在牙科中应用的高性能聚合物的黏附性：一项系统性回顾。

Adhesion to high-performance polymers applied in dentistry: A systematic review.

机构信息

Department Prosthodontics and Periodontology, University of Campinas (UNICAMP), Limeira Avenue, 901, CEP: 13414-903, Areião, Piracicaba, Brazil.

Dentistry Department, Federal University of Santa Catarina (UFSC), R. Eng. Agronômico Andrei Cristian Ferreira, s/n, CEP: 88040-900, Trindade, Florianópolis, Brazil.

出版信息

Dent Mater. 2020 Apr;36(4):e93-e108. doi: 10.1016/j.dental.2020.01.002. Epub 2020 Feb 5.

DOI:10.1016/j.dental.2020.01.002

PMID:32035670

Abstract

OBJECTIVE

The aim of this systemic review, conducted in accordance with the PRISMA statement, was to investigate the impact of surface pretreatments on the bonding strength of high performance polymers (HPPs).

METHODS

Eight databases were searched through March 2019. Risk of bias was assessed and random effects meta-analyses were applied to analyze mean differences in shear bond strength (SBS) and tensile bond strength (TBS), considering surface pretreatments and bonding agents after 24h and thermocycling.

RESULTS

A total of 235 relevant titles and abstracts were found, yielding 11 final selections. Low risk of bias was observed in most studies. For polyetheretherketone (PEEK) specimens, random-effect models showed that, compared to non-treated controls, pretreatments associated with Visio.link® (Bredent, Senden, GE) increased TBS by 26.72MPa (95% confidence interval (CI), 19.69-33.76; p<0.00001) and increased SBS by 4.86MPa (95% CI, 2.61-7.10; p<0.00001). Air abrasion improved SBS by 4.90MPa (95% CI, 3.90-5.90; p<0.00001) (50μm alumina) and 4.51MPa (95% CI, 1.85-7.18; p=0.0009) (silica-coated CoJet). In comparison to non-treated controls, Visio.link® and Signum PEEK Bond® (Heraeus Kulzer, Hanau, GE) increased SBS by 33.76MPa (95% CI, 18.72-48.81; p<0.00001) and 33.28MPa (95% CI, 17.48-49.07; p<0.00001), respectively. No differences were found between Visio.link® and Signum PEEK Bond® or Monobond Plus/Heliobond® (Ivoclar Vivadent, Schaan, LH) (p>0.05). Similar results were observed for polyetherketoneketone (PEKK) specimens.

SIGNIFICANCE

This review shows improved HPP bonding following the application of various surface pretreatments, including air abrasion and bonding agents.

摘要

目的

本系统评价按照 PRISMA 声明进行，旨在研究表面预处理对高性能聚合物（HPP）粘结强度的影响。

方法

通过 2019 年 3 月检索了 8 个数据库。评估偏倚风险，并应用随机效应荟萃分析分析 24 小时和热循环后剪切粘结强度（SBS）和拉伸粘结强度（TBS）的平均差异，考虑表面预处理和粘结剂。

结果

共发现 235 篇相关标题和摘要，最终选择了 11 篇。大多数研究的偏倚风险较低。对于聚醚醚酮（PEEK）标本，随机效应模型显示，与非处理对照相比，与 Visio.link®（Bredent，Senden，GE）相关的预处理可使 TBS 增加 26.72MPa（95%置信区间（CI），19.69-33.76;p<0.00001）和 SBS 增加 4.86MPa（95%CI，2.61-7.10;p<0.00001）。空气喷砂可使 SBS 增加 4.90MPa（95%CI，3.90-5.90;p<0.00001）（50μm 氧化铝）和 4.51MPa（95%CI，1.85-7.18;p=0.0009）（涂覆有二氧化硅的 CoJet）。与非处理对照相比，Visio.link®和 Signum PEEK Bond®（Heraeus Kulzer，Hanau，GE）使 SBS 分别增加了 33.76MPa（95%CI，18.72-48.81;p<0.00001）和 33.28MPa（95%CI，17.48-49.07;p<0.00001）。未发现 Visio.link®和 Signum PEEK Bond®或 Monobond Plus/Heliobond®（Ivoclar Vivadent，Schaan，LH）之间的差异（p>0.05）。PEKK 标本也观察到类似的结果。