Sundar Manoj Kumar, Chikmagalur Satish Babu, Pasha Fayaz
Department of Prosthodontics, V.S. Dental College & Hospital, K.R. Road, V.V. Puram, Bangalore 560004, Karnataka, India.
J Prosthodont Res. 2014 Oct;58(4):252-8. doi: 10.1016/j.jpor.2014.07.002. Epub 2014 Aug 26.
This study aimed to compare the marginal fit and microleakage of metal laser sintered Co-Cr alloy copings and conventional cast Ni-Cr alloy copings using a stereomicroscope.
Forty extracted maxillary premolars were randomly divided into two groups. One group was subjected to coping fabrication using conventional lost wax (LW) technique while the other group was subjected to coping fabrication using metal laser sintering (MLS) technology. The marginal fit of these copings were compared before and after ceramic addition using images obtained with a steromicroscope and an ImageJ analysis software. All the specimens were cemented using Type 1 glass ionomer cement and were subjected to thermocycling. The specimens were evaluated for microleakage using stereomicroscope and 2% methylene blue die used as a tracer. The data were subjected to statistical analysis using paired t-test, Mann-Whitney test and Chi-Square test.
The mean marginal fit of copings before and after ceramic addition in Group B (MLS) was better than the copings in Group A (LW) and was statistically significant (P<0.05). The influence of ceramic firing had a significant (P<0.05) increase in mean marginal gap in Group A (LW) but not in Group B (MLS). And the difference in mean microleakage between the groups was not statistically significant (P≥0.05).
The copings fabricated using MLS technique had a better marginal fit and an observable decrease in microleakage when compared to the copings fabricated using the conventional lost wax (LW) technique.
本研究旨在使用体视显微镜比较金属激光烧结钴铬合金全冠和传统铸造镍铬合金全冠的边缘适合性和微渗漏情况。
40颗拔除的上颌前磨牙随机分为两组。一组采用传统失蜡法(LW)制作全冠,另一组采用金属激光烧结(MLS)技术制作全冠。使用体视显微镜和ImageJ分析软件获得的图像,比较添加陶瓷前后这些全冠的边缘适合性。所有标本均使用1型玻璃离子水门汀粘结,并进行热循环处理。使用体视显微镜和2%亚甲蓝染料作为示踪剂评估标本的微渗漏情况。数据采用配对t检验、Mann-Whitney检验和卡方检验进行统计分析。
B组(MLS)添加陶瓷前后全冠的平均边缘适合性优于A组(LW)的全冠,且具有统计学意义(P<0.05)。陶瓷烧制对A组(LW)平均边缘间隙有显著(P<0.05)增加,但对B组(MLS)没有影响。两组之间平均微渗漏的差异无统计学意义(P≥0.05)。
与使用传统失蜡法(LW)制作的全冠相比,使用MLS技术制作的全冠具有更好的边缘适合性,微渗漏明显减少。