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修复间隙宽度对义齿修复强度的影响:一项体外对比研究。

Effect of Repair Gap Width on the Strength of Denture Repair: An In Vitro Comparative Study.

机构信息

Department of Substitutive Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Department of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

出版信息

J Prosthodont. 2019 Jul;28(6):684-691. doi: 10.1111/jopr.13091. Epub 2019 Jun 11.

Abstract

PURPOSE

To evaluate the effect of repair gap width on the flexural strength and impact strength of a repaired acrylic denture with and without thermal cycling.

MATERIALS AND METHODS

A total of 240 heat-polymerized acrylic resin specimens were fabricated in dimensions of 65 × 10 × 2.5 ± 0.2 mm and 55 × 10 × 10 ± 0.2 mm for flexural strength and impact strength testing, respectively. All specimens were sectioned into halves then divided into 6 groups according to repair gap width (n = 10). The repair gap of the control group was 2.5 mm at the base, while the repair gaps of the test groups were prepared as 2.0, 1.5, 1.0, 0.5, and 0 mm at the base. All specimens were prepared with a 45° bevel joint. Each specimen was placed into the mold that retained the original length of the specimen and modified only the repair gap, which was packed with repair resin. After polymerization, specimens were finished and polished, and half of the specimens were thermal cycled for 5000 cycles. Three-point bending test and Charpy impact test were used to determine the flexural strength and impact strength, respectively. ANOVA and Tukey's HSD test were used for statistical analysis, where α was set at 0.05.

RESULTS

Decreasing repair gap significantly increased the flexural strength in comparison to control group (p < 0.05); 0.5-mm repair gap showed the highest flexural strength values. Changing the repair gap significantly increased the impact strength of groups 2.0- and 1.5-mm (p < 0.05). Thermal cycling significantly decreased the flexural strength of all tested groups as well as impact strength for groups with wide repair gaps (2.5-, 2.0-, and 1.5-mm) (p < 0.05), while other tested groups had nonsignificant effect on impact strength (p > 0.05).

CONCLUSION

Decreasing repair gap increased the flexural and impact strengths of repaired acrylic resin. A repair gap of 0-, 0.5-, or 1.0-mm with beveled repair surface is recommended to improve repair strength and overcome the drawbacks of increased amounts of autopolymerized repair resin.

摘要

目的

评估修复间隙宽度对有/无热循环的修复丙烯酸树脂的弯曲强度和冲击强度的影响。

材料与方法

共制备 240 个热聚合丙烯酸树脂试件,尺寸分别为 65×10×2.5±0.2mm 和 55×10×10±0.2mm,用于弯曲强度和冲击强度测试。所有试件均沿中线对半切开,然后根据修复间隙宽度(n=10)分为 6 组。对照组试件底部的修复间隙为 2.5mm,而测试组试件底部的修复间隙分别制备为 2.0、1.5、1.0、0.5 和 0mm。所有试件均制备成 45°斜面接头。每个试件都被放入模具中,模具保留了试件的原始长度,只改变修复间隙,用修复树脂填充。聚合后,试件进行修整和抛光,一半试件进行 5000 次热循环。三点弯曲试验和夏比冲击试验分别用于测定弯曲强度和冲击强度。采用方差分析和 Tukey's HSD 检验进行统计学分析,α 值设定为 0.05。

结果

与对照组相比,减小修复间隙显著提高了弯曲强度(p<0.05);0.5mm 修复间隙的弯曲强度值最高。改变修复间隙显著提高了 2.0mm 和 1.5mm 组的冲击强度(p<0.05)。热循环显著降低了所有测试组的弯曲强度,以及宽修复间隙组(2.5mm、2.0mm 和 1.5mm)的冲击强度(p<0.05),而其他测试组的冲击强度没有显著影响(p>0.05)。

结论

减小修复间隙可以提高修复丙烯酸树脂的弯曲强度和冲击强度。推荐使用 0mm、0.5mm 或 1.0mm 的修复间隙,并采用斜面修复表面,以提高修复强度并克服自聚合修复树脂用量增加的缺点。

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