Nakamura Takashi, Dei Nobuyoshi, Kojima Tetsuya, Wakabayashi Kazumichi
Division of Oromaxillofacial Regeneration, Osaka University Graduate School of Dentistry, Suita, Japan.
Int J Prosthodont. 2003 May-Jun;16(3):244-8.
The purpose of this study was to examine the effects of the occlusal convergence angle of the abutment and the computer's luting space setting on the marginal and internal fit of Cerec 3 computer-aided design/manufacturing (CAD/CAM) all-ceramic crowns.
Mandibular second premolar all-ceramic crowns were fabricated for nine different conditions using Cerec 3: all combinations of abutments with three different total occlusal convergence angles (4, 8, and 12 degrees) with three different luting space settings (10, 30, and 50 microm). The completed crowns were seated on the abutments, and the marginal gaps were measured. The internal gaps between the crowns and abutments were also measured, using test-fit silicone paste.
When the luting space was set to 10 microm, the marginal gaps of the crowns were greater than when it was set to 30 or 50 microm. When the luting space was set to 30 or 50 microm, the marginal gaps ranged from 53 to 67 microm and were not affected by the occlusal convergence angle of the abutment. The internal gaps were within a range of 116 to 162 microm and tended to decrease as the occlusal convergence angle of the abutment decreased.
When the luting space was set to 30 microm, crowns with a good fit could be fabricated on the Cerec 3 system, regardless of the occlusal convergence angle of the abutment.
本研究旨在探讨基牙的咬合聚合角以及计算机设定的粘结间隙对Cerec 3计算机辅助设计/制造(CAD/CAM)全瓷冠边缘适合性和内部适合性的影响。
使用Cerec 3针对九种不同情况制作下颌第二前磨牙全瓷冠:三种不同总咬合聚合角(4度、8度和12度)的基牙与三种不同粘结间隙设置(10微米、30微米和50微米)的所有组合。将完成的全瓷冠就位到基牙上,测量边缘间隙。还使用试戴硅酮糊剂测量全瓷冠与基牙之间的内部间隙。
当粘结间隙设置为10微米时,全瓷冠的边缘间隙大于设置为30微米或50微米时。当粘结间隙设置为30微米或50微米时,边缘间隙在53至67微米范围内,且不受基牙咬合聚合角的影响。内部间隙在116至162微米范围内,并且倾向于随着基牙咬合聚合角的减小而减小。
当粘结间隙设置为30微米时,无论基牙的咬合聚合角如何,均可在Cerec 3系统上制作出适合性良好的全瓷冠。