利用计算机辅助设计/计算机辅助制造(CAD/CAM)技术制造的三种不同纳米复合材料嵌体的边缘贴合度:一项比较研究。

IF 1 Q3 MEDICINE, GENERAL & INTERNAL Journal of Yeungnam medical science Pub Date : 2024-04-01 Epub Date: 2024-01-22 DOI:10.12701/jyms.2023.00934
Hyunsuk Choi, Jae-Young Jo, Min-Ho Hong
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引用次数: 0

摘要

背景:这项研究旨在比较和评估纳米复合材料计算机辅助设计/计算机辅助制造(CAD/CAM)嵌体的边缘密合性。研究使用了三种纳米复合材料 CAD/CAM 嵌体(HASEM、VITA Enamic 和 Lava Ultimate)作为材料:方法:使用金刚石旋转器械在一个类型牙下颌右侧第一磨牙上制备了二类双咬合嵌体修复体。使用 CAD/CAM 技术制作嵌体,并使用硅胶复制技术测量每个嵌体上五个位置的边缘间隙。数据采用双向方差分析和 Tukey 事后检验(α=0.05)进行分析:使用的纳米复合材料 CAD/CAM 嵌体类型不同,边缘间隙没有明显差异(P=0.209)。但是,不同测量区域的边缘间隙存在明显差异。牙龈区域的边缘间隙始终大于轴向和咬合区域(p 结论:在这项体外研究的限制条件下,测量位置对二类双咬合嵌体修复体的边缘密合度有显著影响。不过,不同类型的 CAD/CAM 块之间的边缘间隙没有明显差异。此外,使用三种类型的纳米复合材料 CAD/CAM 嵌体制作的 II 类双包容嵌体修复体的总体平均边缘密合度在临床可接受的范围内。
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Marginal fit of three different nanocomposite inlays fabricated with computer-aided design/computer-aided manufacturing (CAD/CAM) technology: a comparative study.

Background: This study aimed to compare and evaluate the marginal fit of nanocomposite computer-aided design/computer-aided manufacturing (CAD/CAM) inlays. Three types of nanocomposite CAD/CAM blocks (HASEM, VITA Enamic, and Lava Ultimate) were used as materials.

Methods: Class II disto-occlusal inlay restorations were prepared on a typodont mandibular right first molar using diamond rotary instruments. The inlays were fabricated using CAD/CAM technology and evaluated using the silicone replica technique to measure marginal gaps at five locations on each inlay. The data were analyzed by two-way analysis of variance and Tukey post hoc tests ( α=0.05).

Results: There were no significant differences in the marginal gaps based on the type of nanocomposite CAD/CAM inlay used (p=0.209). However, there was a significant difference in the marginal gaps between the measurement regions. The gingival region consistently exhibited a larger marginal gap than the axial and occlusal regions (p<0.001).

Conclusion: Within the limitations of this in vitro study, the measurement location significantly influenced the marginal fit of class II disto-occlusal inlay restorations. However, there were no significant differences in the marginal gaps among the different types of CAD/CAM blocks. Furthermore, the overall mean marginal fits of the class II disto-occlusal inlay restorations made with the three types of nanocomposite CAD/CAM blocks were within the clinically acceptable range.

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