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上颌前牙两种预备设计的固位力和抗力破坏载荷的体外评估

In vitro assessment of retention and resistance failure loads of two preparation designs for maxillary anterior teeth.

作者信息

Bintivanou Aimilia, Pissiotis Argirios, Michalakis Konstantinos

机构信息

Resident, Division of Removable Prosthodontics, Department of Prosthodontics, School of Dentistry, Faculty of Health Sciences, Aristotle University, Thessaloniki, Greece.

Professor, Division of Removable Prosthodontics, Department of Prosthodontics, Faculty of Health Sciences, School of Dentistry, Aristotle University, Thessaloniki, Greece.

出版信息

J Prosthet Dent. 2017 Apr;117(4):517-523. doi: 10.1016/j.prosdent.2016.07.028. Epub 2016 Oct 27.

Abstract

STATEMENT OF PROBLEM

Parallel labiolingual walls and the preservation of the cingulum in anterior tooth preparations have been advocated. However, their contribution to retention and resistance form has not been evaluated.

PURPOSE

The purpose of this in vitro study was to evaluate the retention and resistance failure loads of 2 preparation designs for maxillary anterior teeth.

MATERIAL AND METHODS

Forty metal restorations were fabricated and paired with 40 cobalt-chromium prepared tooth analogs. Twenty of the specimens had parallel buccolingual walls at the cervical part (group PBLW; the control group), whereas the remaining 20 had converging buccolingual walls (group CBLW; the experimental group). The restorations were cemented to the tooth analogs with a resin-modified glass ionomer luting agent. Ten specimens from each group were subjected to tensile loading with a universal testing machine; the rest were subjected to compression loading until failure. Descriptive statistics and the independent t test (α=.05) were used to determine the effect of failure loads in the tested groups.

RESULTS

The independent t test revealed statistically significant differences between the tested groups in tensile loading (P<.001) and in compressive loading (P<.001). The PBLW group presented a higher tensile failure load than the CBLW. On the contrary, the PBLW group presented a smaller compression failure load than the CBLW.

CONCLUSIONS

Parallelism of the buccolingual axial walls in anterior maxillary teeth increased the retention form but decreased the resistance form.

摘要

问题陈述

有人主张在前牙预备中采用平行的唇舌壁并保留舌隆突。然而,它们对固位和抗力形的贡献尚未得到评估。

目的

本体外研究的目的是评估上颌前牙两种预备设计的固位和抗力破坏载荷。

材料与方法

制作40个金属修复体,并与40个钴铬制备的牙齿模型配对。其中20个标本在颈部有平行的颊舌壁(PBLW组;对照组),而其余20个有会聚的颊舌壁(CBLW组;实验组)。用树脂改性玻璃离子水门汀将修复体粘固到牙齿模型上。每组10个标本用万能试验机进行拉伸加载;其余的进行压缩加载直至破坏。采用描述性统计和独立t检验(α = 0.05)来确定测试组中破坏载荷的影响。

结果

独立t检验显示,测试组在拉伸加载(P < 0.001)和压缩加载(P < 0.001)方面存在统计学显著差异。PBLW组的拉伸破坏载荷高于CBLW组。相反,PBLW组的压缩破坏载荷小于CBLW组。

结论

上颌前牙颊舌轴壁的平行度增加了固位形,但降低了抗力形。

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