Akhavan Zanjani Vagharaldin, Ahmadi Hadi, Nateghifard Afshin, Ghasemi Amir, Torabzadeh Hassan, Abdoh Tabrizi Maryam, Alikhani Farnaz, Razi Reza, Nateghifard Ardalan
Department of Restorative Dentistry, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Investig Clin Dent. 2015 Nov;6(4):294-300. doi: 10.1111/jicd.12105. Epub 2014 Sep 3.
The purpose of this study was to evaluate the effect of sandblasting, carbon dioxide (CO₂), and erbium,chromium:yttrium-scandium-gallium-garnet (Er,Cr:YSGG) lasers on the microshear bond strength of zirconia to resin cement.
Sixty-one sintered yttria stabilized tetragonal zirconia blocks (10 × 5 × 2 mm) were prepared and divided into four experimental groups (n = 15); one sample was retained as a control. The samples were treated by aluminium oxide air abrasion, CO₂4W, Er,Cr:YSGG 3W, and Er,Cr:YSGG 2W, respectively. One sample from each group and the control sample were analyzed by scanning electron microscope. Panavia F2.0 resin microcylinders were prepared and placed on treated surfaces, light cured, and incubated for 48 h. Microshear bond strength testing was done by a microtensile tester machine, and the type of bond failures were determined by stereomicroscope. Data were analyzed by one-way anova and Tukey's test at a significance level of P < 0.05.
Air abrasion showed the highest microshear bond strength (P < 0.05) among all groups. CO₂and Er,Cr:YSGG 3W laser showed significantly higher bond strength than Er,Cr:YSGG 2W (P < 0.05). Apparent micromechanical roughening and irregularities were seen in the air abrasion-treated samples, and the bond failure was mostly mixed type. In the laser-treated surfaces, the roughness was much less than the air abrasion-treated surfaces, and the mode of failure was almost pure adhesive.
Air abrasion has a greater effect than CO₂and Er,Cr:YSGG lasers in the treatment of zirconia ceramic surfaces to enhance the bonding strength of resin cement to zirconia. CO₂laser at 4W and Er,Cr:YSGG laser at only 3-W output power can be regarded as surface treatment options for roughening the zirconia surface to establish better bond strength with resin cements.
本研究旨在评估喷砂、二氧化碳(CO₂)以及铒铬:钇钪镓石榴石(Er,Cr:YSGG)激光对氧化锆与树脂水门汀微剪切粘结强度的影响。
制备61个烧结的氧化钇稳定四方氧化锆块(10×5×2毫米),并分为四个实验组(n = 15);保留一个样本作为对照。样本分别用氧化铝气磨、CO₂ 4W、Er,Cr:YSGG 3W和Er,Cr:YSGG 2W进行处理。每组取一个样本和对照样本进行扫描电子显微镜分析。制备Panavia F2.0树脂微圆柱体并置于处理过的表面,光固化,然后孵育48小时。通过微拉伸试验机进行微剪切粘结强度测试,并通过立体显微镜确定粘结失败的类型。数据采用单因素方差分析和Tukey检验进行分析,显著性水平为P < 0.05。
在所有组中,气磨显示出最高的微剪切粘结强度(P < 0.05)。CO₂和Er,Cr:YSGG 3W激光显示出的粘结强度明显高于Er,Cr:YSGG 2W(P < 0.05)。在气磨处理的样本中可见明显的微机械粗糙化和不规则性,粘结失败大多为混合型。在激光处理的表面,粗糙度远小于气磨处理的表面,失败模式几乎为纯粘结型。
在处理氧化锆陶瓷表面以提高树脂水门汀与氧化锆的粘结强度方面,气磨比CO₂和Er,Cr:YSGG激光具有更大的效果。4W的CO₂激光和仅3W输出功率的Er,Cr:YSGG激光可被视为使氧化锆表面粗糙化以与树脂水门汀建立更好粘结强度的表面处理选择。