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热循环对 3D 打印、CAD/CAM 铣削和热聚合义齿基托材料弯曲强度的影响。

Effect of thermal cycling on the flexural strength of 3-D printed, CAD/CAM milled and heat-polymerized denture base materials.

机构信息

Department of Prosthodontics, Faculty of Dentistry, Karamanoğlu Mehmetbey University, Karaman, Turkey.

出版信息

BMC Oral Health. 2024 Mar 20;24(1):357. doi: 10.1186/s12903-024-04122-y.

Abstract

BACKGROUND

This study compared the impact of thermal cycling on the flexural strength of denture-base materials produced through conventional and digital methods, using both subtractive and additive approaches.

METHODS

In total, 60 rectangular specimens were fabricated with specific dimensions for flexural strength tests. The dimensions were set according to the International Organization for Standardization (ISO) guideline 20795-1:2013 as 64 × 10 × 3.3 ± 0.2 mm. Specimens from each material group were divided into two subgroups (thermal cycled or nonthermal cycled, n = 10/group). We used distinct methods to produce three different denture-base materials: Ivobase (IB), which is a computer-aided-design/computer-aided-manufacturing-type milled pre-polymerized polymethyl methacrylate resin disc; Formlabs (FL), a 3D-printed denture-base resin; and Meliodent (MD), a conventional heat-polymerized acrylic. Flexural strength tests were performed on half of the samples without a thermal-cycle procedure, and the other half were tested after a thermal cycle. The data were analyzed using a two-way analysis of variance and a post hoc Tukey test (α = 0.05).

RESULTS

Based on the results of flexural-strength testing, the ranking was as follows: FL > IB > MD. The effect of thermal aging was statistically significant for the FL and IB bases, but not for the MD base.

CONCLUSIONS

Digitally produced denture bases exhibited superior flexural strength compared with conventionally manufactured bases. Although thermal cycling reduced flexural strength in all groups, the decrease was not statistically significant in the heat-polymerized acrylic group.

摘要

背景

本研究比较了传统和数字方法制作的义齿基托材料在经过热循环后的弯曲强度的影响,使用了减法和加法两种方法。

方法

共制作了 60 个具有特定尺寸的矩形试件用于弯曲强度测试。尺寸根据国际标准化组织(ISO)指南 20795-1:2013 设置为 64 × 10 × 3.3 ± 0.2 毫米。每个材料组的试件分为两组(热循环或非热循环,每组 n = 10)。我们使用不同的方法来制作三种不同的义齿基托材料:Ivobase(IB),这是一种计算机辅助设计/计算机辅助制造型铣削预聚合聚甲基丙烯酸甲酯树脂盘;Formlabs(FL),一种 3D 打印义齿基托树脂;和 Meliodent(MD),一种传统的热聚合丙烯酸。一半的样本未经热循环程序进行弯曲强度测试,另一半样本在经过热循环后进行测试。使用双向方差分析和事后 Tukey 检验(α = 0.05)对数据进行分析。

结果

根据弯曲强度测试的结果,排名如下:FL > IB > MD。热老化对 FL 和 IB 基的影响具有统计学意义,但对 MD 基的影响没有统计学意义。

结论

与传统制造的基托相比,数字化制作的义齿基托具有更高的弯曲强度。尽管所有组的热循环都会降低弯曲强度,但在热聚合丙烯酸组中,这种降低没有统计学意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f80/10953149/52b33e165a13/12903_2024_4122_Figa_HTML.jpg

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