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中华口腔医学研究杂志(电子版) ›› 2023, Vol. 17 ›› Issue (04) : 299 -308. doi: 10.3877/cma.j.issn.1674-1366.2023.04.011

综述

玻璃离子水门汀的临床应用与展望
张楚晗, 王淑君, 韦孟廷, 蒋欣怡, 苏冠宇, 战德松, 付佳乐†()   
  1. 中国医科大学口腔医学院，沈阳　110002
    中国医科大学口腔医学院口腔材料学教研室，中国医科大学附属口腔医院修复二科，沈阳　110002
  • 收稿日期:2023-03-19 出版日期:2023-08-01
  • 通信作者: 付佳乐

Clinical application and prospect of glass ionomer cements

Chuhan Zhang, Shujun Wang, Mengting Wei, Xinyi Jiang, Guanyu Su, Desong Zhan, Jiale Fu†()   

  1. School of Stomatology, China Medical University, Shenyang 110002, China;
    Department of Dental Materials, the Second Department of Prosthodontics, School and Hospital of Stomatology, China Medical University, Shenyang 110002, China
  • Received:2023-03-19 Published:2023-08-01
  • Corresponding author: Jiale Fu
  • Supported by:
    China Medical University College Students Innovation and Entrepreneurship Training Program(202310159028)
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引用本文：

张楚晗, 王淑君, 韦孟廷, 蒋欣怡, 苏冠宇, 战德松, 付佳乐. 玻璃离子水门汀的临床应用与展望[J]. 中华口腔医学研究杂志(电子版), 2023, 17(04): 299-308.

Chuhan Zhang, Shujun Wang, Mengting Wei, Xinyi Jiang, Guanyu Su, Desong Zhan, Jiale Fu. Clinical application and prospect of glass ionomer cements[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2023, 17(04): 299-308.

玻璃离子水门汀（GIC）是一种传统牙科修复材料，因其良好的生物相容性、粘接性和氟释放性等优点，临床应用非常广泛，有巨大发展前景。本文归纳了GIC的化学成分、性质分类及优缺点，系统地总结了GIC的临床应用与注意事项，并对现阶段GIC存在的问题与相关改性研究进行了探讨，以期为未来GIC更好地发展和临床应用提供参考依据。

关键词: 玻璃离子水门汀, 牙科材料, 粘固, 抗龋, 氟离子释放

As a conventional dental restorative material, glass ionomer cement (GIC) has been widely used in clinical practice because of its outstanding properties, such as biocompatibility, adhesion and fluoride release ability, and it has a great development prospect. In this review, the chemical composition, classification, advantages and disadvantages, and the clinical application of glass ionomer cement were systematically summarized. The existing problems and modification researches of GIC were discussed in order to provide a reference for its better development and clinical application.

Key words: Glass ionomer cement, Dental materials, Cementation, Anti-caries, Fluoride release
表1 玻璃离子水门汀（GIC）的性能、临床应用与代表产品
分类 主要特点 临床应用 代表产品
Ⅰ型 粘接性能良好；流动性好，薄膜厚度小；粘接牙面无须酸蚀 粘固、正畸附件粘接 富士Ⅰ（GC，日本）
Rely Luting树脂加强型玻璃离子水门汀（3M，美国）
Rely Luting 2树脂加强型玻璃离子水门汀（3M，美国）
Ketac Cem Easymix速调灵（3M，美国）
CX粘接型玻璃离子水门汀（Shofu，日本）
美益汀粘接型玻璃离子水门汀（上海沪鸽医疗器械有限公司）
Ⅱ型 氟释放性：防龋抑龋作用；有一定机械强度；无聚合收缩 乳牙窝洞充填、恒牙非承力区充填、恒牙暂时充填、桩核制作、ART技术、窝沟封闭、夹层修复技术等 富士Ⅱ（GC，日本）
Ketac Molar玻璃离子水门汀（3M，美国）
Ketac Universal玻璃离子水门汀（3M，美国）
FX-Ⅱ充填型玻璃离子水门汀（Shofu，日本）
美益汀充填型玻璃离子水门汀（上海沪鸽医疗器械有限公司）
Ⅲ型 生物相容性：释放吸收生物活性离子，对牙髓刺激性小 洞衬垫底、窝沟封闭 富士Ⅶ（GC，日本）
Vitrebond光固化垫底用玻璃离子（3M，美国）
表2 玻璃离子水门汀（GIC）、复合树脂和树脂水门汀的区别
材料种类 性能 用途
传统GIC 氟化物释放性能最佳；细胞毒性低；美学性能差 适用于易发龋患且对美学性能需求小者的牙齿修复，如老年人根面龋的修复
树脂改性GIC 粘接性能好；溶解度降低；美学性能较好；机械性能提高；对水分的早期敏感性降低；牙髓刺激性小 受力不大的恒牙Ⅲ、V类洞和楔状缺损的永久性充填修复；乳牙所有窝洞的充填修复；恒牙所有窝洞的暂时性或者短期充填修复
复合树脂 光引发聚合固化；力学性能好，质地坚韧不易折断；耐磨耗性能好；粘接性能差，需与粘接剂配合应用；与牙体线胀系数差距大，易发生微渗漏；有一定细胞毒性；技术敏感性高 较小Ⅲ、V类洞修复；后牙中等至较大的Ⅰ、Ⅱ类洞缺损的修复，包括近远中洞的修复，特别是涉及咬合面尖、嵴的缺损；充填窝洞倒凹；用于修复深窝洞时，应当先行垫底保护牙髓
树脂水门汀 粘接性能好；机械性能佳；有细胞毒性与牙髓刺激性 粘接修复单冠及固定桥；瓷贴面及嵌体的粘固；纤维桩修复
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