快速烧结制备氧化锆单片冠的光学性质

A. Ibrahem, M. Mandour, Walaa El-Mekkawi
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摘要

目的:利用ZirCAD Prime研究烧结时间对单片氧化锆冠光学性能的影响。材料与方法:采用光学口腔扫描仪对正常前磨牙进行扫描。扫描后的前磨牙按照陶瓷修复体的标准制备指南,使用Exocad软件进行数字制备,接受氧化锆修复。制作了3D打印树脂母模。使用聚乙烯硅氧烷压模材料对3D打印主模进行了压模,然后使用环氧树脂浇注。重复这一过程,得到16个环氧树脂模型。以ZirCAD Prime坯料A2为材料,用CADCAM系统生产16个冠,厚度为16 mm。样品按烧结时间分为两组(n=8)。A组:采用普通烧结循环烧结9h, 50min, B组:采用快速烧结循环烧结2h, 26min,烧结后用50 μm Al2O3颗粒对两组冠内表面进行研磨处理。用分光光度计测定样品的光学性质,包括半透性参数(TP)和颜色变化(ΔE)。对所得值进行统计学分析。结果:评价颜色变化的平均值∆E值在3.0以下,为“临床难以察觉”。两组间半透明性参数差异无统计学意义。结论:zrcad速烧结循环对最终修复体的颜色和透明度无明显影响。
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Optical Properties of Zirconia Monolithic Crowns Constructed Using Speed Sintering Cycle
Purpose: This study examined the effect of change in sintering time on the optical properties of monolithic zirconia crowns using ZirCAD Prime. Materials and methods: A Sound premolar was scanned using optical oral scanner. The scanned premolar was digitally prepared to receive zirconia restoration using Exocad software following standard preparation guidelines for ceramic restorations. 3D printed resin master die was produced. An impression was made for the 3D printed master die using polyvinylsiloxane impression material then poured using epoxy resin. The procedure was repeated to obtain 16 epoxy resin models. Sixteen crowns were produced by CADCAM system from ZirCAD Prime blank shade A2 with 16 mm thickness. Samples were divided into two groups according to sintering time (n=8). Group (A): crowns were sintered using normal sintering cycle for 9h and 50 min. Group (B): crowns were sintered using speed sintering cycle for 2h and 26 min. After sintering the internal surfaces of both groups were abraded with 50 μm Al2O3 particles. Optical properties including Translucency Parameter (TP) and change in color (ΔE) of samples were determined using spectrophotometer. Obtained values were statistically analyzed. Results: Regarding change of color evaluation mean ∆E values were below 3.0 which is considered “clinically imperceptible”. There was also no significant difference in translucency parameter between both groups. Conclusion: ZirCAD Prime speed sintering cycle will have no perceived effect on color and translucency of the final restoration.
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