华西口腔医学杂志

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瓷面处理对金属托槽与瓷面粘接性能的影响

范存晖1,陈 杰1,刘新强1,马 欣2   

  1. 1.青岛大学医学院附属医院 口腔正畸科;2.口腔修复技工中心,山东 青岛266003
  • 收稿日期:2005-08-25 修回日期:2005-08-25 出版日期:2005-08-20 发布日期:2005-08-20
  • 通讯作者: 范存晖,Tel:0532-82911225
  • 作者简介:范存晖(1968-),女,山东人,主治医师,硕士
  • 基金资助:
    山东省卫生基金资助项目(2001CAICBB2)

Influence of Different Porcelain Surface Treatment Method on the Bonding of Metal Brackets to Porcelain

FAN Cun- hui1,CHENJie1, LIUXin-qiang1,MAXin2   

  1. 1.Dept. ofOrthodontics, TheAffiliatedHospital ofMedical College, Qingdao Uni- versity, Qingdao266003,China;2.Centre ofProsthodontic Laboratory, The AffiliatedHospital ofMedical College, Qingdao Uni- versity, Qingdao266003,China
  • Received:2005-08-25 Revised:2005-08-25 Online:2005-08-20 Published:2005-08-20

摘要: 目的 研究瓷表面不同处理方法对金属托槽与瓷修复体的粘接强度及去粘接后瓷面完整性的影响。方 法 根据使用粘接剂和表面处理方法的不同,将80个瓷面随机分为8组,每组10个瓷面。分别用京津釉质粘接剂 和光固化复合树脂粘接,表面处理分别行37%磷酸酸蚀、9·6%氢氟酸酸蚀、打磨去釉、瓷面涂硅烷偶联剂4种表面 处理法。试件粘接托槽后经37℃恒温水浴24 h后测定抗剪切强度,记录去粘接后的瓷面破裂情况。对磷酸酸蚀, 氢氟酸酸蚀、打磨去釉的瓷面进行扫描电镜观察。结果 采用氢氟酸酸蚀、打磨去釉、硅烷偶联剂组的粘接抗剪切 强度明显高于磷酸酸蚀组(P<0·01)。打磨去釉后用光固化复合树脂粘接及氢氟酸酸蚀或瓷表面涂硅烷处理后使 用任意一种粘接材料粘接均取得有效的粘接强度。各组去粘接后的瓷破裂率无显著性差异(P>0·05)。结论 氢 氟酸酸蚀、打磨去釉、瓷面涂硅烷偶联剂均可以明显增加金属托槽与瓷面之间的粘接抗剪切强度。瓷面涂硅烷偶 联剂是金属托槽与瓷面粘接时良好的表面处理剂。

关键词: 瓷, 金属托槽, 粘接

Abstract:

Objective To investigate the influence of different porcelain surface treatment methods on the shear bond strength of metal brackets bonded to porcelain.Methods 80 porcelain facetswere divided randomly intotwo groups accordingto different adhesive material thatwas used to bond metal brackets. Adhesive materialwere Jing-Jin enamel adhesive and light-cured composite resin. Each group was further divided into 4 subgroups according to different surface treatment methods,which were acid etching with 37% phosphoric acid(H3PO4),acid etching with 9·6% hydrofluoric acid(HF),deglazing by grinding and silanating the porcelain surface.All specimenswere stored in 37℃waterfor24 hours and then the shear bond strength and the porcelain fracture after debonding was determined. The porcelain surfaces afterHF etching, H3PO4etching and deglazing by grindingwere examined by scanning electron microscopy respectively.Results The shear bond strengths in the HF etching groups, the deglazing groups and the silanating groups were much greater than that in the phosphoric etching groups(P<0·01). Adequate orthodontic bonding strength was achieved both when bonded with light-cured composite resin after deglazing by grinding and when bonded with either of these adhesives afterHF etching or surface silanating. There were no differences in the rates of porcelain fractures among groups (P>0·05).Conclusion HF etching, deglazing by grinding and silanating can all increase the shear bond strength between metal bracket and porcelain. Surface silanating of porcelain is a better surface treatmentwhen metal brackets bonded to porcelain.

Key words: porcelain, metal bracket, bonding