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椅旁 CAD-CAM 材料与不同类型拮抗物摩擦磨损行为的体外研究。

Friction and wear behavior of chairside CAD-CAM materials against different types of antagonists: An in vitro study.

机构信息

Research Assistant, Department of Restorative Dentistry, Faculty of Dentistry, Karadeniz Technical University, Trabzon, Turkey.

Assistant Professor, Department of Restorative Dentistry, Faculty of Dentistry, Karadeniz Technical University, Trabzon, Turkey.

出版信息

J Prosthet Dent. 2022 Oct;128(4):803-813. doi: 10.1016/j.prosdent.2021.09.024. Epub 2021 Nov 22.

Abstract

STATEMENT OF PROBLEM

Studies on the friction and wear behavior of recently introduced chairside computer-aided design and computer-aided manufacture (CAD-CAM) restorative materials are lacking.

PURPOSE

The purpose of this in vitro study was to evaluate the wear behavior of chairside CAD-CAM materials against different types of antagonists (human tooth enamel, composite resin, and feldspathic porcelain).

MATERIAL AND METHODS

Specimens (14×14×2 mm) of different CAD-CAM materials (Brilliant Crios, Lava Ultimate, Vita Enamic, Vita Suprinity) were obtained by using a low-speed precision cutter (n=10). Wear tests were performed with a 20-N load, 2.5-mm/s sliding speed, 1-mm sliding distance, and 1500 cycles via a tribometer according to ASTM-G133. The coefficient of friction (CoF) of the material pairs was measured and recorded by using a special software program. Surface roughness (Ra), maximum wear depth, and mean maximum wear depth were measured with a profilometer, and values were analyzed by using 2-way ANOVA and the Bonferroni correction. Vickers hardness of CAD-CAM specimens was determined with a microhardness tester. Microhardness values were analyzed by using 1-way ANOVA and Tukey post hoc tests. Worn surfaces were observed by scanning electron microscopy and a 3D noncontact profilometer to determine the wear pattern and primary wear mechanisms.

RESULTS

Significant differences were found in the interactions between CAD-CAM materials and different types of antagonists (P<.001) for maximum wear depth, mean maximum wear depth, CoF, and Ra values.

CONCLUSIONS

Vita Suprinity exhibited superior wear resistance and Ra against all antagonists compared with other CAD-CAM materials. However, Vita Suprinity increased the destructive effects on antagonists. The safety of CAD-CAM materials is best determined when the wear behavior of materials and their effect on the antagonist are evaluated together.

摘要

问题陈述

最近推出的椅旁计算机辅助设计和计算机辅助制造(CAD-CAM)修复材料的摩擦和磨损行为研究较少。

目的

本体外研究旨在评估椅旁 CAD-CAM 材料对不同类型的拮抗剂(人牙釉质、复合树脂和长石瓷)的磨损行为。

材料和方法

使用低速精密刀具(n=10)获得不同 CAD-CAM 材料(Brilliant Crios、Lava Ultimate、Vita Enamic、Vita Suprinity)的试件(14×14×2mm)。根据 ASTM-G133,通过摩擦磨损试验机以 20-N 载荷、2.5-mm/s 滑动速度、1-mm 滑动距离和 1500 个循环进行磨损试验。使用专用软件程序测量并记录材料对的摩擦系数(CoF)。使用轮廓仪测量表面粗糙度(Ra)、最大磨损深度和平均最大磨损深度,并通过 2 因素方差分析和 Bonferroni 校正分析值。使用显微硬度计测定 CAD-CAM 试件的维氏硬度。通过单因素方差分析和 Tukey 事后检验分析微硬度值。用扫描电子显微镜和 3D 非接触式轮廓仪观察磨损表面,以确定磨损模式和主要磨损机制。

结果

在 CAD-CAM 材料与不同类型拮抗剂之间的相互作用中,最大磨损深度、平均最大磨损深度、CoF 和 Ra 值均存在显著差异(P<.001)。

结论

与其他 CAD-CAM 材料相比,Vita Suprinity 对所有拮抗剂的耐磨性和 Ra 值均表现出优异的性能。然而,Vita Suprinity 增加了对拮抗剂的破坏性影响。当评估材料的磨损行为及其对拮抗剂的影响时,才能最好地确定 CAD-CAM 材料的安全性。

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