Khan Aftab Ahmed, Al Kheraif Abdul Aziz A, Jamaluddin Syed, Elsharawy Mohamad, Divakar Darshan Devang
J Adhes Dent. 2017;19(1):7-19. doi: 10.3290/j.jad.a37720.
To evaluate the in vitro studies conducted in the last six years on new zirconia materials to discover and explore current trends in bonding composite cement to zirconia substrate.
An in-depth review of the in vitro studies performed between 2010 and 2016 was conducted, focusing on the current trends in surface conditioning methods for zirconia ceramic. PubMed was used for searching the literature. Resin composite bonding to zirconia, zirconia surface coating, and zirconia surface treatment method were the keywords used. Complete scientific articles were reviewed and evaluated for appropriateness.
The literature survey showed a variety of surface treatment techniques comprising grit blasting (laboratory or chairside) with or without silica-coated alumina particles, the use of materials containing phosphate monomers, different silanes and primers, laser irradiation, Si vapor-phase deposition, and selective infiltration etching.
The problem of composite cement bonding to zirconia has yet to be definitively solved. Nevertheless, the application of phosphate monomer on tribochemically silica-coated zirconia surfaces is currently the least complicated and most efficaceous means of bonding composite cement to zirconia. Selective infiltration etching seems to be a promising technique for establishing a durable bond between composite cement and zirconia, and should be studied further.
评估过去六年中对新型氧化锆材料进行的体外研究，以发现并探索复合树脂粘结剂与氧化锆基底粘结的当前趋势。
对2010年至2016年间进行的体外研究进行深入综述，重点关注氧化锆陶瓷表面处理方法的当前趋势。使用PubMed检索文献。使用的关键词为复合树脂与氧化锆的粘结、氧化锆表面涂层及氧化锆表面处理方法。对完整的科学文章进行综述并评估其适用性。
文献调查显示了多种表面处理技术，包括使用或不使用二氧化硅包覆氧化铝颗粒的喷砂处理（实验室或椅旁）、使用含磷酸盐单体的材料、不同的硅烷和底漆、激光照射、硅气相沉积以及选择性渗透蚀刻。
复合树脂粘结剂与氧化锆的粘结问题尚未得到最终解决。然而，将磷酸盐单体应用于经摩擦化学处理的二氧化硅包覆氧化锆表面，目前是复合树脂粘结剂与氧化锆粘结中最不复杂且最有效的方法。选择性渗透蚀刻似乎是在复合树脂粘结剂与氧化锆之间建立持久粘结的一种有前景的技术，应进一步研究。
