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使用一种新型牙冠制作技术制备的牙冠的内部适合性评估:激光烧结钴铬合金牙冠

Internal fit evaluation of crowns prepared using a new dental crown fabrication technique: laser-sintered Co-Cr crowns.

作者信息

Ucar Yurdanur, Akova Tolga, Akyil Musa S, Brantley William A

机构信息

Department of Prosthetic Dentistry, College of Dentistry, Cukurova University, Balcali, Adana, Turkey.

出版信息

J Prosthet Dent. 2009 Oct;102(4):253-9. doi: 10.1016/S0022-3913(09)60165-7.

Abstract

STATEMENT OF PROBLEM

Difficulties encountered during casting of base metal dental alloys limit their use. Application of these alloys might be enhanced if new techniques are used.

PURPOSE

The purpose of this study was to compare the internal fit of laser-sintered Co-Cr alloy crowns with base metal restorations prepared from another Co-Cr alloy and a Ni-Cr alloy using conventional casting techniques.

MATERIAL AND METHODS

Internal fit of laser-sintered Co-Cr crowns was compared with the fit of conventionally cast Ni-Cr and Co-Cr alloy crowns. Twelve crown-shaped specimens were prepared on a stainless steel die representing a prepared maxillary right central incisor for each group. Fit of crowns was evaluated using 2 different techniques: (1) weighing the light-body addition silicone that simulated a cement material, and (2) measuring the internal gap width on a die for longitudinally sectioned specimens. One-way ANOVA followed by Tukey multiple comparison test was used for statistical analysis (alpha=.05).

RESULTS

Significantly higher mean (SD) light-body silicone weights (P<.001) were observed in the laser-sintered Co-Cr alloy group (14.34 (1.67) mg) compared to the conventionally cast Ni-Cr alloy group (9.36 (1.97) mg) and Co-Cr alloy group (7.85 (1.19) mg). Mean internal gap widths (SDs) were 58.21 (19.92) microm, 50.55 (25.1) microm, and 62.57 (21.62) microm, respectively, for the cast Ni-Cr and Co-Cr alloy groups and the laser-sintered Co-Cr alloy group. No significant difference was observed between the 3 groups for internal gap widths (P=.42).

CONCLUSIONS

Weighing the light-body addition silicone is a convenient method for evaluating the 3-dimensional internal fit of dental crowns. However, no significant difference was found among the 3 alloy groups evaluated for the internal gap width of sectioned crown specimens.

摘要

问题陈述

铸造贱金属牙科合金时遇到的困难限制了它们的使用。如果采用新技术,这些合金的应用可能会得到改善。

目的

本研究的目的是比较激光烧结钴铬合金冠与使用传统铸造技术由另一种钴铬合金和镍铬合金制备的贱金属修复体的内部适合性。

材料与方法

将激光烧结钴铬冠的内部适合性与传统铸造的镍铬和钴铬合金冠的适合性进行比较。在代表每组上颌右侧中切牙预备体的不锈钢代型上制备12个冠形试件。使用两种不同的技术评估冠的适合性:(1)称量模拟粘结材料的轻质加成型硅橡胶,(2)测量纵向切割试件在代型上的内部间隙宽度。采用单因素方差分析,随后进行Tukey多重比较检验进行统计分析(α = 0.05)。

结果

与传统铸造的镍铬合金组(9.36(1.97)mg)和钴铬合金组(7.85(1.19)mg)相比,激光烧结钴铬合金组的轻质硅橡胶平均重量(标准差)显著更高(P < 0.001)(14.34(1.67)mg)。铸造镍铬合金组、钴铬合金组和激光烧结钴铬合金组的平均内部间隙宽度(标准差)分别为58.21(19.92)微米、50.55(25.1)微米和62.57(21.62)微米。三组之间的内部间隙宽度无显著差异(P = 0.42)。

结论

称量轻质加成型硅橡胶是评估牙冠三维内部适合性的一种简便方法。然而,在所评估的三种合金组中,切片冠试件的内部间隙宽度没有显著差异。

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