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全瓷冠和金沉积烤瓷熔附金属冠粘结后的微渗漏及树脂水门汀膜厚度

Microleakeage and resin cement film thickness of luted all-ceramic and gold electroformed porcelain-fused-to-metal crowns.

作者信息

Jacques Letícia Borges, Ferrari Marco, Cardoso Paulo Eduardo Capel

机构信息

Department of Dental Materials, School of Dentistry, University of São Paulo, Brazil.

出版信息

J Adhes Dent. 2003 Summer;5(2):145-52.

Abstract

PURPOSE

The purpose of this study was to evaluate the sealing ability of single-unit all-ceramic and gold-electroformed crowns luted with a resin cement under laboratory conditions.

MATERIALS AND METHODS

Thirty extracted maxillary premolars were selected. Standardized abutments were prepared for full-crown restorations with cervical margins located 1 mm below the cementoenamel junction. Samples were divided into two groups (n = 15) based on type of restorative system: Group 1: a heat-pressed all-ceramic system (IPS Empress 2, Ivoclar-Vivadent); Group 2: a gold-electroformed porcelain-fused-to-metal system (Gramm Technik). Crowns were luted with Excite DSC bonding system (Ivoclar-Vivadent) and Variolink II resin cement (Ivoclar-Vivadent) following manufacturer's instructions. After luting procedures and 700 thermal cycles (5 degrees C and 55 degrees C, 1 min dwell time), 20 specimens (n = 10 per group) were randomly selected and processed for microleakage evaluation at cervical sites. The remaining specimens (n = 5 per group) were prepared for SEM investigation on film thickness. Microleakage and film thickness data were statistically evaluated using the Mann-Whitney U-test (p < 0.05).

RESULTS

Fifty percent of group 1 and 60% of group 2 samples showed leakage. For group 1, dye penetration was mostly observed between metal and resin material, while group 2 specimens showed leakage mainly between ceramic margins and resin cement. Samples from group 1 showed a cement thickness of 82 microm, while 71 microm was found for group 2. Statistically significant differences were not found between samples from the two groups.

CONCLUSION

Regarding microleakage and film thickness, both restorative systems evaluated in this study performed similarly.

摘要

目的

本研究的目的是在实验室条件下评估用树脂水门汀粘结的单单位全瓷冠和金电铸冠的封闭能力。

材料与方法

选取30颗拔除的上颌前磨牙。制备标准化基台以进行全冠修复,颈部边缘位于牙骨质釉质界下方1mm处。根据修复系统类型将样本分为两组(n = 15):第1组:热压全瓷系统(IPS Empress 2,义获嘉伟瓦登特公司);第2组:金电铸烤瓷熔附金属系统(Gramm Technik)。按照制造商的说明,使用Excite DSC粘结系统(义获嘉伟瓦登特公司)和Variolink II树脂水门汀(义获嘉伟瓦登特公司)粘结冠。在粘结程序完成后以及700次热循环(5℃和55℃,保持时间1分钟)后,随机选取20个样本(每组n = 10),并对颈部部位进行微渗漏评估。其余样本(每组n = 5)制备用于扫描电子显微镜观察膜厚度。使用Mann-Whitney U检验对微渗漏和膜厚度数据进行统计学评估(p < 0.05)。

结果

第1组50%的样本和第2组60%的样本显示有渗漏。对于第1组,染料渗透主要在金属和树脂材料之间观察到,而第2组样本的渗漏主要出现在陶瓷边缘和树脂水门汀之间。第1组样本的水门汀厚度为82微米,而第2组为71微米。两组样本之间未发现统计学上的显著差异。

结论

就微渗漏和膜厚度而言,本研究中评估的两种修复系统表现相似。

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