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紫外线老化对当前使用的美学 CAD-CAM 材料透光率的影响。

Effect of UV aging on translucency of currently used esthetic CAD-CAM materials.

机构信息

Faculty of Dentistry, Prosthodontics Department, Karadeniz Technical University, Trabzon, Turkey.

Faculty of Dentistry, Prosthodontics Department, Bolu Abant Izzet Baysal University, Bolu, Turkey.

出版信息

J Esthet Restor Dent. 2019 Mar;31(2):147-152. doi: 10.1111/jerd.12460. Epub 2019 Feb 20.

DOI:10.1111/jerd.12460
PMID:30786134
Abstract

OBJECTIVES

To evaluate the relative translucency parameter (RTP) values of computer-aided design (CAD)-computer-aided manufacturing (CAM) materials after UV aging.

MATERIALS AND METHODS

70 specimens (n = 10) of Bruxzir Anterior (BA); E.max Cad (EC); Lava Ultimate (LU); Cerasmart (CE); Vita Enamic (VE); Vita Suprinity (VS); Vita Mark II (VM) were prepared (1 mm ± 0.01 mm). Color measurements were performed using a spectrofotometer (VITA Easyshade). RTP values of the specimens before (RTP ) and after UV aging (RTP ) were evaluated. Statistical analyses were done with repeated measurements of two-way-ANOVA with Bonferroni test (P < 0.05).

RESULTS

Evaluating RTP and RTP values; significant differences were found (P < 0.05). There were no significant difference between the RTP values of CE and VS (P = 0.779); EC and VM (P = 0.952); VM and LU (P = 0.995); EP and LU (P = 0.653). Evaluating RTP values; VE and BA were found significantly different from the others (P < 0.05). For all evaluated groups TP values decreased after UV aging (P < 0.05). The most RTP reduction was observed for LU; while VM and EC were less affected.

CONCLUSION

Glass ceramic VE showed the highest RTP and zirconia-based BA was the most opaque restorative CAD-CAM material. UV aging caused the CAD-CAM materials get more opaque.

CLINICAL SIGNIFICANCE

In cases where translucency is needed chosing VE would give better esthetic results; while zirconia-based BA should be used if more opaque restoration is needed. Clinicians should be aware of that restorations get more opaque after usage.

摘要

目的

评估计算机辅助设计(CAD)-计算机辅助制造(CAM)材料在紫外线老化后的相对透光率参数(RTP)值。

材料和方法

制备 70 个 Bruxzir Anterior(BA);E.max Cad(EC);Lava Ultimate(LU);Cerasmart(CE);Vita Enamic(VE);Vita Suprinity(VS);Vita Mark II(VM)试件(n=10)(1mm±0.01mm)。使用分光光度计(VITA Easyshade)进行颜色测量。评估试件在紫外线老化前后的 RTP 值(RTP)。采用重复测量的双向方差分析和 Bonferroni 检验进行统计分析(P<0.05)。

结果

评估 RTP 和 RTP 值;发现有显著差异(P<0.05)。CE 和 VS(P=0.779);EC 和 VM(P=0.952);VM 和 LU(P=0.995);EP 和 LU(P=0.653)之间的 RTP 值无显著差异。评估 RTP 值;VE 和 BA 与其他材料有显著差异(P<0.05)。所有评估组的 TP 值在紫外线老化后均降低(P<0.05)。LU 的 RTP 减少最多;而 VM 和 EC 的影响较小。

结论

玻璃陶瓷 VE 显示出最高的 RTP,而基于氧化锆的 BA 是最不透明的修复性 CAD-CAM 材料。紫外线老化使 CAD-CAM 材料变得更不透明。

临床意义

在需要透光率的情况下,选择 VE 会产生更好的美学效果;而如果需要更不透明的修复,则应使用基于氧化锆的 BA。临床医生应注意到修复体在使用后会变得更不透明。

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