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计算机辅助设计/计算机辅助制造(CAD/CAM)制作的氧化锆基底冠与注浆成型氧化锆基底冠的边缘适合性和内部适合性

Marginal and internal fit of CAD/CAM and slip-cast made zirconia copings.

作者信息

Torabi Ardekani Kianoosh, Ahangari Ahmad Hassan, Farahi Leila

机构信息

Associate Professor, Department of Prosthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

J Dent Res Dent Clin Dent Prospects. 2012 Spring;6(2):42-8. doi: 10.5681/joddd.2012.010. Epub 2012 Jun 6.

Abstract

BACKGROUND AND AIMS

CAD/CAM systems facilitate the use of zirconia substructure materials for all-ceramic copings. This in vitro study investigated the marginal and internal fit of zirconia copings made with CAD/CAM system and slip-casting method.

MATERIALS AND METHODS

Sixteen CAD/CAM made zirconia copings and 16 slip-cast made zirconia copings were fabri-cated and cemented with glass-ionomer cement to their respective master abutment models, and thickness of the cement layer was measured at specific measuring points with stereomicroscope.

RESULTS

In the left wall, the mean axial internal gap was greater in group one than group two (62.49 vs. 48.14) (P =0.007), in the right wall the mean axial internal gap was greater in group one than group two (44.87 vs. 40.91) (P = 0.465). The oc-clusal internal gap was greater in group one than group two (118.81 vs. 102.11) (P =0.423). The mean marginal gap also was greater in group one than group two (46.67 vs. 44.29) (P = 0.863). The differences in marginal fit between these two methods were not statistically significant, except for left axial internal gap that was significantly greater in the CAD/CAM system than conventional slip-cast technique (P =0.007).

CONCLUSION

It was concluded that this CAD/CAM system can compete well with conventional systems for clinical fit, and can achieve good in vitro marginal fit.

摘要

背景与目的

CAD/CAM系统便于使用氧化锆底层材料制作全瓷修复体。本体外研究调查了采用CAD/CAM系统和注浆法制作的氧化锆修复体的边缘适合性和内部适合性。

材料与方法

制作16个CAD/CAM法氧化锆修复体和16个注浆法氧化锆修复体,并用玻璃离子水门汀粘固于各自的主基牙模型上,使用体视显微镜在特定测量点测量水门汀层厚度。

结果

在左侧壁,第一组平均轴向内部间隙大于第二组(62.49对48.14)(P = 0.007);在右侧壁,第一组平均轴向内部间隙大于第二组(44.87对40.91)(P = 0.465)。第一组咬合面内部间隙大于第二组(118.81对102.11)(P = 0.423)。第一组平均边缘间隙也大于第二组(46.67对44.29)(P = 0.863)。除CAD/CAM系统左侧轴向内部间隙显著大于传统注浆法(P = 0.007)外),这两种方法在边缘适合性上的差异无统计学意义。

结论

得出结论,该CAD/CAM系统在临床适合性方面可与传统系统相媲美,且能在体外实现良好的边缘适合性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d10/3445313/2649063c5a80/joddd-6-42-g001.jpg

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