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模拟咀嚼下用于一次性牙科治疗的全轮廓整体式氧化锆全冠的凹版表面平整度、对颌牙磨损体积损失及抗折性的对比分析

Comparative analysis on intaglio surface trueness, wear volume loss of antagonist, and fracture resistance of full-contour monolithic zirconia crown for single-visit dentistry under simulated mastication.

作者信息

Kim Yong-Kyu, Yoon Hyung-In, Kim Dae-Joon, Han Jung-Suk

机构信息

Department of Prosthodontics, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea.

Department of Dentistry, VASIC Research Center, School of Dentistry and Dental Research Institute, Seoul National University, Seoul, Republic of Korea.

出版信息

J Adv Prosthodont. 2022 Jun;14(3):173-181. doi: 10.4047/jap.2022.14.3.173. Epub 2022 Jun 27.

Abstract

PURPOSE

This analysis aimed to evaluate the intaglio surface trueness, antagonist's wear volume loss, and fracture resistance of full-contour crowns of (Y, Nb)-stabilized fully-sintered zirconia (FSZ), 4 mol% or 5 mol% yttria-stabilized partially sintered zirconia (4YZ or 5YZ) with high-speed sintering.

MATERIALS AND METHODS

A total of 42 zirconia crowns were separated into three groups: FSZ, 4YZ, and 5YZ (n = 14). The intaglio surface trueness of the crowns was evaluated at the inner surface, occlusal, margin, and axial areas and reported as root-mean-square, positive and negative average deviation. Half of the specimens were aged for 120,000 cycles in the chewing simulator, and the wear volume loss of antagonist was measured. Before and after chewing, the fracture load was measured for each group. The trueness values were analyzed with Welch's ANOVA, and the wear volume loss with the Kruskal-Wallis tests. Effect of the zirconia type and aging on fracture resistance of crowns was tested using two-way ANOVA.

RESULTS

The intaglio surface trueness measured at four different areas of the crown was less than 50 µm, regardless of the type of zirconia. No significant in wear volume loss of antagonists were detected among the groups ( > .05). Both the type of zirconia and aging showed statistically significant effects on fracture resistance ( < .05).

CONCLUSION

The full-contour crowns of FSZ as well as 4YZ or 5YZ with high-speed sintering were clinically acceptable, in terms of intaglio surface trueness, antagonist's wear volume loss, and fracture resistance after simulated mastication.

摘要

目的

本分析旨在评估(钇、铌)稳定的全烧结氧化锆(FSZ)、4摩尔%或5摩尔%氧化钇稳定的部分烧结氧化锆(4YZ或5YZ)通过高速烧结制成的全冠内表面的平整度、对颌牙的磨损体积损失以及抗折强度。

材料与方法

总共42个氧化锆全冠被分为三组:FSZ组、4YZ组和5YZ组(每组n = 14)。在全冠的内表面、咬合面、边缘和轴面区域评估其凹面的平整度,并以均方根、正负平均偏差表示。一半的样本在咀嚼模拟器中进行120,000次循环老化,测量对颌牙的磨损体积损失。在咀嚼前后,测量每组样本的抗折载荷。使用韦尔奇方差分析对平整度值进行分析,使用克鲁斯卡尔 - 沃利斯检验对磨损体积损失进行分析。使用双向方差分析测试氧化锆类型和老化对全冠抗折强度的影响。

结果

无论氧化锆类型如何,在全冠四个不同区域测量的凹面平整度均小于50μm。各组之间未检测到对颌牙磨损体积损失有显著差异(P > 0.05)。氧化锆类型和老化对抗折强度均显示出统计学上的显著影响(P < 0.05)。

结论

就凹面平整度、对颌牙的磨损体积损失以及模拟咀嚼后的抗折强度而言,高速烧结的FSZ以及4YZ或5YZ全冠在临床上是可接受的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06f/9259349/8733ec08f77d/jap-14-173-g001.jpg

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