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双层氧化锆瓷贴面技术对粘结强度和残余应力分布的影响。

Effect of porcelain veneering technique in bilayered zirconia on bond strength and residual stress distribution.

机构信息

Restorative Department, Faculty of Dentistry, National University of Malaysia, Malaysia.

Restorative Department, Faculty of Dentistry, National University of Malaysia, Malaysia.

出版信息

J Mech Behav Biomed Mater. 2024 Mar;151:106361. doi: 10.1016/j.jmbbm.2023.106361. Epub 2023 Dec 29.

Abstract

The use of all porcelain materials in dentistry has significantly increased in recent years. However, chipping has remained a common problem that affects bilayered zirconia restorations. Bonding between porcelain and the underlying zirconia framework is crucial to the success of the restoration. The bond strength may be affected by such factors as residual thermal stress and the veneering technique. This research focuses on investigating the potential and constraints of materials through an examination of the porcelain veneering technique, particularly hand-layering and heat-pressing. Forty-two cylindrical disc samples of zirconia (n = 7/group) were fabricated in the dimensions of 10 × 1.2 mm (diameter [D] × height [H]). The zirconia specimens were milled from IPS e.max® ZirCad [Z] block and Luxen Zr [L] block (n = 21/zirconia). The zirconia cores were layered with IPS e.max® Zirliner and heat-pressed with IPS e.max® ZirPress to produce a final veneer dimension of 5 × 3 mm (D × H). Conventional layering was performed for the rest of the zirconia cores using IPS e.max® Ceram and Shofu Vintage Zr. The final study groups were Luxen-Vintage (LV), Luxen-Ceram (LC), Luxen Zirpress (LP), ZirCad-Vintage (ZV), ZirCad-Ceram (ZC) and ZirCad-Zirpress (ZP). Five samples were subjected to shear bond testing (SBS) with a universal testing machine with a 5 kN load cell and 0.5 mm/min crosshead speed (n = 5/group). A sample underwent nanoindentation, and another was sectioned using Isomet machine to study the bonding interface. One-way ANOVA was used to run the statistical analyses of the SBS test. Statistical differences were found between ZV with LC and LP (p < 0.05). Residual stress is estimated to be higher in the middle of the porcelain compared with that on the surface and the interface. FESEM imaging reveals portions of visible bare zirconia on Luxen zirconia, whilst crack propagation occurred through voids in all hand-layered groups. Heat-pressed veneering showed comparable but not superior results to conventional hand-layered veneering. Heat-pressed veneering produced similar stress distribution profiles compared with hand-layered veneering.

摘要

近年来,全瓷材料在牙科中的应用显著增加。然而,分层仍然是影响双层氧化锆修复体的常见问题。瓷层与底层氧化锆基底之间的结合对于修复体的成功至关重要。结合强度可能受到残余热应力和贴面技术等因素的影响。本研究通过研究瓷贴面技术,特别是手工分层和热压技术,重点关注材料的潜力和限制。将 42 个氧化锆圆柱形圆盘样本(n=7/组)制成 10×1.2mm(直径[D]×高度[H])的尺寸。氧化锆样本由 IPS e.max®ZirCad[Z]块和 Luxen Zr[L]块(n=21/氧化锆)铣削而成。氧化锆核层用 IPS e.max®Zirliner 分层,并用 IPS e.max®ZirPress 热压,以产生最终的贴面尺寸为 5×3mm(D×H)。其余氧化锆核层采用 IPS e.max® Ceram 和 Shofu Vintage Zr 进行常规分层。最终的研究组为 Luxen-Vintage(LV)、Luxen-Ceram(LC)、Luxen Zirpress(LP)、ZirCad-Vintage(ZV)、ZirCad-Ceram(ZC)和 ZirCad-Zirpress(ZP)。五个样本用万能试验机和 5kN 负载单元和 0.5mm/min 十字头速度(n=5/组)进行剪切结合测试(SBS)。一个样本进行纳米压痕测试,另一个样本用 Isomet 机切割以研究结合界面。使用单因素方差分析对 SBS 测试进行统计分析。在 ZV 与 LC 和 LP 之间发现了统计学差异(p<0.05)。估计在瓷层的中部的残余应力高于表面和界面处的残余应力。FESEM 成像显示在 Luxen 氧化锆上可见部分裸露的氧化锆,而在所有手工分层组中,裂纹扩展都是通过空隙发生的。热压贴面与传统手工贴面相比,结果相当,但并不优越。热压贴面产生的应力分布与手工贴面相似。

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