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利用数字显微镜评估临时冠的垂直边缘适合性。

Evaluation of vertical marginal adaptation of provisional crowns by digital microscope.

作者信息

Al Rifaiy M Q

机构信息

Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Kingdom of Saudi Arabia.

出版信息

Niger J Clin Pract. 2017 Dec;20(12):1610-1617. doi: 10.4103/1119-3077.196083.

Abstract

OBJECTIVE

To investigate and compare the degree of vertical marginal discrepancy of four provisional crown materials by digital microscope.

MATERIALS AND METHODS

A total of 100 provisional crowns were fabricated on standardized resin dies by direct technique of provisional fabrication, using four different provisional materials (n = 25): Provisionals Fabricated by Systemp® c and b II, ivoclar vivadent, Schaan, Liechtenstein (group A); ProtempTM Plus, 3M ESPE, Neuss, Germany (group B); Success CD, PROMEDICA, Neumunster, Germany (group C); and Trim® Plus, Bosworth Company, Illinois, USA (group D). The provisional crowns were finished, tried, and locked with a customized device under 15N of vertical axial force. The vertical marginal discrepancy between the crown margin and the resin die was measured in micrometers using digital microscope (KH-7700, Hirox-USA, Inc., NJ, USA) at mid of buccal, lingual, mesial, and distal margin areas by a trained technician.

RESULTS

The mean values obtained for each group were as follows: group A = 129.10 ± 41.64, group B = 123.36 ± 40.94, group C = 89.67 ± 25.34, and group D = 107.24 ± 38.32. Assessment by post hoc Tukey's test at 5% significance level showed a statistically significant difference (P < 0.05) between group C and group D with the other groups. Results of one-way ANOVA showed a statistically nonsignificant difference (P > 0.05) between the means of the four areas of measurement for each group.

CONCLUSION

Marginal discrepancy of the group C (Success CD) was the lowest among the provisionals tested. The mean vertical marginal gap values for the materials tested were found to be with in the clinically acceptable range (<130 μm).

摘要

目的

通过数字显微镜研究并比较四种临时冠材料的垂直边缘差异程度。

材料与方法

采用临时制作的直接技术,在标准化树脂代型上制作100个临时冠,使用四种不同的临时材料(n = 25):由Systemp® c和b II制作的临时冠,义获嘉伟瓦登特公司,沙恩,列支敦士登(A组);ProtempTM Plus,3M ESPE公司,诺伊斯,德国(B组);Success CD,普瑞美迪卡公司,新明斯特,德国(C组);以及Trim® Plus,博斯沃思公司,伊利诺伊州,美国(D组)。临时冠完成后,使用定制装置在15N垂直轴向力下试戴并固定。由一名经过培训的技术人员使用数字显微镜(KH - 7700,美国浩视公司,新泽西州,美国)在颊侧、舌侧、近中及远中边缘区域的中点,以微米为单位测量冠边缘与树脂代型之间的垂直边缘差异。

结果

每组获得的平均值如下:A组 = 129.10 ± 41.64,B组 = 123.36 ± 40.94,C组 = 89.67 ± 25.34,D组 = 107.24 ± 38.32。在5%显著性水平下通过事后Tukey检验评估显示,C组与D组和其他组之间存在统计学显著差异(P < 0.05)。单因素方差分析结果显示,每组四个测量区域的平均值之间无统计学显著差异(P > 0.05)。

结论

在测试的临时冠中,C组(Success CD)的边缘差异最小。测试材料的平均垂直边缘间隙值在临床可接受范围内(<130μm)。

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