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不同基底-饰面瓷牙体修复组件研磨、抛光和上釉后表面粗糙度、断裂韧性和威布尔特征的分析。

Analysis of Surface Roughness, Fracture Toughness, and Weibull Characteristics of Different Framework-Veneer Dental Ceramic Assemblies after Grinding, Polishing, and Glazing.

机构信息

Department of Buccofacial Prostheses, University Complutense of Madrid, Spain.

Dental Materials Unit, Center for Dental and Oral Medicine, Clinic for Fixed and Removable Prosthodontics and Dental Materials Science, University of Zürich, Switzerland.

出版信息

J Prosthodont. 2019 Jan;28(1):e216-e221. doi: 10.1111/jopr.12653. Epub 2017 Nov 16.

Abstract

PURPOSE

To compare the surface roughness and biaxial flexural strength of dental ceramics obtained after chairside surface modification by mechanical polishing procedures, versus laboratory reglazing.

MATERIALS AND METHODS

Discs (16 × 1.5 ± 1.6 mm) (N = 90) of various framework-veneering combinations were fabricated: D/FC: lithium disilicate/feldspathic ceramic; Z/AL: zirconium dioxide/aluminous ceramic; N/FC: noble alloy/feldspathic ceramic; N/FF: noble alloy feldspathic with fluorapatite; B/FC: base alloy/feldspathic ceramic; B/FF: base alloy/feldspathic ceramic with fluorapatite. In each group 10 specimens were ground using a diamond bur (46 μm) and five were polished with silicone-reinforced disc polishers (25 μm). Surface roughness (Ra) was measured using contact profilometry. After thermocycling in artificial saliva (6000 cycles, 5 to 55 ± 5°C), biaxial flexural strength was measured using "piston-on-three ball" test. The data (N) were analyzed using one-way ANOVA, Bonferroni, and Tukey's posthoc tests. Weibull distribution values were calculated.

RESULTS

Surface roughness was significantly higher in the ground group only (p < 0.0001). Mean fracture toughness was significantly lower for chipping (RK: 287, HS: 22, ISO: 1099 MPa) than for total fracture (p < 0.05), (RK: 841, HS:64, ISO: 3222 MPa). For chipping, Weibull distribution presented the highest shape value (m) for D/FC (3.82-5.07) and for total fracture for B/FC (3.69-4.6).

CONCLUSION

Chairside surface polishing restored veneer ceramic roughness and mechanical strength to the level of glazing. Feldspathic ceramic with fluorapatite presented better polishing results than conventional feldspathic ceramic did. Ceramic fused to metal was more resistant than lithium disilicate or zirconium dioxide framework-veneer assemblies. Lithium disilicate framework veneered with feldspathic ceramic presented more durability against chipping.

CLINICAL IMPLICATIONS

After chairside occlusal modifications in the surfaces of cemented all-ceramic or fused-to-metal FDPs, mechanical polishing procedures should always be carried out.

摘要

目的

比较椅旁机械抛光与实验室重新上釉两种表面处理方法对牙科陶瓷表面粗糙度和双轴弯曲强度的影响。

材料和方法

制作了各种基底-饰瓷组合的圆盘(16×1.5±1.6mm)(N=90):D/FC:锂硅片/长石陶瓷;Z/AL:氧化锆/氧化铝陶瓷;N/FC:贵金属合金/长石陶瓷;N/FF:含氟磷灰石的贵金属合金/长石陶瓷;B/FC:贱金属合金/长石陶瓷;B/FF:含氟磷灰石的贱金属合金/长石陶瓷。每组 10 个样本用金刚石车针(46μm)研磨,5 个用硅酮增强的圆盘抛光器(25μm)抛光。使用接触式轮廓仪测量表面粗糙度(Ra)。在人工唾液中热循环(6000 次,5-55±5°C)后,使用“活塞在三个球上”试验测量双轴弯曲强度。数据(N)采用单因素方差分析、Bonferroni 和 Tukey 事后检验进行分析。计算威布尔分布值。

结果

仅研磨组的表面粗糙度显著升高(p<0.0001)。对于崩裂(RK:287,HS:22,ISO:1099MPa),断裂韧性明显低于总断裂(p<0.05)(RK:841,HS:64,ISO:3222MPa)。对于崩裂,威布尔分布的形状值(m)最高的是 D/FC(3.82-5.07),总断裂是 B/FC(3.69-4.6)。

结论

椅旁表面抛光使饰瓷的粗糙度和机械强度恢复到上釉水平。含氟磷灰石的长石陶瓷比传统长石陶瓷具有更好的抛光效果。金属陶瓷基底比锂硅片或氧化锆基底-饰瓷组件更具耐受力。锂硅片基底-长石陶瓷饰瓷的抗崩裂性能更好。

临床意义

在对全瓷或金属熔附烤瓷固定修复体的表面进行椅旁调磨后,应始终进行机械抛光处理。

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