Fan-Chiang Yung-Shin, Chou Peng-Chen, Hsiao Yu-Wen, Cheng Yu-Hsuan, Huang Yi, Chiu Yu-Chieh, Lin Yu-Ju, Mine Yuichi, Feng Sheng-Wei, Lee I-Ta, Peng Tzu-Yu
School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei 110, Taiwan.
Department of Medical Systems Engineering, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima 734-8553, Japan.
Biomedicines. 2023 Nov 8;11(11):2995. doi: 10.3390/biomedicines11112995.
This review examines the modifying factors affecting bond strength in various bonding scenarios, particularly their relevance to the longevity of dental restorations. Understanding these factors is crucial for improving clinical outcomes in dentistry. Data were gathered from the PubMed database, ResearchGate, and Google Scholar resources, covering studies from 1992 to 2022. The findings suggest that for dentin-resin bonds, minimizing smear layers and utilizing MMP inhibitors to prevent hybrid layer degradation are essential. In the case of resin-resin bonds, reversing blood contamination is possible, but preventing saliva contamination is more challenging, underscoring its critical importance during clinical procedures. Additionally, while pretreatment on ceramics has minimal impact on bond strength, the influence of specific colorings should be carefully considered in treatment planning. This comprehensive review highlights that although established practices recognize significant bond strength factors, ongoing research provides valuable insights to enhance the clinical experience for patients. Once confirmed through rigorous experimentation, these emerging findings should be swiftly integrated into dental practice to improve patient outcomes.
本综述探讨了在各种粘结情况下影响粘结强度的调节因素,特别是它们与牙科修复体寿命的相关性。了解这些因素对于改善牙科临床治疗效果至关重要。数据收集自PubMed数据库、ResearchGate和谷歌学术资源,涵盖了1992年至2022年的研究。研究结果表明,对于牙本质-树脂粘结,尽量减少玷污层并使用基质金属蛋白酶抑制剂来防止混合层降解至关重要。对于树脂-树脂粘结,逆转血液污染是可能的,但防止唾液污染更具挑战性,这突出了其在临床操作过程中的关键重要性。此外,虽然对陶瓷的预处理对粘结强度影响最小,但在治疗计划中应仔细考虑特定着色的影响。这篇全面的综述强调,尽管既定的做法认识到了重要的粘结强度因素,但正在进行的研究提供了宝贵的见解,以增强患者的临床体验。一旦通过严格的实验得到证实,这些新发现应迅速融入牙科实践,以改善患者的治疗效果。