基牙颜色与粘接剂类型对超薄瓷贴面修复体颜色的影响

口腔生物医学 ›› 2021, Vol. 12 ›› Issue (1): 38-42.

基牙颜色与粘接剂类型对超薄瓷贴面修复体颜色的影响

仇碧莹，张凌，廖紫璇，周唯，余昊翰，李芳，陈吉华

口腔疾病国家临床医学研究中心，军事口腔医学国家重点实验室，陕西省口腔医学重点实验室，空军军医大学口腔医院修复科

收稿日期:2020-11-05 修回日期:2020-12-22 出版日期:2021-03-25 发布日期:2021-04-01
通讯作者: 陈吉华 E-mail:jhchen@fmmu.edu.cn
基金资助:
国家自然科学基金（81720108011）;长江学者和创新团队发展计划（IRT13051）;空军军医大学科技发展基金（2019XB061）;国家口腔疾病临床医学研究中心专项课题（LCB202003）

Effects of the abutment color and adhesive types on the color of ultra-thin porcelain laminate veneers

Received:2020-11-05 Revised:2020-12-22 Online:2021-03-25 Published:2021-04-01

摘要/Abstract

摘要： 目的：研究基牙颜色和粘接剂类型对超薄瓷贴面修复体颜色的影响。方法：使用2类6种粘接剂进行研究，酸蚀-冲洗型3种：Ivoclar Syntac? heliobond (SH)、3M AdperTM Single Bond 2(SB2)、Bisco One-Step Plus(OSP)；通用型3种：Ivoclar Tetric N Bond Universal(TN)、3M Single Bond Universal(SBU)、Bisco ALL-Bond Univeral(ABU)。制备厚度分别为0.3 mm、0.1 mm、和2 mm的瓷贴面、水门汀和基牙代型薄片，利用薄片制作超薄瓷贴面修复体试件，模拟临床超薄瓷贴面修复的复合体。树脂代型选择IPS Natural die，颜色为ND1~ND4以模拟不同颜色基牙。使用Vita EasyShade分光光度计测定各组超薄瓷贴面修复体的颜色并计算色差值。结果：粘接剂种类、基牙代型颜色以及它们的交互作用对超薄瓷贴面修复体颜色变化的ΔE值有显著性影响(P<0.001)。当基牙颜色相同时，OSP与ABU间色差不显著，其余4组间的色差有统计学意义：TN>SH，SBU>SB2 (P<0.05）；当粘接剂种类相同时，TN组和SBU组不同基牙代型颜色的超薄瓷贴面修复体色差间有显著性差异：TN组：ND2>ND3>ND1>ND4（P<0.05）；SBU组：ND1>ND2>ND3>ND4（P<0.05）。结论：粘接剂种类和基牙颜色对超薄瓷贴面修复体的颜色有影响，临床工作中进行超薄瓷贴面修复时，应根据基牙颜色选择适宜的粘接剂进行粘接修复。

关键词: 微创, 瓷贴面, 超薄, 颜色, 粘接剂, 基牙

Abstract: Objective：To evaluate the effects of the abutment color and adhesive types on the color of restorations using ultra-thin porcelain laminate veneers. Methods：Six dental adhesives of two types were selected: 3 of Etch&rinse systems：Ivoclar Syntac? heliobond(SH), 3M AdperTM Single Bond 2(SB2)，Bisco One-Step Plus(OSP)，3 of Universal system: Ivoclar Tetric? N Bond Universal(TN)、, 3M Single Bond Universal(SBU), and Bisco ALL-Bond Univeral(ABU) . The specimens of ultra-thin porcelain laminate veneers with the slices of veneer, cement, adhesive and resin replacement（thickness of 0.3mm，0.1mm，0.1mm，and 2mm respectively）were prepared. Resin replacements of IPS Natural die from ND1 to ND4 were used to imitate different color of the abutments. The color differences of different ultra-thin porcelain laminate veneers were measured using Vita EasyShade spectrophotometer and the values of color differences (ΔE) were calculated. Results：The type of adhesives, the abutment colors and their interaction all showed a significant effect on the ΔE values of the specimens of ultra-thin porcelain laminate veneers (P<0.001). When the abutment color was the same, the color differences between OSP and ABU was not significant and there was a significant difference within groups of TN，SH, SBU ,and SB2 : TN > SH, SBU > SB2(P < 0.05). When the type of adhesives was the same, the abutment colors of TN and SBU groups showed a significant effect on the color differences of ultra-thin porcelain laminate veneers: ND2 > ND3 > ND1 > ND4 in TN group (P < 0.05); and ND1 > ND2 > ND3 > ND4 in SBU group (P < 0.05). Conclusions： Both the type of adhesives and the abutment color showed an effect on the color of ultra-thin porcelain laminate veneers. Therefore, dentists should pay attention to the color of abutment and select an optimal dental adhesive when bonding a ultra-thin porcelain laminate veneer in clinic.

Key words:

minimally invasive, porcelain laminate veneers, ultra-thin, color; adhesives, abutment

仇碧莹张凌廖紫璇周唯余昊翰李芳陈吉华. 基牙颜色与粘接剂类型对超薄瓷贴面修复体颜色的影响[J]. 口腔生物医学, 2021, 12(1): 38-42.

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