纵向和水平边缘形态单片氧化锆冠热疲劳边缘精度研究

Reham Almahdy, M. Mandour, Zainab El Sharkawy
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引用次数: 1

摘要

目的:评价两种终点线设计对单片氧化锆冠热疲劳后边缘精度的影响。材料与方法:制备了两颗人类第一磨牙,并用环氧树脂进行复制,制作了20个模具。据此,利用CAD/ CAM机床设计制作了共20个单片氧化锆冠(N=20)。按照终点线设计将冠分为羽边组(FE) (n=10)和深倒角组(DC) (n=10)。采用双固化自粘树脂胶泥将所有冠与相应的环氧树脂模粘连,模拟临床3个月的热机械疲劳,然后用数码显微镜测量垂直边缘间隙。结果:统计分析显示,深倒角边缘设计的边缘间隙平均值(39.6383±5.00193 μm)显著高于羽毛边缘设计的边缘间隙平均值(32.2616±2.60053μm)。结论:羽毛边缘结构的整体氧化锆边缘精度优于深倒角边缘结构。
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Marginal Accuracy of Monolithic Zirconia Crowns with Vertical and Horizontal Margin Configurations after Thermomechanical Fatigue
Purpose: The aim of this study was to evaluate the effect of two types of finish line designs on the marginal accuracy of monolithic zirconia crowns after thermomechanical fatigue. Materials and Methods: two human first molars were prepared and duplicated using epoxy resin to produce twenty dies. Accordingly, a total of 20 monolithic zirconia crowns (N=20) were designed and constructed using CAD/ CAM machine. The crowns were divided into two groups according to the finish line design, feather edge (FE) group (n=10) and deep chamfer (DC) group (n=10). All crowns were adhesively bonded to their corresponding epoxy resin dies by using dual cure self-adhesive resin cement and subjected to thermo-mechanical fatigue simulating 3 months of clinical situations then vertical marginal gap was measured using digital microscope. Results: Statistical analysis showed that deep chamfer margin design recorded statistically significant higher marginal gap mean value (39.6383 ± 5.00193 μm) than feather edge design (32.2616 ± 2.60053μm). Conclusion: marginal accuracy of monolithic zirconia constructed with feather edge margins is better than that with deep chamfer margin designs.
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