不同偶联剂对烤瓷瓷面与金属托槽抗剪切力影响.docVIP

不同偶联剂对烤瓷瓷面与金属托槽抗剪切力的影响 　　[摘要]目的：研究不同类型硅烷偶联剂对烤瓷瓷面与金属托槽之间抗剪切力的影响。方法：将30个烤瓷瓷面行水砂纸打磨去釉，HF酸蚀处理，根据硅烷偶联剂的不同随机分3组，将30个金属托槽粘结于烤瓷瓷面，托槽粘结60min后经37℃恒温人工唾液水浴孵化24h，使用Instron万能材料力学试验机测定样本抗剪切力。结果：使用硅烷偶联剂组抗剪切力比未使用硅烷偶联剂组大，差异有统计学意义（P0.05）；未使用硅烷偶联剂组瓷面破损指数明显小于使用硅烷偶联剂组，差异有统计学意义（P0.05）。结论：硅烷偶联剂能有效增加烤瓷瓷面和金属托槽之间的抗剪切力，单组份和双组份硅烷偶联剂之间无明显差别。 　　[关键词]抗剪切力；硅烷偶联剂；瓷面粘结；金属托槽 　　[中图分类号]R783 [文献标志码]A [文章编号]1008-6455（2015）20-0063-03 　　Abstract： Objective To investigate the influence of different silane coupling agents to the shear bond strength of metal brackets bonded to porcelain surface. Methods 30 porcelain specimens were deglazed by water sandpaper and etched，rinsed with distilled water and dried before applying the silane primer.All specimens were divided randomly into 3 groups according to different silane coupling agents application，every group had 10 porcelain facets.30 metal brackets were bonded to ceramic specimens.All specimens were stored in artificial saliva bath at 37℃ for 24 hours.after brackets bonded for 60min，then the specimens were underwent shear testing with Instron universal testing machine. Results The shear bond strength of the groups treated with silane primer were higher than that without silane primer（P0.05）.The groups treated without silane coupling agent showed lower porcelain fracture than the groups treated with silane coupling agent. Conclusions Silane coupling agent can improve the shear bond strength between metal brackets and porcelain surface.There was not any statistically significant in the shear bond strength between the group of one-mix silane coupling agent and the group of two-mix silane coupling agent. 　　Key words：shear bond strength；silane coupling agent；porcelain bonding；metal bracket 　　随着正畸治疗的逐年普及，许多成年人加入了正畸的行列，许多成年人接受矫正时口内常存有烤瓷修复体。研究表明，如果单独采用磷酸酸蚀金属烤瓷瓷面，无论采用何种粘结剂，其抗剪切力均不能满足临床应用[1]。可见传统的釉质粘结系统并不适合将托槽粘结于烤瓷表面，本研究旨在探讨采用何种方式和材料在烤瓷瓷面粘结托槽，既能达到临床使用要求，又能在去除托槽后对瓷修复体表面影响最小。 　　1 资料和方法 　　1.1 材料和设备 　　烤瓷瓷粉（Dentsply公司，德国），右上中切牙方丝弓金属托槽（杭州新亚齿科材料有限公司）， RelyXTM单组份硅烷偶联