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对由玻璃陶瓷(E.max)或高透明度氧化锆(Lava Plus)制作的CAD/CAM全瓷冠的透明度特性的评估:一项临床研究。

Evaluation of the Translucency Properties for CAD/CAM Full Ceramic Crowns Fabricated From Glass Ceramics (E.max) or High Translucency Zirconia (Lava Plus): A Clinical Study.

作者信息

Kanout Chaza

机构信息

Department of Fixed Prosthodontics, Faculty of Dental Medicine, Damascus University, Damascus, SYR.

出版信息

Cureus. 2023 Feb 13;15(2):e34935. doi: 10.7759/cureus.34935. eCollection 2023 Feb.

Abstract

Introduction Nowadays, cosmetic demands are the first reason to visit dental clinic. However, most ceramic prostheses need an excessive removal of the dental structure, whether for full crowns or veneer preparation. With the innovation in ceramic materials, high translucent zirconia that demands minimal preparation with high aesthetic results was used for computer-aided design/computer-aided manufacturing (CAD/CAM) Full ceramic crown fabrication. The objective of this study was to compare the translucency properties of CAD/CAM full ceramic crowns fabricated from glass ceramics (E.max) and high translucency zirconia (Lava plus, 3M EPSE). Material and methods The sample consisted of 60 full ceramic crowns divided into two groups; the first group consisted of 30 IPS E.max CAD/CAM full ceramic crowns, while the second one consisted of 30 high translucent zirconia CAD/CAM full ceramic crowns. Translucency for both groups was evaluated directly after cementation by observing the blue light passing through the prostheses. Pearson Chi-Square test was used to study the difference in translucency between the two study groups. Results IPS E.max CAD showed a higher translucency compared to lava plus high translucency zirconia; in addition, this difference was statistically significant (p=0.028). Conclusion Within the limitation of this study, we found that the translucency of dental ceramic was affected by the ceramic material. As IPS E.max CAD was significantly higher in terms of translucency compared to High Translucent Zirconia.

摘要

引言 如今,美容需求是患者前往牙科诊所的首要原因。然而,大多数陶瓷修复体无论对于全冠还是贴面预备,都需要过多磨除牙体组织。随着陶瓷材料的创新,一种高透明度的氧化锆被用于计算机辅助设计/计算机辅助制造(CAD/CAM)全瓷冠的制作,这种材料只需少量预备就能获得高美学效果。本研究的目的是比较由玻璃陶瓷(E.max)和高透明度氧化锆(Lava plus,3M EPSE)制作的CAD/CAM全瓷冠的透明度特性。

材料与方法 样本包括60个全瓷冠,分为两组;第一组由30个IPS E.max CAD/CAM全瓷冠组成,第二组由30个高透明度氧化锆CAD/CAM全瓷冠组成。两组全瓷冠在粘结后,通过观察透过修复体的蓝光直接评估透明度。采用Pearson卡方检验研究两个研究组之间透明度的差异。

结果 与Lava plus高透明度氧化锆相比,IPS E.max CAD表现出更高的透明度;此外,这种差异具有统计学意义(p = 0.028)。

结论 在本研究的局限性范围内,我们发现牙科陶瓷的透明度受陶瓷材料影响。由于IPS E.max CAD在透明度方面明显高于高透明度氧化锆。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c96/10019550/da81cd71efd4/cureus-0015-00000034935-i01.jpg

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