Li Xinyang, Liang Shengjie, Inokoshi Masanao, Zhao Shikai, Hong Guang, Yao Chenmin, Huang Cui
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 430079, China.
Department of Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8549, Japan.
Jpn Dent Sci Rev. 2024 Dec;60:175-189. doi: 10.1016/j.jdsr.2024.05.004. Epub 2024 Jun 7.
This review examined the efficacy of surface treatments and adhesive monomers for enhancing zirconia-resin bond strength. A comprehensive literature search in PubMed, Embase, Web of Science, Scopus, and the Cochrane Library yielded relevant in vitro studies. Employing pairwise and Bayesian network meta-analyses, 77 articles meeting inclusion criteria were analyzed. Gas plasma was found to be ineffective, while treatments including air abrasion, silica coating, laser, selective infiltration etching, hot etching showed varied effectiveness. Air abrasion with finer particles (25-53 µm) showed higher immediate bond strength than larger particles (110-150 µm), with no significant difference post-aging. The Rocatec silica coating system outperformed the CoJet system in both immediate and long-term bond strength. Adhesives containing 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP) were superior to other acidic monomers. The application of 2-hydroxyethyl methacrylate and silane did not improve bonding performance. Notably, 91.2 % of bonds weakened after aging, but this effect was less pronounced with air abrasion or silica coating. The findings highlight the effectiveness of air abrasion, silica coating, selective infiltration etching, hot etching, and laser treatment in improving bond strength, with 10-MDP in bonding agents enhancing zirconia bonding efficacy.
本综述考察了表面处理和粘结单体对提高氧化锆-树脂粘结强度的效果。在PubMed、Embase、Web of Science、Scopus和Cochrane图书馆进行了全面的文献检索，得出了相关的体外研究。采用成对和贝叶斯网络荟萃分析，对77篇符合纳入标准的文章进行了分析。发现气体等离子体无效，而包括空气磨蚀、二氧化硅涂层、激光、选择性渗透蚀刻、热蚀刻在内的处理显示出不同的效果。使用较细颗粒（25-53 µm）的空气磨蚀比使用较大颗粒（110-150 µm）显示出更高的即时粘结强度，老化后无显著差异。在即时和长期粘结强度方面，Rocatec二氧化硅涂层系统均优于CoJet系统。含有10-甲基丙烯酰氧基癸基磷酸二氢酯（10-MDP）的粘结剂优于其他酸性单体。甲基丙烯酸羟乙酯和硅烷的应用并未改善粘结性能。值得注意的是，91.2%的粘结在老化后变弱，但空气磨蚀或二氧化硅涂层的这种影响不太明显。研究结果突出了空气磨蚀、二氧化硅涂层、选择性渗透蚀刻、热蚀刻和激光处理在提高粘结强度方面的有效性，粘结剂中的10-MDP可提高氧化锆的粘结效果。
