Es Sebar Leila, Baldi Andrea, Comba Allegra, Sannino Isabella, Iannucci Leonardo, Grassini Sabrina, Shokuhfar Tolou, Scotti Nicola
Department of Applied Science and Technology, Politecnico di Torino, 10129 Turin, Italy.
Department of Surgical Science, Università degli Studi di Torino, 10124 Turin, Italy.
Materials (Basel). 2025 Jun 19;18(12):2920. doi: 10.3390/ma18122920.
Proper polymerization protocol is crucial for the long-term success of full-ceramic crown restorations. This study investigates the margin continuity and degree of conversion (DC) of a universal dual-curing cement under full-ceramic crowns subjected to different polymerization protocols and thermal aging. Intact human upper central incisors and canines were prepared for crowns, digitally designed, and milled from reinforced lithium silicate (Celtra Duo, Dentsply). Crowns were cemented using a universal dual-curing cement (G-Cem One, GC) with two polymerization protocols: (G1) microbrush excess removal, 1 min waiting, and 20 s light curing per side; (G2) 5 s tack curing per side, excess removal with a scaler, and 20 s light curing. Marginal adaptation was assessed using micro-computed tomography, and DC was evaluated with Raman spectroscopy before and after artificial thermal aging (10,000 cycles between 5 °C and 55 °C). Statistical comparisons were performed with significance set at < 0.05. Results showed significantly poorer marginal adaptation in the tack-curing group, with no post-aging differences between groups. Baseline DC was high in all samples, with no protocol-dependent variations; nevertheless, aging increased DC in G1. These findings highlight the importance of selecting an appropriate polymerization protocol to ensure optimal marginal adaptation and polymerization efficiency.
合适的聚合方案对于全瓷冠修复的长期成功至关重要。本研究调查了一种通用双固化粘结剂在全瓷冠下,在不同聚合方案和热老化条件下的边缘连续性和转化率(DC)。将完整的人类上颌中切牙和尖牙预备成冠,进行数字化设计,并由增强型硅酸锂(Celtra Duo,登士柏)铣削而成。使用一种通用双固化粘结剂(G-Cem One,GC),采用两种聚合方案粘结冠:(G1)用微型刷去除多余粘结剂,等待1分钟,每侧光照固化20秒;(G2)每侧快速固化5秒,用洁治器去除多余粘结剂,光照固化20秒。使用微型计算机断层扫描评估边缘适应性,并在人工热老化(5℃至55℃之间10000次循环)前后用拉曼光谱法评估DC。进行统计学比较,显著性设定为<0.05。结果显示,快速固化组的边缘适应性明显较差,老化后各组之间无差异。所有样本的基线DC都很高,没有方案依赖性差异;然而,老化使G1组的DC增加。这些发现凸显了选择合适聚合方案以确保最佳边缘适应性和聚合效率的重要性。