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焊接金刚石与真空扩散技术车针及传统电镀车针在牙齿表面变化上的切割效率——一项研究

Cutting Efficiency of Welded Diamond and Vacuum Diffusion Technology Burs and Conventional Electroplated Burs on the Surface Changes of the Teeth - An Study.

作者信息

Sethi Tanya Kabir, Nayakar Ramesh P, Patil Anandkumar G

机构信息

Department of Prosthodontics and Crown and Bridge, KAHER'S KLE V.K. Institute of Dental Sciences, Belagavi, Karnataka, India.

出版信息

Contemp Clin Dent. 2021 Jul-Sep;12(3):259-265. doi: 10.4103/ccd.ccd_261_20. Epub 2021 Sep 21.

Abstract

CONTEXT

Welded diamond and vacuum diffusion technology (WDVDT) burs in comparison to electroplated burs claim to approach the solution of dental hard tissues by increased cutting efficiency, decreasing the overheating of oral tissues and thus reducing the microcracks on the prepared tooth surface.

AIMS

This study aimed to evaluate the cutting efficiency of two different rotary diamond burs used for tooth preparation with their repeated usage on the surface changes of the prepared tooth.

SETTINGS AND DESIGN

This comparative study evaluated the cutting efficiency and surface changes of the teeth prepared with conventional electroplated burs and WDVDT burs.

SUBJECTS AND METHODS

Thirty freshly extracted, healthy, noncarious human premolars were divided into Group A and Group B with 15 each, and were further subdivided into three subgroups depending on the different usage intervals as first, fifth, and tenth (A1-A3 and B1-B3). The surface of each prepared specimen was evaluated quantitatively using a surface profilometer, and qualitative analysis was done using a scanning electron microscope.

STATISTICAL ANALYSIS USED

Two-way ANOVA and Turkey's multiple tests were used.

RESULTS

The mean surface roughness of Groups A1, A2, and A3 was 1.50 ± 0.40, 2.39 ± 0.39, and 2.65 ± 0.65 Ra, respectively. The mean surface roughness of Groups B1, B2, and B3 was 0.76 ± 0.23, 0.92 ± 0.10, and 1.24 ± 0.07 Ra, respectively. The mean surface roughness of the prepared tooth surface was significantly higher in Group A and its subgroups when compared to that of Group B and its subgroups.

CONCLUSIONS

The study results showed that surface roughness was considerably lesser and also had less wear and increased cutting efficiency of tooth preparations using burs made with WDVDT compared to the preparations using conventional electroplated burs.

摘要

背景

与电镀车针相比,焊接金刚石与真空扩散技术(WDVDT)车针声称通过提高切割效率、减少口腔组织过热从而减少预备牙表面的微裂纹来解决牙科硬组织问题。

目的

本研究旨在评估两种用于牙齿预备的不同旋转金刚石车针在重复使用时对预备牙表面变化的切割效率。

设置与设计

本对比研究评估了使用传统电镀车针和WDVDT车针预备牙齿的切割效率和表面变化。

对象与方法

30颗新鲜拔除的、健康的、无龋的人类前磨牙被分为A组和B组,每组15颗,并根据不同的使用间隔进一步细分为三个亚组,即第一次、第五次和第十次(A1 - A3和B1 - B3)。使用表面轮廓仪对每个预备标本的表面进行定量评估,并使用扫描电子显微镜进行定性分析。

统计分析方法

采用双向方差分析和土耳其多重检验。

结果

A1组、A2组和A3组的平均表面粗糙度分别为1.50±0.40、2.39±0.39和2.65±0.65 Ra。B1组、B2组和B3组的平均表面粗糙度分别为0.76±0.23、0.92±0.10和1.24±0.07 Ra。与B组及其亚组相比,A组及其亚组预备牙表面的平均表面粗糙度显著更高。

结论

研究结果表明,与使用传统电镀车针的预备相比,使用WDVDT制成的车针进行牙齿预备时,表面粗糙度明显更小,磨损也更少,且切割效率更高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/adbf/8525810/a2ed3a38de77/CCD-12-259-g001.jpg

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