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使用三种硬核材料对后牙全瓷桥支架的静态承载能力进行比较。

Comparison of the static loading capacity of all-ceramic bridge frameworks in posterior teeth using three hard core materials.

作者信息

Dornhofer R, Arnetzl G V, Koller M, Arnetzl G

机构信息

Clinical Department of Dental Prosthetics (Prosthetics, Restorative Dentistry, Periodontology and Material Science), Medical University of Graz, Graz, Austria.

出版信息

Int J Comput Dent. 2007 Oct;10(4):315-28.

Abstract

In this in vitro investigation, we studied the static strength of three-unit all-ceramic bridge frameworks with rigid positioning of the abutments. The materials used were Vita InCeram Alumina, Vita InCeram Zirkonia, and zirconium oxide (Vita InCeram (X YZ Cubes for Cerec). A finite element calculation was performed for numerical comparison of the load-bearing capacity of two main normal tensions. The purpose of the investigation was to design a framework made from hard core material, that offers the greatest possible resistance in static fracture loading tests. In a model, the 2nd maxillary right premolar and 2nd maxillary right molar served as bridge abutments and were provided with a chamfer preparation. On this base, two different bridge frameworks were constructed using CAD/CAM technology after an impression had been taken. One bridge connector was designed heart-shaped, with contact to the gingiva, while the other was designed as a "free-connector" at a distance of 1.2 mm from the gingiva. In this framework design, the radius in the cervical connector area is larger. We were uncertain as to whether it would be possible to further increase the strength of the ceramic material by the use of the differently designed pontic, independent of the hard core ceramic used. The least fracture strength was registered for the "heart-shaped connector" constructed from InCeram Alumina, with a mean fracture load of about 1089 Newton (N). The connector designed as a "free connector", made from the same material, was stronger by 10%. With the materials InCeram Zirkonia and zirconium dioxide as well, the "free-connector" design achieved a 10% higher breakage limit than the heart-shaped design. InCeram Zirkonia was 25% more stable in the static load tests than InCeram Alumina. Zirconium dioxide demonstrated a 2.3-fold greater strength than InCeram Alumina, while the free-connector design showed the greatest mean static loading capacity of 2808 N.

摘要

在这项体外研究中,我们研究了基牙刚性定位的三单位全瓷桥框架的静态强度。所使用的材料为维他InCeram氧化铝、维他InCeram氧化锆和氧化锆(维他InCeram(用于Cerec的XYZ立方块)。进行了有限元计算,以对两种主要法向张力的承载能力进行数值比较。该研究的目的是设计一种由硬核材料制成的框架,在静态断裂加载试验中提供尽可能大的阻力。在一个模型中,右上颌第二前磨牙和右上颌第二磨牙作为桥基牙,并进行了倒角预备。在此基础上,在取模后使用CAD/CAM技术构建了两种不同的桥框架。一个桥连接体设计为心形,与牙龈接触,而另一个设计为“自由连接体”,距牙龈1.2毫米。在这种框架设计中,颈部连接体区域的半径更大。我们不确定是否有可能通过使用不同设计的桥体来进一步提高陶瓷材料的强度,而不考虑所使用的硬核陶瓷。由InCeram氧化铝制成的“心形连接体”的断裂强度最低,平均断裂载荷约为1089牛顿(N)。由相同材料制成的设计为“自由连接体”的连接体强度高10%。对于维他InCeram氧化锆和二氧化锆材料,“自由连接体”设计的破损极限也比心形设计高10%。在静态载荷试验中,维他InCeram氧化锆比维他InCeram氧化铝稳定25%。二氧化锆的强度比维他InCeram氧化铝高2.3倍,而自由连接体设计的平均静态加载能力最大,为2808 N。

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