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[牙科可加工材料的研究进展]

[Research progress of dental machinable materials].

作者信息

Liu Xiao Zhou, Lu Pei Jun, Wang Yong

机构信息

Research Center of Engineering and Technology for Computerized Dentistry, Ministry of Health, Peking University School & Hospital of Stomatology, Beijing, China.

出版信息

Beijing Da Xue Xue Bao Yi Xue Ban. 2008 Dec 18;40(6):654-7.

PMID:19088843
Abstract

The concept of computer-aided design/computer aided manufacturing (CAD/CAM) was first mentioned decades ago in the field of dentistry. The technology to make dental restorations has found wide application recently and developed rapidly in prosthodontics and oral implantology, for it could save patients' time and manpower, have precision on prostheses' edging, etc. Until now there are several commercial CAD/CAM systems on market. With the use of CAD/CAM technology in dentistry, it has broken the traditional pattern of making dentures manually. Meanwhile, it brings opportunity for material science. The machinable/milled materials in dentistry should have not only excellent biocompatibility, but also machining and physical properties. Both of them are important. Nowadays, a great number of blocks are made from feldspar ceramics, glass-ceramics, alumina oxide, zirconium oxide, titanium, composite materials, wax and so on. Lots of researchers have had their focus on metal-free materials, because it can make the restorations look more natural and not show the inside metal color. However, strength like feldspar ceramics has its own disadvantages. It has strict indications, otherwise the restoration may fail. The technique called In-Ceram has been used long time ago. It also has long clinical experience and excellent long-term prognosis. People have explored this technique in CAD/CAM restorations. Studies have manifested that it can be utilized this way. At first, alumina was milled with pores; then, glass was infiltrated to the milled material. After zirconia had its success used in orthopedics, it became more and more popular to investigate whether this stuff was suitable in dentistry or not. Luckily, it has been proved adaptable for making single crown in posterior area, fixed partial dentures, in particular, and milling it using CAM equipment, due to the partially sintered block's hardness like chalk. Several milled polymer materials are made for temporary crowns or bridges. In recent years, because of the phenomenon about microleakage of the direct filling composite resin intraoral, indirect filling method, inlay, by the adhesive agent has bonded the tooth tissue and the material to eliminate the microleakage. It is the chemical bonding. As a result of this, maybe composite material made inlay will be prospective. As the aging phenomenon of the polymers are inevitable, and the resin matrix are polymers, it is not suitable for cosmetic restorations. Metal materials for CAD/CAM have some commercial products. But few scholars do the studies about it. In this article you will find that many investigators abroad do the research about the commercial blocks on their physical and clinical study. On the other hand, domestic scholars pay attention to the basis of the material research. It provides the overview of the materials for CAD/CAM in dentistry.

摘要

计算机辅助设计/计算机辅助制造(CAD/CAM)的概念早在几十年前就在牙科领域被首次提及。用于制作牙齿修复体的技术近年来得到了广泛应用,并在口腔修复学和口腔种植学领域迅速发展,因为它可以节省患者的时间和人力,在修复体边缘处理上具有精确性等。到目前为止,市场上有几种商业CAD/CAM系统。随着CAD/CAM技术在牙科领域的应用,它打破了传统的手工制作假牙的模式。同时,它也为材料科学带来了机遇。牙科中可加工/可铣削的材料不仅应具有优异的生物相容性,还应具备加工性能和物理性能。这两者都很重要。如今,大量的块材由长石陶瓷、玻璃陶瓷、氧化铝、氧化锆、钛、复合材料、蜡等制成。许多研究人员将重点放在了无金属材料上,因为它可以使修复体看起来更自然,不会露出内部金属颜色。然而,像长石陶瓷这样的材料在强度方面有其自身的缺点。它有严格的适应症,否则修复可能会失败。名为In-Ceram的技术早在很久以前就已被使用。它也有悠久的临床经验和出色的长期预后。人们在CAD/CAM修复中探索了这项技术。研究表明它可以以这种方式被利用。起初,将氧化铝铣削成带有孔隙的材料;然后,将玻璃渗入铣削后的材料中。氧化锆在骨科领域取得成功应用后,研究其是否适用于牙科变得越来越普遍。幸运的是,由于部分烧结块材的硬度像粉笔一样,已被证明适用于制作后牙区的单冠、尤其是固定局部义齿,并使用CAM设备进行铣削。几种铣削聚合物材料被制作用于临时冠或桥体。近年来,由于口腔内直接充填复合树脂存在微渗漏现象,通过粘接剂将牙齿组织与材料进行粘接的间接充填方法——嵌体,可消除微渗漏。这是化学粘接。因此,复合材料制成的嵌体可能具有前景。由于聚合物的老化现象不可避免,而树脂基质是聚合物,所以它不适合用于美容修复。用于CAD/CAM的金属材料有一些商业产品。但很少有学者对此进行研究。在本文中你会发现,国外许多研究者对商业块材进行了物理和临床研究。另一方面,国内学者关注材料研究的基础。本文提供了牙科CAD/CAM材料的概述。

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