Fixed Prosthodontics Department, Faculty of Dentistry, Cairo University, 11 EL-Saraya St. Manial, Cairo, 11553, Egypt.
BMC Oral Health. 2024 Sep 12;24(1):1073. doi: 10.1186/s12903-024-04810-9.
BACKGROUND: Advancements in digital dentistry helped in custom-milling screw-channels in implant-supported restorations; however, the fit of these restorations is still unclear especially for contemporary computer aided designing/computer aided manufacturing (CAD/CAM) materials. This study aimed to compare the internal and marginal fit of Ultra translucent multilayered zirconia versus lithium disilicate implant-supported hybrid abutment crowns (HACs) constructed with custom-milled screw-channels on Titanium-base. MATERIALS AND METHODS: A total of 24 HACs with custom-milled screw-channels were constructed from lithium disilicate (Group LDS) and Ultra translucent multilayered zirconia (Group UT) using digital workflow (n = 12). The internal and marginal gaps of HACs on their corresponding Titanium-bases were assessed using replica technique and stereomicroscope, respectively. After testing for normality, quantitative data were expressed as mean and standard deviation and compared using independent t-test at a level of significance (P ≤ 0.05). RESULTS: There was no statistically significant difference between Group LDS and Group UT in terms of marginal and internal fit. The internal and marginal gaps in both groups were within the accepted values reported in literature. CONCLUSIONS: UT and LDS HACs with custom-milled screw-channels demonstrated comparable and acceptable internal fit and marginal adaptations to Ti-base, which lied within the range reported in literature.
背景:数字化牙科技术的进步有助于在种植体支持修复体中定制加工螺丝通道;然而,这些修复体的适配性仍不清楚,尤其是对于现代计算机辅助设计/计算机辅助制造(CAD/CAM)材料。本研究旨在比较具有定制加工螺丝通道的超透明多层氧化锆与锂硅玻璃陶瓷种植体支持混合基台冠(HAC)的内部和边缘适合性,这些 HAC 是在钛基上构建的。
材料与方法:共构建了 24 个具有定制加工螺丝通道的 HAC,分别由锂硅玻璃陶瓷(LDS 组)和超透明多层氧化锆(UT 组)使用数字化工作流程(n=12)。使用复制技术和体视显微镜分别评估 HAC 在其相应钛基上的内部和边缘间隙。在进行正态性检验后,定量数据表示为均值和标准差,并使用独立 t 检验进行比较,显著性水平为 P≤0.05。
结果:在边缘和内部适合性方面,LDS 组和 UT 组之间没有统计学上的显著差异。两组的内部和边缘间隙均在文献报道的可接受值范围内。
结论:具有定制加工螺丝通道的 UT 和 LDS HAC 与 Ti 基的适配性具有可比且可接受的内部和边缘适应性,其位于文献报道的范围内。
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