Clinical application and prospect of self-adhesive resin cements

doi:10.3877/cma.j.issn.1674-1366.2024.04.010

Abstract

Abstract:

Self-adhesive resin cement is a new type of cement material that can independently complete the adhesion of prostheses. Due to its simplified application step, it has been widely used in the cementation of indirect restorations, such as crowns, inlays, bridges, and post-and-cores, which has a great development prospect. In this review, the development history, components, curing mode, properties, clinical application and precautions of self-adhesive resin cement were systematically summarized. The existing problems and future development trends of self-adhesive resin cement were discussed in order to provide a reference for the better development and clinical application in the future.

Key words: Self-adhesive resin cement, Dental restorative material, Clinical application, Properties

Shujun Wang, Chuhan Zhang, Yiyang Tang, Yutong Zhao, Jialun Li, Jiale Fu. Clinical application and prospect of self-adhesive resin cements[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2024, 18(04): 276-286.

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References 118

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自粘接树脂水门汀产品	主要成分	临床适用范围
Rely X U200（3M，美国）	甲基丙烯酸酯单体、10-MDP、碱性填料、硅烷化填料、氧化锆/二氧化硅填料、引发剂、稳定剂、染色剂和流变添加剂等。	全瓷、金属、复合树脂嵌体，高嵌体，种植基牙的全瓷、复合树脂、金属修复体，桥，桩。
Speedcem Plus（Ivoclar Vivadent，列支敦士登）	二甲基丙烯酸酯、10-MDP、钡玻璃填料、三氟化钇填料、高分散二氧化硅填料、引发剂、稳定剂和染色剂等。	氧化锆陶瓷（冠、桥、桩），金属（嵌体、高嵌体、冠、桥、桩），二硅酸锂玻璃陶瓷（冠、桥），纤维增强复合材料（桩），种植基牙的氧化锆、二硅酸锂玻璃陶瓷、金属修复体。
Clearfil SA Cement（Kuraray，日本）	疏水芳香族/脂肪族二甲基丙烯酸酯、Bis - GMA、TEGDMA、10-MDP、表面处理的氟化钠填料、硅烷化胶体二氧化硅填料、硅烷化钡玻璃填料、引发剂、催化剂和染色剂等。	金属、氧化锆/氧化铝等金属氧化物类陶瓷，含无机填料的树脂类材料制成的冠、桥、嵌体/高嵌体等。金属桩，玻璃纤维桩，金属核，树脂核。
G-CEM ONE（GC，日本）	甲基丙烯酸酯、10-MDP、3-（甲基丙烯酰氧）丙基三甲氧基硅烷、氟铝硅酸盐玻璃、二氧化硅微粉末填料、引发剂、催化剂、稳定剂和染色剂等。	所有嵌体，高嵌体，冠，桥，贴面。金属桩，陶瓷桩，纤维桩，铸造桩，核。
BeautiCem SA（松风，日本）	二甲基丙烯酸氨基甲酸酯、甲基丙烯酸羟乙酯、氟铝硅酸盐玻璃、S-PRG填料（可缓释以氟离子为主的多种有益离子）、引发剂和染色剂等。	牙釉质、牙本质与各类金属、瓷、树脂制作的修复体（嵌体、高嵌体、贴面、冠、桥体）之间的粘接。

自粘接树脂水门汀产品	主要成分	临床适用范围
Rely X U200（3M，美国）	甲基丙烯酸酯单体、10-MDP、碱性填料、硅烷化填料、氧化锆/二氧化硅填料、引发剂、稳定剂、染色剂和流变添加剂等。	全瓷、金属、复合树脂嵌体，高嵌体，种植基牙的全瓷、复合树脂、金属修复体，桥，桩。
Speedcem Plus（Ivoclar Vivadent，列支敦士登）	二甲基丙烯酸酯、10-MDP、钡玻璃填料、三氟化钇填料、高分散二氧化硅填料、引发剂、稳定剂和染色剂等。	氧化锆陶瓷（冠、桥、桩），金属（嵌体、高嵌体、冠、桥、桩），二硅酸锂玻璃陶瓷（冠、桥），纤维增强复合材料（桩），种植基牙的氧化锆、二硅酸锂玻璃陶瓷、金属修复体。
Clearfil SA Cement（Kuraray，日本）	疏水芳香族/脂肪族二甲基丙烯酸酯、Bis - GMA、TEGDMA、10-MDP、表面处理的氟化钠填料、硅烷化胶体二氧化硅填料、硅烷化钡玻璃填料、引发剂、催化剂和染色剂等。	金属、氧化锆/氧化铝等金属氧化物类陶瓷，含无机填料的树脂类材料制成的冠、桥、嵌体/高嵌体等。金属桩，玻璃纤维桩，金属核，树脂核。
G-CEM ONE（GC，日本）	甲基丙烯酸酯、10-MDP、3-（甲基丙烯酰氧）丙基三甲氧基硅烷、氟铝硅酸盐玻璃、二氧化硅微粉末填料、引发剂、催化剂、稳定剂和染色剂等。	所有嵌体，高嵌体，冠，桥，贴面。金属桩，陶瓷桩，纤维桩，铸造桩，核。
BeautiCem SA（松风，日本）	二甲基丙烯酸氨基甲酸酯、甲基丙烯酸羟乙酯、氟铝硅酸盐玻璃、S-PRG填料（可缓释以氟离子为主的多种有益离子）、引发剂和染色剂等。	牙釉质、牙本质与各类金属、瓷、树脂制作的修复体（嵌体、高嵌体、贴面、冠、桥体）之间的粘接。

分类	应用步骤	优点	缺点
酸蚀-冲洗类树脂水门汀	磷酸处理基牙；基牙、修复体表面涂布处理剂；应用酸蚀-冲洗树脂水门汀	基牙粘接强度大；机械性能良好；耐老化能力强；减小微渗漏	粘接方法复杂；椅旁时间长；技术敏感性高；术后敏感性高；多余水门汀难以去除，不适于临时修复
自酸蚀类树脂水门汀	基牙、修复体表面涂布处理剂；应用自酸蚀树脂水门汀	缩短操作时间；降低技术敏感性；降低术后敏感性；脱矿和渗透过程基本同时进行	粘接强度较低；H⁺残留，持续脱矿，易发生微渗漏；各组分混合，降低储存期限
自粘接类树脂水门汀	直接应用自粘接类树脂水门汀（贵金属、硅酸盐陶瓷粘接面仍需涂布处理剂）	操作流程极简；椅旁时间短；技术敏感性低；术后敏感性低；临床适用范围广；具有释氟性	基牙粘接强度小；贵金属和硅酸盐陶瓷粘接作用弱；受老化影响较大；机械性能较低

分类	应用步骤	优点	缺点
酸蚀-冲洗类树脂水门汀	磷酸处理基牙；基牙、修复体表面涂布处理剂；应用酸蚀-冲洗树脂水门汀	基牙粘接强度大；机械性能良好；耐老化能力强；减小微渗漏	粘接方法复杂；椅旁时间长；技术敏感性高；术后敏感性高；多余水门汀难以去除，不适于临时修复
自酸蚀类树脂水门汀	基牙、修复体表面涂布处理剂；应用自酸蚀树脂水门汀	缩短操作时间；降低技术敏感性；降低术后敏感性；脱矿和渗透过程基本同时进行	粘接强度较低；H⁺残留，持续脱矿，易发生微渗漏；各组分混合，降低储存期限
自粘接类树脂水门汀	直接应用自粘接类树脂水门汀（贵金属、硅酸盐陶瓷粘接面仍需涂布处理剂）	操作流程极简；椅旁时间短；技术敏感性低；术后敏感性低；临床适用范围广；具有释氟性	基牙粘接强度小；贵金属和硅酸盐陶瓷粘接作用弱；受老化影响较大；机械性能较低

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