两种高强度玻璃陶瓷的疲劳性能及断裂模式分析

Mohammed Rabea, Ahmad El-Kouedi, M. Ahmad
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摘要

目的:鉴于高强度玻璃陶瓷在口腔修复领域的广泛应用,通过进一步的断裂模式分析,评价两种可加工高强度玻璃陶瓷的疲劳性能。材料与方法:采用Cerec in-Lab CAD / CAM系统制备牙冠20个,IPS制备牙冠10个。E.max CAD组(EM-LDS)为对照组,以VITA SUPRINITY组(VS-ZLS)为基础制作10个冠。完成的冠在环氧树脂模具上粘接。采用万能试验机对胶结冠进行75000次热-机械循环后加载至断裂。采用Brukes分类法对所有试件进行失效模式评估。对收集的数据进行统计学分析,采用Student t检验和配对t检验,P≤0.05为显著性水平,并对骨折模式分析进行描述性统计。结果:两组疲劳性能差异无统计学意义,主要发生在III型中枢性骨折。结论:两种高强度玻璃陶瓷材料具有相当的强度,均超过了报道的人类咀嚼力范围,被认为是单牙修复可接受的修复方式。
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FATIGUE PERFORMANCE & FRACTURE MODE ANALYSIS OF TWO AVAILABLE HIGH STRENGTH GLASS CERAMICS
Objective: As the high strength glass ceramics had attained a profound contribution in prosthodontics, it was aimed to evaluate the fatigue performance of two machinable high strength glass ceramics with further fracture mode analysis. Materials and methods : Twenty crowns were fabricated using Cerec in-Lab CAD\CAM system, ten crowns were fabricated from IPS. E.max CAD: group (EM-LDS) as control group and ten crowns were fabricated from VITA SUPRINITY: group (VS-ZLS) . The completed crowns were cemented on epoxy resin dies. The cemented crowns were subjected to thermomechanical cycling for 75000 cycles, then loaded until fracture by using universal testing machine. Failure mode were assesses guided by Brukes’ classification for all specimens. The collected data was statistically analyzed using Student t-test and Paired t-test while the significance level was set at P ≤ 0.05, in addition to descriptive statistics of the fracture mode analysis. Results: There was no statistically significant difference in fatigue performance between the two tested groups with the major fracture occurrence in type III central fracture. Conclusion : both tested high strength glass ceramics are considered as acceptable modalities for restoration of single tooth restoration as both materials have comparable strength and exceeded the reported range of human masticatory forces.
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