OBJECTIVE The aim of this systemic review, conducted in accordance with the PRISMA statement, was to investigate the impact of surface pretreatments on the bonding strength of high performance polymers (HPPs). METHODS Eight databases were searched through March 2019. Risk of bias was assessed and random effects meta-analyses were applied to analyze mean differences in shear bond strength (SBS) and tensile bond strength (TBS), considering surface pretreatments and bonding agents after 24h and thermocycling. RESULTS A total of 235 relevant titles and abstracts were found, yielding 11 final selections. Low risk of bias was observed in most studies. For polyetheretherketone (PEEK) specimens, random-effect models showed that, compared to non-treated controls, pretreatments associated with Visio.link® (Bredent, Senden, GE) increased TBS by 26.72MPa (95% confidence interval (CI), 19.69-33.76; p<0.00001) and increased SBS by 4.86MPa (95% CI, 2.61-7.10; p<0.00001). Air abrasion improved SBS by 4.90MPa (95% CI, 3.90-5.90; p<0.00001) (50μm alumina) and 4.51MPa (95% CI, 1.85-7.18; p=0.0009) (silica-coated CoJet). In comparison to non-treated controls, Visio.link® and Signum PEEK Bond® (Heraeus Kulzer, Hanau, GE) increased SBS by 33.76MPa (95% CI, 18.72-48.81; p<0.00001) and 33.28MPa (95% CI, 17.48-49.07; p<0.00001), respectively. No differences were found between Visio.link® and Signum PEEK Bond® or Monobond Plus/Heliobond® (Ivoclar Vivadent, Schaan, LH) (p>0.05). Similar results were observed for polyetherketoneketone (PEKK) specimens. SIGNIFICANCE This review shows improved HPP bonding following the application of various surface pretreatments, including air abrasion and bonding agents.

中文翻译：

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对应用于牙科的高性能聚合物的粘附性：系统评价。

目的 根据 PRISMA 声明进行的这项系统评价的目的是研究表面预处理对高性能聚合物 (HPP) 粘合强度的影响。方法 检索了截至 2019 年 3 月的八个数据库。评估了偏倚风险并应用随机效应荟萃分析来分析剪切粘合强度 (SBS) 和拉伸粘合强度 (TBS) 的平均差异，考虑到 24 小时后的表面预处理和粘合剂，以及热循环。结果共找到相关标题和摘要235篇，最终选出11篇。在大多数研究中观察到低偏倚风险。对于聚醚醚酮 (PEEK) 样本，随机效应模型显示，与未处理的对照相比，与 Visio.link®（Bredent，Senden，GE）相关的预处理使 TBS 增加了 26。72MPa（95% CI，19.69-33.76；p<0.00001），SBS 增加 4.86MPa（95% CI，2.61-7.10；p<0.00001）。空气磨损将 SBS 提高了 4.90MPa（95% CI，3.90-5.90；p<0.00001）（50μm 氧化铝）和 4.51MPa（95% CI，1.85-7.18；p=0.0009）（二氧化硅涂层 CoJet）。与未处理的对照相比，Visio.link® 和 Signum PEEK Bond® (Heraeus Kulzer, Hanau, GE) 将 SBS 提高了 33.76MPa (95% CI, 18.72-48.81; p<0.00001) 和 33.28MPa (95% CI ，17.48-49.07；p<0.00001)，分别。Visio.link® 和 Signum PEEK Bond® 或 Monobond Plus/Heliobond® (Ivoclar Vivadent, Schaan, LH) 之间没有发现差异 (p>0.05)。对于聚醚酮酮 (PEKK) 样品也观察到了类似的结果。意义 本综述表明，在应用各种表面预处理后，HPP 粘合得到了改善，