Balkenhol Markus, Knapp Michael, Ferger Paul, Heun Ulrich, Wöstmann Bernd
Department of Prosthetic Dentistry, Justus-Liebig-University, Giessen, Germany.
Dent Mater. 2008 Nov;24(11):1575-84. doi: 10.1016/j.dental.2008.07.001. Epub 2008 Aug 20.
During polymerization, temporary c&b materials (t-c&b) undergo shrinkage which may lead to marginal inaccuracies of the temporary restoration. The degree of correlation between these two factors is still unknown. Hence, the objective of this study was to determine the polymerization shrinkage of t-c&bs and to evaluate, to which degree the shrinkage is correlated to the width of the marginal gap.
Six different t-c&bs (2 monomethacrylates and 4 dimethacrylates) were used to fabricate temporary crowns (n = 12) on two prepared teeth (stainless steel) of different diameters (5 and 7 mm). The crown diameters and marginal discrepancy were measured at various storage times after mixing (10, 30, 60 min) using a travelling microscope. In addition, the shrinkage (bonded-disk method) and content of inorganic filler (ashing method) were recorded. The statistical analysis was carried out using parametric tests, the F-test and Pearson's correlation (p = 0.05).
The marginal discrepancies increased as a function of increasing storage time (10 min: 0.162-0.218 mm; 60 min: 0.271-0.521 mm). Lower values were recorded for monomethacrylates than for the dimethacrylates (greatest changes recorded during the first 30 min). The shrinkage values recorded 10 min after mixing varied between 3.25 and 4.10%. There was no significant relationship between the width of the marginal gap and shrinkage (p > 0.05).
Shrinkage values are not suitable to predict the marginal accuracy of a temporary restoration. At least 30 min should elapse between fabricating and trimming temporary crowns to avoid further inaccuracies.
在聚合过程中,临时冠桥材料(t-c&b)会发生收缩,这可能导致临时修复体的边缘不精确。这两个因素之间的相关程度仍然未知。因此,本研究的目的是确定t-c&b的聚合收缩,并评估收缩与边缘间隙宽度的相关程度。
使用六种不同的t-c&b(2种单甲基丙烯酸酯和4种二甲基丙烯酸酯)在两颗不同直径(5和7毫米)的预备牙齿(不锈钢)上制作临时冠(n = 12)。在混合后的不同储存时间(10、30、60分钟)使用移动显微镜测量冠直径和边缘差异。此外,记录收缩率(粘结盘法)和无机填料含量(灰化法)。使用参数检验、F检验和皮尔逊相关性进行统计分析(p = 0.05)。
边缘差异随储存时间增加而增加(10分钟:0.162 - 0.218毫米;60分钟:0.271 - 0.521毫米)。单甲基丙烯酸酯记录的值低于二甲基丙烯酸酯(在前30分钟内记录的变化最大)。混合后10分钟记录的收缩率值在3.25%至4.10%之间变化。边缘间隙宽度与收缩率之间没有显著关系(p > 0.05)。
收缩率值不适合预测临时修复体的边缘精度。在制作和修整临时冠之间应至少经过30分钟,以避免进一步的不精确。