 8 组:(1)金属托槽粘结在喷砂 9.6%HFA 酸蚀 IPS Empress 2 冠上;(2)金属托槽粘结在喷砂 9.6%HFA 酸蚀 In-Ceram 冠上;(3)陶瓷托槽粘结在喷砂 9.6%HFA 酸蚀 IPS Empress 2 冠上;(4)陶瓷托槽粘结在喷砂 9.6%HFA 酸蚀 In-Ceram 冠上;(5)金属托槽粘结在喷砂 37%磷酸酸蚀 IPS Empress 2 冠上;(6)金属托槽粘结在喷砂 37%磷酸酸蚀 In-Ceram 冠上;(7)金属托槽粘结在喷砂、非酸蚀 IPS Empress 2 冠上;(8)金属托槽粘结在喷砂、非酸蚀 In-Ceram 冠上。金属和陶瓷正畸托槽使用常规光聚合胶粘剂粘结。使用 Instron 万能试验机以 0.1mm/min 的十字头速度测定 SBS。采用单变量一般线性模型和卡方检验对组间进行比较。第 3 组的平均 SBS 最高(120.15±45.05N),第 8 组最低(57.86±26.20N)。在所研究的所有变量中,表面处理是唯一显著影响 SBS 的因素(P<0.001)。酸蚀应用于喷砂表面显著增加了第 1、2、5 和 6 组的 SBS。第 1、3 和 5 组脱粘的金属托槽的 SBS 与第 2、4 和 6 组的 SBS 无显著差异。所有脱粘的金属托槽在粘结-修复界面处呈现相似的粘结破坏模式。然而,陶瓷托槽的粘结破坏模式明显不同,主要发生在粘结-托槽界面处。去除托槽后发现更多的陶瓷断裂发生在第 1-4 组。IPS Empress 2 组和 In-Ceram 组之间的陶瓷断裂无显著差异。