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CAD/CAM 制作的二硅酸锂瓷全冠的析晶烧成对边缘间隙的影响。

Effect of Crystallization Firing on Marginal Gap of CAD/CAM Fabricated Lithium Disilicate Crowns.

机构信息

Western University of Health Sciences College of Dental Medicine, Pomona, CA.

Department of Restorative Dentistry, Oregon Health & Science University, Portland, OR.

出版信息

J Prosthodont. 2018 Jan;27(1):63-66. doi: 10.1111/jopr.12638. Epub 2017 May 17.


DOI:10.1111/jopr.12638
PMID:28514042
Abstract

PURPOSE: To evaluate the marginal gaps of CAD/CAM (CEREC 3) produced crowns made from leucite-reinforced glass-ceramic (IPS Empress CAD) blocks (LG), and lithium-disilicate (IPS e.max CAD) blocks before (LD-B), and after (LD-A) crystallization firing. MATERIALS AND METHODS: A human molar tooth (#19) was mounted with adjacent teeth on a typodont and prepared for a full-coverage ceramic crown. The typodont was assembled in the mannequin head to simulate clinical conditions. After tooth preparation 15 individual optical impressions were taken by the same operator using titanium dioxide powder and a CEREC 3 camera per manufacturer's instructions. One operator designed and machined the crowns in leucite-reinforced glass-ceramic blocks (n = 5) and lithium-disilicate blocks (n = 10) using the CEREC 3 system. The crowns were rigidly seated on the prepared tooth, and marginal gaps (μm) were measured with an optical microscope (500×) at 12 points, 3 on each of the M, B, D, and L surfaces of the leucite-reinforced glass-ceramic crowns and the lithium-disilicate crowns before and after crystallization firing. Results were analyzed by two-way ANOVA followed by a Tukey's post hoc multiple comparison test (α = 0.05). RESULTS: The overall mean marginal gaps (μm) for the crowns evaluated were: LG = 49.2 ± 5.5, LD-B = 42.9 ± 12.2, and LD-A = 57.2 ± 16.0. The marginal gaps for LG and LD-B were not significantly different, but both were significantly less than for LD-A. CONCLUSIONS: The type of ceramic material did not affect the marginal gap of CAD/CAM crowns. The crystallization firing process required for lithium-disilicate crowns resulted in a significant increase in marginal gap size, likely due to shrinkage of the ceramic during the crystallization process. CLINICAL RELEVANCE: The marginal gap of CAD/CAM-fabricated lithium disilicate crowns increases following crystallization firing. The marginal gap still remains within clinically acceptable parameters.

摘要

目的:评估 CAD/CAM(CEREC 3)制作的白榴石增强玻璃陶瓷(IPS Empress CAD)块(LG)和锂硅玻璃陶瓷(IPS e.max CAD)块(LD-A)在预烧(LD-B)和结晶烧制(LD-A)后的冠边缘间隙。

材料和方法:将一颗人类磨牙(#19)与相邻牙齿一起安装在牙体模型上,制备全冠陶瓷。牙体模型被组装在模型头中以模拟临床情况。牙齿预备后,根据制造商的说明,同一操作员使用二氧化钛粉末和 CEREC 3 相机对 15 个个体光学印模进行了拍摄。一位操作员使用 CEREC 3 系统设计并加工了白榴石增强玻璃陶瓷块(n = 5)和锂硅玻璃陶瓷块(n = 10)中的冠。将冠刚性地放置在预备好的牙齿上,使用光学显微镜(500×)在白榴石增强玻璃陶瓷冠和锂硅玻璃陶瓷冠的 M、B、D 和 L 表面的 12 个点上测量边缘间隙(μm),每个表面测量 3 个点,在预烧和结晶烧制之前和之后。结果采用双向方差分析,然后进行 Tukey 事后多重比较检验(α = 0.05)。

结果:评估的冠的总体平均边缘间隙(μm)为:LG = 49.2 ± 5.5、LD-B = 42.9 ± 12.2 和 LD-A = 57.2 ± 16.0。LG 和 LD-B 的边缘间隙没有显著差异,但两者均显著小于 LD-A。

结论:陶瓷材料类型不影响 CAD/CAM 冠的边缘间隙。锂硅玻璃陶瓷冠所需的结晶烧制过程导致边缘间隙尺寸显著增加,可能是由于陶瓷在结晶过程中的收缩所致。

临床意义:CAD/CAM 制作的锂硅玻璃陶瓷冠在结晶烧制后边缘间隙增加。边缘间隙仍在可接受的临床参数范围内。

相似文献

[1]
Effect of Crystallization Firing on Marginal Gap of CAD/CAM Fabricated Lithium Disilicate Crowns.

J Prosthodont. 2017-5-17

[2]
Marginal Fit Comparison of CAD/CAM Crowns Milled from Two Different Materials.

J Prosthodont. 2017-11-16

[3]
Comparison of marginal fit between CAD-CAM and hot-press lithium disilicate crowns.

J Prosthet Dent. 2018-6-29

[4]
3D and 2D marginal fit of pressed and CAD/CAM lithium disilicate crowns made from digital and conventional impressions.

J Prosthodont. 2014-12

[5]
Micro-computed tomography evaluation of marginal fit of lithium disilicate crowns fabricated by using chairside CAD/CAM systems or the heat-pressing technique.

J Prosthet Dent. 2014-11

[6]
The marginal fit of lithium disilicate crowns: Press vs. CAD/CAM.

Braz Oral Res. 2018

[7]
Influence of the Crystallization Firing Process on Marginal and Internal Adaptation of Silicate-based Glass-ceramic Inlays Fabricated With a CAD/CAM Chairside System.

Oper Dent. 2023-11-1

[8]
Effect of abutment tooth color, cement color, and ceramic thickness on the resulting optical color of a CAD/CAM glass-ceramic lithium disilicate-reinforced crown.

J Prosthet Dent. 2011-2

[9]
Marginal gap, internal fit, and fracture load of leucite-reinforced ceramic inlays fabricated by CEREC inLab and hot-pressed techniques.

J Prosthodont. 2011-8-1

[10]
Effect of the Crystallization Process on the Marginal and Internal Gaps of Lithium Disilicate CAD/CAM Crowns.

Biomed Res Int. 2016

引用本文的文献

[1]
Effect of different restorative design on stress concentration of lithium disilicate and monolithic zirconia endocrown on a mandibular molar - a finite element analysis.

BMC Oral Health. 2025-2-8

[2]
Clinical performance of minimally invasive full-mouth rehabilitation using different materials and techniques for patients with moderate to severe tooth wear: a systematic review and meta-analysis.

Clin Oral Investig. 2025-1-28

[3]
Effects of Different Crystallization Protocols on Marginal Gap of Lithium Disilicate Single Crowns: SEM Analysis.

Dent J (Basel). 2024-12-18

[4]
Influence of thermal aging on the marginal integrity of computer aided design/computer aided manufacturing fabricated crowns.

J Dent Sci. 2024-4

[5]
Comparative Study of the Influence of Heat Treatment on Fracture Resistance of Different Ceramic Materials Used for CAD/CAM Systems.

Materials (Basel). 2024-3-8

[6]
SEM Evaluation of the Marginal Gap of Zirconia-Reinforced Lithium Silicate Full Crowns and the Effect of Post Crystallization: An In Vitro Study.

Dent J (Basel). 2024-3-4

[7]
A Comparative Analysis of Marginal Adaptation Values between Lithium Disilicate Glass Ceramics and Zirconia-Reinforced Lithium Silicate Endocrowns: A Systematic Review of In Vitro Studies.

Med Sci Monit. 2023-12-27

[8]
[Influence of cavity design on quality of margin and marginal adaptation and microleakage of all-ceramic CAD/CAM inlays].

Beijing Da Xue Xue Bao Yi Xue Ban. 2023-12-18

[9]
An in vitro study measuring marginal gaps of inlay restorations fabricated from different CAD-CAM materials after thermocycling.

BMC Oral Health. 2023-12-6

[10]
Evaluation of the marginal adaptation and debonding strength of two types of CAD-CAM implant-supported cement-retained crowns.

BMC Oral Health. 2023-12-5

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