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义齿加工技术会影响义齿牙的机械性能吗?

Do denture processing techniques affect the mechanical properties of denture teeth?

机构信息

Resident, Advanced Prosthodontics Program, University of Tennessee Health Science Center, Memphis, Tenn.

Professor, Department of Restorative Dentistry, University of Tennessee Health Science Center, Memphis, Tenn.

出版信息

J Prosthet Dent. 2018 Aug;120(2):246-251. doi: 10.1016/j.prosdent.2017.10.025. Epub 2018 Mar 15.

Abstract

STATEMENT OF PROBLEM

Denture tooth fracture may limit the longevity of dental prostheses. Whether the strength of the denture tooth material is affected by the denture processing technique is unclear.

PURPOSE

The purpose of this in vitro study was to investigate whether the denture processing technique affects the mechanical properties of denture tooth materials.

MATERIAL AND METHODS

Two denture processing techniques, injection and compression molding, were tested for 3 types of denture teeth: nanohybrid composite (NHC), interpenetrating network (IPN), and microfiller-reinforced polyacrylic (MRP). Denture teeth were processed by using an injection-molded resin or a compression-molded resin. Unprocessed denture teeth served as the control. After teeth were processed, they were sectioned into rectangular beams for 3-point bend testing (n=20 to 24). Elastic moduli were determined from load deflection and maximum stress from maximum bending load. The results were statistically analyzed by using 2-way ANOVA and multiple comparisons (α=.05).

RESULTS

The processing technique and the type of denture tooth affected both the elastic modulus and the maximum stress. The injection-molded technique resulted in significantly higher (24% to 26%) elastic modulus for NHC and IPN (12% higher in MRP, but not statistically significant) and higher (12% to 17%) maximum stresses for IPN and MRP (3% lower in NHC, but not statistically significant). Compression-molded technique increased the elastic modulus of IPN and NHC by 10% to 17% (3% lower in MRP but not statistically significant), but maximum stresses were not statistically significantly different in any of the tested teeth. Regardless of processing, MRP teeth had the highest elastic modulus (8.0 to 9.2 GPa) but the lowest maximum stresses (97 to 124 MPa), whereas IPN teeth had the lowest elastic modulus (5.5 GPa) but high or highest maximum stress (171 to 192 MPa).

CONCLUSIONS

The injection-molded technique significantly increased the elastic modulus of NHC and IPN teeth and significantly increased the maximum stress of IPN teeth. The compression-molded technique did not significantly affect mechanical properties of denture teeth.

摘要

问题陈述

义齿牙的断裂可能会限制义齿的使用寿命。义齿加工技术是否会影响义齿牙材料的强度尚不清楚。

目的

本体外研究的目的是调查义齿加工技术是否会影响义齿牙材料的机械性能。

材料和方法

对 3 种义齿牙(纳米复合树脂(NHC)、互穿网络(IPN)和微填充增强聚丙烯酸酯(MRP))进行了 2 种义齿加工技术(注塑和压缩成型)的测试。使用注塑树脂或压缩成型树脂对义齿牙进行加工。未经处理的义齿牙作为对照。加工后,将牙齿切成矩形梁进行三点弯曲试验(n=20 至 24)。从负载挠度和最大弯曲负载的最大应力确定弹性模量。通过使用双因素方差分析和多重比较(α=.05)对结果进行了统计分析。

结果

加工技术和义齿牙类型都影响弹性模量和最大应力。注塑技术导致 NHC 和 IPN 的弹性模量显著提高(24%至 26%)(MRP 提高 12%,但无统计学意义),IPN 和 MRP 的最大应力显著提高(12%至 17%)(NHC 降低 3%,但无统计学意义)。压缩成型技术使 IPN 和 NHC 的弹性模量提高了 10%至 17%(MRP 降低 3%,但无统计学意义),但任何测试牙齿的最大应力均无统计学差异。无论采用何种加工方式,MRP 牙齿的弹性模量最高(8.0 至 9.2 GPa),但最大应力最低(97 至 124 MPa),而 IPN 牙齿的弹性模量最低(5.5 GPa),但最大应力最高或最高(171 至 192 MPa)。

结论

注塑技术显著提高了 NHC 和 IPN 牙的弹性模量,并显著提高了 IPN 牙的最大应力。压缩成型技术对义齿牙的机械性能没有显著影响。

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