Akyıl Musa Şamil, Yılmaz Asude, Bayındır Funda, Duymuş Zeynep Yeşil
Department of Prosthodontics, School of Dentistry, University of Atatürk, Erzurum, Turkey.
Photomed Laser Surg. 2011 Mar;29(3):197-203. doi: 10.1089/pho.2009.2746. Epub 2010 Dec 18.
The purpose of this study was to evaluate the microtensile bond strength of resin cement to a feldspathic ceramic after treating the surface with (a) hydrofluoric (HF) acid, (b) air abrasion, (c) Er:YAG laser irradiation, (d) Nd:YAG laser irradiation, and (e) HF acid etching after either air abrasion or laser irradiation.
It is unknown whether the laser application or its combination with another treatment method can be used as a tool to roughen the surface of a feldspathic ceramic in order to increase the bond strength between the resin cement and ceramic surface.
Forty feldspathic ceramic blocks (Ceramco(TM)) were prepared and divided into eight equal groups (n = 5) according to the following surface treatments: no treatment; etching with 9.5% HF acid; air abrasion with 50 μm Al(2)O(3); Er:YAG laser irradiation; Nd:YAG laser irradiation; air abrasion plus acid etching; Er:YAG laser plus acid etching; and Nd:YAG laser plus acid etching. After surface treatment, a silane-coupling agent and resin cement (Panavia F(TM)) were applied to each block. After storing for 24 h at 37°C and thermocycling between 5°C and 55°C for 1000 cycles, the microtensile bond strength of each specimen was measured.
The highest bond strength was obtained from HF acid etching. HF acid etching after each laser irradiation significantly increased the bond strength (p < 0.05). However, HF acid etching after air abrasion decreased bond strength when compared to air abrasion alone.
HF acid etching is the most effective surface treatment method for a feldspathic ceramic. However, laser irradiation with either the Er:YAG or Nd:YAG laser is not an adequate method for improving the bond strength of Panavia F. The laser application should be combined with HF acid etching.
本研究旨在评估在用以下方法处理表面后,树脂水门汀与长石质陶瓷之间的微拉伸粘结强度:(a)氢氟酸(HF),(b)空气磨蚀,(c)铒钇铝石榴石(Er:YAG)激光照射,(d)钕钇铝石榴石(Nd:YAG)激光照射,以及(e)在空气磨蚀或激光照射后进行氢氟酸蚀刻。
尚不清楚激光应用或其与另一种处理方法的联合使用是否可作为使长石质陶瓷表面粗糙化的工具,以提高树脂水门汀与陶瓷表面之间的粘结强度。
制备40个长石质陶瓷块(Ceramco™),并根据以下表面处理方法分为8个相等的组(n = 5):未处理;用9.5%氢氟酸蚀刻;用50μm氧化铝进行空气磨蚀;Er:YAG激光照射;Nd:YAG激光照射;空气磨蚀加酸蚀刻;Er:YAG激光加酸蚀刻;以及Nd:YAG激光加酸蚀刻。表面处理后,向每个块施加硅烷偶联剂和树脂水门汀(Panavia F™)。在37°C下储存24小时并在5°C至55°C之间进行1000次热循环后,测量每个试样的微拉伸粘结强度。
氢氟酸蚀刻获得了最高的粘结强度。每次激光照射后进行氢氟酸蚀刻均显著提高了粘结强度(p < 0.05)。然而,与单独的空气磨蚀相比,空气磨蚀后进行氢氟酸蚀刻降低了粘结强度。
氢氟酸蚀刻是长石质陶瓷最有效的表面处理方法。然而,使用Er:YAG或Nd:YAG激光照射并不是提高Panavia F粘结强度的适当方法。激光应用应与氢氟酸蚀刻相结合。