全金属烤瓷、全金属烤瓷和全陶瓷冠的体外边缘贴合比较

G. Amarnath, Ishita Jakhanwal, H. Prasad, M. Hilal, Anupama T., Mridul Ayush
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引用次数: 2

摘要

目的:比较全金属烤瓷、金属烤瓷和采用不同材料和技术制成的全陶瓷冠的边缘配合度。材料与方法:将80颗新鲜拔除的人下颌第一前磨牙分为8组,每组10颗,分别接受镍铬全金属(Ni-Cr)全金属(AM)冠、钴铬(Co-Cr) AM冠、镍铬四分之三冠、钴铬四分之三冠、镍铬烤瓷(PFM)烤瓷(Ni-Cr)烤瓷、钴铬烤瓷(PFM)烤瓷、全陶瓷(AC)烤瓷和CAD/CAM制AC烤瓷。冠骨胶结,标本沿颊部切片。在体视显微镜下评估边缘间隙。边际间隙越小,表明边际拟合越好。结果:8组平均边缘间隙最大(222.3 μm), 1组最小(85.5 μm)。Ni-Cr组全金属冠和金属陶瓷冠的平均边缘间隙显著小于Co-Cr组(p<0.05)。当只比较“全陶瓷冠”时,压制AC冠(148.6 μm)的边缘间隙明显小于CAD/CAM制造AC冠(222.3 μm)的边缘间隙。结论:AM冠的边缘配合度明显优于PFM冠和AC冠。Ni-Cr组的边际拟合优于Co-Cr组。与CAD/CAM制造的交流冠相比,压制的交流冠有更好的边缘配合。倒角终点线的边缘配合度明显好于肩线。
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In Vitro Comparison of Marginal Fit of All Metal, Porcelain Fused to Metal and All Ceramic Crowns
PURPOSE: To compare the marginal fit of all metal, porcelain fused to metal and all ceramic crowns fabricated using different materials and techniques commercially available. MATERIALS AND METHODS: 80 freshly extracted human mandibular first premolars were divided into 8 groups of 10 each which received Nickel-Chromium (Ni-Cr) all metal (AM) crowns, Cobalt-Chromium (Co-Cr) AM crowns, Ni-Cr three-quarter crowns, Co-Cr three quarter crowns, porcelain fused to metal (PFM) crowns with Ni-Cr copings, PFM crowns with Co-Cr copings, pressed all ceramic (AC) crowns and CAD/CAM fabricated AC crowns respectively. Crowns were cemented and specimen were sectioned buccolingually. The marginal gap was evaluated under a stereomicroscope. Lesser marginal gap indicated a better marginal fit. RESULTS: The mean marginal gap was maximum for Group 8 (222.3 μm) and least for Group 1 (85.5 μm). The mean marginal gaps for ‘all metal crowns’ and ‘metal ceramic crowns’ showed significantly lesser marginal gaps (p<0.05) for Ni-Cr Groups than Co-Cr Groups. When only ‘all ceramic crowns’ were compared, significantly lesser marginal gap was found for pressed AC crowns (148.6 μm) than CAD/CAM fabricated AC crowns (222.3 μm). CONCLUSION: Marginal fit of AM crowns were significantly better than PFM crowns and AC crowns. Ni-Cr group always showed better marginal fit than Co-Cr group. A better marginal fit of pressed AC crowns was seen than CAD/CAM fabricated AC crowns. Chamfer finish line showed a significantly better marginal fit than shoulder finish line.
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