有或无水平预备的牙体预备上固定修复体抗压强度的实验研究
Experimental study on the compressive strength of fixed prosthetic restorations on tooth preparations with or without horizontal preparation.
作者信息
Drăghici Lucia Alexandra, Comăneanu Raluca Monica, Vrânceanu Diana, Baciu Florin, Stoian-Albulescu Mirel, Dobrescu Anca Monica, Ionescu Tudor Petru, Gioga Cherana
机构信息
Doctoral School of Dental Medicine, Titu Maiorescu University, Bucharest, Romania.
Faculty of Dental Medicine, Titu Maiorescu University, Bucharest, Romania.
出版信息
J Med Life. 2025 Jul;18(7):671-677. doi: 10.25122/jml-2025-0124.
Fixed prosthetic restorations, particularly those made entirely of zirconia, are widely used in clinical dental practice for the restoration of natural teeth. Their success largely depends on the design of the tooth preparation, especially the type of finish line, as well as the restoration's ability to withstand occlusal forces during mastication. Over 12 months, a total of 21 extracted teeth were initially collected, from which six were selected for this study. To achieve the objective of the study, three teeth were prepared with a horizontal finish line (shoulder), and the remaining three were prepared without a defined finish line (vertical preparation). For each prepared tooth, three full-contour zirconia crowns were fabricated. To ensure accurate comparison and standardization of occlusal force application during mechanical testing, all crowns were designed with identical morphology. The force application device used in mechanical testing was digitally designed to replicate the anatomy of the antagonistic teeth corresponding to each tested crown. Samples I and III showed significant structural changes, including horizontal fractures at the cervical level. Samples II, 1, and 2 exhibited no visible damage. The maximum recorded compressive forces at which structural failure occurred varied widely, ranging between 180 N and 2537 N. Consequently, all samples that recorded fracture values below 1000 N were analyzed separately for interpretation. The findings of this experimental study indicate that tooth preparation design significantly influences the compressive strength of monolithic zirconia crowns. Both preparation types-shouldered and shoulderless-demonstrated high resistance values, with a slight advantage observed in favor of the preparations with a defined finish line (shoulder).
固定修复体,尤其是那些完全由氧化锆制成的修复体,在临床牙科实践中被广泛用于天然牙的修复。它们的成功很大程度上取决于牙体预备的设计,特别是边缘线的类型,以及修复体在咀嚼过程中承受咬合力的能力。在12个月的时间里,最初共收集了21颗拔除的牙齿,从中选取了6颗用于本研究。为了实现研究目的,对3颗牙齿进行了水平边缘线(肩台)预备,其余3颗则未进行明确的边缘线预备(垂直预备)。对于每颗预备好的牙齿,制作了3个全瓷氧化锆冠。为确保在力学测试过程中咬合力施加的准确比较和标准化,所有冠的形态设计均相同。力学测试中使用的力施加装置经过数字化设计,以复制与每个测试冠相对应的对颌牙的解剖结构。样本I和III显示出明显的结构变化,包括颈部水平的横向骨折。样本II、1和2未出现可见损伤。记录到的发生结构破坏时的最大压缩力差异很大,范围在180 N至2537 N之间。因此,对所有记录到的骨折值低于1000 N的样本进行了单独分析以进行解读。本实验研究的结果表明,牙体预备设计显著影响整体式氧化锆冠的抗压强度。两种预备类型——有肩台和无肩台——均显示出较高的抗力值,其中有明确边缘线(肩台)的预备表现出略微优势。