不同咬合厚度氧化锆全冠的抗折性和边缘适合性

Fracture resistance and marginal fit of the zirconia crowns with varied occlusal thickness.

作者信息

Tekin Yadel Hazır, Hayran Yeliz

机构信息

Department of Prosthodontic Dentistry, Faculty of Dentistry, Tokat Gaziosmanpasa University, Tokat, Turkey.

出版信息

J Adv Prosthodont. 2020 Oct;12(5):283-290. doi: 10.4047/jap.2020.12.5.283. Epub 2020 Oct 26.

Abstract

PURPOSE

The present study aimed to evaluate the clinical applicability of monolithic zirconia (MZ) crowns of different thickness via determination of fracture resistance and marginal fit.

MATERIALS AND METHODS

MZ crowns with 0.5, 0.8, 1.0, and 1.5 mm thickness and porcelain fused to metal (PFM) crowns were prepared, ten crowns in each group. Marginal gaps of the crowns were measured. All crowns were aged with thermal cycling (5 - 55℃/10000 cycle) and chewing simulator (50 N/1 Hz/lateral movement: 2 mm, mouth opening: 2 mm/240000 cycles). After aging, fracture resistance of crowns was determined. Statistical analysis was performed with one-way ANOVA and Tukey's HDS post hoc test.

RESULTS

Fracture loads were higher in the PFM and 1 mm MZ crowns compared to 0.5 mm and 0.8 mm crowns. 1.5 mm MZ crowns were not broken even with the highest force applied (10 kN). All marginal gap values were below 86 µm even in the PFM crowns, and PFM crowns had a higher marginal gap than the MZ crowns.

CONCLUSION

The monolithic zirconia exhibited high fracture resistance and good marginal fit even with the 0.5 mm thickness, which might be used with reduced occlusal thickness and be beneficial in challengingly narrow interocclusal space.

摘要

目的

本研究旨在通过测定抗折性和边缘适合性来评估不同厚度的整体式氧化锆(MZ)全冠的临床适用性。

材料与方法

制备了厚度分别为0.5、0.8、1.0和1.5mm的MZ全冠以及金属烤瓷(PFM)全冠,每组10个全冠。测量全冠的边缘间隙。所有全冠均经过热循环(5 - 55℃/10000次循环)和咀嚼模拟器(50N/1Hz/侧向运动:2mm,张口:2mm/240000次循环)老化处理。老化后,测定全冠的抗折性。采用单因素方差分析和Tukey's HDS事后检验进行统计学分析。

结果

与0.5mm和0.8mm的全冠相比,PFM全冠和1mm的MZ全冠的抗折载荷更高。即使施加最高力(10kN),1.5mm的MZ全冠也未折断。即使在PFM全冠中,所有边缘间隙值均低于86μm,且PFM全冠的边缘间隙比MZ全冠更高。

结论

即使厚度为0.5mm,整体式氧化锆仍表现出较高的抗折性和良好的边缘适合性,可用于减小咬合厚度,在具有挑战性的狭窄咬合间隙中具有优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1f50/7604235/c8635c0a7a23/jap-12-283-g001.jpg

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