老年口腔疾病修复粘接材料的研究与应用

背景：随着粘接材料性能的不断提高和粘接技术的不断更新，粘接修复的临床应用日益广泛。复合树脂粘接材料对牙釉质、牙本质、陶瓷、金属和高分子的粘接以及水门汀对牙釉质、牙本质和金属的粘接已基本成为口腔疾病修复的常规治疗手段。目的：探讨口腔修复粘接材料的研究与应用进展。方法：检索口腔修复粘接材料相关的研究文献，检索词为“口腔修复(dental repair)，粘接材料(adhesive material)，口腔粘接剂(dental adhesive or dental bonding agent），合成树脂(synthetic resin)，水门汀(cement)，牙釉质胶粘剂(enamel bonding agent)，牙本质胶粘剂(dentin bonding agent)，聚羧酸锌水门汀(zinc polycarboxylate cement)，玻璃离子水门汀(glass ionomer cement)，树脂改性的玻璃离子水门汀(resin-modified glass ionomer cement)”，语言分别设定为中文和英文。结果与结论：目前在临床上被广泛使用的口腔粘接材料可分为2大类：一类为合成树脂类，另一类为水门汀类。合成树脂类粘接材料主要有牙本质粘接剂和牙釉质胶黏剂；水门汀类粘接材料主要有无机水门汀、聚羧酸锌水门汀、玻璃离子水门汀、树脂改性的玻璃离子水门汀、复合玻璃体。随着口腔医学的发展及社会人口老龄化，对于口腔材料会有更多的需求，对粘接牙体组织的新材料会有更高的要求。因此，粘接材料将处于口腔材料研究的重要地位。

Adhesive materials for dental repair in the elderly

BACKGROUND:With constantly improvement of adhesive material and updating the adhesive technology, the clinical application of the adhesive repair was increasingly widespread. The synthetic resin bonded on the enamel, dentin, ceramics, metal and polymer and the cement on the enamel, dentin and metal, has become the conventional dental treatment.OBJECTIVE:To explore the research in the adhesive materials in the dental repair.METHODS:A computer online retrieval was performed to search papers regarding the adhesive material of the dental repair, using key words of “dental repair, adhesive material, dental adhesive or dental bonding agent, synthetic resin, cement, enamel adhesive, dentin adhesive, zinc polycarboxylate cement, glass ionomer cement, resin-modified glass ionomer cement” in both Chinese and English. According to inclusion criteria, the synthetic resin and the cement adhesive material were summarized to further analyze the adhesive materials for dental repair.RESULTS AND CONCLUSION:Now the clinical dental adhesive materials can be divided into two categories: synthetic resins and cement. The synthetic resins include dentin bonding agent and enamel bonding agent. The cement includes inorganic cement, zinc polycarboxylate cement, glass ionomer cement, resin-modified glass ionomer cement. With the development of dental medicine and social population aging, there will be more demands for dental material, and higher requirements for the adhesive material. Therefore, the bonding material plays the important role in the dental material research.