Morphological Assessment of Proximal Restoration Depending on Different Matrix Systems in Primary Molars with a 3D Scanner: In Vitro Studies

Hyewon Hyewon, Nanyoung Lee, Joohun Song, Joon-Seong Kim, Myeongkwan Jih
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Abstract

The purpose of this study was to compare the proximal surface contour, size of contact area, and volume difference before and after restoration in artificial teeth of primary molars during proximal composite resin restoration using different matrix systems. Four types of artificial teeth were restored with composite resin using sectional matrix systems-Palodent V3 Sectional Matrix System and myJunior Kitand a circumferential matrix system-Tofflemire Matrix System-and modeled threedimensionally for analysis. When sectional matrix systems were used, there was a higher probability of concave proximal surface contour and simultaneously greater contact area and volume. This is attributed to the dead soft properties of the matrix band used in sectional matrix systems, which can lead to deformation of the band and hence an excessive amount of resin applied around the contact point. Additionally, the rubber wedge in the sectional matrix system may not help the matrix band fit into the cavity. Therefore, based on the findings of this study, morphological aspects need to be carefully considered for proximal composite resin restoration of primary molars using sectional matrix systems.
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利用 3D 扫描仪对不同基质系统的初级磨牙近端修复体进行形态学评估:体外研究
本研究的目的是比较使用不同基质系统修复初级磨牙近端复合树脂时人工牙近端表面轮廓、接触面积大小和修复前后的体积差。研究人员使用切面基质系统--Palodent V3 切面基质系统和 myJunior Kit,以及圆周基质系统--Tofflemire 基质系统,对四种类型的人工牙进行了复合树脂修复,并进行了三维建模分析。使用分段式基质系统时,近端表面轮廓出现凹陷的几率更高,同时接触面积和体积也更大。这是因为分段式基质系统中使用的基质带具有死软的特性,会导致基质带变形,从而在接触点周围涂抹过量的树脂。此外,分段式基质系统中的橡胶楔可能不利于基质带进入空腔。因此,根据这项研究的结果,在使用分段基质系统对初级磨牙进行近端复合树脂修复时,需要仔细考虑形态方面的问题。
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