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树脂与氧化钇稳定四方氧化锆的粘结强度及支架边缘适合性评估:不同表面处理的比较

Evaluation of resin bond strength to yttria-stabilized tetragonal zirconia and framework marginal fit: comparison of different surface conditionings.

作者信息

Vanderlei A, Bottino M A, Valandro L F

出版信息

Oper Dent. 2014 Jan-Feb;39(1):50-63. doi: 10.2341/12-269-L. Epub 2013 Apr 15.

Abstract

The purpose of this study was to evaluate the effect of different surface treatments of yttria-stabilized tetragonal zirconia (Y-TZP) on bond strength durability and marginal discrepancies. For adhesion testing, 144 specimens of VITA In-Ceram YZ ceramic for InLab were obtained (5.25×3.75×4.5 mm) and divided into six groups (n=24) according to the surface treatment: 1) Control (CRTL): untreated; 2) SIL: tribochemical silica coating (CoJet system, 3M/ESPE AG); 3) V1+HF: spray application of low-fusing porcelain glaze (V1, VITA Akzent Spray Glaze) followed by etching with hydrofluoric acid (HF) (one minute); 4) V1+SIL: V1 glazing (VITA Akzent Spray Glaze) followed by tribochemical silica coating; 5) V2+HF: brush application of low-fusing porcelain glaze (VITA Akzent Glaze) plus etching with HF (one minute); and 6) V2+SIL: V2 glazing (VITA Akzent Glaze) plus tribochemical silica coating. After all treatments, the surfaces were silanized for five minutes (ESPE-SIL) and cementation was performed using Panavia F (Kuraray). Half of the specimens in each treatment were tested 24 hours after cementation (dry), with the other half subjected to storage (150 days) and thermocycling (12,000×) (aging), and then a shear test was carried out (1 mm/min). The micromorphological (digital optical profilometry and scanning electron microscopy) and elemental analyses of the treated surfaces were performed. The inner surfaces of 60 Y-TZP infrastructures were conditioned and marginal fit was evaluated. The statistical analysis revealed that the groups treated via surface glaze application followed by hydrofluoric acid etching and silanization showed the highest bond strength (in dry and aging conditions), but the bond strengths were affected by aging. The highest marginal discrepancies were observed in the groups receiving glaze (117.4 ± 29.6 to 105.8 ± 12.2 μm) when compared to other groups (55.3 ± 8.7 and 55 ± 8.5 μm). Low-fusing porcelain glaze + hydrofluoric acid etching changed the morphology of the Y-TZP ceramic and improved the adhesion to the resin cement, but obtaining high and stable bond values to Y-TZP remains challenging. Marginal discrepancies increased with glazing.

摘要

本研究的目的是评估钇稳定四方氧化锆(Y-TZP)不同表面处理对粘结强度耐久性和边缘差异的影响。对于粘结力测试,获取了144个用于椅旁数字化修复的威兰德In-Ceram YZ陶瓷样本(5.25×3.75×4.5毫米),并根据表面处理方式分为六组(n = 24):1)对照组(CRTL):未处理;2)SIL组:摩擦化学硅涂层(CoJet系统,3M/ESPE AG);3)V1+HF组:喷涂低熔瓷釉(V1,威兰德Akzent喷涂釉),然后用氢氟酸(HF)蚀刻(1分钟);4)V1+SIL组:V1上釉(威兰德Akzent喷涂釉),然后进行摩擦化学硅涂层处理;5)V2+HF组:刷涂低熔瓷釉(威兰德Akzent釉)并加HF蚀刻(1分钟);6)V2+SIL组:V2上釉(威兰德Akzent釉)并加摩擦化学硅涂层处理。所有处理后,表面进行五分钟的硅烷化处理(ESPE-SIL),并使用Panavia F(可乐丽)进行粘结。每组样本的一半在粘结后24小时进行测试(干燥状态),另一半进行储存(150天)和热循环(12,000次)(老化),然后进行剪切测试(1毫米/分钟)。对处理后的表面进行微观形态学(数字光学轮廓仪和扫描电子显微镜)和元素分析。对60个Y-TZP基台的内表面进行预处理并评估边缘适合性。统计分析表明,先进行表面上釉然后氢氟酸蚀刻和硅烷化处理的组显示出最高的粘结强度(在干燥和老化条件下),但粘结强度受老化影响。与其他组(55.3±8.7和55±8.5微米)相比,接受上釉处理的组观察到最高的边缘差异(117.4±29.6至105.8±12.2微米)。低熔瓷釉+氢氟酸蚀刻改变了Y-TZP陶瓷的形态并改善了与树脂粘结剂的粘结,但要获得对Y-TZP高且稳定的粘结值仍然具有挑战性。边缘差异随上釉而增加。

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