联合偶联剂表面处理对金属托槽与不同瓷修复体黏结强度影响研究.docVIP

联合偶联剂表面处理对金属托槽与不同瓷修复体黏结强度影响研究 　　[摘要]目的：研究四种表面处理方法对三种陶瓷修复体表面处理后与金属托槽间黏结强度的影响。方法：三种不同的瓷粉制作试件并随机分成四个处理组：①酸蚀；②喷砂；③喷砂+偶联剂；④酸蚀+偶联剂。在各组试件表面处理后黏结金属托槽并测量其黏结剪切强度。结果：①经统计学分析，无论对于喷砂还是酸蚀，结合硅烷偶联剂处理后都能显著地提高托槽与瓷修复体表面的黏结强度（P0.05）；②酸蚀不同于喷砂，单独处理时达不到临床托槽黏结强度要求，而结合硅烷偶联剂后，其黏结强度有显著的提高（P 0.05）。结论：偶联剂作为一种辅助处理措施，可以提高喷砂或酸蚀处理后托槽与瓷修复体表面的黏结强度；联合硅烷偶联剂处理，可使单独应用达不到临床托槽黏结要求的酸蚀表面处理方法，达到临床应用要求。 　　[关键词]陶瓷偶联剂；瓷表面处理；剪切强度 　　[中图分类号]R783.1 [文献标识码]A [文章编号]1008-6455（2012）04-0609-03 　　 　　Effects of silane coupling agent on the shear bond strength of metal brackets to different ceramic surface porcelain surfaces 　　YU Tao1, WANG Jin1,CAO Jun2 　　(1.Department of Stomatology, The 150th Hospital of PLA Luoyang 471000,Henan,China; 2.Deparment of Orthodontics,School of Stomatology,The Fourth Military Medical University) 　　 　　Abstract: Objective The effects of various surface preparation methods with coupling agent on the shear bond strength of orthodontic brackets bonded to different ceramic surfaces. Methods Three kinds of porcelain restoration materials were sampled and produced into specimens. Each material specimens was divided into 4 groups according to the preparation method: SB,HF,SB+CPand HF+CP. Shear bond strength (SBS) was tested and compared to the different groups. Results The results shows that silane coupling agent (CP),which was used as an auxiliary measures for surface treatment, can enhance the SBS either SB or HF significantly (P0.05). the CP combined with HF surface treatment can improve the SBS to the clinical requirement. Conclusion These results suggest that the CP as an auxiliary measure can result in the improvement of the SBS for the SB or HF porcelain surface treatment. The HF+CP surface treatment could increase the SBS while the HF preparation is not satisfied with the clinical requirement. 　　Key words：silane;surface preparation;shear bond strength 　　 　　 目前临床上面对戴有陶瓷修复体的患者进行正畸治疗时，大多采用喷砂、酸蚀或二者结合的办法来提高托槽与陶瓷表面的黏结强度，本实验研究了以上两种表面处理结合硅烷偶联剂对不同陶瓷材料与托槽间黏结强度的影响，为临床应用提供一定的理论依据。 　　 　　1 材料