Limkangwalmongkol Penwadee, Kee Edwin, Chiche Gerard J, Blatz Markus B
Department of Endodontics, Prosthodontics, and Operative Dentistry, University of Maryland, Baltimore College of Dental Surgery, Baltimore, MD 21201, USA.
J Prosthodont. 2009 Feb;18(2):162-6. doi: 10.1111/j.1532-849X.2008.00396.x. Epub 2008 Oct 10.
Procera Alumina crowns are widely used; however, the effect of crown margin design on marginal fit is unknown. This study measured and compared the precision of fit of Procera Alumina crowns with two crown margin designs: all-porcelain versus alumina-supported margins.
Sixteen noncarious extracted human premolars were prepared for Procera((R)) Alumina crowns with an internally rounded shoulder preparation. Impressions were made from all teeth, and master dies were poured with type IV dental stone. The specimens were randomly divided into two groups. Procera Alumina crowns were fabricated: eight crowns with circumferential porcelain-butt (all-porcelain) margins and eight crowns with coping (alumina-supported) margins (control). Precision of fit was measured at six points on each crown with a profilometer (profile projector). The data were statistically analyzed with an independent-samples t-test (alpha < 0.05).
The mean marginal gap size (microm) of coping margins was 68.07 +/- 16.08 and of porcelain-butt margins was 101.29 +/- 43.71. There was no statistically significant difference (p= 0.065) of the marginal gap size between coping margins and porcelain-butt margins.
The results of this study demonstrate that there was no statistically significant difference in the marginal fit of coping and porcelain-butt margins. Both margin designs are within clinically acceptable ranges. Therefore, clinicians may choose to use a coping margin, as it is less labor intensive and requires less time for fabrication, unless there is a specific high esthetic need for a porcelain-butt margin.
Procera氧化铝全瓷冠被广泛应用;然而,冠边缘设计对边缘适合性的影响尚不清楚。本研究测量并比较了两种冠边缘设计的Procera氧化铝全瓷冠的适合精度:全瓷边缘与氧化铝支撑边缘。
为制作Procera氧化铝全瓷冠,对16颗无龋的拔除人类前磨牙进行内部圆形肩台预备。对所有牙齿制取印模,用IV型牙科石膏灌注母模。将标本随机分为两组。制作Procera氧化铝全瓷冠:8个带有圆周瓷对接(全瓷)边缘的冠和8个带有基底冠(氧化铝支撑)边缘的冠(对照组)。用轮廓仪(轮廓投影仪)在每个冠的六个点测量适合精度。数据采用独立样本t检验进行统计学分析(α<0.05)。
基底冠边缘的平均边缘间隙尺寸(微米)为68.07±16.08,瓷对接边缘为101.29±43.71。基底冠边缘与瓷对接边缘之间的边缘间隙尺寸无统计学显著差异(p = 0.065)。
本研究结果表明,基底冠边缘和瓷对接边缘在边缘适合性方面无统计学显著差异。两种边缘设计均在临床可接受范围内。因此,临床医生可以选择使用基底冠边缘,因为它劳动强度较小且制作所需时间较少,除非对瓷对接边缘有特定的高美学需求。