Nikolopoulos Michael, Dimitriadis Konstantinos, Yannikakis Stavros, Galiatsatos Aristidis, Tsolka Pepie
Division of Dental Technology, Department of Biomedical Sciences, University of West Attica, Athens, Greece.
Eur J Oral Sci. 2025 Jun;133(3):e70009. doi: 10.1111/eos.70009. Epub 2025 Mar 17.
This study investigated the effect of porcelain firing cycles and fabrication techniques on the microstructure, marginal, and internal fit of implant-cemented cobalt-chromium alloys (Co-Cr) frameworks. Two groups of Co-Cr specimens were prepared: one using selective laser melting (SLM) and the other through the lost wax-casting technique (C). Each group was further divided into two subgroups: as-manufactured and porcelain-fired specimens. The microstructure was analyzed using x-ray diffraction (XRD) and scanning electron microscopy with energy-dispersive x-ray spectroscopy (SEM/EDX). Ten Co-Cr frameworks per manufacturing technique were fabricated, with marginal and internal discrepancies measured using micro-CT before and after the firing cycles. The results were analyzed by two-way ANOVA and Tukey multiple-comparison tests. The results showed a mixed microstructure of γ-fcc and ε-hcp cobalt-based phases, with porcelain firings increasing ε-Co content, especially in group C. The C specimens exhibited distribution of small pores, while no pores/defects were found in the SLM group. The SLM group, although not at a statistically significant level, showed reduced marginal and internal discrepancy values after firings. In the same behavior pattern, the C group exhibited statistically significantly lower discrepancy values. Ultimately, all subgroups demonstrated clinically acceptable marginal adaptation, but the SLM frameworks exhibited superior marginal and internal fit which remained unaffected by the firing cycles.
本研究调查了烤瓷烧制次数和制作工艺对种植体粘结钴铬合金(Co-Cr)支架的微观结构、边缘适合性和内部适合性的影响。制备了两组Co-Cr试件:一组采用选择性激光熔化(SLM)技术,另一组采用失蜡铸造技术(C)。每组进一步分为两个亚组:制作完成的试件和经过烤瓷烧制的试件。使用X射线衍射(XRD)以及带有能量色散X射线光谱仪的扫描电子显微镜(SEM/EDX)对微观结构进行分析。每种制作工艺制作了10个Co-Cr支架,在烧制前后使用微型计算机断层扫描(micro-CT)测量边缘和内部差异。结果通过双向方差分析和Tukey多重比较检验进行分析。结果显示为γ面心立方和ε密排六方钴基相的混合微观结构,烤瓷烧制增加了ε-Co的含量,尤其是在C组中。C组出现了小孔分布,而SLM组未发现孔隙/缺陷。SLM组在烧制后边缘和内部差异值有所降低,尽管未达到统计学显著水平。以相同的行为模式,C组的差异值在统计学上显著更低。最终,所有亚组均表现出临床上可接受的边缘适合性,但SLM支架表现出更优的边缘和内部适合性,且不受烧制次数的影响。