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多次烧结对可压陶瓷单冠边缘完整性的影响。

The effect of multiple firings on the marginal integrity of pressable ceramic single crowns.

机构信息

Department of General Dental Sciences, Marquette University School of Dentistry, Milwaukee, WI, USA.

出版信息

J Prosthet Dent. 2012 Jan;107(1):17-23. doi: 10.1016/S0022-3913(12)60011-0.

Abstract

STATEMENT OF PROBLEM

The marginal adaptation of metal ceramic crowns is affected by firing cycles for veneering porcelain application. The effect of multiple firings on the marginal integrity of pressable ceramic core crowns is unknown.

PURPOSE

The purpose of this in vitro study was to evaluate the effect of repeated firing cycles on the marginal discrepancy of veneered (layered) pressable ceramic anterior crowns with 2 different finish line configurations.

MATERIAL AND METHODS

Forty pressable ceramic single anterior complete crowns were fabricated from 2 systems (IPS Empress Esthetic and IPS e.max Press) with 2 finish line designs (shoulder, chamfer) on epoxy resin dies. Specimens were divided into 4 groups of 10, and measurements were made after pressing (control) and after 5 veneer firing stages: 1) wash, 2) first incisal, 3) second incisal, 4) characterization and glazing, and 5) corrective. The change in vertical marginal discrepancy was measured with a light microscope at 4 locations: facial (F), mesial (M), lingual (L), and distal (D) surfaces. One-way ANOVA (α-=.05) was used to evaluate the marginal change. A Student-Newman-Keuls test was also used for comparison among the groups.

RESULTS

There were no significant changes in the vertical marginal integrity related to ceramic type and marginal location and their interactions. However, there was a significant marginal integrity change during the characterization and glazing firing stage. (P<.05)

CONCLUSIONS

The marginal gap increased for both systems during veneer application and decreased during the characterization and glazing firing cycle. The total marginal fit change after 5 firings was 0.33 μm for IPS e.max Press, and 0.27 μm for IPS Empress Esthetic.

摘要

问题陈述

金属陶瓷冠的边缘适应性受上瓷烧制循环的影响。多次烧制对可压陶瓷核冠边缘完整性的影响尚不清楚。

目的

本体外研究的目的是评估重复烧制循环对 2 种不同边缘线设计的饰面(分层)可压陶瓷前牙冠的边缘差异的影响。

材料和方法

从 2 个系统(IPS Empress Esthetic 和 IPS e.max Press)用 2 种边缘线设计(肩台,倒角)在环氧树脂模具上制作 40 个可压陶瓷单前牙全冠试件。试件分为 4 组,每组 10 个,在压制后(对照)和 5 个上瓷烧制阶段后进行测量:1)清洗,2)切端 1,3)切端 2,4)特征化和上釉,5)校正。用显微镜在 4 个位置(颊面,近中,舌面,远中)测量垂直边缘差异的变化。采用单因素方差分析(α=.05)评估边缘变化。还使用 Student-Newman-Keuls 检验进行组间比较。

结果

陶瓷类型和边缘位置及其相互作用与垂直边缘完整性无显著变化。然而,在特征化和上釉烧制阶段,边缘完整性有显著变化。(P<.05)

结论

在饰面应用过程中,两个系统的边缘间隙都增加,而在特征化和上釉烧制循环中则减少。经过 5 次烧制后,IPS e.max Press 的总边缘拟合变化为 0.33μm,IPS Empress Esthetic 为 0.27μm。

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