Assistant Professor, Cukurova University Faculty of Dentistry, Department of Prosthodontics, Adana, Turkey.
Assistant Professor, Cukurova University Faculty of Dentistry, Department of Prosthodontics, Adana, Turkey; and Adjunct Professor, Postgraduate Program in Dentistry, Lutheran University of Brazil, Rio Grande do Sul, Brazil.
J Prosthet Dent. 2018 Mar;119(3):481-487. doi: 10.1016/j.prosdent.2017.04.007. Epub 2017 Jul 8.
Direct metal laser sintering (DMLS) and direct metal laser melting (DMLM) have become popular for fabricating the metal frameworks of metal-ceramic restorations. How the type of layered manufacturing device, layer thickness, and alloy powder may affect the bond strength of ceramic to metal substructure is unclear.
The purpose of this in vitro study was to evaluate the bond strength of dental porcelain to metal frameworks fabricated using different layered manufacturing techniques (DMLS and DMLM), Co-Cr alloy powders, and layer thicknesses and to evaluate whether a correlation exists between the bond strength and the number of ceramic remnants on the metal surface.
A total of 75 bar-shaped metal specimens (n=15) were fabricated using either DMLS or DMLM. The powder alloys used were Keramit NP-S and EOS-Cobalt-Chrome SP-2 with layer thicknesses of 20 μm and 30 μm. After ceramic application, the metal-ceramic bond strength was evaluated with a 3-point-bend test. Three-way ANOVA followed by the Tukey honest significance difference test were used for statistical analysis (α=.05). De-bonding surface microstructure was observed with scanning electron microscopy. Energy dispersive spectroscopy analysis was conducted to evaluate the correlation between ceramic remnants on the metal surface and bond strength values.
The mean bond strength value of DMLS was significantly higher than that of DMLM. While no statistically significant difference was found between layer thicknesses, alloy powders closely affected bond strength. Statistical comparisons revealed that the highest bond strength could be achieved with DMLS-Cobalt-Chrome SP2-20μm, and the lowest bond strength was observed in DMLS-Keramit NP-S-20μm (P≤.05). No correlation was found between porcelain remnants on the metal surface and bond strength values.
The layered manufacturing device and the alloy powders evaluated in the current study closely affected the bond strength of dental porcelain to a metal framework. However, layer thickness did not affect the bond strength.
直接金属激光烧结(DMLS)和直接金属激光熔化(DMLM)已成为制造金属-陶瓷修复体金属框架的热门方法。分层制造设备的类型、层厚以及合金粉末如何影响陶瓷与金属底层的结合强度尚不清楚。
本体外研究的目的是评估使用不同分层制造技术(DMLS 和 DMLM)、Co-Cr 合金粉末以及不同层厚制造的牙科瓷与金属框架的结合强度,并评估结合强度与金属表面陶瓷残余物数量之间是否存在相关性。
使用 DMLS 或 DMLM 共制造了 75 个条形金属样本(n=15)。使用的粉末合金为 Keramit NP-S 和 EOS-Cobalt-Chrome SP-2,层厚分别为 20 μm 和 30 μm。施加陶瓷后,使用三点弯曲试验评估金属-陶瓷结合强度。采用三因素方差分析和 Tukey 诚实显著差异检验进行统计学分析(α=.05)。使用扫描电子显微镜观察脱粘表面的微观结构。进行能量色散光谱分析以评估金属表面陶瓷残余物与结合强度值之间的相关性。
DMLS 的平均结合强度值明显高于 DMLM。虽然层厚之间没有统计学上的显著差异,但合金粉末对结合强度有密切影响。统计比较表明,DMLS-CoChrome SP2-20μm 可获得最高的结合强度,而 DMLS-Keramit NP-S-20μm 的结合强度最低(P≤.05)。金属表面的瓷残余物与结合强度值之间未发现相关性。
在本研究中评估的分层制造设备和合金粉末密切影响了牙科瓷与金属框架的结合强度。然而,层厚并不影响结合强度。