Gupta Monica, Chen Jung-Wei, Ontiveros Joe C
University of Texas Health Science Center at Houston, Dental Branch, Houston, Texas, USA.
J Dent Child (Chic). 2008 Jan-Apr;75(1):44-7.
The purpose of this study was to determine if crimping the lingual aspect of commercially available, preveneered, anterior stainless steel primary crowns affects the fracture resistance of the veneer facings.
Twenty-six anterior NuSmile crowns (size A1) were divided into 2 groups: group 1 served as the control, and group 2 was manually crimped evenly on the lingual cervical portion. All crowns were cemented onto a screw-mounted resin core duplicated from a manually prepared Kilgore tooth and tested under compression. Recorded were fracture resistance, percent of veneer facing loss, and fracture to the gingival margin. Differences between the control and experimental groups were analyzed by independent t test and chi-square (alpha=0.05).
The mean shear force required to fracture the veneers of the noncrimped crowns was 510.11 N (+/-79.66 SD), and 511.02 N (+/-62.37) for the crimped crowns. The mean percentage of veneer facing removed in the noncrimped crowns was 33% (+/-12.18), and 43% (+/-14.30) in the crimped crowns. No significant difference in shear strengths (P=.970) and in percentage of veneer loss (P=.063) was shown between crimped and noncrimped crowns. A mean of 8% of the noncrimped crowns and 23% of the crimped crowns had veneers fracturing to the gingival margin. The chi-square test showed no significant difference (P=.297).
The veneer resistance to fracture for the crimped crowns was comparable to noncrimped crowns. The crimped crowns, however, were associated with greater veneer surface area loss.
本研究旨在确定对市售的、预先涂有瓷层的前牙不锈钢乳牙冠舌侧进行卷边处理是否会影响瓷层饰面的抗折性。
将26个前牙NuSmile冠(A1尺寸)分为2组:第1组作为对照组,第2组在舌侧颈部均匀手动卷边。所有牙冠均粘固在一个从手工制备的Kilgore牙复制而来的螺丝固定树脂核上,并进行抗压测试。记录抗折性、瓷层饰面损失百分比以及龈缘骨折情况。通过独立t检验和卡方检验(α=0.05)分析对照组和实验组之间的差异。
未卷边牙冠瓷层折断所需的平均剪切力为510.11N(±79.66标准差),卷边牙冠为511.02N(±62.37)。未卷边牙冠瓷层饰面去除的平均百分比为33%(±12.18),卷边牙冠为43%(±14.30)。卷边和未卷边牙冠之间在剪切强度(P=0.970)和瓷层损失百分比(P=0.063)方面无显著差异。平均8%的未卷边牙冠和23%的卷边牙冠出现瓷层向龈缘折断。卡方检验显示无显著差异(P=0.297)。
卷边牙冠的瓷层抗折性与未卷边牙冠相当。然而,卷边牙冠的瓷层表面积损失更大。