使用氧化铝颗粒空气磨蚀清洁牙本质对树脂基水泥结合强度的影响：系统回顾和荟萃分析。

IF 4.8 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of dentistry Pub Date : 2025-07-03 DOI:10.1016/j.jdent.2025.105950

João Vitor do Nascimento Santos , Helena Nóbrega Almeida , Lara Beatriz Nascimento Diniz , Mariana de Andrade Nogueira , Joel Ferreira Santiago Junior , Mutlu Özcan , Rodrigo Othávio de Assunção e Souza

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引用次数: 0

摘要

目的：探讨氧化铝气磨法清洁牙本质表面对间接修复牙本质与树脂粘接物结合强度的影响。数据和来源：本研究遵循PRISMA-ScR指南进行范围审查，并在开放科学框架平台上注册。研究选择：全面检索PubMed、Scopus、Embase和Web of Science四个电子数据库，以及人工检索，以确定截至2024年7月发表的相关研究。研究集中在体外评估氧化颗粒作为一种表面清洁方法的健康的人牙本质和它们对间接修复树脂胶结强度的影响。排除了涉及玻璃离子水门剂和临时水门剂的研究。结果：共有7项研究被纳入描述性分析和meta分析。氧化铝颗粒（50µm）空气磨损的整体meta分析显示，差异有统计学意义（SMD: 0.94, 95% CI: 0.43-1.46），空气磨损组更有利。此外，当浮石与使用氧化铝颗粒进行空气磨损比较时，发现显着差异（SMD: 0.94, 95% CI, 0.43-1.46），有利于空气磨损组。评估直接牙本质密封（IDS）和氧化铝颗粒空气磨损基质的荟萃分析显示，对照组（仅使用IDS -不使用清洁方法）的效果有显著差异（SMD: SMD: 0.62, 95% CI, 1.10-0.15）。结论：使用50µm氧化铝颗粒清洁牙本质可显著提高牙本质与树脂水泥的结合强度。此外，空气磨损比浮石和水清洗提供更高的树脂水泥粘结强度。然而，与不清洗的方法相比，在先前用牙本质立即密封处理过的基材上，空气磨损会降低树脂水泥的粘合强度。临床意义：50 µm氧化铝颗粒空气磨蚀可提高树脂粘结剂与牙本质的结合强度，支持在间接修复前使用树脂粘结剂。然而，在立即封闭牙本质后使用，这种技术可能会损害粘接强度，在这种情况下应避免使用。

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Effectiveness of dentin cleaning using air abrasion with aluminum oxide particles on the bond strength of resin-based cements: A systematic review and meta-analysis

Objective

Investigate the effect of aluminum oxide air abrasion, used for cleaning the surface of human dentin, on the bond strength to resin cements for indirect restorations.

Data and source

This study followed PRISMA-ScR guidelines for scoping reviews and registered on the Open Science Framework platform.

Study selection

A comprehensive search of four electronic databases: PubMed, Scopus, Embase, and Web of Science, as well as manual searches, was performed to identify relevant studies published through July 2024. Studies focused on in vitro evaluations of oxide particles as a surface cleaning method for sound human dentin and their effect on the bond strength of resin cements for indirect restorations were included. Studies involving glass ionomer cements and temporary cements were excluded.

Results

A total of seven (7) studies were included in the descriptive analysis and meta-analysis. The overall meta-analysis of air abrasion with aluminum oxide particles (50 µm) showed a statistically significant difference (SMD: 0.94, 95 % CI, 0.43–1.46), favoring the air abrasion group. Additionally, when comparing pumice with air abrasion using aluminum oxide particles, a significant difference was found (SMD: 0.94, 95 % CI, 0.43–1.46), favoring the air abrasion group. The meta-analysis evaluating substrates with immediate dentin sealing (IDS) and air abrasion with alumina particles showed a significant difference in favor of the control group (IDS only - no cleaning method) (SMD: SMD: 0.62, 95 % CI, 1.10–0.15).

Conclusion

Dentin cleaning with 50 µm aluminum oxide particles significantly improves the bond strength to resin cement. In addition, air abrasion provides higher resin cement bond strength than pumice and water cleaning. However, on substrates treated previously with immediate dentin sealing, air abrasion reduced the resin cement bond strength compared to the no cleaning method.

Clinical Significance

Air abrasion with 50 µm aluminum oxide particles may improve the bond strength of resin cements to sound dentin, supporting its use before cementing indirect restorations. However, when used after immediate dentin sealing, this technique may impair bond strength and should be avoided in such cases.

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来源期刊

Journal of dentistry 医学-牙科与口腔外科

CiteScore

7.30

自引率

11.40%

发文量

349

审稿时长

35 days

期刊介绍： The Journal of Dentistry has an open access mirror journal The Journal of Dentistry: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The Journal of Dentistry is the leading international dental journal within the field of Restorative Dentistry. Placing an emphasis on publishing novel and high-quality research papers, the Journal aims to influence the practice of dentistry at clinician, research, industry and policy-maker level on an international basis. Topics covered include the management of dental disease, periodontology, endodontology, operative dentistry, fixed and removable prosthodontics, dental biomaterials science, long-term clinical trials including epidemiology and oral health, technology transfer of new scientific instrumentation or procedures, as well as clinically relevant oral biology and translational research. The Journal of Dentistry will publish original scientific research papers including short communications. It is also interested in publishing review articles and leaders in themed areas which will be linked to new scientific research. Conference proceedings are also welcome and expressions of interest should be communicated to the Editor.