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烧结次数对增材制造钴铬多单位修复体适合性的影响

The Effect of Firing Cycles on the Fit of Cobalt-Chromium Multiunit Prostheses Fabricated by Additive Manufacturing.

作者信息

Daou Elie E, Baba Nadim Z

机构信息

Department of Prosthodontics, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon.

Al-Ayen University, Nile Street, Nasiriyah.

出版信息

J Prosthodont. 2023 Jan;32(1):71-76. doi: 10.1111/jopr.13506. Epub 2022 Apr 4.

Abstract

PURPOSE

The effect of annealing and firing cycle on the adaptation of cobalt-chromium (CoCr) restorations fabricated by additive manufacturing has been poorly documented. This study compared the marginal and internal fit of CoCr three-unit fixed dental prostheses before and after firing cycles.

MATERIAL AND METHODS

The first right maxillary premolar (MP) and molar (MM) on a typodont model, were prepared with a circumferential 1.2 mm chamfer, 2 mm occlusal reduction, and total taper of 8 degrees, to receive 3-unit fixed dental prostheses (FDP). After the framework design, 20 framework specimens were fabricated using CoCr metal powder by selective laser melting. The replica technique was used for marginal and internal fit measurements in mesiodistal and buccolingual planes. The specimens were submitted to an annealing process, and to ceramic firing protocol. Measurements were repeated after each firing cycle. The data were compared by using Levene test, t-test, and analysis of variance (ANOVA) (α = 0.05).

RESULTS

A significant difference was found in the total intaglio surface discrepancy between the 3 treatments. The annealing treatment induced a statistical difference in the discrepancy value compared to the as printed state (p = 0.028). A significant difference was detected between the initial manufacturing phase and the ceramic layering firing cycle (p = 0.003).

CONCLUSIONS

Firing cycles induced an alteration of the frameworks adaptation.

摘要

目的

关于退火和烧结循环对增材制造的钴铬(CoCr)修复体适配性的影响,相关文献记载较少。本研究比较了CoCr三单位固定义齿在烧结循环前后的边缘适合性和内部适合性。

材料与方法

在一个牙列模型上,对右侧上颌第一前磨牙(MP)和第一磨牙(MM)进行预备,制备出圆周1.2mm的倒凹、2mm的咬合面降低以及8度的总锥度,以容纳三单位固定义齿(FDP)。在完成支架设计后,使用CoCr金属粉末通过选择性激光熔化制造了20个支架样本。复制技术用于在近远中平面和颊舌平面进行边缘和内部适合性测量。样本经过退火处理和陶瓷烧结流程。在每个烧结循环后重复测量。通过Levene检验、t检验和方差分析(ANOVA)(α = 0.05)对数据进行比较。

结果

在三种处理方式的总凹面表面差异上发现了显著差异。与打印后的状态相比,退火处理在差异值上产生了统计学差异(p = 0.028)。在初始制造阶段和陶瓷分层烧结循环之间检测到显著差异(p = 0.003)。

结论

烧结循环导致了支架适配性的改变。

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