Department of Adult Dental Care, University of Sheffield, United Kingdom.
Dent Mater. 2010 Sep;26(9):864-72. doi: 10.1016/j.dental.2010.04.011. Epub 2010 Jun 12.
This study evaluated the effect of surface treatments on the bond strength of fluorcanasite and lithium disilicate glass-ceramics, with the possibility of eliminating HF etching of these ceramics.
Fifteen blocks of an experimental fluorcanasite and a lithium disilicate glass-ceramic (IPS e.max CAD) were assigned to one of the following three surface treatments: (1) machined with 60 microm finish, (2) machined and grit blasted, (3) machined and HF etched. The ceramic blocks were duplicated in composite resin (Spectrum) and cemented together with a resin luting agent (Variolink II). Thirty microbars per group (1.0 x 1.0 x 20 mm) were obtained and subjected to a tensile force at a crosshead speed of 0.5 mm/min using a universal testing machine until failure. The mode of failure was determined using scanning electron microscopy. The appropriate bonding procedure was assessed for durability by storing in water at 100 degrees C for 24 h. Statistical analyses were performed with ANOVA and Tukey's test (P<0.05).
Machining alone significantly increased the bond strength (MPa) of the fluorcanasite (27.79+/-6.94) compared to the lithium disilicate (13.57+/-4.52) (P<0.05). HF etching resulted in the lowest bond strength (8.79+/-2.06) for the fluorcanasite but the highest for the lithium disilicate (24.76+/-9.38). Regarding durability, the machined fluorcanasite (15.24+/-5.46) demonstrated significantly higher bond strength than the machined and HF etched lithium disilicate (12.28+/-3.30).
The fitting surface of the fluorcanasite glass-ceramic should retain the machined finish and be directly treated with silane. The use of HF acid is contraindicated.
本研究评估了表面处理对氟磷灰石和锂硅玻璃陶瓷粘结强度的影响,以期消除对这些陶瓷的 HF 酸蚀刻。
将 15 块实验氟磷灰石和一块锂硅玻璃陶瓷(IPS e.max CAD)分为以下三种表面处理之一:(1)机械加工至 60 微米光洁度,(2)机械加工后喷砂处理,(3)机械加工后 HF 酸蚀刻。将陶瓷块复制在复合树脂(Spectrum)中,并使用树脂粘结剂(Variolink II)将其粘结在一起。每组获得 30 个微棒(1.0 x 1.0 x 20mm),并使用万能试验机以 0.5mm/min 的十字头速度施加拉力,直至失效。使用扫描电子显微镜确定失效模式。通过在 100°C 的水中储存 24 小时来评估适当的粘结程序的耐久性。使用方差分析和 Tukey 检验(P<0.05)进行统计分析。
单独机械加工显著提高了氟磷灰石的粘结强度(MPa)(27.79+/-6.94),与锂硅玻璃陶瓷(13.57+/-4.52)相比(P<0.05)。HF 酸蚀刻导致氟磷灰石的粘结强度最低(8.79+/-2.06),而锂硅玻璃陶瓷的粘结强度最高(24.76+/-9.38)。关于耐久性,机械加工的氟磷灰石(15.24+/-5.46)表现出的粘结强度明显高于机械加工和 HF 酸蚀刻的锂硅玻璃陶瓷(12.28+/-3.30)。
氟磷灰石玻璃陶瓷的拟合表面应保留机械加工的光洁度,并直接用硅烷处理。HF 酸的使用是禁忌的。