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与传统复制技术相比,微型计算机断层扫描是一种评估修复体贴合度的非侵入性方法。

Microcomputed tomography a noninvasive method to evaluate the fit of a restoration as compared to conventional replica technique.

作者信息

Ram Sabita M, Ranadive Nishita Narendra, Nadgere Jyoti B

机构信息

Department of Prosthodontics and Crown and Bridge, Mahatma Gandhi Mission's Dental College and Hospital, Navi Mumbai, Maharashtra, India.

出版信息

J Indian Prosthodont Soc. 2019 Jul-Sep;19(3):233-239. doi: 10.4103/jips.jips_71_19.

Abstract

AIM

The aim of the study was to compare the assessment methods used to evaluate the fit of Ni-Cr metal copings.

SETTINGS AND DESIGN

Comparative- study design.

MATERIALS AND METHODS

A stainless steel die simulating a prepared first maxillary premolar was used as a master die. Wax pattern copings were fabricated by the conventional dipping wax technique ( = 20) on the master die and were cast in Ni-Cr alloy. The finished copings were fitted on the master die and scanned by the micro-computed tomography (CT) scanner. Multiple projections of the sample were reconstructed to evaluate the marginal and internal fit at 5 predetermined locations. The same copings were used for the replica technique and were evaluated under a stereomicroscope in the same locations.

STATISTICAL ANALYSIS USED

Shapiro-Wilk's test and Unpaired -test.

RESULTS

The marginal fit values observed were 127.71 and 95.06 μm, chamfer area fit values were 151.97 and 132.7 μm, axial area fit values were 62.36 and 46.14 μm, axio-occlusal area fit values were 139.52 and 123.6 μm, occlusal area fit values were slightly higher with 217.91 and 193.1 μm, respectively, in replica and micro-CT technique. There was no statistically significant difference observed in the fit between the two assessment methods (α > 0.05).

CONCLUSIONS

There was no difference observed in the marginal and internal fit of Ni-Cr metal copings with the two methods of assessment. However, the micro-CT technique proved to be simpler, noninvasive, and time-saving assessment method.

摘要

目的

本研究的目的是比较用于评估镍铬金属冠内冠适合性的评估方法。

设置与设计

比较研究设计。

材料与方法

使用模拟上颌第一前磨牙预备体的不锈钢代型作为母代型。通过传统浸蜡技术(n = 20)在母代型上制作蜡型内冠,然后用镍铬合金铸造。将完成的内冠安装在母代型上,并用微型计算机断层扫描(CT)扫描仪进行扫描。对样本进行多次投影重建,以评估5个预定位置的边缘适合性和内部适合性。相同的内冠用于复制技术,并在相同位置的体视显微镜下进行评估。

所用统计分析方法

Shapiro-Wilk检验和非配对t检验。

结果

观察到的边缘适合性值分别为127.71和95.06μm,肩台区域适合性值分别为151.97和132.7μm,轴面区域适合性值分别为62.36和46.14μm,轴合面区域适合性值分别为139.52和123.6μm,合面区域适合性值在复制技术和微型CT技术中略高,分别为217.91和193.1μm。两种评估方法之间的适合性没有观察到统计学上的显著差异(α>0.05)。

结论

两种评估方法在镍铬金属内冠的边缘适合性和内部适合性方面没有差异。然而,微型CT技术被证明是一种更简单、无创且省时的评估方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6321/6685334/63b52b21fad6/JIPS-19-233-g001.jpg

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