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[恒牙中三种不同边缘设计的二硅酸锂全冠的压应力:有限元分析]

[Compressive stress in three types of finishing lines with lithium disilicate crowns in permanent teeth: finite element analysis].

作者信息

Yanapa Márquez Joshua, Chávez-Méndez Martín Andrés

机构信息

Carrera de Estomatología, Universidad Científica del Sur. Lima, Perú.

Facultad de Ciencias de la Salud, Carrera de Estomatología, Universidad Científica del Sur. Lima, Perú.

出版信息

Rev Cient Odontol (Lima). 2024 Mar 30;12(1):e182. doi: 10.21142/2523-2754-1201-2024-182. eCollection 2024 Jan-Mar.

Abstract

INTRODUCTION

In oral rehabilitation, the use of ceramic restorations is widely accepted due to its aesthetic capacity to mimic the naturalness of the dental tissue, provide longevity of the material, and present a greater marginal fit compared to crowns with a metal structure. Termination lines are biological preparations whose function is to minimize the cervical opening of the marginal seal. Consequently, analyzing the behavior of restorative materials under compressive forces decreases the risk of fracture and increases the success of the treatment.

OBJECTIVE

To compare the compressive stresses of lithium disilicate crowns with three different finishing lines.

METHODOLOGY

In silico study of the simulation of a dental preparation on a lower right first molar with chamfer (0.6 mm), shoulder (0.5 mm) and deep chamfer (0.5 mm) finish lines. Using the SolidWorks®️ version 2017 software, the maximum stresses, minimum stresses, and location of the compressive force were collected on the Megapascal (Mpa) measurement scale.

RESULTS

The chamfer type termination line (0.6mm) obtained a lower compressive stress compared to the other two shoulder type termination lines (0.5mm) and deep chamfer (0.5mm).

CONCLUSIONS

It was shown that the chamfer type finishing line (0.6mm) presented a better force distribution, determining greater reliability in the selection of this finishing line with the use of a lithium disilicate crown in a unitary manner.

摘要

引言

在口腔修复中,陶瓷修复体因其能够模仿牙齿组织的自然外观、具有材料耐久性以及与金属结构冠相比具有更好的边缘适合性而被广泛应用。终止线是一种生物学预备,其作用是尽量减小边缘封闭的颈部开口。因此,分析修复材料在压缩力作用下的行为可降低骨折风险并提高治疗成功率。

目的

比较具有三种不同终饰线的二硅酸锂全冠的压缩应力。

方法

利用SolidWorks®️ 2017软件对右下第一磨牙进行有倒角(0.6毫米)、肩台(0.5毫米)和深倒角(0.5毫米)终饰线的牙体预备模拟的计算机模拟研究。在兆帕(Mpa)测量尺度上收集最大应力、最小应力以及压缩力的位置。

结果

与其他两种肩台型终饰线(0.5毫米)和深倒角(0.5毫米)相比,倒角型终止线(0.6毫米)获得的压缩应力更低。

结论

结果表明,倒角型终饰线(0.6毫米)呈现出更好的力分布,这决定了在单一使用二硅酸锂全冠时选择这种终饰线具有更高的可靠性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/882f/11247469/52c644d0dfc8/odontologica-12-01-e182-gf1.jpg

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