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3D打印激光烧结钴铬合金冠内边缘精度和适合性

Marginal Accuracy and Internal Fit of 3-D Printing Laser-Sintered Co-Cr Alloy Copings.

作者信息

Kim Myung-Joo, Choi Yun-Jung, Kim Seong-Kyun, Heo Seong-Joo, Koak Jai-Young

机构信息

Department of Prosthodontics and Dental Research Institute, School of Dentistry, Seoul National University, 101 Daehak-Ro Jongno-Gu, Seoul 03080, Korea.

出版信息

Materials (Basel). 2017 Jan 23;10(1):93. doi: 10.3390/ma10010093.

Abstract

Laser sintered technology has been introduced for clinical use and can be utilized more widely, accompanied by the digitalization of dentistry and the development of direct oral scanning devices. This study was performed with the aim of comparing the marginal accuracy and internal fit of Co-Cr alloy copings fabricated by casting, CAD/CAM (Computer-aided design/Computer-assisted manufacture) milled, and 3-D laser sintered techniques. A total of 36 Co-Cr alloy crown-copings were fabricated from an implant abutment. The marginal and internal fit were evaluated by measuring the weight of the silicone material, the vertical marginal discrepancy using a microscope, and the internal gap in the sectioned specimens. The data were statistically analyzed by One-way ANOVA (analysis of variance), a Scheffe's test, and Pearson's correlation at the significance level of = 0.05, using statistics software. The silicone weight was significantly low in the casting group. The 3-D laser sintered group showed the highest vertical discrepancy, and marginal-, occlusal-, and average- internal gaps ( < 0.05). The CAD/CAM milled group revealed a significantly high axial internal gap. There are moderate correlations between the vertical marginal discrepancy and the internal gap variables ( = 0.654), except for the silicone weight. In this study, the 3-D laser sintered group achieved clinically acceptable marginal accuracy and internal fit.

摘要

随着口腔医学数字化和直接口腔扫描设备的发展,激光烧结技术已被引入临床应用并可更广泛地使用。本研究旨在比较通过铸造、CAD/CAM(计算机辅助设计/计算机辅助制造)铣削和三维激光烧结技术制作的钴铬合金基底冠的边缘适合性和内部适合性。总共从种植体基台上制作了36个钴铬合金冠基底。通过测量硅橡胶材料的重量、使用显微镜测量垂直边缘差异以及测量切片标本中的内部间隙来评估边缘和内部适合性。使用统计软件,采用单因素方差分析(方差分析)、谢弗检验和皮尔逊相关性分析,在显著性水平α = 0.05下对数据进行统计分析。铸造组的硅橡胶重量显著较低。三维激光烧结组显示出最高的垂直差异以及边缘、咬合和平均内部间隙(P < 0.05)。CAD/CAM铣削组显示轴向内部间隙显著较高。除硅橡胶重量外,垂直边缘差异与内部间隙变量之间存在中度相关性(r = 0.654)。在本研究中,三维激光烧结组达到了临床上可接受的边缘适合性和内部适合性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0117/5344574/ecdd52c9371a/materials-10-00093-g001.jpg

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