新型乙烯基聚硅氧烷与聚醚印模材料的尺寸精度:一项体外研究

Dimensional Accuracy of Novel Vinyl Polysiloxane Compared with Polyether Impression Materials: An In Vitro Study.

作者信息

Waldecker Moritz, Rues Stefan, Rammelsberg Peter, Bömicke Wolfgang

机构信息

Department of Prosthetic Dentistry, University Hospital Heidelberg, University of Heidelberg, 69120 Heidelberg, Germany.

出版信息

Materials (Basel). 2024 Aug 27;17(17):4221. doi: 10.3390/ma17174221.

Abstract

Transferring the intraoral situation accurately to the dental laboratory is crucial for fabricating precise restorations. This study aimed to compare the dimensional accuracy of a new hydrophilic quadrofunctional vinyl polysiloxane (VPS) and polyether (PE), in combination with different impression techniques (mono-phase single step or dual-phase single step). The reference model simulated a partially edentulous mandible. Stainless-steel precision balls were welded to specific teeth and were used to detect dimensional deviations. Fifteen impressions were made for each of the following four test groups: (1) VPS mono-phase, (2) PE mono-phase, (3) VPS dual-phase, and (4) PE dual-phase. Global accuracy was measured by deviations from the reference model, while local accuracy focused on the trueness and precision of abutment tooth surfaces. Statistical analysis was conducted using ANOVA (α = 0.05). All distances were underestimated, with the highest global inaccuracies for the cross-arch distance, ranging from -82 µm to -109 µm. The abutment tooth surfaces showed excellent local accuracy for all the materials and techniques, with crown surface trueness < 10 µm and precision < 12 µm. Inlay surfaces had higher inaccuracies (trueness < 15 µm, precision < 26 µm). Within the limitations of this study, all impression materials and techniques can be used to produce models with clinically acceptable accuracy.

摘要

将口内情况准确转移至牙科实验室对于制作精确的修复体至关重要。本研究旨在比较一种新型亲水性四功能乙烯基聚硅氧烷(VPS)和聚醚(PE)与不同印模技术(单相单步或双相单步)相结合时的尺寸精度。参考模型模拟了部分无牙的下颌骨。将不锈钢精密球焊接到特定牙齿上,用于检测尺寸偏差。对以下四个测试组中的每一组制作15个印模:(1)VPS单相,(2)PE单相,(3)VPS双相,以及(4)PE双相。通过与参考模型的偏差来测量整体精度,而局部精度则关注基牙表面的真实性和精确性。使用方差分析进行统计分析(α = 0.05)。所有距离均被低估,其中跨牙弓距离的整体误差最大,范围为-82 µm至-109 µm。对于所有材料和技术,基牙表面均显示出优异的局部精度,牙冠表面真实性<10 µm,精确性<12 µm。嵌体表面的误差较高(真实性<15 µm,精确性<26 µm)。在本研究的局限性内,所有印模材料和技术均可用于制作具有临床可接受精度的模型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e081/11396416/284c118f4d27/materials-17-04221-g001.jpg

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