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无终饰线、深肩台和肩台边缘设计对氧化锆(Cercon)陶瓷修复体抗折性的比较影响:一项体外研究。

Comparative Effect of No Finish Line, Heavy Chamfer, and Shoulder Marginal Designs on the Fracture Resistance of Zirconia (Cercon) Ceramic Restoration: An In Vitro Study.

作者信息

Gavara Sai Govind, Jain Shashikala, Gupta Himanshu, Sharma Suraj, Panwar Pratibha, Momin Mariyam S

机构信息

Department of Prosthodontics, Crown and Bridge and Oral Implantology, Maharaja Ganga Singh Dental College and Research Centre, Sriganganagar, IND.

Department of Periodontics and Oral Implantology, Maharaja Ganga Singh Dental College and Research Centre, Sriganganagar, IND.

出版信息

Cureus. 2023 May 14;15(5):e39009. doi: 10.7759/cureus.39009. eCollection 2023 May.

Abstract

Background Because all-ceramic crowns are more aesthetic and biocompatible than metal-ceramic crowns, they have grown in popularity among patients and dentists. Poor finish line layout can result in restoration margin fracturing, hence, finish line arrangement is critical to maintaining the restoration's marginal integrity. The goal of this in-vitro study is to evaluate zirconia's resistance to fracture (Cercon) ceramic restorations with three marginal designs (no finish line, heavy chamfer, and shoulder). This study is important in contributing to the ongoing debate about the optimal finish line design for zirconia restorations. Methodology Three different finish lines, namely, biologically oriented preparation technique (BOPT) with a marginal width of less than 0.3 mm, heavy chamfer with a marginal width of up to 0.3 mm, and shoulder with a marginal width greater than 0.3 mm, were made on 10 extracted maxillary first premolar tooth to make 30 epoxy resin dies on which zirconia (Cercon) coping was done using CAD/CAM technology, and marginal discrepancies were measured using a three-dimensional scanner. All the copings were affixed to their respective dies using GIC luting cement, and fracture resistance was measured using a digital universal testing machine. Results The Kruskal-Wallis test revealed that the mean fracture resistance was more in the heavy chamfer finish line, followed by the no finish line (BOPT) and the shoulder finish line. No statistically significant difference was seen between the no finish line and the heavy chamfer finish line. There was a significant difference between the heavy chamfer and shoulder finish lines (p = 0.004). Conclusions To increase the biomechanical performance of posterior single zirconia restorations, heavy chamfer margins are indicated.

摘要

背景 由于全瓷冠比金属烤瓷冠更美观且生物相容性更好,它们在患者和牙医中越来越受欢迎。不良的边缘线设计可能导致修复体边缘断裂,因此,边缘线设计对于维持修复体的边缘完整性至关重要。本体外研究的目的是评估三种边缘设计(无边缘线、深凹槽、肩台)的氧化锆(Cercon)陶瓷修复体的抗折性。这项研究对于正在进行的关于氧化锆修复体最佳边缘线设计的争论具有重要意义。方法 在10颗拔除的上颌第一前磨牙上制作三种不同的边缘线,即边缘宽度小于0.3mm的生物导向预备技术(BOPT)、边缘宽度达0.3mm的深凹槽、边缘宽度大于0.3mm的肩台,制作30个环氧树脂代型,使用CAD/CAM技术在其上制作氧化锆(Cercon)基底冠,并使用三维扫描仪测量边缘差异。所有基底冠均使用玻璃离子水门汀固定在各自的代型上,并使用数字万能试验机测量抗折性。结果 克鲁斯卡尔-沃利斯检验显示,平均抗折性在深凹槽边缘线组中更高,其次是无边缘线(BOPT)组和肩台边缘线组。无边缘线组和深凹槽边缘线组之间未观察到统计学上的显著差异。深凹槽边缘线组和肩台边缘线组之间存在显著差异(p = 0.004)。结论 为提高后牙单颗氧化锆修复体的生物力学性能,推荐使用深凹槽边缘。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb90/10264088/e9547f8b1bd0/cureus-0015-00000039009-i01.jpg

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