CAJ | 학술논문

背景：如何提高纤维桩-树脂有效连接强度以降低修复失败率成为目前研究的重点。未经特殊表面处理的纤维桩表面黏结强度低，较易出现纯粘接失败，因此对纤维桩表面进行处理以增加纤维桩-树脂黏结强度是修复成功的关键环节。目的：综述在牙冠修复中对纤维桩表面进行处理的相关技术的研究进展。方法：应用计算机检索2003至2013年中国知网词及PubMed数据库，中文检索词为“纤维桩，表面处理，粘结强度”，英文检索词为“fiber-reinforced post，surface treatment，bond strength”，并且利用主题词补充扩展，限定文献语言为英语及中文。广泛查阅近年来有关纤维桩表面的文献，纳入32条符合要求文献进行总结与分析。结果与结论：纤维桩与树脂之间黏结失效是纤维桩修复技术面临的主要难题，近年来学者尝试对纤维桩表面应用多种方法进行处理，使得纤维桩-树脂黏结强度得到明显提高。对纤维桩表面进行机械或(和)化学处理可以明显提高纤维桩-树脂黏结强度，从而可能提高牙冠修复成功率，其中以H2O2+硅烷偶联剂处理的效果最为突出，但这些处理方法在实际应用中的远期效果还需要在临床实践中进行长期观察。
배경：여하제고섬유장-수지유효련접강도이강저수복실패솔성위목전연구적중점。미경특수표면처리적섬유장표면점결강도저，교역출현순점접실패，인차대섬유장표면진행처리이증가섬유장-수지점결강도시수복성공적관건배절。목적：종술재아관수복중대섬유장표면진행처리적상관기술적연구진전。방법：응용계산궤검색2003지2013년중국지망사급PubMed수거고，중문검색사위“섬유장，표면처리，점결강도”，영문검색사위“fiber-reinforced post，surface treatment，bond strength”，병차이용주제사보충확전，한정문헌어언위영어급중문。엄범사열근년래유관섬유장표면적문헌，납입32조부합요구문헌진행총결여분석。결과여결론：섬유장여수지지간점결실효시섬유장수복기술면림적주요난제，근년래학자상시대섬유장표면응용다충방법진행처리，사득섬유장-수지점결강도득도명현제고。대섬유장표면진행궤계혹(화)화학처리가이명현제고섬유장-수지점결강도，종이가능제고아관수복성공솔，기중이H2O2+규완우련제처리적효과최위돌출，단저사처리방법재실제응용중적원기효과환수요재림상실천중진행장기관찰。
BACKGROUND:How to improve effective connection strength between fiber post and resin, to reduce the failure rate of repairing, has become the focus of current researches. Without surface treatment, the fiber post surface bonding strength is relatively low, is prone to appear adhesive failure, so the surface treatment of fiber post to increase the fiber post-resin bonding strength is the key to achieve a successful repair. OBJECTIVE:To review the progress of fiber post surface treatment technology in the crown restoration. METHODS: A computer-based retrieval was performed among CNKI and PubMed databases between 2003 and 2013, by using the key words of fiber-reinforced post, surface treatment, bond strength in English and Chinese. The recent literatures concerned with the fiber post surface treatment were extensively reviewed, 32 ones were summarized and analyzed. RESULTS AND CONCLUSION: The failure of bonding between fiber post and resin is a major problem in fiber posts restoration techniques. In recent years, scholars try to use a variety of methods for processing fiber post surface, the fiber post-resin bonding strength is significantly improved. Mechanical or (and) chemical treatment on the surface of fiber post can significantly improve fiber post-resin bonding strength, which could increase the success rate of the crown restoration. Among them, H2O2+silicane coupling agent achieved the best effects. However, long-term clinical observations are needed to verify these methods.