Morgano S M, Milot P, Ducharme P, Rose L
Harvard School of Dental Medicine, Boston University, Mass, USA.
J Prosthet Dent. 1995 Apr;73(4):333-40. doi: 10.1016/s0022-3913(05)80327-0.
This in vitro study evaluated the ability of five different impression techniques to make duplicate dies of two different types of tooth preparation. One mandibular second premolar Ivorine tooth was prepared for a complete crown and one for an onlay. A master impression was made of each tooth preparation with the use of five impression techniques for a total of 10 master impressions, and a master die was made from each of these impressions. Castings were made on these master dies, and the fit of each casting was verified on the respective Ivorine tooth. Marginal openings of the castings on the master dies were recorded under magnification at four predetermined points. Five successive impressions, with the use of each impression material, were then made of each tooth preparation for a total of 50 test impressions, and 50 test dies were made from these impressions. The fit of the respective casting was evaluated under magnification for each test die at the four predetermined points, and marginal openings were recorded. Differences between the marginal discrepancies of the casting on the master die and on the test die were tabulated and the results were statistically analyzed. Results indicated that none of the impression materials was capable of producing exact replicas. Polysulfide rubber performed significantly better than two materials for the production of duplicate dies with the complete crown preparation; and polyvinyl siloxane used with a putty-light body, single-stage technique produced mean marginal discrepancies that were significantly greater than the other four techniques when used for the onlay preparation.(ABSTRACT TRUNCATED AT 250 WORDS)
这项体外研究评估了五种不同印模技术制作两种不同类型牙体预备的复制代型的能力。选取一颗下颌第二前磨牙象牙质牙齿,分别预备全冠和高嵌体。对每颗牙体预备使用五种印模技术制作主印模,共制作10个主印模,然后从每个印模制作主代型。在这些主代型上制作铸件,并在相应的象牙质牙齿上验证每个铸件的适合性。在放大条件下,在四个预定点记录主代型上铸件的边缘间隙。然后,对每颗牙体预备使用每种印模材料连续制作五个印模,共制作50个测试印模,并从这些印模制作50个测试代型。在放大条件下,对每个测试代型在四个预定点评估相应铸件的适合性,并记录边缘间隙。将主代型上铸件与测试代型上铸件的边缘差异制表,并对结果进行统计分析。结果表明,没有一种印模材料能够制作出精确的复制品。在制作全冠预备的复制代型方面,聚硫橡胶的表现明显优于另外两种材料;在制作高嵌体预备时,采用油泥-轻体单步技术的聚乙烯基硅氧烷产生的平均边缘差异明显大于其他四种技术。(摘要截短至250字)