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粘结式正畸保持器:钢丝与复合材料的界面

Bonded orthodontic retainers: the wire-composite interface.

作者信息

Bearn D R, McCabe J F, Gordon P H, Aird J C

机构信息

Department of Dental Medicine and Surgery, University of Manchester, England.

出版信息

Am J Orthod Dentofacial Orthop. 1997 Jan;111(1):67-74. doi: 10.1016/s0889-5406(97)70304-4.

DOI:10.1016/s0889-5406(97)70304-4
PMID:9009926
Abstract

The bonded orthodontic retainer constructed from multistrand wire and composite is an efficient esthetic retainer, which can be maintained long-term. Clinical failures of bonded orthodontic retainers, most commonly at the wire/composite interface, have been reported. This in vitro investigation aimed to evaluate selected multistrand wires and composite materials that are available for use in the construction of bonded fixed retainers. An in vitro model was developed to simulate the forces encountered at the wire/composite interface. No significant difference was detected between different multistrand wire types and diameters with regard to retention in composite. Wires were placed in one of three groups according to surface characteristics identified with scanning electron microscopy. Increasing the thickness of composite overlying the wire increased the force required to detach the wire from the composite. Thickness of composite greater than 1.0 mm overlying the wire may give little clinical advantage. Greater force was required to detach the wire from Concise Orthodontic (3M Unitek) than any other composite tested. In vitro abrasion resistance testing found Heliosit Orthodontic (Vivadent) and Right On (TP Orthodontics, Inc.) to have poor abrasion resistance, whereas Concise Orthodontic and Transbond (3M Unitek) had abrasion resistance comparable with restorative composites. Clinical recommendations are made based on these findings.

摘要

由多股金属丝和复合材料制成的粘结式正畸保持器是一种有效的美观保持器,可长期使用。已有报道称粘结式正畸保持器会出现临床失败情况,最常见的是在金属丝/复合材料界面处。这项体外研究旨在评估可用于制作粘结式固定保持器的特定多股金属丝和复合材料。建立了一个体外模型来模拟在金属丝/复合材料界面处遇到的力。就复合材料中的固位情况而言,不同类型和直径的多股金属丝之间未检测到显著差异。根据扫描电子显微镜确定的表面特征,将金属丝分为三组。增加覆盖在金属丝上的复合材料厚度会增加将金属丝从复合材料上分离所需的力。覆盖在金属丝上的复合材料厚度大于1.0毫米可能不会带来多少临床优势。将金属丝从Concise Orthodontic(3M Unitek公司)中分离所需的力比测试的任何其他复合材料都要大。体外耐磨性测试发现Heliosit Orthodontic(Vivadent公司)和Right On(TP Orthodontics公司)耐磨性较差,而Concise Orthodontic和Transbond(3M Unitek公司)的耐磨性与修复性复合材料相当。基于这些发现提出了临床建议。

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