Waldecker Moritz, Rues Stefan, Rammelsberg Peter, Bömicke Wolfgang
Department of Prosthetic Dentistry, University Hospital Heidelberg, University of Heidelberg, 69120 Heidelberg, Germany.
Materials (Basel). 2024 Aug 27;17(17):4221. doi: 10.3390/ma17174221.
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.
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。