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基台几何形状对氧化锆全冠固位力的影响:一项体外研究。

Influence of Abutment Geometry on Zirconia Crown Retention: An In Vitro Study.

作者信息

Davaatseren Bayandelger, Kwon Jae-Sung, Eom Sangho, Lee Jae Hoon

机构信息

Department of Prosthodontics, Yonsei University College of Dentistry, 50-1 Yonsei-Ro, Seodaemun-Gu, Seoul 120-752, Republic of Korea.

Department and Research Institute of Dental Biomaterials and Bioengineering, Yonsei University College of Dentistry, Seoul 120-752, Republic of Korea.

出版信息

Materials (Basel). 2025 May 24;18(11):2469. doi: 10.3390/ma18112469.

Abstract

: This in vitro study investigated the retention of three different geometrical designs of short titanium base (Ti-base) abutments used in implant-supported zirconia crowns. The advent of digital technology has facilitated the integration of Ti-base abutments into implant dentistry by improving time efficiency, precision, and patient comfort. : Three types of short Ti-base abutments were evaluated: Geo SRN multibase (Group A), Herilink (Group B), and TS Link (Group C), each with a height of 4 mm and gingival height of 1 mm (n = 20 per group). Zirconia crowns (LUXEN Smile S2, DentalMax, Republic of Korea) were modified for the testing setup and fabricated using CAD/CAM technology, then bonded to the abutments with RelyX Luting 2 resin-modified glass ionomer cement. Pull-out tests were conducted at a crosshead speed of 1 mm/min to assess retention. : One-way ANOVA and post hoc Tukey tests revealed significant differences in retention values among the different abutment shapes ( < 0.05). The mean retention forces were 194.65 N for Group A, 241.33 N for Group C, and 360.20 N for Group B. : The geometrical design of Ti-base short abutments significantly affects the retention of CAD/CAM zirconia crowns, with hexagonal shapes (Group B) demonstrating superior retention. Clinically, selecting an abutment design with enhanced mechanical retention may improve the long-term success of implant-supported restorations.

摘要

本体外研究调查了用于种植体支持的氧化锆冠的三种不同几何设计的短钛基(Ti基)基台的固位力。数字技术的出现通过提高时间效率、精度和患者舒适度,促进了Ti基基台在种植牙科中的整合。

评估了三种类型的短Ti基基台:Geo SRN多基台(A组)、Herilink(B组)和TS Link(C组),每个基台高度为4mm,龈向高度为1mm(每组n = 20)。对氧化锆冠(LUXEN Smile S2,韩国DentalMax)进行修改以用于测试设置,并使用CAD/CAM技术制作,然后用RelyX Luting 2树脂改性玻璃离子水门汀粘结到基台上。以1mm/min的十字头速度进行拔出试验以评估固位力。

单因素方差分析和事后Tukey检验显示不同基台形状之间的固位力值存在显著差异(<0.05)。A组的平均固位力为194.65N,C组为241.33N,B组为360.20N。

Ti基短基台的几何设计显著影响CAD/CAM氧化锆冠的固位力,六边形形状(B组)显示出卓越的固位力。临床上,选择具有增强机械固位力的基台设计可能会提高种植体支持修复体的长期成功率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a5e/12156165/b4313f16e50f/materials-18-02469-g001.jpg

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