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使用两种材料和三种粘结剂间隙设置对 CAD/CAM 修复体适合性的微 CT 评估。

MicroCT evaluation for CAD/CAM occlusal veneer fit using two materials and three cement space settings.

机构信息

Department of Crown and Bridge, Faculty of Dental Medicine, Al Azhar University, Cairo, Egypt.

Department of Prosthodontics, College of dentistry, Taif University. Al Hawiyah, Saudi Arabia.

出版信息

Braz Dent J. 2022 Jul-Aug;33(4):71-78. doi: 10.1590/0103-6440202204764.

Abstract

This study was aimed to evaluate the fit of occlusal veneer restoration for two CAD/CAM materials with different cement space settings, using microCT scans. Sixty resin dies were made and divided into two groups (n=30) according to the materials, (I): Hybrid all-ceramic, and (II): zirconia-reinforced lithium silicate glass-ceramic. Each group was subdivided into three subgroups (n=10) according to the cement space parameters (30, 40, and 50 µm). Occlusal veneers for the six subgroups were milled. A circle with 20 different sections was placed at the center of every scanned specimen to measure four different locations (Occlusal, Axial, Marginal, and Absolute marginal discrepancy). Data were analyzed using two-way ANOVA at a 0.05 level of significance. There was no statistically significant effect of material type on the mean values of internal and marginal gaps for the three cement space parameters (P>0.05). There were no statistically significant differences in the occlusal and axial gap between the cement space parameters, furthermore, there were statistically significant differences in marginal gap distances and absolute marginal discrepancies (P>0.05). Hybrid all-ceramic showed smaller marginal and internal discrepancies than zirconia-reinforced lithium silicate glass-ceramic without statistically significant differences, and, for both materials, 50 µm cement space significantly improved the marginal fit and absolute marginal discrepancy.

摘要

本研究旨在使用 microCT 扫描评估两种不同粘结剂空间设置的 CAD/CAM 材料的牙体预备适合性。制作 60 个树脂模具并根据材料分为两组(n=30):(I)混合全瓷,和(II)氧化锆增强硅酸锂玻璃陶瓷。每组根据粘结剂空间参数(30、40 和 50 µm)进一步分为三组(n=10)。为六个亚组的牙体预备制作了牙体预备体。在每个扫描标本的中心放置一个带有 20 个不同截面的圆圈,以测量四个不同位置(牙合面、轴面、边缘和绝对边缘差异)。使用 0.05 水平的双因素方差分析对数据进行分析。材料类型对三种粘结剂空间参数的内间隙和边缘间隙的平均值没有统计学显著影响(P>0.05)。在牙合面和轴面间隙方面,粘结剂空间参数之间没有统计学显著差异,此外,边缘间隙距离和绝对边缘差异存在统计学显著差异(P>0.05)。混合全瓷的边缘和内部间隙小于氧化锆增强硅酸锂玻璃陶瓷,但无统计学显著差异,对于两种材料,50 µm 粘结剂空间显著改善了边缘适合性和绝对边缘差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/294d/9645188/78ac296cdb84/1806-4760-bdj-33-04-71-gf1.jpg

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