Shemer S, Hendler A, Pilo R, Weiss E, Perez-Davidi M
Refuat Hapeh Vehashinayim (1993). 2014 Apr;31(2):31-9, 87.
Porcelain and Zirconia are widely used materials in oral rehabilitation for fixed partial dentures, FPD. Among many important properties, A FPD should be able to resist bite forces, the harsh oral environment and to remain intact for a long period of time. When coming back from the dental laboratory, the mechanical properties of the FPD are optimal. But it is not uncommon for the dentist to perform a machining procedures on the restoration in order to achieve good fitting to the prepared teeth. In most cases these modifications are made using high speed dental hand piece, and diamond burs. The surface integrity of the restoration is an important parameter that influences on the restoration strength and durability. The more smooth the restoration surface is, it is less prone to fracture, and is less prone to coloring and plaque retention. Therefore, every modification the dentist makes on the restoration is not recommended. In some cases, the adjustments are made on a FPD which is already cemented to the teeth. If the teeth are vital, the implications of the machining of the restoration are even more destructive. As a result of the friction between the bur and the restoration, the temperature rises. There is a risk of pulp necrosis in temperature above 42 degrees C. The purpose of this study is to compare the mechanical properties of Zirconia and Porcelain blocks after grinding with smooth burs made in a new technology, Magic touch, Strauss co. (Ranana, Israel) and coarse burs.
blocks of Porcelain MARK II for CEREC (VIDENT), and Zirconia IPS e.max ZirCAD (Ivoclar Vivadent) were sliced to slices of 1mm and underwent drilling using the two kinds of burs, using thermocoupling--Almemo, Holzkirchen, Germany. So that the rise in temperature was measured through the drilling. Blocks of Porcelain and Zirconia were machined with the two kinds of burs, and their surface roughness was examined with Mitutoyo Surftest 402 Profilometer. Further examination was made with SEM micrographs.
the samples machined with Magic touch burs, both on Porcelain and Zirconia, were significantly smoother than the samples machined with coarse burs (P 0.05). There was no significant rise in temperature (above 42 degrees C) using both kind of burs, on both Porcelain and Zirconia. The SEM microscopy demonstrates smoother surface of the porcelain and Zirconia which were grinded with Magic touch burs.
Magic touch diamond burs, enables the dentist to perform fit adjustments on Porcelain or Zirconia FPD, leaving the restoration with minimum surface roughness, without elevating the temperature to high values, permitting both the tooth and the restoration to remain strong and durable for a longer period of time.
陶瓷和氧化锆是口腔固定局部义齿(FPD)修复中广泛使用的材料。在众多重要特性中,FPD应能够抵抗咬合力、恶劣的口腔环境,并长时间保持完好无损。从牙科实验室拿回时,FPD的机械性能最佳。但为了使修复体与预备牙良好贴合,牙医对修复体进行加工处理的情况并不少见。在大多数情况下,这些修改是使用高速牙科手机和金刚石车针进行的。修复体的表面完整性是影响修复体强度和耐久性的一个重要参数。修复体表面越光滑,就越不容易断裂,也越不容易着色和存留菌斑。因此,不建议牙医对修复体进行任何修改。在某些情况下,会对已经粘固在牙齿上的FPD进行调整。如果牙齿是活髓牙,对修复体进行加工的影响会更具破坏性。由于车针与修复体之间的摩擦,温度会升高。温度超过42摄氏度时有牙髓坏死的风险。本研究的目的是比较用新技术制造的Magic touch(施特劳斯公司,以色列拉纳纳)光滑车针和粗车针打磨后氧化锆和陶瓷块的机械性能。
将用于CEREC(VIDENT)的MARK II陶瓷块和氧化锆IPS e.max ZirCAD(义获嘉伟瓦登特)切成1毫米厚的薄片,使用德国霍尔茨基兴的Almemo热电偶,用两种车针进行钻孔,以便在钻孔过程中测量温度升高情况。用两种车针对陶瓷块和氧化锆块进行加工,并用三丰Surftest 402表面轮廓仪检测其表面粗糙度。用扫描电子显微镜照片进行进一步检查。
用Magic touch车针加工的陶瓷和氧化锆样品均明显比用粗车针加工的样品更光滑(P<0.05)。使用两种车针在陶瓷和氧化锆上加工时,温度均未显著升高(超过42摄氏度)。扫描电子显微镜显示,用Magic touch车针打磨的陶瓷和氧化锆表面更光滑。
Magic touch金刚石车针使牙医能够对陶瓷或氧化锆FPD进行贴合调整,使修复体表面粗糙度最小,且不会使温度升高到很高值,从而使牙齿和修复体在更长时间内保持坚固耐用。