Mezzomo Elio, Massa Fernando, Libera Silmar Dalla
Graduation Prosthodontics Department, Universidade Luterana do Brasil, Canoas, Brazil.
Quintessence Int. 2003 Apr;34(4):301-6.
The purpose of this in vitro study was to investigate fracture resistance in teeth restored with cast post and cores with and without ferrule and using two different luting cements.
Forty intact maxillary premolars were endodontically treated after their crowns were removed at 2.00 mm from the cementoenamel junction. Specimens were embedded in acrylic resin blocks in aluminum cylinders, 4.00 mm apical to the cementoenamel junction. Twenty specimens were ferruled, and half of the posts and cores were cemented with zinc-phosphate cement, while the other half was cemented with resin cement. The same procedures were followed for the nonferruled group. Loads were applied at an angle of 45 degrees and measured with a universal testing machine. ANOVA and Tukey test were used for statistical analyses; a significance level was established at 5%.
Ferruled specimens showed greater resistance than nonferruled ones, regardless of the cement used. There was no statistical difference between the group of specimens cemented with resin cement and without ferrule and the ferruled groups. The non-ferruled group with zinc-phosphate cement showed the poorest results.
A 2.00-mm cervical ferrule is important for fracture resistance of restored teeth, and resin cement has a better performance.
本体外研究的目的是调查使用和不使用箍套以及两种不同粘结水门汀的铸造桩核修复牙齿的抗折性能。
40颗完整的上颌前磨牙在距牙釉质牙骨质界2.00mm处截冠后进行根管治疗。将标本嵌入铝制圆柱体中的丙烯酸树脂块中,位于牙釉质牙骨质界根尖4.00mm处。20个标本有箍套,一半的桩核用磷酸锌水门汀粘结,另一半用树脂水门汀粘结。无箍套组遵循相同程序。以45度角施加负荷并用万能试验机测量。采用方差分析和Tukey检验进行统计分析;显著性水平设定为5%。
无论使用何种水门汀,有箍套的标本比无箍套的标本表现出更大的抗折性。用树脂水门汀粘结且无箍套的标本组与有箍套组之间无统计学差异。使用磷酸锌水门汀的无箍套组结果最差。
2.00mm的颈部箍套对修复后牙齿的抗折性很重要,树脂水门汀性能更好。