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表面处理方案对树脂复合材料与CAD/CAM块体修复粘结强度的影响:生物活性玻璃、二氧化硅涂层氧化铝还是氧化铝?

Effect of surface conditioning protocols on the repair bond strength of resin composite to CAD/CAM blocks: Bioactive-glass, silica-coated alumina, or aluminum oxide?

作者信息

Gençer Büşra Karabulut, Şenol Ayşe Aslı, Acar Ezgi, Atalı Pınar Yılmaz, Tarçın Bilge, Özcan Mutlu

机构信息

Hamidiye Faculty of Dental Medicine, Department of Restorative Dentistry, University of Health Sciences, Istanbul, Turkey.

Faculty of Dentistry, Department of Restorative Dentistry, Marmara University, Istanbul, Turkey.

出版信息

Eur J Oral Sci. 2025 Aug;133(4):e70016. doi: 10.1111/eos.70016. Epub 2025 May 13.

Abstract

This study evaluated the repair bond strengths of ceramic and hybrid ceramic CAD/CAM restorations following bioactive-glass, silica-coated alumina, and aluminum oxide surface treatments. Shear bond strength (SBS) tests, surface roughness, and scanning electron microscopic (SEM) evaluations were performed on 180 specimens (7×12×2 mm and 5×5×3 mm, respectively) of ceramic (IPS Empress) and hybrid ceramic (Cerasmart270) blocks. Samples were thermocycled (5°C-55°C, 5000 cycles) and silica-coated alumina, AlO, or bioactive-glass were used for surface conditioning. Resin composite was applied on substrate using two- (Tokuyama Universal) or one-bottle (G-Premio) universal adhesives, combined with the same brand universal shade composites (Omnichroma, Essentia Universal). SBS values were measured using a universal testing machine; failure types were analyzed using a stereomicroscope. Surface roughness was assessed with a profilometer, followed by SEM. Statistical analysis included ANOVA, Tukey HSD, and Fisher's Exact tests. The highest mean SBS values were observed for ceramics in conjunction with two-bottle universal adhesives. No statistically significant differences were found in the SBS values for different surface conditioning treatments except for hybrid ceramic conditioned with AlO. Bioactive-glass and silica-coated alumina caused similar surface roughness as indicated by the SEM images. A surface conditioning method and an adhesive system are both essential for hybrid ceramic repairs, while the adhesive system was more critical for ceramics.

摘要

本研究评估了生物活性玻璃、二氧化硅涂层氧化铝和氧化铝表面处理后陶瓷及混合陶瓷CAD/CAM修复体的修复粘结强度。对陶瓷(IPS Empress)和混合陶瓷(Cerasmart270)块体的180个样本(分别为7×12×2 mm和5×5×3 mm)进行了剪切粘结强度(SBS)测试、表面粗糙度测量和扫描电子显微镜(SEM)评估。样本进行了热循环(5°C - 55°C,5000次循环),并使用二氧化硅涂层氧化铝、AlO或生物活性玻璃进行表面处理。使用双组分(德山通用型)或单组分(G - Premio)通用粘结剂将树脂复合材料应用于基底,并结合相同品牌的通用色复合树脂(Omnichroma,Essentia Universal)。使用万能试验机测量SBS值;使用体视显微镜分析失效类型。用轮廓仪评估表面粗糙度,随后进行SEM分析。统计分析包括方差分析、Tukey HSD检验和Fisher精确检验。对于陶瓷与双组分通用粘结剂结合的情况,观察到最高的平均SBS值。除了用AlO处理的混合陶瓷外,不同表面处理的SBS值未发现统计学上的显著差异。如SEM图像所示,生物活性玻璃和二氧化硅涂层氧化铝导致相似的表面粗糙度。表面处理方法和粘结系统对于混合陶瓷修复都至关重要,而粘结系统对陶瓷更为关键。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6dc3/12269539/cfc0f78f4b13/EOS-133-e70016-g002.jpg

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