Mirković Nemanja, Gostović Aleksandra Spadijer, Lazić Zoran, Trifković Branka
Klinika za stomatologiju, Vojnomedicinska akademija, Beograd, Srbija.
Vojnosanit Pregl. 2012 Jul;69(7):562-8. doi: 10.2298/vsp100820004m.
BACKGROUND/AIM: Fracture toughness determines functional crown strenght and prevents damages on ceramics during mastication. There is a lack of relevant literature data about fracture toughness of crowns made by feather-edge preparation. Mechanical testing of ceramic samples is supposed to show if feather-edge tooth preparation is a successful method for making ceramic crowns without any risk of reduction of their mechanical properties. This research was done to establish effects of feather-edge tooth preparation on fracture toughness of single zirconia ceramic crowns.
The research was performed as an experimental study. Sixty (60) ceramic crowns were made on non-carious extracted human premolars. Thirty (30) crowns were made on the basis of feather-edge preparation (experimental group I). The group II included 30 crowns made on 1 mm rounded shoulder. Crowns fabrication was executed on a copy mill production system "Zirkonzahn" (Zirkonzahn GMBH, Gais, Germany). The spherical compression test was used to determine fracture toughness, using 6 mmn diameter ceramic ball. Fracture load for damaging ceramic crown was recorded on a universal testing machine--Zwick, type 1464, with the speed of 0.05 mm/min.
The results of this research introduced significant differences between fracture toughness of ceramic samples in every examined group. However, fracture toughness of crowns from both group was above 2000 N, what was double beyond a recommended value. The mean value of fracture toughness in the feather-edge group was 2090 N, and in shoulder group it was 2214 N.
This research showed a high fracture toughness of zirconia crowns made on feather-edge preparation. The examined crowns showed a fracture resistance at a sufficient distance in relation to the minimum values of functional loads. Further research of functional loads of these crown is necessary, as well as research of marginal adaptation of cemented crowns and gingival inflammatory response.
背景/目的:断裂韧性决定了功能性牙冠的强度,并能防止在咀嚼过程中陶瓷受到损坏。目前缺乏关于羽状边缘预备制作的牙冠断裂韧性的相关文献数据。对陶瓷样本进行力学测试旨在表明羽状边缘牙齿预备是否是一种成功制作陶瓷牙冠且不会降低其力学性能的方法。本研究旨在确定羽状边缘牙齿预备对单颗氧化锆陶瓷牙冠断裂韧性的影响。
本研究作为一项实验性研究进行。在无龋的拔除人类前磨牙上制作60颗陶瓷牙冠。基于羽状边缘预备制作30颗牙冠(实验组I)。第二组包括30颗在1mm圆形肩台基础上制作的牙冠。牙冠制作在“Zirkonzahn”复制铣削生产系统(Zirkonzahn GMBH,德国盖斯)上进行。使用直径6mm的陶瓷球通过球形压缩试验来测定断裂韧性。在万能试验机——Zwick 1464型上记录损坏陶瓷牙冠的断裂载荷,速度为0.05mm/min。
本研究结果显示每个检查组的陶瓷样本断裂韧性之间存在显著差异。然而两组牙冠的断裂韧性均高于2000N,这是推荐值的两倍。羽状边缘组的断裂韧性平均值为2090N,肩台组为2214N。
本研究表明基于羽状边缘预备制作的氧化锆牙冠具有较高的断裂韧性。所检查的牙冠在相对于功能负荷最小值的足够距离处显示出抗断裂性。有必要进一步研究这些牙冠的功能负荷,以及粘结牙冠的边缘适应性和牙龈炎症反应。