全瓷冠及其相关陶瓷粘接剂的研究与应用

背景：全瓷修复是当今口腔固定修复的发展趋势之一，全瓷修复体依赖良好的树脂粘接剂以保证其临床成功。目前，全瓷修复树脂粘接剂与牙本质的粘接技术及瓷表面处理技术仍在不断探索改进之中，以期进一步提高临床粘接效果。目的：总结全瓷冠及其相关陶瓷粘接剂的研究进展。方法：由第一作者检索2000/2010 PubMed数据及万方数据库有关全瓷牙及陶瓷粘接剂的文献，英文检索词为“ceramic crown，bond，interface”，中文检索词为“全瓷修复，粘接，界面”。共检得到41篇文献，最终纳入符合标准的文献24篇。 结果与结论：理想的用于全瓷修复体的树脂粘接剂应具有粘度低、流动性好、被膜厚度不影响修复体就位、强度高、耐磨损等性质。全瓷修复体是一种新型口腔修复材料，在临床应用已日趋广泛，近些年也出现了许多新型的粘接材料，这些粘接材料之间的性能差异及其与全瓷冠粘结效果的评价不尽一致。文章综述了目前国内外各类全瓷冠及其相关粘接剂的研究进展，较系统地介绍其材料性能、表面处理及粘接技术等方面的情况，为陶瓷粘接剂更广泛的应用于临床提供理论依据。

Research and application of ceramic crown and related ceramic splicing agent

BACKGROUND:Ceramic crown reparation is one of the developing tendencies of oral fixed dentures. Ceramic crown reparation depends on upstanding resin splicing agent in order to ensure its clinical success. Nowadays, ceramic crown reparation resin splicing agent and dentinal splicing technique, as well as surface treatment technology of porcelain are still being explored and improved, so as to further improve clinical splicing effects. OBJECTIVE:To review the research progress on ceramic crown and related ceramic splicing agent.METHODS:The literatures related to ceramic crown and ceramic splicing agent from PubMed database (2000/2010) and Wanfang database were retrieved by the first author, with the key words of “ceramic crown, bond, interface” in English and Chinese, respectively. Finally, 24 documents were included.RESULTS AND CONCLUSION:Ideal resin splicing agent which should have the characters of low consistency, fine flowability, and the thickness do not affect restoration, high intensity, wear-resisting and so on. Ceramic crown is a new dental prosthetic restoration. It is becoming gradually widespread in clinical application, and there are a lot of new adhesives developed in recent years. The performance difference of bonding materials and the evaluations of effect on ceramic crow adhesives are not the same. The article summarizes the research progress on ceramic crown and related ceramic splicing agent at home and abroad presently and recommends the performance, surface treatment and splicing techniques of the adhesives systematically, which can provide theoretical basis for clinical application extensively.