The Influence Of Thermocycling On The Marginal adaptation Of Different Glass Ceramic Sectional Veneers

A. Tantawy
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Abstract

Background: Sectional veneers constructed from different glass ceramic can show variations in the marginal adaptation before and after thermocycling. Methodology: 20 human central incisors were used to fabricate sectional laminate veneers SLV with preparation depth 0.5mm cervically and 0.7mm incisally. Samples were divided equally into groups according to material Group 1: Lithium disilicate Glass-Ceramic (IPS e-max press, Ivoclar, Schaan Liechtenstein) (n=10) and Group 2: zirconia reinforced lithium silicate Glass-Ceramic (Celtra Press, Dentsply Sirona) (n=10). SLV were bonded to the teeth using lightcure resin cement (Relyx veneer) (3M ESPE, Seefeld, Bayern, Germany). The samples were then subjected to 10,000 thermal cycles, the marginal adaptation was measured before and after thermocycling using stereomicroscope under magnification 40X using 8 measurement points for each margin (incisal, proximal, cervical and mid labial in two different positions) with total of 40 point per sample. Results: The results of ANOVA showed a significant interaction between material and thermocycling. Before thermocycling, e.max samples showed statistically significant higher gap values with (p<0.001) Mean and standard deviation (SD) values (34.80±0.71) than Celtra samples with (p<0.001) (26.33±2.28). While after thermocyling, Celtra samples had significantly higher gap values (53.77±6.67) than e.max samples (42.81±1.67). Conclusions: IPS e.max Press SLV showed better marginal adaptation compared to that of Celtra Press after thermocycling. Insufficient sealing between restoration and tooth may lead to leakage and marginal discoloration in sectional veneers after years of service.
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热循环对不同玻璃陶瓷切片贴面边缘适应性的影响
背景:由不同的玻璃陶瓷制成的截面贴面在热循环前后的边缘适应性上存在差异。方法:采用20个人中切牙,制作颈深0.5mm、切深0.7mm的薄片贴面SLV。根据材料将样品平均分为两组:第一组:二硅酸锂玻璃陶瓷(IPS e-max press, Ivoclar, Schaan Liechtenstein) (n=10);第二组:氧化锆增强硅酸锂玻璃陶瓷(Celtra press, Dentsply Sirona) (n=10)。使用光固化树脂胶合剂(Relyx贴面)(3M ESPE, Seefeld, Bayern, Germany)将SLV粘合到牙齿上。然后将样品进行10,000次热循环,在40倍放大的立体显微镜下测量热循环前后的边缘适应,每个边缘(两个不同位置的切、近、颈和中唇)使用8个测量点,每个样品总共40个测量点。结果:方差分析结果表明,材料与热循环之间存在显著的相互作用。热循环前,e.max样品的平均和标准差(SD)值(34.80±0.71)高于Celtra样品(26.33±2.28),差异有统计学意义(p<0.001)。经热循环后,Celtra样品的间隙值(53.77±6.67)显著高于e.max样品(42.81±1.67)。结论:与Celtra Press相比,IPS e.max Press SLV在热循环后具有更好的边际适应性。修复体与牙齿之间的密封不足可能会导致局部贴面在使用多年后渗漏和边缘变色。
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