Krishna K Athira, Abdul Razak Pattathil, Sooraj Aparna, Kuriachan Tessa, Radhakrishnan Lakshmi, Poyil Neethu Niduvote
Department of Prosthodontics, Sree Anjaneya Dental College, Calicut, IND.
Department of Prosthodontics, MES Dental College, Perinthalmanna, IND.
Cureus. 2024 Aug 16;16(8):e67019. doi: 10.7759/cureus.67019. eCollection 2024 Aug.
Background Restorative dentists frequently deal with the prosthesis coming loose after placing multiple crowns. The luting cement holds indirect restorations to the prepared tooth. However, the success of the restorations is impacted by mastication pressures and other undesired factors. Therefore, escape is required to increase the crown's life. Mechanical locking of the prepared tooth surface is one technique to address this issue, in addition to cement adherence, to extend the life of the restoration. Aims and objective The objective of the study was to evaluate the influence of surface roughness of prepared teeth on the retention of metal crowns. Methodology This in-vitro investigation was carried out on freshly extracted maxillary first premolars that were defect-free and had the same crown size. Using multiple grifts of varied coarseness, different surface roughness was created, allowing for the observation of an important factor like retention (black at 180-250 µm [micrometer], blue at 125-150 µm, green at 106-125 µm, red at 53-63 µm, yellow at 20-30 µm). Results IBM Corp. Released 2011. IBM SPSS Statistics for Windows, Version 20.0. Armonk, NY: IBM Corp. was used to perform the statistical analysis. Compounds were done before it began to guarantee that the study would have 80% power. There is a mean and a standard deviation for each quantitative variable. A one-way ANOVA was used for quantitative variables, and Tukey's post hoc analysis was conducted afterward. A probability value of less than 0.05 was used to determine statistical significance. According to the statistical findings, the prosthesis's retentive qualities improve as coarseness increases. Conclusion The resistance and retention form of the preparation is critical to the longevity of the prosthesis, based on the findings of the previously described study. Surface roughness, pins, slots, grooves, and other preparation modifications can enhance retention on the prepared tooth surface. The research findings indicate no need to polish the prepared tooth surface.
背景 修复牙医经常会遇到在安装多个牙冠后修复体松动的情况。粘结水门汀将间接修复体固定在预备好的牙齿上。然而,修复体的成功会受到咀嚼压力和其他不良因素的影响。因此,需要采取措施来延长牙冠的使用寿命。除了粘结剂的附着力外,对预备好的牙齿表面进行机械锁合是解决这一问题、延长修复体使用寿命的一种技术。目的 本研究的目的是评估预备牙齿的表面粗糙度对金属牙冠固位力的影响。方法 本体外研究在新鲜拔除的上颌第一前磨牙上进行,这些牙齿无缺陷且牙冠大小相同。使用多种不同粗糙度的砂轮片,制造出不同的表面粗糙度,以便观察诸如固位力(黑色代表180 - 250微米[μm],蓝色代表125 - 150μm,绿色代表106 - 125μm,红色代表53 - 63μm,黄色代表20 - 30μm)等重要因素。结果 使用IBM公司2011年发布的IBM SPSS Statistics for Windows,版本20.0(纽约州阿蒙克市:IBM公司)进行统计分析。在研究开始前进行了样本量计算,以确保研究具有80%的检验效能。每个定量变量都有均值和标准差。对定量变量使用单因素方差分析,随后进行Tukey事后分析。使用小于0.05的概率值来确定统计学显著性。根据统计结果,随着粗糙度增加,修复体的固位性能提高。结论 根据上述研究结果,预备体的抗力和固位形式对修复体的使用寿命至关重要。表面粗糙度、针道、沟、槽和其他预备体的改良可以增强在预备牙齿表面的固位力。研究结果表明无需对预备好的牙齿表面进行抛光。