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固定修复学中的半透明氧化锆——综合概述

Translucent Zirconia in Fixed Prosthodontics-An Integrative Overview.

作者信息

Kui Andreea, Manziuc Manuela, Petruțiu Adrian, Buduru Smaranda, Labuneț Anca, Negucioiu Marius, Chisnoiu Andrea

机构信息

Prosthetic Dentistry and Dental Materials Department, Iuliu Hatieganu University of Medicine and Pharmacy, 32 Clinicilor Street, 400006 Cluj-Napoca, Romania.

Oral Rehabilitation Department, Iuliu Hatieganu University of Medicine and Pharmacy, 13 Victor Babes Street, 400008 Cluj-Napoca, Romania.

出版信息

Biomedicines. 2023 Nov 22;11(12):3116. doi: 10.3390/biomedicines11123116.

Abstract

Over the past two decades, dental ceramics have experienced rapid advances in science and technology, becoming the fastest-growing field of dental materials. This review emphasizes the significant impact of translucent zirconia in fixed prosthodontics, merging aesthetics with strength, and highlights its versatility from single crowns to complex bridgework facilitated by digital manufacturing advancements. The unique light-conducting properties of translucent zirconia offer a natural dental appearance, though with considerations regarding strength trade-offs compared to its traditional, opaque counterpart. The analysis extends to the mechanical attributes of the material, noting its commendable fracture resistance and durability, even under simulated physiological conditions. Various zirconia types (3Y-TZP, 4Y-TZP, 5Y-TZP) display a range of strengths influenced by factors like yttria content and manufacturing processes. The study also explores adhesive strategies, underlining the importance of surface treatments and modern adhesives in achieving long-lasting bonds. In the realm of implant-supported restorations, translucent zirconia stands out for its precision, reliability, and aesthetic adaptability, proving suitable for comprehensive dental restorations. Despite its established benefits, the review calls for ongoing research to further refine the material's properties and adhesive protocols and to solidify its applicability through long-term clinical evaluations, ensuring its sustainable future in dental restorative applications.

摘要

在过去二十年中,牙科陶瓷在科学技术方面取得了快速进展,成为牙科材料中发展最快的领域。本综述强调了半透明氧化锆在固定义齿修复中所产生的重大影响,它将美学与强度融为一体,并突出了其在数字制造技术进步的推动下,从单冠修复到复杂桥体修复的多功能性。半透明氧化锆独特的导光性能赋予牙齿自然的外观,不过与传统的不透明氧化锆相比,在强度方面存在一定权衡。分析还涉及该材料的机械性能,指出即使在模拟生理条件下,其抗断裂性和耐久性也值得称赞。不同类型的氧化锆(3Y-TZP、4Y-TZP、5Y-TZP)表现出一系列受氧化钇含量和制造工艺等因素影响的强度。该研究还探讨了粘接策略,强调表面处理和现代粘接剂在实现持久粘接方面的重要性。在种植体支持修复领域,半透明氧化锆因其精确性、可靠性和美学适应性而脱颖而出,证明适用于全面的牙齿修复。尽管其益处已得到确立,但该综述呼吁持续开展研究,以进一步优化材料性能和粘接方案,并通过长期临床评估巩固其适用性,确保其在牙齿修复应用中的可持续未来。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad13/10740999/c12ddf1ef4ca/biomedicines-11-03116-g001.jpg

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