Wilson A H, Chan D C
Department of Restorative Dentistry, Dental School, University of Texas Health Science Center at San Antonio 78284-7890, USA.
J Prosthodont. 1994 Jun;3(2):74-8. doi: 10.1111/j.1532-849x.1994.tb00132.x.
Although traditional ideal convergence (the sum of taper of the opposite sides) for crown preparation has been arbitrarily set at 4 degrees to 10 degrees, some believe absolute parallelism yields the highest retention. This study examined the relationship between the degree of convergence of a machined metal die and the retention of its casting.
The method used was that of cementing cast metal crowns onto full crown preparations on brass dies with varying convergence angles, and then recording the force required to remove the crowns from the dies in a vertical direction using a Tate-Emery Testing Machine and Load Indicator.
It was found that retention (i.e., the force needed to remove the cemented castings from the die in their common long axis) increases from 0 degree convergence to peak between 6 degrees to 12 degrees convergence. It also seems that a critical film thickness does exist for optimum retention, and that film thicknesses smaller than the critical thickness may be responsible for the phenomenon that we have observed and directly related to the convergence angle itself.
There seems to be experimental data supporting the use of traditionally taught convergence. Our study found that convergence angles between 6 degrees and 12 degrees seem to be optimum for tooth crown preparation when one plans to use zinc phosphate cement. Convergence angles of less than 6 degrees may not be desirable even if they can be clinically achieved. The results of our study indicate that a relationship exists between the convergence angle and the critical cement thickness that is necessary to realize the maximum strength properties of zinc phosphate cement.
尽管传统上牙冠预备的理想聚合度(相对面锥度之和)被随意设定为4度至10度,但有些人认为绝对平行能产生最高的固位力。本研究探讨了加工金属代型的聚合度与其铸件固位力之间的关系。
采用的方法是将铸造金属全冠粘结到具有不同聚合角度的黄铜代型上的全冠预备体上,然后使用泰特 - 埃默里试验机和载荷指示器记录在垂直方向上从代型上移除牙冠所需的力。
发现固位力(即在其共同长轴方向上从代型上移除粘结铸件所需的力)从0度聚合度开始增加,在6度至12度聚合度之间达到峰值。似乎确实存在一个临界膜厚度以实现最佳固位,并且小于临界厚度的膜厚度可能是我们所观察到的现象的原因,并且与聚合角度本身直接相关。
似乎有实验数据支持使用传统教导的聚合度。我们的研究发现,当计划使用磷酸锌水门汀时,6度至12度之间的聚合角度似乎是牙冠预备的最佳角度。即使在临床上可以实现,小于6度的聚合角度可能也不理想。我们的研究结果表明,聚合角度与实现磷酸锌水门汀最大强度性能所需的临界粘结剂厚度之间存在关系。