Munshi Nabeel M, Alsufayri Mohammed, Alzahrani Adham, Jurado Carlos A, Hajjaj Maher S, Altassan Mosa, Alzahrani Saeed J
Department of Oral and Maxillofacial Prosthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah, SAU.
Department of General Dentistry, King Abdulaziz University, Jeddah, SAU.
Cureus. 2024 Jul 12;16(7):e64423. doi: 10.7759/cureus.64423. eCollection 2024 Jul.
Background In light of the trend of using zirconia crowns, clinicians will likely face abutment included in removable partial dentures (RPD) designs with existing zirconia. However, the decision to replace the existing crown with a surveyed crown or modify the existing crown to accept the RPD is unclear. To the best of our knowledge, there is a lack of literature on the effect of preparing a rest seat on the existing monolithic zirconia crown in the patient's mouth on the fracture resistance of the crown. Therefore, in this study, we aimed to evaluate the fracture resistance of computer-aided design/computer-aided manufacturing (CAD/CAM) zirconia surveyed crowns with digitally designed rest seats and hand-modified rest seats. Methods Thirty CAD/CAM zirconia surveyed crowns were digitally designed and fabricated and divided into groups (n=10 per group) as follows: Group 1 comprised surveyed crowns with no occlusal rest seat; Group 2 comprised surveyed crowns with a digitally designed mesial rest seat; and Group 3 comprised surveyed crowns with a hand-modified mesial rest seat. Then, with all the crowns cemented to metal dies, the specimens were subjected to a fracture resistance test using a universal testing machine (Model 8501 Instron, Norwood, MA, USA). Results Surveyed crowns without any rest seat and those with digitally created and hand-modified rest seats displayed different fracture resistances: crowns with no rest seat offered the highest fracture resistance (5831 ± 895.15 N), followed by those with a digitally designed and milled rest seat (5280 ± 1673.33 N). Crowns with a hand-modified rest seat provided the lowest fracture resistance (4976 ± 322.5 N). Based on our results, surveyed crowns without a rest seat displayed higher fracture resistance than those with a rest seat. Conclusion The fracture resistance of crowns with a digitally designed and milled rest seat was statistically similar to that of control crowns with no rest seat, whereas hand-modified rest seats significantly reduced the fracture resistance of surveyed zirconia crowns.
背景 鉴于使用氧化锆冠的趋势,临床医生在可摘局部义齿(RPD)设计中可能会遇到包含现有氧化锆的基牙。然而,用经过测绘的冠替换现有冠或修改现有冠以接纳RPD的决定尚不清楚。据我们所知,关于在患者口腔中对现有的整体式氧化锆冠制备支托窝对冠的抗折性的影响,缺乏相关文献。因此,在本研究中,我们旨在评估具有数字化设计支托窝和手工修改支托窝的计算机辅助设计/计算机辅助制造(CAD/CAM)氧化锆测绘冠的抗折性。
方法 对30个CAD/CAM氧化锆测绘冠进行数字化设计和制作,并分为以下几组(每组n = 10):第1组为没有咬合支托窝的测绘冠;第2组为具有数字化设计的近中支托窝的测绘冠;第3组为具有手工修改的近中支托窝的测绘冠。然后,将所有冠粘固到金属代型上,使用万能试验机(型号8501 Instron,美国马萨诸塞州诺伍德)对标本进行抗折性测试。
结果 没有任何支托窝的测绘冠以及具有数字化创建和手工修改支托窝的测绘冠显示出不同的抗折性:没有支托窝的冠具有最高的抗折性(5831 ± 895.15 N),其次是具有数字化设计和铣削支托窝的冠(5280 ± 1673.33 N)。具有手工修改支托窝的冠提供了最低的抗折性(4976 ± 322.5 N)。根据我们的结果,没有支托窝的测绘冠显示出比有支托窝的冠更高的抗折性。
结论 具有数字化设计和铣削支托窝的冠的抗折性在统计学上与没有支托窝的对照冠相似,而手工修改的支托窝显著降低了测绘氧化锆冠的抗折性。