Different surface treatments and adhesive monomers for zirconia-resin bonds: A systematic review and network meta-analysis

IF 5.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Japanese Dental Science Review Pub Date : 2024-06-07 DOI:10.1016/j.jdsr.2024.05.004

Xinyang Li , Shengjie Liang , Masanao Inokoshi , Shikai Zhao , Guang Hong , Chenmin Yao , Cui Huang

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Abstract

This review examined the efficacy of surface treatments and adhesive monomers for enhancing zirconia-resin bond strength. A comprehensive literature search in PubMed, Embase, Web of Science, Scopus, and the Cochrane Library yielded relevant in vitro studies. Employing pairwise and Bayesian network meta-analyses, 77 articles meeting inclusion criteria were analyzed. Gas plasma was found to be ineffective, while treatments including air abrasion, silica coating, laser, selective infiltration etching, hot etching showed varied effectiveness. Air abrasion with finer particles (25–53 µm) showed higher immediate bond strength than larger particles (110–150 µm), with no significant difference post-aging. The Rocatec silica coating system outperformed the CoJet system in both immediate and long-term bond strength. Adhesives containing 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP) were superior to other acidic monomers. The application of 2-hydroxyethyl methacrylate and silane did not improve bonding performance. Notably, 91.2 % of bonds weakened after aging, but this effect was less pronounced with air abrasion or silica coating. The findings highlight the effectiveness of air abrasion, silica coating, selective infiltration etching, hot etching, and laser treatment in improving bond strength, with 10-MDP in bonding agents enhancing zirconia bonding efficacy.

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氧化锆-树脂粘接的不同表面处理和粘接单体：系统综述和网络荟萃分析

本综述研究了表面处理和粘合剂单体在增强氧化锆-树脂粘接强度方面的功效。通过对 PubMed、Embase、Web of Science、Scopus 和 Cochrane 图书馆进行全面的文献检索，得出了相关的体外研究结果。通过配对分析和贝叶斯网络荟萃分析，对符合纳入标准的 77 篇文章进行了分析。结果发现，气体等离子体的效果不佳，而包括气磨、二氧化硅涂层、激光、选择性浸润蚀刻和热蚀刻在内的处理方法则显示出不同的效果。与较大的颗粒（110-150 微米）相比，使用较细颗粒（25-53 微米）的气磨显示出更高的即时粘接强度，但老化后没有显著差异。Rocatec 二氧化硅涂层系统的即时和长期粘接强度均优于 CoJet 系统。含有 10-甲基丙烯酰氧癸基磷酸二氢酯（10-MDP）的粘合剂优于其他酸性单体。使用甲基丙烯酸 2-羟乙基酯和硅烷并不能提高粘接性能。值得注意的是，91.2% 的粘接剂在老化后会变弱，但这种影响在空气磨蚀或硅涂层中并不明显。研究结果凸显了空气研磨、二氧化硅涂层、选择性渗透蚀刻、热蚀刻和激光处理在提高粘接强度方面的有效性，粘接剂中的 10-MDP 可提高氧化锆的粘接效果。

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来源期刊

Japanese Dental Science Review DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

9.90

自引率

1.50%

发文量

审稿时长

32 days

期刊介绍： The Japanese Dental Science Review is published by the Japanese Association for Dental Science aiming to introduce the modern aspects of the dental basic and clinical sciences in Japan, and to share and discuss the update information with foreign researchers and dentists for further development of dentistry. In principle, papers are written and submitted on the invitation of one of the Editors, although the Editors would be glad to receive suggestions. Proposals for review articles should be sent by the authors to one of the Editors by e-mail. All submitted papers are subject to the peer- refereeing process.