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牙齿修复用陶瓷材料的研究进展:从实验室到临床应用。

Advances in ceramics for tooth repair: From bench to chairside.

机构信息

State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China; Department of Prosthodontics, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China.

State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China.

出版信息

J Dent. 2024 Jul;146:105053. doi: 10.1016/j.jdent.2024.105053. Epub 2024 May 8.

Abstract

OBJECTIVES

To give a comprehensive review of advancement in dental ceramics, fabrication methods, and the challenges associated with clinical application.

DATA, SOURCES AND STUDY SELECTION: Researches on chemical composition, biomechanical behaviors, optical properties, bonding strategies and fabrication methods were included. The search of articles was independently conducted by two authors in the PubMed, Scopus, Medline and Web of Science.

CONCLUSIONS

Dental ceramics have shown significant advancements in terms of esthetics and function. However, improving fracture toughness without compromising optical properties remains a challenge. Repairing fractured zirconia or glass-matrix ceramic prostheses with the same material is difficult due to the sintering process. Developing innovative bonding techniques that provide strong and long-lasting bonding strength between ceramics and tooth structures poses a recurring obstacle.

CLINICAL SIGNIFICANCE

Despite the emergence of dental ceramics and fabrication techniques, certain limitations such as susceptibility to brittleness and fracture still exist. Therefore, the current review provided valuable information around the advanced dental ceramics in tooth repair. The laboratory test data and the clinical outcome are also presented in details, aiming to guide clinicians in making informed decisions regarding ceramic restorations.

摘要

目的

全面综述牙科陶瓷的进展、制作方法以及临床应用相关的挑战。

数据来源和选择

纳入了关于化学成分、生物力学性能、光学性能、粘结策略和制作方法的研究。两位作者分别在 PubMed、Scopus、Medline 和 Web of Science 上独立进行了文献检索。

结论

牙科陶瓷在美观和功能方面取得了显著进展。然而,在不影响光学性能的前提下提高断裂韧性仍然是一个挑战。由于烧结工艺的原因,用相同的材料修复断裂的氧化锆或玻璃基质陶瓷修复体是困难的。开发创新的粘结技术,在陶瓷和牙体结构之间提供强大而持久的粘结强度,这仍然是一个反复出现的障碍。

临床意义

尽管牙科陶瓷和制作技术不断涌现,但仍存在一些局限性,如脆性和断裂的易感性。因此,本综述围绕牙修复用先进牙科陶瓷提供了有价值的信息。还详细介绍了实验室测试数据和临床结果,旨在指导临床医生在陶瓷修复方面做出明智的决策。

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