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树脂复合材料的牙体黏结:最佳实践的综述及临床小贴士。

Dental adhesion with resin composites: a review and clinical tips for best practice.

机构信息

Oral Care Solutions Division, 3M Company, ESPE Platz, Seefeld, 82229, Germany.

出版信息

Br Dent J. 2022 May;232(9):615-619. doi: 10.1038/s41415-022-4144-7. Epub 2022 May 13.

DOI:10.1038/s41415-022-4144-7
PMID:35562453
Abstract

Modern restorative dentistry would not be possible without the ability to bond to tooth structure. The development of dental adhesives has a lengthy gestation, from the beginnings around 1950, to the latest generation: modern universal adhesives, which were introduced during the 2010s. The foundation for these developments was a deeper understanding of the mechanisms of adhesion to the tooth structure, and to restoration materials. Typically, the performance of an adhesive does not depend on the use of a single ingredient, but on an overall balanced and optimised formulation that contains various components with different roles, such as functional adhesive monomers.While a wealth of literature exists on adhesives that have a long and successful clinical history ('gold standards'), some universal adhesives have also accumulated a lot of scientific evidence while offering benefits like ease of use, low technique sensitivity and versatility.To achieve reliable results with a modern adhesive, several tips should be kept in mind regardless of the product, which result in a homogeneous adhesive layer, proper cure and ultimately high bond strength. Although high performance is already achieved with the adhesives currently available, this is still an exciting area of ongoing research.

摘要

如果没有与牙体结构结合的能力,现代修复牙科是不可能实现的。牙科胶粘剂的发展经历了一个漫长的孕育过程,从 20 世纪 50 年代前后开始,到最新一代:现代通用胶粘剂,它在 21 世纪 10 年代问世。这些发展的基础是对牙体结构和修复材料粘附机制的更深入了解。通常,胶粘剂的性能不是取决于单一成分的使用,而是取决于包含具有不同作用的各种成分的整体平衡和优化配方,例如功能性粘合单体。尽管关于具有悠久成功临床历史的胶粘剂(“黄金标准”)有大量文献,但一些通用胶粘剂也积累了大量科学证据,同时提供了易用性、低技术敏感性和多功能性等优势。为了实现现代胶粘剂的可靠效果,无论使用哪种产品,都应牢记以下几点建议,这将导致形成均匀的胶层、适当的固化和最终获得高粘结强度。尽管目前可用的胶粘剂已经具有高性能,但这仍然是一个令人兴奋的持续研究领域。

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