V Harish, Ali S A Mohamed, N Jagadesan, Ifthikar Mohamed, Senthil Siva, Basak Debasish, Huda Febel
Assistant Professor, Department of Prosthodontics, Srimuthukumaran Medical College , Chennai, India .
Assistant Professor, Department of Prosthodontics, Indira Gandhi institute of Dental Sciences , Pondicherry, India .
J Clin Diagn Res. 2014 Dec;8(12):ZC53-6. doi: 10.7860/JCDR/2014/10372.5300. Epub 2014 Dec 5.
The high strength porcelain fused metal crowns have been extensively used in dentistry. However, the fit is the most encountered problems in porcelain fused metal crowns. This mainly depends on the fabrication technique.
The purpose was to compare the internal and marginal fit of laser sintered and conventionally casted Cobalt-Chromium copings.
Twenty stainless steel dies of dimension 15 x 10 mm with 1 mm finish margin were fabricated using CAD-CAM technology. Twenty dies were divided into two groups Group 1 and Group 2 containing 10 samples each. All 20 dies were scanned using LAVA 3M scanner and data were used to fabricate metal copings using Laser sintering technique (Group-1) and Conventional casting technique (Group-2). Copings were cemented onto respective dies and finished and standardized sectioning were made. The sectioned models were scanned under stereomicroscope at 50 x magnification for internal and marginal fit evaluation.
Mean and standard deviation of internal and marginal discrepancy of laser sintered copings/conventional cast metal copings was 107.6 ± 10.9μ and 102.1 ± 17.2μ/187.09 ± 11.47 μ and 176.57 ± 25.82 μ respectively. Statistical analysis showed the laser sintered copings have lesser internal and marginal discrepancy than conventional casted copings with p value < 0.001.
The laser sintered Co-Cr copings showed better internal and marginal fit when compared to that of conventional Co-Cr casted copings.
高强度烤瓷熔附金属冠在牙科领域已被广泛应用。然而,密合度是烤瓷熔附金属冠最常遇到的问题。这主要取决于制作技术。
比较激光烧结和传统铸造的钴铬内冠的内部和边缘密合度。
使用CAD-CAM技术制作20个尺寸为15×10mm、边缘完成线为1mm的不锈钢代型。将20个代型分为两组,第1组和第2组,每组各含10个样本。使用LAVA 3M扫描仪对所有20个代型进行扫描,并将数据用于采用激光烧结技术(第1组)和传统铸造技术(第2组)制作金属内冠。将内冠粘固到各自的代型上,进行修整并制作标准化切片。在体视显微镜下以50倍放大率对切片模型进行扫描,以评估内部和边缘密合度。
激光烧结内冠/传统铸造金属内冠的内部和边缘差异的平均值及标准差分别为107.6±10.9μm和102.1±17.2μm/187.09±11.47μm和176.57±25.82μm。统计分析表明,激光烧结内冠的内部和边缘差异小于传统铸造内冠,p值<0.001。
与传统铸造的钴铬内冠相比,激光烧结的钴铬内冠显示出更好的内部和边缘密合度。