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预制复合贴面与陶瓷和牙釉质耐磨性的比较。

Comparison of Wear Resistance of Prefabricated Composite Veneers Versus Ceramic and Enamel.

机构信息

Policlinic of Prosthetic Dentistry and Material Science, Centre for Dental Medicine, Jena University Hospital, Jena, D-07743, Germany.

Department of Oral and Maxillofacial Surgery, University of Tennessee Medical Center, Knoxville, TN.

出版信息

J Prosthodont. 2021 Oct;30(8):711-719. doi: 10.1111/jopr.13303. Epub 2021 Jan 8.

Abstract

PURPOSE

To measure surface roughness before and after wear-tests of two different prefabricated composite veneers and compare them to ceramic veneers and human dental enamel.

MATERIALS AND METHODS

Roughness (Ra-values) of two prefabricated composite veneers (Visalys Veneer Chairside (VIS) and Componeer (COM)) were compared to lithium disilicate Veneers (e.max CAD) and dental enamel (DENT) in vitro. In total n = 45 specimens per material and enamel samples were used for wear-tests. Wear-out tests were conducted by abrasion tests with a toothbrush simulator (22,000 strokes/ 100 g load; approximately equal to two years of cleansing) and erosion tests were carried out using citric acid (pH 1.57). Ra- and Sa-values were detected by white light interferometer before and after wear-tests. Data were analyzed with ANOVA followed by Games-Howell post hoc test and t-test (α = 0.05).

RESULTS

At baseline the lowest Ra- and Sa-values were found in VIS (Ra: 0.01 µm; Sa: 0.04 µm) while DENT revealed significantly higher surface roughness (Ra: 0.11 µm, p < 0.05; Sa: 0.30, p = 0.186). COM had significantly higher Ra-values (Ra: 0.10 µm; Sa: 0.22 µm) after abrasion, while e.max CAD was most resistant to the treatments (Ra: 0.01 µm, p < 0.05; Sa: 0.05 µm, p < 0.05). Compared to DENT all veneers were significantly less affected by citric acid (p < 0.001).

CONCLUSIONS

Prefabricated composite veneers have demonstrated less wear after abrasion and erosion tests compared to DENT, nevertheless, they revealed more wear compared to e.max CAD.

摘要

目的

测量两种不同预制复合贴面在磨损试验前后的表面粗糙度,并将其与陶瓷贴面和人牙釉质进行比较。

材料和方法

体外比较了两种预制复合贴面(Visalys Veneer Chairside (VIS) 和 Componeer (COM))与锂硅二酸盐贴面(e.max CAD)和牙釉质(DENT)的粗糙度(Ra 值)。共使用 n = 45 个每个材料和牙釉质样本进行磨损试验。磨损试验通过牙刷模拟器进行磨损试验(22,000 次/ 100 克负载;约等于两年的清洁)和使用柠檬酸(pH 1.57)进行的侵蚀试验进行。在磨损试验前后,使用白光干涉仪检测 Ra 和 Sa 值。使用方差分析(ANOVA) followed by Games-Howell 事后检验和 t 检验(α = 0.05)分析数据。

结果

在基线时,VIS 的 Ra 和 Sa 值最低(Ra:0.01 µm;Sa:0.04 µm),而 DENT 的表面粗糙度显著更高(Ra:0.11 µm,p < 0.05;Sa:0.30,p = 0.186)。COM 在磨损后具有显著更高的 Ra 值(Ra:0.10 µm;Sa:0.22 µm),而 e.max CAD 对处理的抵抗力最强(Ra:0.01 µm,p < 0.05;Sa:0.05 µm,p < 0.05)。与 DENT 相比,所有贴面受柠檬酸的影响均显著较小(p < 0.001)。

结论

与 DENT 相比,预制复合贴面在磨损和侵蚀试验后的磨损程度较小,但与 e.max CAD 相比,其磨损程度更大。

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