Rigos Athanasios E, Sarafidou Katia, Kontonasaki Eleana
Resident, Graduate Prosthodontics, Texas A&M School of Dentistry, Dallas, TX, USA.
Postdoctoral Researcher, Department of Prosthodontics, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece.
Jpn Dent Sci Rev. 2023 Dec;59:138-159. doi: 10.1016/j.jdsr.2023.04.002. Epub 2023 May 26.
The present study systematically reviewed the literature regarding the bond strength durability of zirconia ceramics to resin-based luting cements after application of different bonding protocols and aging conditions. Electronic searches in PubMed, Scopus, and Web of Science databases were performed for relevant literature published between January 1st 2015 and November 15th 2022. Ninety-three (93) English language in-vitro studies were included. The percentage of the mean bond strength change was recorded prior to and after artificial aging, and the weighted mean values and 95% confidence intervals were calculated. Bonding protocols were classified based on the combination of MDP/non-MDP containing cement/primer and surface pretreatment, as well as the level of artificial aging performed. Alumina sandblasting (SA) was identified as the most frequently used surface pre-treatment while an insufficient number of studies was identified for each category of alternative surface treatments. The combination of MDP cement with tribochemical silica coating (TSC) or SA yielded more durable results after aging, while the application of SA and TSC improved bond durability when a non-MDP cement and a non-MDP primer were used. TSC may lead to increased bond durability compared to SA, whereas MDP cements may act similarly when combined with SA or TSC.
本研究系统回顾了关于在应用不同粘结方案和老化条件后，氧化锆陶瓷与树脂类粘结水门汀之间粘结强度耐久性的文献。在PubMed、Scopus和Web of Science数据库中进行了电子检索，以查找2015年1月1日至2022年11月15日期间发表的相关文献。纳入了93项英文体外研究。记录人工老化前后平均粘结强度变化的百分比，并计算加权平均值和95%置信区间。根据含MDP/不含MDP的水门汀/底漆的组合以及表面预处理，以及进行的人工老化水平对粘结方案进行分类。氧化铝喷砂（SA）被确定为最常用的表面预处理方法，而每类替代表面处理方法的研究数量不足。MDP水门汀与摩擦化学二氧化硅涂层（TSC）或SA的组合在老化后产生了更持久的结果，而当使用非MDP水门汀和非MDP底漆时，SA和TSC的应用提高了粘结耐久性。与SA相比，TSC可能会提高粘结耐久性，而MDP水门汀与SA或TSC组合时可能表现相似。
