Bayas Salinas Anggely, Reascos Flores Alejandro, Cascante-Calderón Marcelo G, Villacís Altamirano Inés M
Universidad Central del Ecuador, Facultad de Odontología, Quito, Ecuador.
Acta Odontol Latinoam. 2025 Apr;38(1):69-75. doi: 10.54589/aol.38/1/69.
This study evaluated the bond strength of a hybrid PICN ceramic before and after being subjected to 5000 cycles of thermocycling. PICNs are a promising alternative in the field of CAD/CAM dental restorations; however, their adhesive behavior with chemical surface treatments such as silane and 10-MDP, and micromechanical treatments such as hydrofluoric acid and sandblasting is not yet fully understood.
To compare the bond strength of a hybrid PICN ceramic treated with different surface protocols before and after a thermocycling process.
An in-vitro experimental study was conducted. Forty PICN ceramic slices were prepared and divided into four groups. Each group received a specific surface treatment (sandblasting or acid etching) and a different adhesive technique (silane + adhesive or adhesive only). Composite cylinders of 3 mm diameter mm were bonded to each slice, and shear strength was measured on a universal testing machine immediately, and after a period of thermocycling. Statistics: Data were analyzed by ANOVA followed by Tukey's post hoc test. All statistics were analyzed with a 95% confidence interval.
The group subjected to sandblasting followed by silane and universal adhesive achieved the highest adhesion values, both immediately and after thermocycling (16.3 MPa and 11.2 MPa, respectively), and the group subjected to hydrofluoric acid etching and adhesive had the lowest values, both immediately and after thermocycling (8.6 MPa and 5.4MPa).
Cementation of a hybrid ceramic treated with sandblasting, silane and a 10-MDP-based adhesive ensures high bond values, even when aged under hot, humid conditions. Thermocycling significantly reduced the adhesive strength in all groups, the decrease being more noticeable in those that did not include silane.
本研究评估了一种混合聚晶纳米陶瓷(PICN)在经受5000次热循环前后的粘结强度。PICN在计算机辅助设计/计算机辅助制造(CAD/CAM)牙科修复领域是一种有前景的替代材料;然而,它们与硅烷和10-甲基丙烯酰氧癸基二氢磷酸酯(10-MDP)等化学表面处理以及氢氟酸和喷砂等微机械处理的粘结行为尚未完全了解。
比较经过不同表面处理方案的混合PICN陶瓷在热循环过程前后的粘结强度。
进行了一项体外实验研究。制备了40片PICN陶瓷片并分为四组。每组接受特定的表面处理(喷砂或酸蚀)和不同的粘结技术(硅烷+粘结剂或仅使用粘结剂)。将直径3mm的复合圆柱体粘结到每片陶瓷片上,并立即在万能试验机上测量剪切强度,以及在热循环一段时间后测量。统计学分析:数据采用方差分析(ANOVA),随后进行Tukey事后检验。所有统计分析的置信区间为95%。
先进行喷砂处理,然后使用硅烷和通用粘结剂的组,在即刻和热循环后均获得了最高的粘结值(分别为(16.3MPa)和(11.2MPa)),而经过氢氟酸蚀刻和使用粘结剂处理的组,在即刻和热循环后的值最低(分别为(8.6MPa)和(5.4MPa))。
用喷砂、硅烷和基于10-MDP的粘结剂处理的混合陶瓷粘结,即使在热湿条件下老化,也能确保高粘结值。热循环显著降低了所有组的粘结强度,在未使用硅烷的组中下降更为明显。