Medical University of Plovdiv, Plovdiv, Bulgaria.
Folia Med (Plovdiv). 2020 Sep 30;62(3):546-552. doi: 10.3897/folmed.62.e49708.
One method to evaluate the clinical success of cemented restorations is measuring the marginal adaptation. There is a correlation between the fitting of the restoration and problems caused by clinically undetectable passage of bacteria between the tooth structure and the veneer.
To evaluate in comparison the marginal adaptation of veneers produced via CAD/CAM and press technique.
32 extracted incisors are divided into two equal-number groups (n=16) according to the production technique - CAD/CAM zirconium veneers and press-ceramic veneers. Cut sections are examined under a SEM magnification. Marginal accuracy is measured as the distance between the finish line of the tooth and the margin of the veneer at eight fixed locations.
The mean values of marginal gap of group 1 are: external adaptation - 79.88±3.71 µm; internal adaptation - 79.14±15.70 µm; cervical adaptation - 82.39±28.55 µm; incisal adaptation - 86.85±21.72 µm. The mean values of marginal gap of group 2 are: external adaptation - 100.31±2.16 µm; for internal adaptation - 101.01±12.51 µm; cervical adaptation - 91.55±3.31 µm; incisal adaptation - 93.76±2.54 µm.
Veneers produced via CAD/CAM technology have better fit at the external and internal marginal wall. There is no statistically significant difference between the gaps at the cervical and the incisal areas.
评估粘固修复体临床成功的一种方法是测量边缘适合性。修复体的拟合与牙体结构和贴面之间临床上无法检测到的细菌通过有相关性。
比较 CAD/CAM 和热压铸瓷技术制作的贴面的边缘适合性。
根据制作技术将 32 颗离体切牙分为两组(n=16),即 CAD/CAM 氧化锆贴面和热压铸瓷贴面。在 SEM 放大倍数下检查切缘。边缘精度以牙体切缘和贴面边缘之间的距离测量,在八个固定位置进行测量。
第 1 组的边缘间隙平均值为:外适应度-79.88±3.71 µm;内适应度-79.14±15.70 µm;颈缘适应度-82.39±28.55 µm;切缘适应度-86.85±21.72 µm。第 2 组的边缘间隙平均值为:外适应度-100.31±2.16 µm;内适应度-101.01±12.51 µm;颈缘适应度-91.55±3.31 µm;切缘适应度-93.76±2.54 µm。
CAD/CAM 技术制作的贴面在外部和内部边缘壁上具有更好的贴合度。颈缘和切缘区域之间的间隙无统计学差异。