贴面zro2固定义齿体内壳状骨折的研究

Renan Belli , Susanne S. Scherrer , Sven Reich , Anselm Petschelt , Ulrich Lohbauer
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引用次数: 17

摘要

断口学分析在两个固定牙义齿重建中进行,这些义齿重建是由贴面陶瓷覆盖的ZrO2框架制成的,在口腔功能期间断裂。利用加工历史、材料特性、恢复的断裂部件和断口表面的复制品,以及断口标记来确定断裂的起源和失效原因。尽管确定了不同的因素,但在这两种情况下,壳状骨折模式都很常见。病例1的内部热残余应力和局部接触超载引起的咬合表面缺陷是导致骨折的原因,而滑动咀嚼接触引起的咬合表面极端损伤是病例2骨折的决定性因素。贴面陶瓷和ZrO2框架之间的界面不受断裂的影响。
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In vivo shell-like fractures of veneered-ZrO2 fixed dental prostheses

Fractographic analyses are performed in two fixed dental prosthetic reconstructions made of ZrO2 frameworks covered by a veneering ceramic that fractured during function in the mouth. Processing histories, material properties, recovered broken parts and replicas of the fracture surface were used, along with fractographic markings to determine fracture origins and cause of failure. A shell-like fracture pattern was found common for both cases, although different factors were identified to be involved in each fracture event. Internal thermal residual stresses and occlusal surface defects from localized contact overloading were found to precipitate the fracture in Case 1, whereas extreme occlusal surface damage from sliding chewing contact was determinant in the fracture of Case 2. The interface between the veneering ceramic and the ZrO2 framework was unaffected by the fractures.

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