Rosenstiel S F, Land M F, Crispin B J
Section of Restorative Dentistry, Prosthodontics and Endodontics, Ohio State University College of Dentistry, Columbus, USA.
J Prosthet Dent. 1998 Sep;80(3):280-301. doi: 10.1016/s0022-3913(98)70128-3.
The practice of fixed prosthodontic has changed dramatically with the introduction of innovative techniques and materials. Adhesive resin systems are examples of these changes that have led to the popularity of bonded ceramics and resin-retained fixed partial dentures. Today's dentist has the choice of a water-based luting agent (zinc phosphate, zinc polycarboxylate, glass ionomer, or reinforced zinc oxide-eugenol) or a resin system with or without an adhesive. Recent formulations of glass ionomer luting agents include resin components (resin-modified glass ionomers), which are increasingly popular in clinical practice.
This review summarizes the research on these systems with the goal of providing information that will help the reader choose the most suitable material.
The scientific studies have been evaluated in relation to the following categories: (1) biocompatibility, (2) caries or plaque inhibition, (3) microleakage, (4) strength and other mechanical properties, (5) solubility, (6) water sorption, (7) adhesion, (8) setting stresses, (9) wear resistance, (10) color stability, (11) radiopacity, (12) film thickness or viscosity, and (13) working and setting times. In addition, guidelines on luting-agent manipulation are related to available literature and include: (1) temporary cement removal, (2) smear layer removal, (3) powder/liquid ratio, (4) mixing temperature and speed, (5) seating force and vibration, and (6) moisture control. Tables of available products and their properties are also presented together with current recommendations by the authors with a rationale.
随着创新技术和材料的引入，固定修复学的实践发生了巨大变化。粘结树脂系统就是这些变化的例证，它们推动了粘结陶瓷和树脂固位固定局部义齿的普及。如今的牙医可以选择水基粘结剂（磷酸锌、聚羧酸锌、玻璃离子体或增强型氧化锌丁香酚）或含或不含粘结剂的树脂系统。玻璃离子体粘结剂的最新配方包含树脂成分（树脂改性玻璃离子体），在临床实践中越来越受欢迎。
本综述总结了对这些系统的研究，目的是提供有助于读者选择最合适材料的信息。
已根据以下类别对科学研究进行了评估：（1）生物相容性，（2）防龋或防菌斑，（3）微渗漏，（4）强度及其他机械性能，（5）溶解性，（6）吸水性，（7）粘结性，（8）凝固应力，（9）耐磨性，（10）颜色稳定性，（11）射线不透性，（12）薄膜厚度或粘度，以及（13）工作和凝固时间。此外，关于粘结剂操作的指南与现有文献相关，包括：（1）临时粘结剂去除，（2）玷污层去除，（3）粉液比，（4）混合温度和速度，（5）就位力和振动，以及（6）湿度控制。还列出了现有产品及其性能的表格，以及作者目前的建议及理由。
