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全冠修复对三种不同核材料抗折性能的影响:一项体外研究

Influence of Full Veneer Restoration on Fracture Resistance of Three Different Core Materials: An Invitro Study.

作者信息

Ali S A Mohamed, Manoharan P S, Shekhawat Kuldeep Singh, Deb Saikat, Chidambaram S, Konchada Jagadish, Venugopal Nirupa, Vadivel Harish

机构信息

Assistant Professor, Department of Prosthodontics, Indira Gandhi institute of Dental Sciences , Pondicherry, India .

Head and Professor, Department of Prosthodontics, Indira Gandhi institute of Dental Sciences , Pondicherry, India .

出版信息

J Clin Diagn Res. 2015 Sep;9(9):ZC12-5. doi: 10.7860/JCDR/2015/12891.6440. Epub 2015 Sep 1.

Abstract

AIMS AND OBJECTIVES

One of the factor which affects the strength of the tooth restored with core material is the property of the material. In clinical situation all such restored teeth are protected by crowns. This study evaluated the strength of different core materials on a compromised tooth structure after restoration with a crown.

MATERIALS AND METHODS

Seventy extracted intact human premolars were collected and mounted within a mould using auto-polymerizing resin. The teeth were divided in-to four groups - A, B, C and D. Each group contained 20 teeth except group A with 10 teeth. All the teeth were prepared for full veneer cast crown. Except for the teeth in group: A) extensive class-I cavities were prepared in the teeth of all the groups and restored with; B) composite resin, 3M EPSE Filtek P60; C) Silver reinforced glass ionomer, SHOFU Hi Dense XP and; (D) Resin reinforced glass ionomer, GC Gold Label light cure GIC. All the teeth were restored with cast-metal alloy and exposed to 1.2 million cycles of cyclic loading in a chewing simulator. Subsequently, the teeth that survived were loaded till fracture in the universal testing machine. Fracture loads and type of fractures were recorded.

RESULTS

All the specimens survived cyclic loading. The mean fracture strength of the silver reinforced glass ionomer was greater with and without crown (p<0.001). Statistical analysis for the mean fracture load of each specimen showed significant difference between the groups.

CONCLUSION

Under the condition of this study, core materials when restored with artificial crown had a significant increase in fracture resistance.

摘要

目的与目标

影响用核材料修复牙齿强度的因素之一是材料的特性。在临床情况下,所有这类修复后的牙齿都由牙冠保护。本研究评估了用牙冠修复后,不同核材料在受损牙体结构上的强度。

材料与方法

收集70颗完整拔除的人类前磨牙,并用自凝树脂固定在模具中。牙齿被分为四组——A、B、C和D组。除A组有10颗牙齿外,每组包含20颗牙齿。所有牙齿均制备全冠铸造修复体。除A组牙齿外:在所有组的牙齿上制备广泛的I类洞,并用以下材料修复:B)复合树脂,3M EPSE Filtek P60;C)银增强玻璃离子水门汀,SHOFU Hi Dense XP;以及D)树脂增强玻璃离子水门汀,GC Gold Label光固化玻璃离子水门汀。所有牙齿均用铸造金属合金修复,并在咀嚼模拟器中承受120万次循环加载。随后,对存活下来的牙齿在万能试验机上加载直至折断。记录折断载荷和折断类型。

结果

所有标本均在循环加载后存活。银增强玻璃离子水门汀在有冠和无冠情况下的平均折断强度均更高(p<0.001)。对每个标本平均折断载荷的统计分析显示,各组之间存在显著差异。

结论

在本研究条件下,用人工牙冠修复的核材料抗折性有显著提高。

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