椅子边CAD/CAM二硅酸锂增强陶瓷牙合贴面的抗断裂性能及全覆盖冠。

IF 1.4 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Operative dentistry Pub Date : 2024-01-01 DOI:10.2341/23-043-L
C A Jurado, D Lee, P Ramirez, D A Cortes-Treviño, A Tsujimoto
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引用次数: 0

摘要

目的:比较计算机辅助设计和计算机辅助制造(CAD/CAM)的二硅酸锂增强陶瓷牙合贴面与传统全覆盖前磨牙冠的抗折性。方法和材料:使用椅子侧CAD/CAM系统(CEREC Dentsply Sirona)设计和制造了60个椅子侧CAD/CAM二硅酸锂增强陶瓷(Amber Mill, Hass Bio)修复体。将修复体分为3组(n=20): 1)均匀咬合厚度1.0 mm、切角边缘的咬合贴面;2)咬合厚度均匀1.0 mm,无边缘的咬合贴面;3)全覆盖冠,咬合厚度均匀,龈缘均匀。用双固化树脂粘接水泥(Multilink, Ivoclar Vivadent)将牙合贴面和牙冠粘接到打印的树脂模具上,加载循环(1 Hz, 275 N力,500万次加载循环),然后加载直到骨折。记录断裂时载荷(LB)和断裂前峰值载荷(PL)。获得了修复体在基台上的扫描电镜图像。结果:骨折强度随修复体设计的不同而不同。两种类型牙合贴面的断裂强度差异无统计学意义(LB: 1132.45 N;PL: 1143.30 N用于带边缘的贴面;Lb: 1149.25 n;PL: 1219.05 N用于无边缘的贴面)。全覆盖冠的抗折性最低(LB: 936.26 N, PL: 976.42 N),明显低于两种牙合贴面设计。结论:CAD/CAM二硅酸锂增强陶瓷修复体的抗断裂性受设计的影响。有缘和无缘的牙合贴面比传统冠具有更高的抗骨折性。
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Fracture Resistance of Chairside CAD/CAM Lithium Disilicate-reinforced Ceramic Occlusal Veneers With and Without Margin and Full Coverage Crowns.

Objective: The aim of this investigation was to compare the fracture resistance of chairside computer-aided design and computer-aided manufacturing (CAD/CAM) lithium disilicate-reinforced ceramic occlusal veneers with and without margin and traditional full coverage premolar crowns.

Methods and materials: A total of 60 chairside CAD/CAM lithium disilicate-reinforced ceramic (Amber Mill, Hass Bio) restorations were designed and fabricated with a chairside CAD/CAM system (CEREC Dentsply Sirona). The restorations were divided into three groups (n=20): 1) occlusal veneer with 1.0-mm uniform occlusal thickness and with chamfer margin; 2) occlusal veneer with 1.0-mm uniform occlusal thickness and without margin; and 3) full coverage crown with uniform occlusal thickness and gingival margin. Occlusal veneers and crowns were cemented with dual cured resin luting cement (Multilink, Ivoclar Vivadent) to printed resin dies, load cycled (5 million load cycles at 1 Hz with 275 N force), and then loaded until fracture. Load at break (LB) and peak load (PL) until fracture were recorded. Scanning electron microscope images of the tested restorations on the abutments were obtained.

Results: Fracture strengths were different depending on the design of the restoration. There was no significant difference in fracture strength between the two types of occlusal veneer (LB: 1132.45 N; PL: 1143.30 N for veneers with margin; LB: 1149.25 N; PL: 1219.05 N for veneers without margin). Full coverage crowns showed the lowest fracture resistance (LB: 936.26 N, PL: 976.42 N), which was significantly lower than both designs of occlusal veneer.

Conclusions: The fracture resistance of the CAD/CAM lithium disilicate-reinforced ceramic restorations was influenced by the design. Occlusal veneers with and without margin displayed higher fracture resistance than traditional crowns.

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来源期刊
Operative dentistry
Operative dentistry 医学-牙科与口腔外科
CiteScore
4.00
自引率
9.10%
发文量
124
审稿时长
6-12 weeks
期刊介绍: Operative Dentistry is a refereed, international journal published bi-monthly and distributed to subscribers in over 50 countries. In 2012, we printed 84 articles (672 pages). Papers were submitted by authors from 45 countries, in the categories of Clinical Research, Laboratory Research, Clinical Techniques/Case Presentations and Invited Papers, as well as Editorials and Abstracts. One of the strong points of our journal is that our current publication time for accepted manuscripts is 4 to 6 months from the date of submission. Clinical Techniques/Case Presentations have a very quick turnaround time, which allows for very rapid publication of clinical based concepts. We also provide color for those papers that would benefit from its use. The journal does not accept any advertising but you will find postings for faculty positions. Additionally, the journal also does not rent, sell or otherwise allow its subscriber list to be used by any other entity
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