脉冲Nd:YAG激光影响复合树脂修补烤瓷粘接强度实验研究

目的：评价激光进行瓷面处理对复合树脂修补烤瓷的粘接效果。方法：分别用８％氢氟酸及３组能量参数的脉冲Ｎｄ：ＹＡＧ激光（１５Ｈｚ、４０ｍＪ、０．６Ｗ;１５Ｈｚ、６０ｍＪ、０．９Ｗ;１５Ｈｚ、８０ｍＪ、１．２Ｗ）对烤瓷牙粘接表面进行照射,照射时间均为１ｍｉｎ,涂硅烷液及活化剂后,粘接复合树脂。应用电子万能试验机测试复合树脂－烤瓷的抗剪切粘接强度。采用扫描电镜观察瓷处理面的形貌特征。结果：激光０．６Ｗ组、０．９Ｗ组、１．２Ｗ组及酸蚀组的抗剪切粘接强度分别为８．６１、１４．０７、１１．２２及１３．４７ＭＰａ,激光０．６Ｗ组明显低于酸蚀组,两者具有统计学差异,而０．９Ｗ组及１．２Ｗ组与酸蚀组则无显著性差异。扫描电镜显示经激光处理的瓷面粗糙不平,呈浅凹状及火山口状结构。结论：在适当能量参数下,脉冲Ｎｄ：ＹＡＧ激光可代替酸蚀进

Effects of Pulsed Nd:YAG Laser Irradiation on Shear Bond Strength of Composite Resin Bonded to Porcelain

OBJECTIVE: To evaluate the shear bond strength of composite resin bonded to pretreated porcelain surfaces by use of a pulsed Nd:YAG laser irradiation and by use of 8% hydrofluoric etching. METHODS: Surfaces of porcelain were roughened with coarse diamonds until the opaque body porcelains were exposed. The samples were divided into four groups. Samples of the first group were etched with 8% hydrofluoric acid for 3 min by following the manufacter's instructions. Samples of the 2nd, 3rd and 4th groups were separately irradiated by a pulsed Nd:YAG laser of three energy parameters of 15 Hz, 40 mJ; 0.6 W; 15 Hz, 60 mJ, 0.9 W and 15 Hz, 80 mJ, 1.2 W different respectively, each specimen was irradiated for 1 min. Then, silane coupling agent was equally placed on the treated surfaces for 3 min, the activator was used on each surface. The adhesive was applied and light-cured. The composite resin material was finally bonded to the treated porcelain surface, forming a 3 mm x 3 mm x 2 mm resin mass. Samples were then tested for shear bond strength between the treated porcelain and composite resin by using a SWD-10 electric universal testing machine with a crosshead speed of 1 mm/min until fracture. At the end of testing, the data was evaluated by using a two-way analysis of variance (ANOVA) comparing the shear bond strength. On the other hand, characteristic morphology of laser irradiated surfaces of porcelain was prepared and observed by a scanning electron microscopy. RESULTS: The shear bond strength of laser groups of 0.6 W, 0.9 W, 1.2 W and etching group was respectively 8.61, 14.07, 11.22 and 13.47 MPa. There was no significantly difference among groups of laser 0.9 W, 1.2 W and the etching group. This suggested that irradiated on surfaces of porcelain by Nd:YAG laser at the above laser energy could attain the same effectiveness as hydrofluoric acid etching. But the shear bond strength of laser 0.6 W group was significantly lower than the etching group. It suggested that shear bond strength would obviously decrease when laser energy was 0.6 W or lower than this parameter, and had no use in treatment on porcelain surfaces comparing to acid etching. SEM showed that porcelain surfaces irradiated by Nd:YAG laser exhibited rough, umbilicate, lava crater-like structure. This structure helped to produce mechanical retention between resin composite and porcelain. CONCLUSION: The pulsed Nd:YAG laser could replace etching method to pretreat the fracture porcelain surfaces for bonding with composite resin at appropriate energy parameters.