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贴面处理对 CAD/CAM 制作、复制铣削和铸造金属冠边缘适合性的影响。

The effect of veneering on the marginal fit of CAD/CAM-generated, copy-milled, and cast metal copings.

机构信息

Department of Prosthodontics, Faculty of Dentistry, Recep Tayyip Erdogan University, Rize, Turkey.

Department of Prosthodontics, Faculty of Dentistry, Gaziosmanpasa University, Tokat, Turkey.

出版信息

Clin Oral Investig. 2017 Nov;21(8):2553-2560. doi: 10.1007/s00784-017-2054-x. Epub 2017 Jan 13.

DOI:10.1007/s00784-017-2054-x
PMID:28091875
Abstract

OBJECTIVE

This in vitro study investigated the marginal fit of metal and zirconia copings before and after veneering on dies with shoulder/chamfer (s/c) finish lines.

MATERIALS AND METHODS

Using CAD/CAM, ten (n = 10) each s/c zirconia (NZ) copings and ten (n = 10) each s/c metal (MM) copings were generated. As controls, ten (n = 10) each s/c zirconia copings were copy-milled (ZZ) and ten (n = 10) each s/c metal copings were cast (CC). The vertical marginal discrepancy of the copings was measured at 20 predefined spots of the circular shoulder and chamfer finish lines in microns (μm) before and after a first and a second veneering firing using a stereomicroscope at ×40 magnification. Data were statistically analyzed, and the comparisons of CAD/CAM-milled (NZ, MM), copy-milled (ZZ), and cast (CC) copings before and after veneering were made at a significance level of p < 0.05.

RESULTS

Gap width at s/c finish lines of ZZ was (91 ± 11/100 ± 28) and increased significantly (109 ± 21/141 ± 18) after the first firing (ZZ1). NZ showed significantly smaller gaps than ZZ (36 ± 6/46 ± 12) and (NZ1) after the first firing (61 ± 16/71 ± 29). Gap widths of CC groups (36 ± 8/25 ± 4) were not significantly different from NZ but were significantly lower after the (CC1) first veneering firing (40 ± 8/42 ± 7). MM copings showed gap values similar to NZ. Second firings did not significantly increase gaps in all groups except ZZ2 of chamfer finish line.

CONCLUSION

Veneering increased the marginal gap width of copings.

CLINICAL RELEVANCE

Within the limits of this in vitro study, aesthetic ceramic veneering of CAD/CAM-generated copings caused a statistically significant but tolerable loss of marginal fit precision.

摘要

目的

本体外研究调查了肩/倒角(s/c)饰面线牙模上金属和氧化锆修复体在贴面前后的边缘适合性。

材料和方法

使用 CAD/CAM,分别生成 s/c 氧化锆(NZ)修复体各 10 个(n=10)和 s/c 金属(MM)修复体各 10 个。作为对照,各复制铣削 s/c 氧化锆修复体 10 个(n=10)和各铸造 s/c 金属修复体 10 个(n=10)。使用立体显微镜在 ×40 放大倍数下,在圆形肩和倒角饰面线的 20 个预定点测量修复体的垂直边缘差异,以微米(μm)为单位,在第一次和第二次贴面烧制前后进行测量。对数据进行了统计学分析,并在 p<0.05 的显著性水平上比较了 CAD/CAM 铣削(NZ、MM)、复制铣削(ZZ)和铸造(CC)修复体在贴面前后的差异。

结果

ZZ 的 s/c 饰面线的间隙宽度为(91±11/100±28),第一次烧制后显著增加(109±21/141±18)(ZZ1)。NZ 的间隙明显小于 ZZ(36±6/46±12)和第一次烧制后的(NZ1)(61±16/71±29)。CC 组的间隙宽度(36±8/25±4)与 NZ 无显著差异,但第一次贴面烧制后(CC1)明显降低(40±8/42±7)。MM 修复体的间隙值与 NZ 相似。除了倒角饰面线的 ZZ2 外,第二次烧制并没有显著增加所有组的间隙。

结论

贴面增加了修复体的边缘间隙宽度。

临床相关性

在本体外研究的限制范围内,CAD/CAM 生成的修复体的美学陶瓷贴面导致了统计学上显著但可接受的边缘适合精度损失。

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