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改良节段法在激光焊接不良适配的 cpTi 与 Ni-Cr 合金整体铸造种植体支持式修复体中的应用。

Modified section method for laser-welding of ill-fitting cp Ti and Ni-Cr alloy one-piece cast implant-supported frameworks.

机构信息

Dental School of Ribeirão Preto, University of São Paulo, Dental Materials and Prosthodontics, Ribeirão Preto, SP, Brazil.

出版信息

J Oral Rehabil. 2010 May 1;37(5):359-63. doi: 10.1111/j.1365-2842.2010.02063.x. Epub 2010 Feb 8.

DOI:10.1111/j.1365-2842.2010.02063.x
PMID:20149062
Abstract

This study aimed to verify the effect of modified section method and laser-welding on the accuracy of fit of ill-fitting commercially pure titanium (cp Ti) and Ni-Cr alloy one-piece cast frameworks. Two sets of similar implant-supported frameworks were constructed. Both groups of six 3-unit implant-supported fixed partial dentures were cast as one-piece [I: Ni-Cr (control) and II: cp Ti] and evaluated for passive fitting in an optical microscope with both screws tightened and with only one screw tightened. All frameworks were then sectioned in the diagonal axis at the pontic region (III: Ni-Cr and IV: cp Ti). Sectioned frameworks were positioned in the matrix (10-Ncm torque) and laser-welded. Passive fitting was evaluated for the second time. Data were submitted to anova and Tukey-Kramer honestly significant difference tests (P < 0.05). With both screws tightened, one-piece cp Ti group II showed significantly higher misfit values (27.57 +/- 5.06 microm) than other groups (I: 11.19 +/- 2.54 microm, III: 12.88 +/- 2.93 microm, IV: 13.77 +/- 1.51 microm) (P < 0.05). In the single-screw-tightened test, with readings on the opposite side to the tightened side, Ni-Cr cast as one-piece (I: 58.66 +/- 14.30 microm) was significantly different from cp Ti group after diagonal section (IV: 27.51 +/- 8.28 microm) (P < 0.05). On the tightened side, no significant differences were found between groups (P > 0.05). Results showed that diagonally sectioning ill-fitting cp Ti frameworks lowers misfit levels of prosthetic implant-supported frameworks and also improves passivity levels of the same frameworks when compared to one-piece cast structures.

摘要

本研究旨在验证改良分段法和激光焊接对拟合不良的商用纯钛(cpTi)和镍铬合金整体铸造支架精度的影响。构建了两组类似的种植体支持的支架。两组 6 个单位种植体支持的固定局部义齿均被铸造为整体式[I:镍铬(对照)和 II:cpTi],并在光学显微镜下用两个螺丝拧紧和仅用一个螺丝拧紧的情况下评估被动拟合。然后将所有支架在桥体区域沿对角线方向分段(III:镍铬和 IV:cpTi)。分段后的支架放置在基质中(10-Ncm 扭矩)并进行激光焊接。再次评估被动拟合。数据采用方差分析和 Tukey-Kramer Honestly Significant Difference 检验(P<0.05)。用两个螺丝拧紧时,一体式 cpTi 组 II 的不匹配值(27.57 +/- 5.06 微米)明显高于其他组(I:11.19 +/- 2.54 微米,III:12.88 +/- 2.93 微米,IV:13.77 +/- 1.51 微米)(P<0.05)。在单螺丝拧紧测试中,在拧紧侧的对侧读取时,整体铸造的镍铬(I:58.66 +/- 14.30 微米)与对角线分段后的 cpTi 组(IV:27.51 +/- 8.28 微米)有显著差异(P<0.05)。在拧紧侧,各组之间无显著差异(P>0.05)。结果表明,对角分段拟合不良的 cpTi 支架可降低修复体支持种植体支架的不匹配水平,与整体铸造结构相比,还可提高相同支架的被动拟合水平。

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