国产单晶陶瓷托槽粘结性能的体外实验研究-口腔临床医学专业论文.docxVIP

摘要 摘要 万方数据 万方数据 摘 要 目的：通过体外力学实验比较国产单晶陶瓷托槽与进口单晶陶瓷托槽、国 产多晶陶瓷托槽、国产金属托槽的粘结性能，为临床提供参考。 方法: 收集因正畸需要而拔除的 160 颗上颌前磨牙，包埋后随机分成 8 组。 国产单晶陶瓷托槽、进口单晶陶瓷托槽、国产多晶陶瓷托槽、国产金属托槽四 种托槽与光固化复合树脂粘结剂、化学固化复合树脂粘结剂两种粘结剂进行组 合使用，将粘结好的托槽置于蒸馏水恒温水浴箱中保存。每组随机分为两个亚 组，即 30 分钟亚组和 24 小时亚组，用 Instron 万能材料力学试验机测试其剪 切力并计算托槽的抗剪切强度，同时以粘结剂残留指数（Adhesive Remnant Index, ARI）计分法记录牙面粘结剂的残余量。用 SPSS16.0 软件进行统计处理。 结果：(1)托槽类型对抗剪切强度有显著性影响，粘结剂类型对抗剪切强度 无显著性影响，时间对抗剪切强度有显著性影响。(2)无论是 30 分钟还是 24 小 时测试抗剪切强度，国产单晶陶瓷托槽与和国产多晶陶瓷托槽的抗剪切强度无 统计学差异，国产单晶陶瓷托槽与进口单晶陶瓷托槽、国产金属托槽的抗剪切 强度有统计学差异。抗剪切强度从高到低分别是进口单晶陶瓷托槽、国产金属 托槽、国产单晶陶瓷托槽和国产多晶陶瓷托槽。国产单晶陶瓷托槽粘结破坏多 位于托槽与粘结剂界面。(3)所有组别中，24 小时抗剪切强度明显高于 30 分钟抗 剪切强度。(4)无论是 30 分钟还是 24 小时测得的 ARI 指数，各组间无显著性差 异。 结论：国产单晶陶瓷托槽的抗剪切强度与国产多晶陶瓷托槽相似，较进口 单晶托槽和国产金属托槽低，但能满足临床需要。 关键词：国产单晶陶瓷托槽；光固化复合树脂粘结剂；化学固化复合树脂粘 结剂；抗剪切强度；粘结剂残余指数 II Abst Abstract ABSTRACT Objective: The purpose of this study was to compare the adhesive property of domestic monocrystalline ceramic bracket with imported monocrystalline ceramic bracket , domestic polycrystalline ceramic bracket and domestic metal bracket. Methods: Collect 160 human extracted maxillary premolars for orthodontic treatment, and divide into 8 groups randomly(20 each group). Four types of brackets (the domestic monocrystalline ceramic bracket ； the imported monocrystalline ceramic bracket；the domestic polycrystalline ceramic bracket ;the domestic metal bracket )and two types of adhesive(light-cured orthodontic adhesive;chemically cured orthodontic adhesive) were used.After bonding, all the samples were placed in a distilled water at 37oC .Each group was divided into two subgroups randomly：One was tested at 30 mins and the other at 24 hours by Instron appliance.Evaluated the adhesive remnant index (ARI) by observing the surface of the teeth after debonding. All statistical data were analysed by SPSS16.0 software. Results:(1)The type of brackets and the time when testing had significant effects on the Shear bond strength（SBS）, but the type of adhesive had no significant effect on t