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新型椅旁 CAD/CAM 二硅酸锂陶瓷透光率的研究。

Light Transmission for a Novel Chairside CAD/CAM Lithium Disilicate Ceramic.

机构信息

Texas Tech University Health Sciences Center El Paso, School of Dental Medicine, El Paso, Texas, United States of America.

Department of General Dentistry, Stony Brook University School of Dental Medicine, Stony Brook, New York, United States of America.

出版信息

J Contemp Dent Pract. 2021 Dec 1;22(12):1365-1369.

Abstract

AIM

To evaluate light transmission in a novel chairside CAD/CAM lithium disilicate ceramic with different thicknesses and with and without polishing.

MATERIALS AND METHODS

Sixty flat samples (10 specimens/group) were fabricated from novel chairside CAD/CAM lithium disilicate ceramic blocks (Amber Mill, Hass Bio) with different thicknesses and with and without polishing as follows: (1) 1.0 mm thickness without polishing (1.0NoP); (2) 1.0 mm thickness with polishing (1.0Po); (3) 1.5 mm thickness without polishing (1.5NoP); (4) 1.5 mm thickness with polishing (1.5Po); (5) 2.0 mm thickness without polishing (2.0NoP); and (6) 2.0 mm thickness with polishing (2.0Po). Specimens were polished with a polishing system for lithium disilicate restorations following the manufacturer's recommendations. Light transmission was evaluated with a curing radiometer. Obtained data were subjected to two-way ANOVA followed by Tukey's tests (α = 0.05). SEM observations were conducted to evaluate surface microstructure.

RESULTS

The light intensity through the lithium disilicate blocks with and without polishing was 200.9 mW/cm (16.1%) and 194.4 mW/cm (15.6%) for 1.0 mm specimens, 119.3 mW/cm (9.5%) and 111.9 mW/cm (9.0%) for 1.5 mm specimens, and 102.3 mW/cm (8.2%) and 96.0 mW/cm (7.7%) for 2.0 mm specimens. SEM images showed a smoother surface with polishing compared to nonpolished specimens.

CONCLUSION

The thickness and polishing of the restorations were both significant influential factors in light transmission.

CLINICAL SIGNIFICANCE

The range of light transmission percentage through the novel chairside CAD/CAM lithium disilicate blocks was 7.7-16.1%, suggesting that light attenuation through the material may influence the polymerization reaction of resin luting cement in the bonding process.

摘要

目的

评估不同厚度、有/无抛光的新型椅旁 CAD/CAM 二硅酸锂陶瓷的透光率。

材料与方法

从新型椅旁 CAD/CAM 二硅酸锂陶瓷块(Amber Mill,Hass Bio)制备 60 个平板样本(每组 10 个样本),厚度不同,有/无抛光,具体如下:(1)1.0 毫米厚度无抛光(1.0NoP);(2)1.0 毫米厚度抛光(1.0Po);(3)1.5 毫米厚度无抛光(1.5NoP);(4)1.5 毫米厚度抛光(1.5Po);(5)2.0 毫米厚度无抛光(2.0NoP);(6)2.0 毫米厚度抛光(2.0Po)。按照制造商的建议,用专门的抛光系统对陶瓷样本进行抛光。用固化辐射计评估透光率。对获得的数据进行双因素方差分析,然后进行 Tukey 检验(α=0.05)。用扫描电子显微镜观察评估表面微观结构。

结果

抛光和未抛光的 1.0 毫米厚度陶瓷块的透光率分别为 200.9 mW/cm(16.1%)和 194.4 mW/cm(15.6%),1.5 毫米厚度陶瓷块的透光率分别为 119.3 mW/cm(9.5%)和 111.9 mW/cm(9.0%),2.0 毫米厚度陶瓷块的透光率分别为 102.3 mW/cm(8.2%)和 96.0 mW/cm(7.7%)。扫描电子显微镜图像显示,抛光后的表面比未抛光的表面更光滑。

结论

修复体的厚度和抛光对透光率都有显著影响。

临床意义

新型椅旁 CAD/CAM 二硅酸锂陶瓷块的透光率范围为 7.7%-16.1%,这表明材料的透光衰减可能会影响粘结过程中树脂水门汀的聚合反应。

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