Fracture-Behavior of CAD/CAM Ceramic Crowns Before and After Cyclic Fatigue Aging.

IF 2.1 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE International Journal of Prosthodontics Pub Date : 2023-11-01 DOI:10.11607/ijp.7207
Sufyan Garoushi, Eija Säilynoja, Pekka K Vallittu, Lippo Lassila
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引用次数: 14

Abstract

Purpose: To evaluate the fracture-behavior of monolithic crowns made of lithium disilicate (IPS e.max CAD, Ivoclar Vivadent; IniBal LiSi Block, GC Dental) and zirconia-reinforced lithium silicate (Celtra Duo, DeguDent; VITA Zahnfabrik) materials before and after cyclic fatigue aging.

Materials and methods: Four groups (n = 22/group) of CAD/CAM fabricated upper incisor crowns were produced. All crowns were luted on metal dies with an adhesive dual-cure resin cement (G-CEM LinkForce, GC Dental). Half of the crowns in each group (n = 11) were statically loaded until fracture, without aging. The remaining crowns were subjected to cyclic fatigue aging for 120,000 cycles (Fmax = 220 N) and then loaded statically until fracture. The fractured models were then visually examined. Scanning electron microsopy (SEM) and energy-dispersive spectroscopy (EDS) were used to evaluate the microstructure of CAD/CAM ceramic materials. The data were statistically analyzed with two-way ANOVA followed by the Tukey HSD test (α = .05).

Results: Before cyclic aging, there was no statistically significant difference in load-bearing capacity among the four groups (P = .371). After cyclic aging, load-bearing capacity significantly decreased for all groups (P = .000). While the e.max CAD blocks had significantly higher load-bearing capacity (1061 ± 94 N) than both monolithic ceramic crowns (load-bearing capacities of the groups) (P < .05), no significant difference was obtained with the Initial LiSi Block group (920 ± 140 N) (P = .061).

Conclusions: The mechanical performance of monolithic ceramic crowns fabricated from lithium disilicate was befer than zirconia-reinforced lithium silicate after cyclic fatigue aging. Int J Prosthodont 2023;36:e29-e37.

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循环疲劳老化前后CAD/CAM陶瓷冠的断裂行为。
目的:评估由二硅酸锂(IPS e.max CAD,Ivoclar Vivadent;IniBal LiSi Block,GC Dental)和氧化锆增强硅酸锂(Celtra Duo,DeguDent;VITA Zahnfabrik)材料制成的整体冠在循环疲劳老化前后的断裂行为。材料与方法:制作4组(n=22/组)CAD/CAM制作的上切牙牙冠。所有牙冠在金属模具上用粘合剂双固化树脂粘固剂(G-CEM LinkForce,GC Dental)稀释。每组中有一半的牙冠(n=11)受到静态载荷,直到骨折,没有老化。对剩余的牙冠进行120000次循环的循环疲劳老化(Fmax=220N),然后静态加载直到断裂。然后对断裂的模型进行目视检查。采用扫描电子显微镜(SEM)和能谱仪(EDS)对CAD/CAM陶瓷材料的微观结构进行了评价。采用双向方差分析和Tukey HSD检验对数据进行统计学分析(α=0.05)。结果:循环老化前,四组的承载能力没有统计学显著差异(P=.371)。循环老化后,所有组的承载能力均显著下降(P=.000)。虽然e.max CAD块的承载能力(1061±94N)显著高于两个单片陶瓷冠(各组的承载能力)(P<0.05),与初始LiSi块组(920±140N)无显著差异(P=.061)。结论:循环疲劳时效后,二硅酸锂制备的整体陶瓷冠的力学性能优于氧化锆增强硅酸锂。Int J Prostodont 2023;36:e29-e37。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Journal of Prosthodontics
International Journal of Prosthodontics 医学-牙科与口腔外科
CiteScore
3.20
自引率
4.30%
发文量
82
审稿时长
6-12 weeks
期刊介绍: Official Journal of the European Association for Osseointegration (EAO), the International College of Prosthodontists (ICP), the German Society of Prosthodontics and Dental Materials Science (DGPro), and the Italian Academy of Prosthetic Dentistry (AIOP) Prosthodontics demands a clinical research emphasis on patient- and dentist-mediated concerns in the management of oral rehabilitation needs. It is about making and implementing the best clinical decisions to enhance patients'' quality of life via applied biologic architecture - a role that far exceeds that of traditional prosthetic dentistry, with its emphasis on materials and techniques. The International Journal of Prosthodontics is dedicated to exploring and developing this conceptual shift in the role of today''s prosthodontist, clinician, and educator alike. The editorial board is composed of a distinguished team of leading international scholars.
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