Fushiki Ryosuke, Komine Futoshi, Blatz Markus B, Koizuka Mai, Taguchi Kohei, Matsumura Hideo
Department of Fixed Prosthodontics, Nihon University School of Dentistry, 1-8-13, Kanda-Surugadai, Chiyoda-Ku, Tokyo, 101-8310, Japan.
Clin Oral Investig. 2012 Oct;16(5):1401-11. doi: 10.1007/s00784-011-0641-9. Epub 2011 Dec 6.
This study aims to evaluate the effect of both feldspathic porcelain coating of zirconia frameworks and priming agents on shear bond strength between an indirect composite material and zirconia frameworks.
A total of 462 airborne-particle-abraded zirconia disks were divided into three groups: untreated disks (ZR-AB), airborne-particle-abraded zirconia disks coated with feldspathic porcelain, (ZR-PO-AB), and hydrofluoric acid-etched zirconia disks coated with feldspathic porcelain (ZR-PO-HF). Indirect composite (Estenia C&B) was bonded to zirconia specimens with no (CON) or one of four priming agents--Clearfil Photo Bond (CPB), Clearfil Photo Bond with Clearfil Porcelain Bond Activator (CPB + activator), Estenia Opaque primer, or Porcelain Liner M Liquid B (PLB)--with or without an opaque material (Estenia C&B Opaque). All specimens were tested for shear bond strength before and after 20,000 thermocycles. The Steel-Dwass test and Mann-Whitney U test were used to compare shear bond strength.
In ZR-AB specimens, the initial bond strength of the CPB and CPB + Activator groups was significantly higher as compared with the other three groups (P < 0.05), whereas the PLB and CPB + Activator groups had the highest pre- and post-thermocycling bond strengths in ZR-PO-AB and ZR-PO-HF specimens. Among CON disks without opaque material, bond strength was significantly lower in ZR-AB specimens than in ZR-PO-AB and ZR-PO-HF specimens (P < 0.05).
Feldspathic porcelain coating of a Katana zirconia framework enhanced the bond strength of Estenia C&B indirect composite to zirconia independent of surface treatment. The use of a silane coupling agent and opaque material yields durable bond strength between the indirect composite and feldspathic-porcelain-coated zirconia.
The results of the present study suggest that feldspathic porcelain coating of zirconia frameworks is an effective method to obtain clinically acceptable bond strengths of a layering indirect composite material to a zirconia framework.
本研究旨在评估氧化锆支架的长石质瓷涂层和底涂剂对间接复合材料与氧化锆支架之间剪切粘结强度的影响。
总共462个经空气颗粒研磨的氧化锆盘被分为三组:未处理的盘(ZR-AB)、涂有长石质瓷的经空气颗粒研磨的氧化锆盘(ZR-PO-AB)以及涂有长石质瓷的氢氟酸蚀刻氧化锆盘(ZR-PO-HF)。间接复合材料(Estenia C&B)通过使用无(CON)或四种底涂剂之一——Clearfil Photo Bond(CPB)、添加Clearfil瓷粘结活化剂的Clearfil Photo Bond(CPB + 活化剂)、Estenia不透明底漆或瓷衬M液B(PLB)——粘结到氧化锆试件上,有无不透明材料(Estenia C&B不透明)。所有试件在20,000次热循环前后均测试其剪切粘结强度。采用Steel-Dwass检验和Mann-Whitney U检验比较剪切粘结强度。
在ZR-AB试件中,CPB组和CPB + 活化剂组的初始粘结强度显著高于其他三组(P < 0.05),而在ZR-PO-AB和ZR-PO-HF试件中,PLB组和CPB + 活化剂组在热循环前后的粘结强度最高。在无不透明材料的CON盘组中,ZR-AB试件的粘结强度显著低于ZR-PO-AB和ZR-PO-HF试件(P < 0.05)。
Katana氧化锆支架的长石质瓷涂层增强了Estenia C&B间接复合材料与氧化锆之间的粘结强度,与表面处理无关。使用硅烷偶联剂和不透明材料可在间接复合材料与长石质瓷涂层氧化锆之间产生持久的粘结强度。
本研究结果表明,氧化锆支架的长石质瓷涂层是获得分层间接复合材料与氧化锆支架临床上可接受的粘结强度的有效方法。