Quispe Mamani Víctor Hugo Gonzalo, Luna Castillo César Alberto, Alanoca Sejje Dina Miryan, Orrego-Ferreyros Luis Alexander
Universidad César Vallejo, Facultad de Ciencias de la Salud, Escuela Profesional de Estomatología, Piura, Perú.
PLoS One. 2025 Apr 29;20(4):e0321724. doi: 10.1371/journal.pone.0321724. eCollection 2025.
The aim of this study was to compare the compressive strength, microstructural characteristics, and cost-effectiveness of cast dental posts fabricated using two techniques: torch casting (TC) and electric arc casting (EAC), both integral to the lost wax method. Employing an applied research approach with an experimental design, the study analyzed 40 non-precious gold (NPG) alloy cast posts, divided equally into two groups of 20 for each technique. The selection process was non-probabilistic and based on convenience, with specific inclusion and exclusion criteria to ensure precision and relevance. The results reveal a significant advantage for the EAC technique. In Essay 1, EAC posts exhibited a mean compressive strength of 206.102 MPa, compared to 157.207 MPa for TC posts. Similarly, in Essay 2, EAC posts showed a mean strength of 172.625 MPa versus 136.303 MPa for TC posts. These differences were statistically significant (p < 0.05), with EAC posts also displaying smaller failure diameters and areas, suggesting better load distribution. Morphological and microstructural analysis using scanning electron microscopy (SEM) revealed a porous surface with irregular topography in both techniques. However, EAC samples displayed crystalline growths within the copper matrix, indicating a non-homogeneous stoichiometry, while TC samples showed aluminum-enriched zones, suggesting a non-uniform elemental distribution. Chemical composition analysis via energy-dispersive spectroscopy (EDS) identified copper (Cu) as the predominant element in both samples, with trace elements such as aluminum (Al), nickel (Ni), and iron (Fe) also present. X-ray diffraction (XRD) analysis further revealed distinct crystalline phases, with EAC samples exhibiting a higher proportion of Cu₃Zn and gamma-Fe phases compared to TC samples. A cost analysis using Python 3.13 and Monte Carlo simulation with 1,000 iterations revealed that EAC is more expensive, with a total cost per unit of 2.181compared to 1.467 for TC, primarily due to higher operational costs. The Mann-Whitney U test confirmed significant differences in cost distributions (p < 0.001), indicating that EAC has higher and more variable costs. In conclusion, the study demonstrates that EAC produces dental models with significantly higher compressive strength and a more refined microstructure compared to TC, enhancing restoration durability. However, its higher operational costs must be considered. These findings provide valuable information for dental professionals, particularly in low- to middle-income countries, and suggest that future research should explore additional properties such as corrosion resistance and biocompatibility to further validate the clinical applicability of these materials.
本研究的目的是比较采用两种技术制作的铸造牙科桩的抗压强度、微观结构特征和成本效益:火炬铸造(TC)和电弧铸造(EAC),这两种技术都是失蜡法的组成部分。本研究采用实验设计的应用研究方法,分析了40根非贵金属(NPG)合金铸造桩,每种技术平均分为两组,每组20个。选择过程是非概率性的,基于便利性,并设有特定的纳入和排除标准以确保准确性和相关性。结果显示EAC技术具有显著优势。在实验1中,EAC桩的平均抗压强度为206.102MPa,而TC桩为157.207MPa。同样,在实验2中,EAC桩的平均强度为172.625MPa,而TC桩为136.303MPa。这些差异具有统计学意义(p<0.05),EAC桩的破坏直径和面积也更小,表明其载荷分布更好。使用扫描电子显微镜(SEM)进行的形态学和微观结构分析表明,两种技术的表面均为多孔且形貌不规则。然而,EAC样品在铜基体中显示出晶体生长,表明化学计量不均匀,而TC样品显示出富铝区,表明元素分布不均匀。通过能量色散光谱(EDS)进行的化学成分分析确定,两种样品中的主要元素均为铜(Cu),还存在铝(Al)、镍(Ni)和铁(Fe)等微量元素。X射线衍射(XRD)分析进一步揭示了不同的晶相,与TC样品相比,EAC样品中Cu₃Zn和γ-Fe相的比例更高。使用Python 3.13和1000次迭代的蒙特卡洛模拟进行的成本分析表明,EAC成本更高,单位总成本为2.181,而TC为1.467,主要是由于运营成本较高。曼-惠特尼U检验证实了成本分布存在显著差异(p<0.001),表明EAC的成本更高且更具波动性。总之,该研究表明,与TC相比,EAC制作的牙科模型具有显著更高的抗压强度和更精细的微观结构,提高了修复体的耐久性。然而,必须考虑其较高的运营成本。这些发现为牙科专业人员提供了有价值的信息,特别是在低收入和中等收入国家,并表明未来的研究应探索其他性能,如耐腐蚀性和生物相容性,以进一步验证这些材料的临床适用性。