Adhesive luting of indirect restorations.
Adhesive luting of indirect restorations.
复制标题
间接修复体的粘合。
DOI：
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发表时间：
2000
影响因子：
1.4
通讯作者：
R. Frankenberger
中科院分区：
文献类型：
--
作者：
N. Krämer;U. Lohbauer;R. Frankenberger
目的
旨在描述粘合剂粘接程序在以下方面的潜力：（1）材料特性和分类，（2）膜厚度，（3）悬突控制，（4）与不同嵌体材料的粘合，（5）与牙齿基质的粘附和超敏反应问题，（6）粘接复合材料的磨损，以及（7）临床性能。
材料和方法
对各种体外和体内研究的相关研究进行了文献综述，概述了间接洗脱的可能性和局限性。
结果
(1)树脂基复合材料是胶粘剂密封的首选材料。细颗粒混杂型树脂基复合材料的材料性能和磨损性能均上级其它材料。由于IPS Empress帽在体外和体内的吸湿膨胀和可能的裂纹形成，复合体的使用是可疑的。(2)最近的胶合剂表现出优异的流动特性，平均膜厚度在8微米和21微米之间。超声插入技术被推荐用于粘性胶合复合材料或利用其触变特性的常规修复复合材料。(3)为了成功控制悬突，修复体的良好贴合性（在封固期间）和骨水泥的高不透射线性（封固后）是必不可少的。当应用超声插入技术时，悬垂控制更容易估计。(4)使用氢氟酸或二氧化硅涂层对陶瓷嵌体进行预处理可获得有效的结合;对于树脂基复合嵌体的预处理，二氧化硅涂层也是有希望的。(5)牙釉质和牙本质的粘合在临床上是可以接受的，但应使用多步系统进行，提供单独的底漆和粘合剂，产生完美的内部密封，几乎没有超敏反应。双固化多步粘合剂提供了最有前途的潜力。(6)用于粘接的树脂复合材料的粘度和填料含量不影响体内边缘粘接区域内的磨损特性。然而，涉及高粘度材料的超声波插入技术为牙齿颜色嵌体的粘接提供了增强的处理特性。(7)牙齿颜色嵌体和贴面的临床结果是有希望的，超过10年的时间，包括在严重破坏的牙齿使用。
PURPOSE
To describe the potential of adhesive luting procedures with respect to (1) material characteristics and classifications, (2) film thickness, (3) overhang control, (4) bonding to different inlay materials, (5) adhesion to tooth substrates and the problem of hypersensitivities, (6) wear of luting composites, and (7) clinical performance.
MATERIALS AND METHODS
A literature review of relevant studies of various in vitro and in vivo studies enables an overview of possibilities and limitations of adhesively luted indirect restorations.
RESULTS
(1) Resin-based composites are the material of choice for adhesive luting. Both material properties and wear behavior of fine particle hybrid-type resin-based composites are superior to other materials. The use of compomers is questionable due to hygroscopic expansion and possible crack formation as proven for IPS Empress caps in vitro and in vivo. (2) Recent luting cements exhibit excellent flow characteristics with mean film thicknesses ranging between 8 microm and 21 microm. The ultrasonic insertion technique is recommended for viscous luting composites or conventional restorative composites utilizing their thixotropic properties. (3) For successful overhang control, good fit of the restoration (during luting) and high radiopacity of the cement (after luting) are indispensable. Overhang control is estimated easier when the ultrasonic insertion technique is applied. (4) The pre-treatments of ceramic inlays using hydrofluoric acid or silica coating result in effective bonding; for pre-treatment of resin-based composite inlays, silica coating is promising as well. (5) Bonding to enamel and dentin is proven clinically acceptable, but it should be performed with multi-step systems providing separate primers and bonding agents producing a perfect internal seal with almost no hypersensitivities. Dual-cured multi-step bonding agents provide the most promising potential. (6) The viscosity and filler content of the resin composite used for luting does not influence the wear characteristics within the marginal luting area in vivo. However, the ultrasonic insertion technique involving high viscosity materials provides enhanced handling characteristics for luting of tooth-colored inlays. (7) Clinical results with tooth-colored inlays and veneers are promising over periods of up to 10 yrs, including use in severely destroyed teeth.