骨水泥空间参数对铣削式内冠边缘适合性的影响:一项体外研究。
The Effect of Cement Space Parameters on the Marginal Adaptation of Milled Endocrowns: An In Vitro Study.
作者信息
Suliman Oubada, Rayyan Mohammad R
机构信息
Prosthodontic Department, Riyadh Elm University, Riyadh, SAU.
出版信息
Cureus. 2023 May 7;15(5):e38688. doi: 10.7759/cureus.38688. eCollection 2023 May.
Background Cement film space plays a significant role in achieving good adaptation of indirect restorations. The objective of this study is to investigate the effect of cement space parameters on the marginal adaptation of computer-aided design (CAD)/computer-assisted manufacturing (CAM) endocrowns. Methodology The coronal part of 10 freshly extracted human mandibular molars was reduced to a level of 1.5 mm above the cementoenamel junction (CEJ); then, root canal treatment was performed. On each tooth, four lithium disilicate endocrowns with different cement space parameters (40, 80, 120, and 160 µm) were designed and fabricated using CAD/CAM. Endocrowns were seated to their prepared teeth, and the vertical marginal gap was measured in 20 equidistant points for each endocrown using a stereomicroscope on 90× magnification. The mean marginal gaps of the four groups were compared using a one-way analysis of variance (ANOVA) and the Tukey honestly significant difference (HSD) test considering p<0.05 as the cutoff for statistical significance. Results The mean marginal gap of the 40 µm, 80 µm, 120 µm, and 160 µm groups were 46.25±21.20 µm, 21.75±11.10 µm, 15.94±06.62 µm, and 13.10±07.08 µm, respectively. One-way ANOVA showed a significant difference in the marginal gaps between groups (p<0.001). The Tukey post hoc test showed a statistically significant mean difference between 40 µm and each of the other three groups (p<0.001). Conclusion The cement space parameter variation affects the marginal adaptation of endocrowns. The cement space of 40 µm resulted in a higher marginal gap than cement spaces of 80, 120, and 160 µm.
背景 粘结剂膜间隙在实现间接修复体的良好适配方面起着重要作用。本研究的目的是探讨粘结剂间隙参数对计算机辅助设计(CAD)/计算机辅助制造(CAM)内冠边缘适配性的影响。方法 选取10颗新鲜拔除的人类下颌磨牙,将其冠部降低至牙釉质牙骨质界(CEJ)上方1.5 mm处;然后进行根管治疗。在每颗牙齿上,使用CAD/CAM设计并制作四个具有不同粘结剂间隙参数(40、80、120和160 µm)的二硅酸锂内冠。将内冠就位到其预备好的牙齿上,使用放大90倍的体视显微镜在每个内冠的20个等距点测量垂直边缘间隙。使用单因素方差分析(ANOVA)和Tukey真实显著性差异(HSD)检验比较四组的平均边缘间隙,将p<0.05作为统计学显著性的临界值。结果 40 µm、80 µm、120 µm和160 µm组的平均边缘间隙分别为46.25±21.20 µm、21.75±11.10 µm、15.94±06.62 µm和13.10±07.08 µm。单因素方差分析显示各组之间的边缘间隙存在显著差异(p<0.001)。Tukey事后检验显示40 µm组与其他三组中的每一组之间的平均差异具有统计学显著性(p<0.001)。结论 粘结剂间隙参数变化会影响内冠的边缘适配性。40 µm的粘结剂间隙导致的边缘间隙高于80、120和160 µm的粘结剂间隙。