Pilathadka S, Slezák R, Srinivasan V, Ivancáková R
Charles University in Prague, Faculty of Medicine in Hradec Krĺové, Department of Dentistry, Czech Republic.
Prague Med Rep. 2008;109(1):71-82.
The primary objective of this in vitro study was to compare the absolute marginal discrepancy (AMD) of CAD/CAM produced Procera AllCeram crown copings, fabricated on die stone master models of two different tooth groups, incisor and molar. Two maxillary central incisors and two first molars typodont teeth were prepared with 0.8 mm of circumferential chamfer, duplicated 9 times to obtain 36 die stone models and allotted into three groups of 12 models (incisors = 6 & molars = 6). Procera AllCeram 0.6 mm copings were fixed with zinc phosphate (AZ), glass ionomer (AG) and resin (AR) cement accordingly under 50 N static finger force. The AMDs were measured using the scanning electron microscope (SEM) on four axial walls with 4 measurements on each wall to obtain 16 readings for one tooth. Statistical analysis of the data was performed using the non-parametric test of Kruskal-Wallis and Mann-Whitney test. The analysis did not find any significant differences in the mean AMD of incisor and molar crown copings, and in different axial surfaces too (p < or = 0.05). Recorded mean AMD of incisor copings were AZ group 59 microm, AG 37.9 microm, and AR 44.4 microm and molar copings were AZ 48.8 microm, AG 27 microm, and AR 50.2 microm. It can be concluded that AMD of Procera AllCeram copings were within accepted level of 100 microm. Incisors showed higher AMD than molars. Molars demonstrated the higher AMD on mid-distal and mid-lingual surfaces whereas for incisor it was mid-buccal and mid-lingual surface.
本体外研究的主要目的是比较在两种不同牙组(切牙和磨牙)的石膏主模型上制作的CAD/CAM Procera全瓷冠内冠的绝对边缘差异(AMD)。对两颗上颌中切牙和两颗第一磨牙型牙制备0.8mm的圆周肩台,复制9次以获得36个石膏模型,并分为三组,每组12个模型(切牙=6个,磨牙=6个)。相应地,在50N的静态手指压力下,用磷酸锌(AZ)、玻璃离子(AG)和树脂(AR)水门汀固定0.6mm的Procera全瓷内冠。使用扫描电子显微镜(SEM)在四个轴壁上进行测量,每个壁测量4次,以获得一颗牙齿的16个读数。使用Kruskal-Wallis非参数检验和Mann-Whitney检验对数据进行统计分析。分析未发现切牙和磨牙冠内冠的平均AMD以及不同轴面之间存在任何显著差异(p≤0.05)。记录的切牙内冠平均AMD为:AZ组59μm,AG组37.9μm,AR组44.4μm;磨牙内冠平均AMD为:AZ组48.8μm,AG组27μm和AR组50.2μm。可以得出结论,Procera全瓷内冠的AMD在100μm的可接受水平内。切牙的AMD高于磨牙。磨牙在远中-中面和舌中面显示出较高的AMD,而切牙在颊中面和舌中面显示出较高的AMD。