Nobuaki Arao, Keiichi Yoshida, Takashi Sawase
Department of Applied Prosthodontics, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan.
Clinic of Fixed Prosthodontics, Nagasaki University Hospital, Nagasaki, Japan.
J Appl Oral Sci. 2015 Nov-Dec;23(6):629-36. doi: 10.1590/1678-775720150261.
The study aimed to evaluate effects of air abrasion with alumina or glass beads on bond strengths of resin cements to CAD/CAM composite materials.
CAD/CAM composite block materials [Cerasmart (CS) and Block HC (BHC)] were pretreated as follows: (a) no treatment (None), (b) application of a ceramic primer (CP), (c) alumina-blasting at 0.2 MPa (AB), (d) AB followed by CP (AB+CP), and (e) glass-beads blasting at 0.4 MPa (GBB) followed by CP (GBB+CP). The composite specimens were bonded to resin composite disks using resin cements [G-CEM Cerasmart (GCCS) and ResiCem (RC)]. The bond strengths after 24 h (TC 0) and after thermal cycling (TC 10,000 at 4-60°C) were measured by shear tests. Three-way ANOVA and the Tukey compromise post hoc tests were used to analyze statistically significant differences between groups (α=0.05).
For both CAD/CAM composite materials, the None group exhibited a significant decrease in bond strength after TC 10,000 (p<0.05). AB showed significantly higher bond strength after TC 10,000 than the None group, while CP did not (p<0.05). GBB exhibited smaller surface defects than did AB; however, their surface roughnesses were not significantly different (p>0.05). The AB+CP group showed a significantly higher bond strength after TC 10,000 than did the AB group for RC (p<0.05), but not for GCCS. The GBB+CP group showed the highest bond strength for both thermal cyclings (p<0.05).
Air abrasion with glass beads was more effective in increasing bond durability between the resin cements and CAD/CAM composite materials than was using an alumina powder and a CP.
本研究旨在评估用氧化铝或玻璃珠进行空气喷砂处理对树脂水门汀与CAD/CAM复合材料之间粘结强度的影响。
CAD/CAM复合块状材料[Cerasmart(CS)和Block HC(BHC)]按以下方式进行预处理:(a)不处理(无),(b)应用陶瓷底漆(CP),(c)在0.2MPa下进行氧化铝喷砂处理(AB),(d)AB后接CP(AB+CP),以及(e)在0.4MPa下进行玻璃珠喷砂处理(GBB)后接CP(GBB+CP)。使用树脂水门汀[G-CEM Cerasmart(GCCS)和ResiCem(RC)]将复合试件粘结到树脂复合盘上。通过剪切试验测量24小时后(TC 0)和热循环后(4-60°C下TC 10,000)的粘结强度。采用三因素方差分析和Tukey事后检验分析组间的统计学显著差异(α=0.05)。
对于两种CAD/CAM复合材料,无处理组在TC 10,000后粘结强度显著降低(p<0.05)。AB在TC 10,000后的粘结强度显著高于无处理组,而CP则不然(p<0.05)。GBB的表面缺陷比AB小;然而,它们的表面粗糙度无显著差异(p>0.05)。对于RC,AB+CP组在TC 10,000后的粘结强度显著高于AB组(p<0.05),但对于GCCS则不然。GBB+CP组在两次热循环中的粘结强度均最高(p<0.05)。
与使用氧化铝粉末和CP相比,用玻璃珠进行空气喷砂处理在提高树脂水门汀与CAD/CAM复合材料之间的粘结耐久性方面更有效。