Kui Andreea, Buduru Smaranda, Labuneț Anca, Sava Sorina, Pop Dalia, Bara Iris, Negucioiu Marius
Prosthetic Dentistry Discipline, Department 4-Prosthodontics and Dental Materials, Faculty of Dental Medicine, "Iuliu Hațieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.
Dental Materials Discipline, Department 4-Prosthodontics and Dental Materials, Faculty of Dental Medicine, "Iuliu Hațieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.
Dent J (Basel). 2024 Dec 29;13(1):16. doi: 10.3390/dj13010016.
Air particle abrasion (APA) is a common surface preparation method in dentistry, particularly for improving bond strength to dentin. This review evaluates the influence of APA on dentin adhesion. : A systematic literature search from 2018 to 2023 was conducted according to PRISMA-ScR guidelines. Articles investigating the effects of APA on dentin adhesion using different particle types, sizes and adhesive systems were included. Data extraction included particle size, air pressure, outcomes tested and failure modes. : Fourteen primary studies met the criteria. Bioactive glass showed higher bond strength and more cohesive failures than alumina. Alumina particles (50 μm) bonded effectively in etch-and-rinse adhesive systems but failed more often in self-etch systems. Silica-modified alumina and mixed abrasive systems showed improvements in bonding performance. Optimal APA parameters were identified as 50 μm particle size, 60 psi (4 bar) air pressure and 5 s exposure time. Longer exposure times provided no additional benefit. Self-etch systems showed reduced bond strength compared to etch-and-rinse systems. : This review looks at how particle type, size and air pressure affect dentin adhesion. Bioactive glass is a superior material due to its bond strength and reduced cytotoxicity. The optimal APA parameters are 50 μm particle size, 60 psi and 5 s. Etch-and-rinse systems are recommended for optimal adhesion. Further research is required on APA protocols and long-term durability.
空气颗粒喷砂处理（APA）是牙科领域一种常见的表面处理方法，尤其用于提高与牙本质的粘结强度。本综述评估了APA对牙本质粘结的影响。：根据PRISMA-ScR指南，对2018年至2023年的文献进行了系统检索。纳入了研究不同颗粒类型、尺寸和粘结系统下APA对牙本质粘结影响的文章。数据提取包括颗粒尺寸、气压、测试结果和失效模式。：十四项主要研究符合标准。生物活性玻璃比氧化铝表现出更高的粘结强度和更多的内聚性失效。氧化铝颗粒（50μm）在酸蚀冲洗粘结系统中粘结有效，但在自酸蚀系统中失败率更高。二氧化硅改性氧化铝和混合磨料系统的粘结性能有所改善。确定最佳的APA参数为50μm颗粒尺寸、60psi（4巴）气压和5秒暴露时间。更长的暴露时间没有额外益处。与酸蚀冲洗系统相比，自酸蚀系统的粘结强度降低。：本综述探讨了颗粒类型、尺寸和气压如何影响牙本质粘结。生物活性玻璃因其粘结强度和降低的细胞毒性而成为一种优质材料。最佳的APA参数是50μm颗粒尺寸、60psi和5秒。建议使用酸蚀冲洗系统以实现最佳粘结。需要对APA方案和长期耐久性进行进一步研究。
