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不同高钯金属陶瓷合金对遮色瓷和牙本质瓷颜色的影响。

Effect of different high-palladium metal-ceramic alloys on the color of opaque and dentin porcelain.

作者信息

Stavridakis Minos M, Papazoglou Efstratios, Seghi Robert R, Johnston William M, Brantley William A

机构信息

School of Dentistry, University of Geneva, Switzerland.

出版信息

J Prosthet Dent. 2004 Aug;92(2):170-8. doi: 10.1016/j.prosdent.2004.05.001.

Abstract

STATEMENT OF PROBLEM

The color of dental porcelain depends on the type of metal substrate. Little research has been done to document the effects of different types of high-palladium alloys on the color of dental porcelain.

PURPOSE

The purpose of this in vitro study was to evaluate the effects of different high-palladium alloys on the resulting color of dentin porcelain, as well as on that of opaque porcelain after simulated dentin and glazing firing cycles.

MATERIAL AND METHODS

Three Pd-Cu-Ga alloys, Spartan Plus (S), Liberty (B), and Freedom Plus (F), and 5 Pd-Ga alloys, Legacy (L), IS 85 (I), Protocol (P), Legacy XT (X), and Jelenko No.1 (N), were examined. A Pd-Ag alloy, Super Star (T), was included for comparison to the high-palladium alloys, and the Au-Pd alloy, Olympia (O), served as the control. Six cast discs (16 x 1 mm) were prepared from each of the alloys. Shade B1 opaque porcelain (Vita-Omega) was applied at a final thickness of 0.1 mm. After 2 opaque porcelain firing cycles, the surfaces were airborne-particle abraded, and the specimens were divided into 2 groups. In the first group, 0.9 mm of B1 dentin porcelain was applied. The other group of specimens with only opaque porcelain underwent the same dentin porcelain and glazing firing cycles. Color differences (DeltaE) were determined with a colorimeter between the control and each experimental group, after the second opaque porcelain, second dentin porcelain, and glazing firing cycles. One-way analysis of variance and Dunnett's multiple range test were performed on the DeltaE data (alpha=.05).

RESULTS

After the application of dentin porcelain, the 3 Pd-Cu-Ga alloys showed significantly different (P<.05) DeltaE values (S=2.3 +/- 0.5, B=1.4 +/- 0.3, and F=1.3 +/- 0.7) than the control group. After the glazing cycle of this group, the 3 Pd-Cu-Ga alloys and the Pd-Ag alloy exhibited significantly different (P<.05) DeltaE values (S=2.8 +/- 0.8, B=2.2 +/- 0.3, F=1.9 +/- 1.0, and T=1.4 +/- 0.5) than the control group. After the simulated dentin porcelain firing cycles, the specimens with only opaque porcelain exhibited significantly different (P<.05) DeltaE values (S=5.2 +/- 1.4, B=5.4 +/- 0.6, and F=3.9 +/- 0.2) than the control group. The color difference between the 3 Pd-Cu-Ga alloys with only opaque porcelain and the control group increased more after the simulated glazing cycle (S=6.6 +/- 1.5, B=6.3 +/- 0.5, and F=4.6 +/- 0.1). The observed color differences between the Pd-Ga alloys and the control group were not statistically significant at any point.

CONCLUSIONS

The Pd-Cu-Ga alloys with only opaque porcelain, after the simulated dentin porcelain and glazing firing cycles, exhibited clinically unacceptable color differences. The application of dentin porcelain to the Pd-Cu-Ga alloys resulted in clinically acceptable color differences. The application of dentin porcelain to the Pd-Ag alloy, after the glazing firing cycle, resulted in clinically acceptable color differences (approximately 2.8 to 3.7 DeltaE CIELAB units). The Pd-Ag alloy specimens with only opaque porcelain did not exhibit significant color differences from the control group, whereas significant color differences from the control group after the dentin porcelain and glazing firing cycles were still clinically acceptable.

摘要

问题陈述

牙科烤瓷的颜色取决于金属基底的类型。针对不同类型的高钯合金对牙科烤瓷颜色的影响,所开展的研究甚少。

目的

本体外研究旨在评估不同的高钯合金对牙本质瓷以及模拟牙本质和上釉烧制循环后的不透明瓷最终颜色的影响。

材料与方法

检测了三种钯 - 铜 - 镓合金,即Spartan Plus(S)、Liberty(B)和Freedom Plus(F),以及五种钯 - 镓合金,即Legacy(L)、IS 85(I)、Protocol(P)、Legacy XT(X)和Jelenko No.1(N)。纳入一种钯 - 银合金Super Star(T)与高钯合金进行对比,并将金 - 钯合金Olympia(O)作为对照。每种合金制备六个铸型圆盘(16×1毫米)。涂抹最终厚度为0.1毫米的B1不透明瓷(Vita - Omega)。经过两次不透明瓷烧制循环后,对表面进行空气颗粒研磨,并将标本分为两组。在第一组中,涂抹0.9毫米的B1牙本质瓷。另一组仅含不透明瓷的标本经历相同的牙本质瓷和上釉烧制循环。在第二次不透明瓷、第二次牙本质瓷和上釉烧制循环后,使用色差仪测定对照组与每个实验组之间的颜色差异(ΔE)。对ΔE数据进行单因素方差分析和Dunnett多重范围检验(α = 0.05)。

结果

涂抹牙本质瓷后,三种钯 - 铜 - 镓合金显示出与对照组相比有显著不同(P < 0.05)的ΔE值(S = 2.3 ± 0.5,B = 1.4 ± 0.3,F = 1.3 ± 0.7)。该组上釉循环后,三种钯 - 铜 - 镓合金和钯 - 银合金显示出与对照组相比有显著不同(P < 0.05)的ΔE值(S = 2.8 ± 0.8,B = 2.2 ± 0.3,F = 1.9 ± 1.0,T = 1.4 ± 0.5)。在模拟牙本质瓷烧制循环后,仅含不透明瓷的标本显示出与对照组相比有显著不同(P < 0.05)的ΔE值(S = 5.2 ± 1.4,B = 5.4 ± 0.6,F = 3.9 ± 0.2)。仅含不透明瓷的三种钯 - 铜 - 镓合金与对照组之间的颜色差异在模拟上釉循环后增加更多(S = 6.6 ± 1.5,B = 6.3 ± 0.5,F = 4.6 ± 0.1)。在任何时间点,钯 - 镓合金与对照组之间观察到的颜色差异均无统计学意义。

结论

仅含不透明瓷的钯 - 铜 - 镓合金在模拟牙本质瓷和上釉烧制循环后,表现出临床上不可接受的颜色差异。在钯 - 铜 - 镓合金上涂抹牙本质瓷导致临床上可接受的颜色差异。在钯 - 银合金上涂抹牙本质瓷并经过上釉烧制循环后,产生临床上可接受的颜色差异(约2.8至3.7 ΔE CIELAB单位)。仅含不透明瓷的钯 - 银合金标本与对照组相比未表现出显著颜色差异,而在牙本质瓷和上釉烧制循环后与对照组的显著颜色差异在临床上仍可接受。

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