Khekan Ali, Kordaß Bernd
Department of Prosthodontics, Faculty of Dentistry, Greifswald University, 17489 Greifswald, Germany.
Dent J (Basel). 2024 Mar 19;12(3):77. doi: 10.3390/dj12030077.
This study aimed to assess and contrast the effects on the vertical marginal fit of full contour CAD/CAM-generated monolithic zirconia crowns at pre- and post-cementation levels with various occlusal reduction schemes (planar and flat) and cements. Forty sound human maxillary first premolars were sampled for this study. The samples were divided into two main groups with twenty samples in each group according to the occlusal reduction scheme as follows: Group A included a chamfer finishing line design with a planar occlusal reduction scheme and Group B included a chamfer finishing line design with a flat occlusal reduction scheme. Each group was sampled into two subgroups ( = 10) based on the type of cement as follows: resin-modified glass ionomer cement (Fuji Plus) for subgroups A1 and B1, and a universal adhesive system (Duo Estecem II) for subgroups A2 and B2. Marginal gaps were tested in four indentations using a Dino light stereomicroscope (230×). Paired -tests and Student's -tests were used to analyze the data. Before cementation, subgroup A1 scored the lowest mean of vertical marginal gap values, while subgroup B2 scored the highest mean; following cementation, subgroup A1 scored the lowest mean of vertical marginal gap values, and subgroup B2 scored the highest mean of vertical marginal gap values. A chamfer finishing line design with a planar occlusal reduction scheme could be a preferable occlusal reduction scheme.
本研究旨在评估和对比不同咬合面预备方案(平面和扁平)及粘结剂对全冠CAD/CAM制作的整体式氧化锆全冠在粘结前和粘结后垂直边缘适合性的影响。本研究采集了40颗健康的人类上颌第一前磨牙作为样本。根据咬合面预备方案将样本分为两个主要组,每组20个样本,具体如下:A组采用平面咬合面预备方案的肩台边缘设计,B组采用扁平咬合面预备方案的肩台边缘设计。根据粘结剂类型,每组再分为两个亚组(= 10):A1组和B1组使用树脂改性玻璃离子水门汀(富士Ⅱ型),A2组和B2组使用通用粘结系统(多爱斯Ⅱ型)。使用Dino light体视显微镜(230×)在四个压痕处测试边缘间隙。采用配对检验和学生t检验分析数据。粘结前,A1组垂直边缘间隙值的平均得分最低,而B2组得分最高;粘结后,A1组垂直边缘间隙值的平均得分最低,B2组垂直边缘间隙值的平均得分最高。采用平面咬合面预备方案的肩台边缘设计可能是更优的咬合面预备方案。