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边缘设计对高透明度整体氧化锆冠裂纹萌生的影响。

Influence of Margin Designs on Crack Initiation of High Translucency Monolithic Zirconia Crowns.

机构信息

Department of Prosthodontics, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand.

Division of Pediatric Dentistry, Department of Preventive Dentistry, Faculty of Dentistry, Khon Kaen University, Khon Kaen, Thailand.

出版信息

J Prosthodont. 2021 Jul;30(6):490-499. doi: 10.1111/jopr.13269. Epub 2020 Oct 15.

Abstract

PURPOSE

Zirconia crowns often crack at the margin. This study determined the loads and the times at which cracks are initiated in high-translucency monolithic zirconia crowns with different margin designs.

MATERIALS AND METHODS

A total of 90 crowns were fabricated from Zirconia blanks. The fabricated crowns had different margin thicknesses (light-chamfer, C and heavy-chamfer, C ) and collar heights (no-collar, N ; low-collar, L ; high-collar, H ). They were grouped as C N , C L , C H , C N , C L , and C H (15 crowns/group). The crowns were seated on a metal model and loaded vertically through round end punch (Φ = 10 mm) at 0.2 mm/min crosshead speed until cracks began to be seen. Videos of the crack initiation were recorded at the rate of 50 frames/second. Load-initiated cracks and durability time were compared for significant differences using analysis of variance.

RESULTS

The mean ± standard deviation values of load (N) and time (s) taken to initiate cracks were 3190 ±775, 212 ±47 for C N ; 2754 ±1109, 180 ±42 for C L ; 2887±832, 191±27 for C H ; 4082 ±896, 241 ±36 for C N ; 4180 ±1029, 220 ±28 for C L ; 4119 ±1124, 222 ±39 for C H . This indicates that the thickness of the margin has a significant influence on load-withstanding crack initiation capacity and durability time (p < 0.05). No significant impact of collar height was observed on either load-withstanding capacity or durability time (p > 0.05). No interaction was observed among these factors.

CONCLUSION

Heavy chamfer margin provided a stronger zirconia crown than the light chamfer margin, but both of them were capable of withstanding crack-initiated load higher than the theoretical maximum masticatory force. The presence or absence of a collar did not have any impact on the crack initiation. Fabrication of zirconia crowns with either a heavy or light chamfer margin and with or without the presence of a collar should be generated by considering the relevant emergence profile.

摘要

目的

氧化锆冠常于边缘处出现裂纹。本研究旨在确定不同边缘设计的高透明度整体氧化锆冠初始出现裂纹时的负载和时间。

材料与方法

共制作 90 个氧化锆基底冠。基底冠的边缘厚度(轻倒角,C 和重倒角,C )和颈圈高度(无颈圈,N ;低颈圈,L ;高颈圈,H )不同。它们被分为 C N 、C L 、C H 、C N 、C L 和 C H (每组 15 个基底冠)。基底冠被放置在金属模型上,并通过直径为 10mm 的圆形端冲头以 0.2mm/min 的十字头速度垂直加载,直到开始出现裂纹。以每秒 50 帧的速度记录裂纹起始的视频。使用方差分析比较不同组间的起始负载和耐久性时间是否存在显著差异。

结果

C N 组的起始负载(N)和时间(s)的平均值±标准差分别为 3190±775、212±47;C L 组分别为 2754±1109、180±42;C H 组分别为 2887±832、191±27;C N 组分别为 4082±896、241±36;C L 组分别为 4180±1029、220±28;C H 组分别为 4119±1124、222±39。这表明边缘厚度对承受裂纹起始负载的能力和耐久性时间有显著影响(p < 0.05)。颈圈高度对负载承受能力或耐久性时间均无显著影响(p > 0.05)。这些因素之间没有观察到相互作用。

结论

重倒角边缘提供了比轻倒角边缘更强的氧化锆基底冠,但两者均能承受高于理论最大咀嚼力的初始裂纹负载。颈圈的存在与否对裂纹起始无影响。在考虑相关的边缘突出度的情况下,应根据需要选择具有重或轻倒角边缘且带有或不带有颈圈的氧化锆基底冠进行制作。

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