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制造类型和老化对金属支架适配性的影响:一项体外显微CT研究。

Effect of manufacturing type and aging on the fit of metal frameworks: an in vitro Micro-CT study.

作者信息

Kızılırmak Kübra Tokay, Yılmaz Bahar Kavafoğlu, Orhan Kaan, Tamam Evşen

机构信息

Prosthodontics, Private Clinic, Ankara, Turkey.

Department of Prosthodontics, Faculty of Dentistry, Gazi University, Ankara, Turkey.

出版信息

Clin Oral Investig. 2025 Apr 25;29(5):271. doi: 10.1007/s00784-025-06345-x.

Abstract

STATEMENT OF PROBLEM

It is very important to determine how the marginal and internal fit of the restoration just before cementation changes after the specified period and which technique preserves the fit of the metal framework, and it has not been discussed in the literature.

PURPOSE

This in vitro study aims to evaluate the effect of conventional casting, CAD/CAM milling, and laser sintering manufacturing methods on the marginal and internal fit of Co-Cr metal frameworks and how the fit will be affected following thermomechanical aging using Micro-CT.

MATERIALS AND METHODS

Digital impressions were taken from the prepared typodont and metal frameworks were designed with ExoCAD software. Co-Cr metal frameworks were manufactured with 3 production methods (n = 15). In order to reflect the clinical conditions, a ceramic firing simulation was performed on metal frameworks. Thermomechanical aging was applied to the samples, equivalent to 1 year of use. For statistical comparison, the differences between the manufacturing techniques ANOVA followed by Tukey and, for aging Wilcoxon Test were used (α = 0.05).

RESULTS

Compared to the conventional casting method, computer-aided methods showed a better fit. Thermomechanical aging increased misfit in all three production methods. At all determined points, before and after aging, the highest gaps were measured in the conventional casting method. In volumetric evaluations, both before and after aging, it was seen that the highest fit was in the laser sintering method, and the lowest fit was in the conventional casting method.

CONCLUSIONS

Production technique and aging have an impact on the fit of metal substructures. Following aging, misfit increased more in computer aided manufacturing than conventional casting.

摘要

问题陈述

确定在规定时间后粘固前修复体的边缘适合性和内部适合性如何变化,以及哪种技术能保持金属支架的适合性,这非常重要,但文献中尚未对此进行讨论。

目的

本体外研究旨在评估传统铸造、CAD/CAM铣削和激光烧结制造方法对钴铬金属支架边缘适合性和内部适合性的影响,以及使用微型计算机断层扫描(Micro-CT)评估热机械老化后适合性将如何受到影响。

材料与方法

从制备好的模型牙上获取数字印模,并使用ExoCAD软件设计金属支架。采用3种生产方法制造钴铬金属支架(n = 15)。为反映临床情况,对金属支架进行了陶瓷烧制模拟。对样本施加相当于1年使用时间的热机械老化。为进行统计学比较,采用方差分析(ANOVA)及随后的Tukey检验比较制造技术之间的差异,对老化情况采用Wilcoxon检验(α = 0.05)。

结果

与传统铸造方法相比,计算机辅助方法显示出更好的适合性。热机械老化在所有三种生产方法中均增加了不适合性。在老化前后所有确定的点上,传统铸造方法测得的间隙最大。在体积评估中,老化前后均可见激光烧结方法的适合性最高,传统铸造方法的适合性最低。

结论

生产技术和老化对金属子结构的适合性有影响。老化后,计算机辅助制造的不适合性增加幅度大于传统铸造。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d87/12031910/e5ade8ab3a80/784_2025_6345_Fig1_HTML.jpg

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