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采用立体光固化技术制作的金属烤瓷冠适合性的评价。

Evaluation of the fit of metal copings fabricated using stereolithography.

机构信息

Graduate student, Department of Prosthodontics, College of Dentistry, Yonsei University, Seoul, Republic of Korea.

Assistant Professor, Dongnam Health University, Suwon-si, Gyeonggi-do, 16328, Republic of Korea.

出版信息

J Prosthet Dent. 2018 Nov;120(5):693-698. doi: 10.1016/j.prosdent.2018.01.012. Epub 2018 May 25.

Abstract

STATEMENT OF PROBLEM

Rapid prototyping, including stereolithography (SLA), is a more recent technique for fabricating metal frameworks than the conventional lost-wax technique. However, investigations of the marginal discrepancies and internal spacing of cobalt-chromium (Co-Cr) metal copings fabricated using SLA are lacking.

PURPOSE

The purpose of this in vitro study was to evaluate the clinical acceptability of the marginal discrepancies and internal spacing of Co-Cr metal copings fabricated using the SLA technique.

MATERIAL AND METHODS

A resin tooth of a maxillary right first premolar was prepared with a deep chamfer margin for a metal-ceramic crown. Titanium master dies were milled after scanning the prepared tooth (n=45). In conventional lost wax group (group LW), the conventional lost-wax technique was used to fabricate Co-Cr metal copings (n=15). In milling group (group MC), a computer-aided design (CAD) system was used to design the metal copings, which were milled from Co-Cr alloy (n=15). The CAD system was also used to design the metal copings in a 3D-printed group (group SL), and Co-Cr metal copings were cast from resin patterns fabricated using the SLA device (n=15). Marginal discrepancies and internal spaces were measured using an optical microscope at ×100 magnification at 11 reference points. The values were analyzed statistically with 1-way analysis of variance (α=.05).

RESULTS

The mean (±SD) overall space was 63.2 ±16.6 μm for group LW, 70.2 ±15.5 μm for group SL, and 130.3 ±13.8 μm for group MC. The overall spaces differed significantly between group MC and the other 2 groups (P<.05). The marginal discrepancy and internal spaces were significantly larger in group MC than in groups LW and SL. (P<.05). Occlusal spaces differed significantly among the 3 study groups (P<.05).

CONCLUSIONS

Co-Cr metal copings fabricated using an SLA technique showed clinically acceptable marginal discrepancies and internal spaces. These spaces did not differ significantly from those obtained with the conventional lost-wax technique.

摘要

问题陈述

快速原型制作,包括立体光固化成型(SLA),是一种比传统失蜡技术更先进的制造金属框架的技术。然而,对于使用 SLA 制造的钴铬(Co-Cr)金属冠的边缘差异和内部间距的研究还很少。

目的

本体外研究的目的是评估使用 SLA 技术制造的 Co-Cr 金属冠的边缘差异和内部间距的临床可接受性。

材料和方法

用深倒角边缘制备上颌右第一前磨牙的树脂牙,用于金属陶瓷冠。扫描准备好的牙齿后,铣削钛金母模(n=45)。在传统失蜡组(组 LW)中,采用传统失蜡技术制造 Co-Cr 金属冠(n=15)。在铣削组(组 MC)中,使用计算机辅助设计(CAD)系统设计金属冠,并用 Co-Cr 合金铣削而成(n=15)。CAD 系统还用于设计使用 SLA 设备制造的树脂图案的 3D 打印组(组 SL)中的金属冠,并从树脂图案中铸造 Co-Cr 金属冠(n=15)。在光学显微镜下以 100 倍放大率在 11 个参考点测量边缘差异和内部空间。使用单向方差分析(α=.05)对值进行统计分析。

结果

LW 组的总间隙平均值(±SD)为 63.2±16.6μm,SL 组为 70.2±15.5μm,MC 组为 130.3±13.8μm。MC 组与其他两组之间的总间隙差异有统计学意义(P<.05)。MC 组的边缘差异和内部空间明显大于 LW 组和 SL 组(P<.05)。(P<.05)。3 个研究组的牙合间隙差异有统计学意义(P<.05)。

结论

使用 SLA 技术制造的 Co-Cr 金属冠具有临床可接受的边缘差异和内部空间。这些空间与传统失蜡技术获得的空间没有显著差异。

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