Department of Experimental Dentistry, Wroclaw Medical University, 50-425 Wroclaw, Poland.
Molecules. 2021 Feb 25;26(5):1223. doi: 10.3390/molecules26051223.
For long-term successful use of ceramic materials in dental procedures, it is necessary to ensure reliable bonding of restorations to dental substrates. This can be achieved by the application of a proper luting cement and through additional surface conditioning. The present systematic review summarizes the most up-to-date evidence on the use of different surface modification methods to enhance the bond strength of dental ceramics to the hard tissues of the teeth. The authors of the review searched the Web of Science, Scopus, and MEDLINE databases to identify relevant articles published between 1 January 2010 and 1 January 2020. A total of 4892 records were identified, and after screening, the full text of 159 articles was evaluated, which finally resulted in the inclusion of 19 studies. The available reports were found to be heterogeneous in terms of materials and methodology, and therefore, only within-studies comparison was performed instead of comparison between studies. A statistically significant difference in the bond strength between the samples treated with different methods of surface conditioning, or between conditioned and nonconditioned samples, was revealed by most of the studies. Predominantly, the studies showed that a combination of mechanical and chemical methods was the most effective way of enhancing bond strength. Artificial aging and luting cement were also identified as the factors significantly influencing bond strength.
为了在牙科手术中长期成功使用陶瓷材料，有必要确保修复体与牙本质之间可靠的粘结。这可以通过使用适当的粘固水泥和额外的表面处理来实现。本系统评价总结了最新的证据，证明了不同的表面改性方法可增强牙科陶瓷与牙齿硬组织之间的粘结强度。该评价的作者在 Web of Science、Scopus 和 MEDLINE 数据库中搜索了 2010 年 1 月 1 日至 2020 年 1 月 1 日期间发表的相关文章。共确定了 4892 条记录，经过筛选，评估了 159 篇文章的全文，最终纳入了 19 项研究。由于材料和方法的差异，现有报告在性质上存在异质性，因此仅进行了研究内比较，而没有进行研究间比较。大多数研究表明，经不同表面处理方法处理的样本或经处理和未经处理的样本之间的粘结强度存在统计学显著差异。主要研究表明，机械和化学方法相结合是增强粘结强度的最有效方法。人工老化和粘固水泥也被确定为显著影响粘结强度的因素。
