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咖啡热循环对用于固定修复体的纳米石墨烯增强聚甲基丙烯酸甲酯表面粗糙度和染色性的影响。

Effect of coffee thermocycling on the surface roughness and stainability of nanographene-reinforced polymethyl methacrylate used for fixed definitive prostheses.

作者信息

Çakmak Gülce, Herren Kira Vera, Donmez Mustafa Borga, Kahveci Çiğdem, Schimmel Martin, Yilmaz Burak

机构信息

Senior Research Associate, Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland.

Predoctoral student, Department of Reconstructive Dentistry and Gerodontology, School of Dental Medicine, University of Bern, Bern, Switzerland; Private Practice, Zahnaerzte Flamatt, Wünnewil-Flamatt, Switzerland.

出版信息

J Prosthet Dent. 2023 Mar;129(3):507.e1-507.e6. doi: 10.1016/j.prosdent.2022.12.009. Epub 2023 Feb 1.

Abstract

STATEMENT OF PROBLEM

A nanographene-reinforced polymethyl methacrylate (PMMA) has been introduced for definitive prostheses. However, knowledge on the surface roughness and stainability of this material is lacking.

PURPOSE

The purpose of this in vitro study was to compare the surface roughness and stainability of nanographene-reinforced PMMA with those of a prepolymerized PMMA and a reinforced composite resin after coffee thermocycling.

MATERIAL AND METHODS

Disk-shaped specimens (Ø10×1.5-mm) were prepared from 3 different A1-shade millable resins (prepolymerized PMMA [M-PM; PMMA]; nanographene-reinforced PMMA [G-CAM; G-PMMA]; reinforced composite resin [Brilliant Crios; RCR]). Surface roughness (R) values were measured before and after conventional polishing by using a noncontact profilometer. Initial color coordinates were measured over a gray background with a spectrophotometer after polishing. Specimens were then thermocycled in coffee for 5000 cycles. Measurements were repeated after coffee thermocycling, and color differences (ΔE) were calculated. R values among different time intervals were analyzed by using either the Friedman and Dunn tests (RCR) or repeated measures analysis of variance (ANOVA) and Bonferroni corrected paired samples t tests (PMMA and G-PMMA), while R values within a time interval were analyzed by using either the Kruskal-Wallis and Dunn tests (before polishing) or 1-way ANOVA and Tukey HSD (after polishing) or Tamhane T2 tests (after coffee thermocycling). ΔE values were analyzed by using 1-way ANOVA and Tukey HSD tests, while color coordinates of the specimens after polishing and after coffee thermocycling were compared by using paired samples t tests (α=.05).

RESULTS

All materials had their highest R values before polishing (P≤.011), while differences after polishing and after coffee thermocycling values were nonsignificant (P≥.140). PMMA had higher R than RCR before polishing (P=.002), and RCR had higher values than G-PMMA after polishing and after coffee thermocycling (P≤.023). RCR had the highest ΔE (P<.001). Polishing increased the b∗ values of PMMA, and coffee thermocycling increased the a∗ values of G-PMMA and all values of RCR (P≤.012).

CONCLUSIONS

The tested materials had similar and acceptable surface roughness after polishing. The surface roughness of materials was not affected by coffee thermocycling. Considering the reported color thresholds, all materials had acceptable color change, but the computer-aided design and computer-aided manufacturing composite resin had perceptible color change after coffee thermocycling.

摘要

问题陈述

一种纳米石墨烯增强聚甲基丙烯酸甲酯(PMMA)已被引入用于定制假体。然而,关于这种材料的表面粗糙度和可染色性的知识尚缺。

目的

本体外研究的目的是比较纳米石墨烯增强PMMA与预聚合PMMA以及增强复合树脂在咖啡热循环后的表面粗糙度和可染色性。

材料与方法

从3种不同的A1色可切削树脂制备圆盘形试样(直径10×1.5毫米)(预聚合PMMA [M-PM;PMMA];纳米石墨烯增强PMMA [G-CAM;G-PMMA];增强复合树脂 [Brilliant Crios;RCR])。使用非接触式轮廓仪在常规抛光前后测量表面粗糙度(R)值。抛光后在灰色背景上用分光光度计测量初始颜色坐标。然后将试样在咖啡中进行5000次热循环。咖啡热循环后重复测量,并计算颜色差异(ΔE)。使用Friedman和Dunn检验(RCR)或重复测量方差分析(ANOVA)以及Bonferroni校正配对样本t检验(PMMA和G-PMMA)分析不同时间间隔内的R值,而使用Kruskal-Wallis和Dunn检验(抛光前)或单因素ANOVA和Tukey HSD检验(抛光后)或Tamhane T2检验(咖啡热循环后)分析时间间隔内的R值。使用单因素ANOVA和Tukey HSD检验分析ΔE值,而使用配对样本t检验(α = 0.05)比较抛光后和咖啡热循环后试样的颜色坐标。

结果

所有材料在抛光前R值最高(P≤0.011),而抛光后和咖啡热循环后的差异不显著(P≥0.140)。PMMA在抛光前的R值高于RCR(P = 0.002),RCR在抛光后和咖啡热循环后的R值高于G-PMMA(P≤0.023)。RCR的ΔE值最高(P<0.001)。抛光增加了PMMA的b值,咖啡热循环增加了G-PMMA的a值以及RCR的所有值(P≤0.012)。

结论

测试材料在抛光后具有相似且可接受的表面粗糙度。材料的表面粗糙度不受咖啡热循环的影响。考虑到报告的颜色阈值,所有材料的颜色变化均可接受,但计算机辅助设计和计算机辅助制造的复合树脂在咖啡热循环后有明显的颜色变化。

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