Bindl Andreas, Mörmann Werner H
Division of Aesthetics and Computer Restorations, Department of Preventive Dentistry, Periodontology and Cariology, Center for Dental and Oral Medicine, University of Zurich, Switzerland.
Int J Periodontics Restorative Dent. 2007 Dec;27(6):567-75.
The objective of this study was to evaluate, by scanning electron microscopy, the marginal and internal fit of all-ceramic three-unit fixed partial denture (FPD) frames fabricated by computer-assisted design/computer-aided machining (CAD/CAM) and CAM techniques using blocks of infiltration ceramic, high-strength yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) zirconia sinter ceramic, high-strength dense sintered Y-TZP zirconia ceramic, and glass ceramic. Slip-cast infiltration ceramic was used as a traditional control. The cementation interface widths of the FPD frame copings on butt (A) shoulders of Cerec In-Ceram zirconia (A1, 53 +/- 17 microm) were smaller than those of slip-cast In-Ceram zirconia (A6, 113 +/- 25 microm). Cerec Y-TZP zirconia (A2, 53 +/- 9 pm) and DCS Y-TZP zirconia (A4, 32 +/- 6 microm) interfaces were both significantly smaller than those of Cercon Y-TZP zirconia (A5, 120 +/- 6 microm). Internally, A2 (103 +/- 14) interfaces were smaller than A4 interfaces (144 +/- 15 microm). On chamfer shoulders (B), Cerec Y-TZP zirconia (B1, 71 +/- 5 microm) interfaces were smaller than Cercon interfaces (B2, 129 +/- 38 microm); internally, B1 (80 +/- 11 microm) interfaces were smaller than B2 interfaces (130 +/- 12 microm). CAD/CAM produced better marginal and internal accuracy of fit compared to slip casting and CAM techniques.
本研究的目的是通过扫描电子显微镜评估采用计算机辅助设计/计算机辅助加工(CAD/CAM)技术以及使用渗透陶瓷块、高强度氧化钇稳定四方氧化锆多晶体(Y-TZP)氧化锆烧结陶瓷、高强度致密烧结Y-TZP氧化锆陶瓷和玻璃陶瓷的CAM技术制作的全瓷三单位固定局部义齿(FPD)框架的边缘适合性和内部适合性。采用注浆渗透陶瓷作为传统对照。Cerec In-Ceram氧化锆对接(A)肩台上FPD框架冠的粘结界面宽度(A1,53±17微米)小于注浆In-Ceram氧化锆(A6,113±25微米)。Cerec Y-TZP氧化锆(A2,53±9微米)和DCS Y-TZP氧化锆(A4,32±6微米)的界面均显著小于Cercon Y-TZP氧化锆(A5,120±6微米)。在内部,A2(103±14)的界面小于A4(144±15微米)的界面。在倒棱肩台(B)上,Cerec Y-TZP氧化锆(B1,71±5微米)的界面小于Cercon(B2,129±38微米)的界面;在内部,B1(80±11微米)的界面小于B2(130±12微米)的界面。与注浆和CAM技术相比,CAD/CAM制作的框架在边缘和内部适合性方面具有更高的精度。