霍欢　殷家悦　艾红军

中国医科大学附属口腔医院修复科　沈阳 110002

树脂粘接剂在全瓷修复中的应用进展

霍欢殷家悦艾红军

中国医科大学附属口腔医院修复科沈阳 110002

随着人们对修复体美观的要求越来越高，各种瓷修复体的临床应用日益广泛，并出现了与之相应的新型粘接材料——树脂粘接剂。其与临床常用的粘接剂相比，具有良好的半透明性、较高的粘接强度、不易溶解及色泽匹配好等优点。在树脂粘接剂的发展过程中新材料、新技术不断问世和改进，顺应了口腔临床迫切需求的趋势。本文就国内外树脂粘接剂的研究进展及应用情况进行回顾、分析和归纳，系统总结树脂粘接剂的历史发展、临床分类、粘接强度及其影响因素、未来发展趋势等方面的情况，以期为树脂粘接剂更好地应用于临床提供参考。

树脂粘接剂；粘接强度；影响因素；全瓷修复

This study was supported by Project Plan for Science and Technology in Shenyang（2015）（F15-139-9-38）.

［Abstract］Various all-ceramic restorations have been widely used in clinical settings because of the significantly increasing demand for esthetics in prosthodontic treatments. Thus，adhesive materials，such as resin cements，have been developed for such treatments. Compared with traditional cements，resin cements provide many advantages，including good translucency，high bonding strength，low solubility，and sufficient color matching. Through new technologies and materials，resin cements have been designed in compliance with the current specifications of dental clinics. To provide a reference for the improvement of resin cement applications in clinical settings，we reviewed the development and applications of resin cements locally and internationally. We further summarized the historical development，clinical classification，bonding strength，and influencing factors of resin cements. We also provided insights into the future trends of these materials.

［Key words］resin cements；bonding strength；influencing factor；all-ceramic restoration

口腔粘接剂是将修复体或修复材料粘接到口腔硬组织表面的物质。有效的粘接可减少或消除对牙体组织的切割而补偿机械固位，最大限度地保存健康牙体组织，防止修复体与牙体组织之间的边缘微渗漏，从而获得最佳的修复效果。目前，临床上用于瓷修复体粘接剂主要分为4类：磷酸盐类黏固剂、玻璃离子类黏固剂、树脂改性玻璃离子类黏固剂和树脂类粘接剂。表1显示了将4类粘接材料粘接到牙面后的压缩粘接强度和拉伸粘接强度（MPa），从中可见树脂粘接剂的性能远远优于磷酸锌、玻璃离子和树脂改性玻璃离子的性能［1］。……