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聚合物浸漬陶瓷材料的結構性能及其在口腔醫(yī)學中的應用
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浙江大學附屬口腔醫(yī)院

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Microstructure, Properties and Dental Application of Polymer Infiltrated Ceramic Network Materials
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    摘要:

    CAD/CAM技術因方便快捷的特點,逐漸成為當今牙體修復的重要方式。近年來,聚合物浸漬陶瓷材料因具有良好切削性能受到了口腔從業(yè)者越來越多的青睞。這種新型材料內部呈現(xiàn)樹脂與陶瓷互穿形態(tài),兼具陶瓷和復合樹脂性能特點,同時又具有自身獨特的優(yōu)勢。與傳統(tǒng)口腔修復材料(復合樹脂和陶瓷)相比,聚合物浸漬陶瓷材料的彎曲強度為145MPa~336MPa,優(yōu)于復合樹脂和長石質可切削全瓷材料,低于二硅酸鋰可切削全瓷材料。在模擬人類正常咬合時,聚合物浸漬陶瓷材料展現(xiàn)出極佳的耐疲勞性能,明顯優(yōu)于傳統(tǒng)的二硅酸鋰基、白榴石基和長石基可切削全瓷材料。此外,聚合物浸漬陶瓷材料彈性模量在25GPa~88GPa之間,維氏硬度在1.7GPa~4.8GPa之間,與天然牙體組織接近,預示著它有可能成為未來的牙科材料新星。改變內部組分含量可以調節(jié)聚合物浸漬陶瓷材料的機械性能,這個特點其他全瓷材料很少具有。目前,聚合物浸漬陶瓷材料的臨床使用多集中在單冠修復,其長期使用效果(≥5年)的研究報道并不多見。新型牙科材料往往需要10年以上的時間才可能被更多牙科從業(yè)者了解和接受,因此,關于聚合物浸漬陶瓷材料的使用還處于探索階段。本文在分析聚合物浸漬陶瓷材料組成結構的基礎上,再結合其機械性能及目前使用情況,對聚合物浸漬陶瓷材料的未來使用提出建議,以期對聚合物浸漬陶瓷材料的研發(fā)和臨床應用起到一定的指導作用。

    Abstract:

    CAD/CAM technology has become more and more popular in dental clinic. In recent years, polymer infiltrated ceramic network (PICN) material have attracted the attention of many dental practitioners owe to its good machinability. The new material shows the interpenetrating morphology of resin and ceramic, and its properties are similar to those of ceramic and composite resin, at the same time, it has its own unique advantage. Compared with the all- ceramic materials (composite resin and all- ceramic materials), the flexural strength of PICN materials ranged from 145 MPa to 336 MPa, which is better than that of composite resin and Feldspar- based machined ceramic materials, but is lower than that of lithium disilicate glass ceramics. In the study of simulating the normal occlusal condition of human beings, PICN materials show excellent fatigue resistance, which is obviously better than the traditional all- ceramic materials including Lithium, Leucite- based and Feldspar- based machined ceramic materials. In addition, Elastic modulus of PICN materials ranged from 25GPa to 88GPa and Vickers hardness value is between 1.7GPa and 4.8GPa, which is close to that of natural dental tissue, indicating that it maybe become a future star of dental materials. It can adjust the mechanical properties by changing the content of components, which is rare in dental all-ceramic materials. At present, PICN is mostly used as single crown restoration in dental clinic, but its long-term effect (≥ 5 years) is rarely seen. A new dental material often takes more than 10 years to be understood and accepted by more dental practitioners. Therefore, the application of PICN is still in the exploratory stage. Based on the analysis of the microstructure, properties and application of PICN, some suggestions are proposed for future research and dental application of PICN materials.

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劉佳妮,李石保,傅柏平.聚合物浸漬陶瓷材料的結構性能及其在口腔醫(yī)學中的應用[J].稀有金屬材料與工程,2019,48(10):3387~3393.[LIU JIANI, LI shibao, Fu baiping. Microstructure, Properties and Dental Application of Polymer Infiltrated Ceramic Network Materials[J]. Rare Metal Materials and Engineering,2019,48(10):3387~3393.]
DOI:10.12442/j. issn.1002-185X.20190400

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  • 收稿日期:2019-05-10
  • 最后修改日期:2019-08-24
  • 錄用日期:2019-08-28
  • 在線發(fā)布日期: 2019-11-01
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