Attia Reda Eid, Mohammed Hussein Ramadan, Haggag Khaled Mohamed
Crown and Bridge Department, Faculty of Dental Medicine, Al Azhar University, Assiut, Egypt.
J Dent Res Dent Clin Dent Prospects. 2024 Summer;18(3):189-195. doi: 10.34172/joddd.41265. Epub 2024 Sep 7.
The present study assessed the impact of thermomechanical aging on the marginal fit of hybrid ceramic, reinforced composite resin, and lithium disilicate ceramic.
Eighteen human upper first premolars freshly extracted for orthodontic purposes were used to fabricate 18 CAD-CAM veneers and divided into three groups based on materials used: group H (n=6): hybrid ceramics (Vita Enamic), group R (n=6): reinforced composite resin (Brilliant crios), and group L (n=6): lithium disilicate ceramic (IPS e-max CAD). Each material's cementation procedure was carried out according to the manufacturer's instructions. The vertical marginal gap between the laminate veneer margin and the prepared tooth finish line was measured to assess the specimens by digital microscopy. Subsequently, all the samples were thermomechanically cycled (TMC) (5 °C to 55 °C, 30 seconds, 75000 cycles). Then, the vertical marginal gap was re-evaluated.
The Brilliant crios group displayed a significantly lower vertical marginal gap mean score (31.36±2.82 µm) followed by Vita Enamic (39.27±6.54 µm) and E max (41.39±3.97 µm) groups. Similarly, after thermomechanical aging, the Brilliant crios group displayed a significantly lower vertical marginal gap mean score (41.83±8.28 µm) followed by Vita Enamic (55.47±18.65 µm), and the E max group showed the greatest vertical marginal gap mean score (59.43±16.27 µm).
Thermomechanical aging affected the marginal fit of different materials employed in the current research, and these changes were under the established clinical limit.
本研究评估了热机械老化对混合陶瓷、增强复合树脂和二硅酸锂陶瓷边缘适合性的影响。
使用18颗因正畸目的而新鲜拔除的人类上颌第一前磨牙制作18个计算机辅助设计与制造(CAD-CAM)贴面,并根据所用材料分为三组:H组(n = 6):混合陶瓷(Vita Enamic);R组(n = 6):增强复合树脂(Brilliant crios);L组(n = 6):二硅酸锂陶瓷(IPS e-max CAD)。每种材料的粘结程序均按照制造商的说明进行。通过数字显微镜测量层压贴面边缘与预备牙齿完成线之间的垂直边缘间隙,以评估标本。随后,对所有样本进行热机械循环(TMC)(5°C至55°C,30秒,75000次循环)。然后,重新评估垂直边缘间隙。
Brilliant crios组的垂直边缘间隙平均得分显著较低(31.36±2.82 µm),其次是Vita Enamic组(39.27±6.54 µm)和E max组(41.39±3.97 µm)。同样,在热机械老化后,Brilliant crios组的垂直边缘间隙平均得分显著较低(41.83±8.28 µm),其次是Vita Enamic组(55.47±18.65 µm),E max组的垂直边缘间隙平均得分最高(59.43±16.27 µm)。
热机械老化影响了本研究中使用的不同材料的边缘适合性,且这些变化在既定的临床限度内。