Strasser Thomas, Preis Verena, Behr Michael, Rosentritt Martin
Department of Prosthetic Dentistry, UKR University Hospital Regensburg, 93042, Regensburg, Germany.
Clin Oral Investig. 2018 Nov;22(8):2787-2797. doi: 10.1007/s00784-018-2365-6. Epub 2018 Feb 5.
The aim of this study was to examine the effects of surface pre-treatment on CAD/CAM materials including ceramics, zirconia, resin-infiltrated ceramic, and resin-based composite.
Specimens were made of ten CAD/CAM materials (Celtra Duo, Degudent, D; Vita Suprinity, Vita, D; E.max CAD, Ivoclar-Vivadent, FL; E.max ZirCAD, Ivoclar-Vivadent, FL; Vita Enamic, Vita, D; Cerasmart, GC, B; LAVA Ultimate, 3M, D; SHOFU Block HC, SHOFU, US; Grandio Blocs, VOCO, D; BRILLIANT Crios, Coltene, CH) and pretreated to represent clinical procedures (Hf 20 s/5%; phosphoric acid 20 s/37%; Monobond etch and prime (Ivoclar-Vivadent, FL); water-cooled diamond bur (80 μm; 4 μm); AlO-blasting (50 μm/1 bar, 50 μm/2 bar, 120 μm/1 bar, 120 μm/2 bar); untreated; manufacturer's instructions). SEM-analysis (Phenom, FEI, NL) of the surfaces was performed (magnifications ≤ 10,000×). Roughness values R, R (KJ 3D, Keyence, J), and surface energy SE (OCA15 plus, SCA20, DataPhysics, D) were determined (statistics: non-parametric Mann-Whitney U test/Kruskal-Wallis test for independent specimen, α = 0.05).
Kruskal-Wallis revealed significant (p < 0.001) differences for all materials with different surface treatments. Roughness ranged from R = 0.05 μm (VS; D4)/R = 0.41 μm (VS; D4) to R = 1.82 μm (EMA; SB120/2)/R = 12.05 μm (CS; SB 120/2), SE from 22.7 mN/m (VE; M) to 52.8 mN/m (CD; M). SEM analysis showed material-dependent damages after pre-treatment.
Different CAD/CAM materials require individual pre-treatment for optimized and protective surface activation.
Cementation is a key factor for clinical success. Given the variety of available CAD/CAM materials, specific procedures are needed.
本研究旨在考察表面预处理对包括陶瓷、氧化锆、树脂渗透陶瓷和树脂基复合材料在内的CAD/CAM材料的影响。
用10种CAD/CAM材料(Celtra Duo、Degudent、德国;Vita Suprinity、Vita、德国;E.max CAD、义获嘉伟瓦登特、列支敦士登;E.max ZirCAD、义获嘉伟瓦登特、列支敦士登;Vita Enamic、Vita、德国;Cerasmart、GC、日本;LAVA Ultimate、3M、美国;松风Block HC、松风、美国;Grandio Blocs、VOCO、德国;BRILLIANT Crios、登士柏西诺德、瑞士)制作试件,并进行预处理以模拟临床操作(Hf 20秒/5%;磷酸20秒/37%;Monobond蚀刻和底涂剂(义获嘉伟瓦登特、列支敦士登);水冷金刚石车针(80μm;4μm);AlO喷砂(50μm/1巴、50μm/2巴、120μm/1巴、120μm/2巴);未处理;按照制造商说明)。对表面进行扫描电子显微镜分析(Phenom、飞纳、荷兰)(放大倍数≤10000倍)。测定粗糙度值Rq、Rz(KJ 3D、基恩士公司、日本)和表面能SE(OCA15 plus、SCA20、DataPhysics、德国)(统计学分析:对独立样本采用非参数曼-惠特尼U检验/克鲁斯卡尔-沃利斯检验,α = 0.05)。
克鲁斯卡尔-沃利斯检验显示,不同表面处理的所有材料之间存在显著差异(p < 0.001)。粗糙度范围为Rq = 0.05μm(VS;D4)/Rz = 0.41μm(VS;D4)至Rq = 1.82μm(EMA;SB120/2)/Rz = 12.05μm(CS;SB 120/2),表面能范围为22.7mN/m(VE;M)至52.8mN/m(CD;M)。扫描电子显微镜分析显示预处理后材料出现与材料相关的损伤。
不同的CAD/CAM材料需要进行个性化预处理,以实现优化的和具有保护性的表面活化。
粘结是临床成功的关键因素。鉴于现有CAD/CAM材料种类繁多,需要特定的操作程序。