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不同类型的二硅酸锂玻璃陶瓷制作的单冠的断裂强度评估。

Evaluation of fracture strength for single crowns made of the different types of lithium disilicate glass-ceramics.

机构信息

Department of Dental Biomaterials, Institute of Oral Bioscience and Institute of Biodegradable Material, BK21 Plus Project, School of Dentistry, Chonbuk National University, 664-14 Deokjin-dong, Jeonju, 54896, South Korea.

出版信息

Odontology. 2020 Apr;108(2):231-239. doi: 10.1007/s10266-019-00460-4. Epub 2019 Sep 28.

Abstract

Lithium disilicate glass-ceramics with high mechanical strength are being widely used as ingots for heat-pressing technique and blocks for CAD/CAM processing in clinical dentistry as aesthetic prosthetic materials. The purpose of this study was to evaluate the fracture strength of single crowns made of the different types of lithium disilicate glass-ceramics. Single crowns for mandibular second premolar with thickness of 1.5 mm were manufactured. IPS e.max Press and Amber Press crowns were produced by heat-pressing, and IPS e.max CAD and Rosetta SM crowns was produced by milling. Amber Lisi-POZ crown was produced by heat-pressing on the zirconia frame. Fracture strength test was performed at 10 degrees of inclination toward the load after bonding crown on metal abutment using dual-curing resin cement. Statistical analysis of fracture strength was conducted through Weibull statistics (n = 15 per group). The mean fracture strength (2087.4 N) of Amber Lisi-POZ group produced by heat-pressing on the zirconia frame was significantly higher than that (1479.8 N) of Rosetta SM group produced by milling. Weibull coefficients for IPS e.max CAD and Rosetta SM groups were, respectively, 14.44 and 9.39, and those for IPS e.max Press, Amber Press, and Amber Lisi-POZ groups produced by heat-pressing were in the range between 4.72 and 5.16. In conclusion, the fracture strength of Amber Lisi-POZ crown with zirconia framework was the highest, and the buccal cusps fractured from the central groove of the all crowns. Weibull modulus of crowns produced by milling was higher than those of crowns produced by heat-pressing.

摘要

具有高强度机械性能的二硅酸锂玻璃陶瓷作为热压技术的铸锭和 CAD/CAM 加工的块体在临床牙科中被广泛用作美学修复材料。本研究的目的是评估不同类型的二硅酸锂玻璃陶瓷制成的单冠的断裂强度。制作下颌第二前磨牙厚度为 1.5mm 的单冠。通过热压制作 IPS e.max Press 和 Amber Press 冠,通过铣削制作 IPS e.max CAD 和 Rosetta SM 冠,通过在氧化锆框架上热压制作 Amber Lisi-POZ 冠。将冠粘结在金属基台上后,以 10 度的倾斜角度进行断裂强度测试,使用双固化树脂水门汀。通过威布尔统计(每组 15 个)对断裂强度进行统计分析。通过在氧化锆框架上热压制作的 Amber Lisi-POZ 组的平均断裂强度(2087.4N)明显高于通过铣削制作的 Rosetta SM 组的断裂强度(1479.8N)。IPS e.max CAD 和 Rosetta SM 组的威布尔系数分别为 14.44 和 9.39,通过热压制作的 IPS e.max Press、Amber Press 和 Amber Lisi-POZ 组的威布尔系数在 4.72 到 5.16 之间。总之,具有氧化锆框架的 Amber Lisi-POZ 冠的断裂强度最高,所有冠的颊尖从中央沟处断裂。铣削制作的冠的威布尔模数高于热压制作的冠。

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