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烤瓷熔附金属固定局部义齿的热循环变形

Thermal cycling distortion of porcelain fused to metal fixed partial dentures.

作者信息

Gemalmaz D, Berksun S, Alkumru H N, Kasapoglu C

机构信息

Faculty of Dentistry, Marmara University, Marmara, Turkey.

出版信息

J Prosthet Dent. 1998 Dec;80(6):654-60. doi: 10.1016/s0022-3913(98)70051-4.

Abstract

STATEMENT OF PROBLEM

The initial fit of porcelain fused to metal restorations deteriorates during the firing cycle of porcelain.

PURPOSE

This study evaluated thermal cycling distortion of 3-unit porcelain fused to metal frameworks at different firing stages.

MATERIAL AND METHODS

A master model was designed to represent the 2 abutments of a 3-unit fixed partial denture replacing a missing mandibular molar. Standard techniques were used to fabricate 10 castings. Half of the copings were cast in a Ni-Cr alloy and the other half in a Pd-Cu alloy. Framework distortion was measured by means of inner fit changes, horizontal linear measurements of the framework length, and vertical fit changes of each retainer. Measurements were made (1) initially, (2) after degassing firing, and (3) after glaze firing. Differences between the firing cycles created distortion values of the retainers in 3 dimensions. Repeated measures ANOVA was used to analyze data statistically.

RESULTS

Measured differences between the 2 firing stages ranged from -47 to 81.7 micrometer. For both alloy groups, retainers showed increase in vertical gap that implied poorer vertical fit after porcelain application. Mean values of inner fit change recorded for porcelain application firing were higher in magnitude than the values of metal-conditioning firing. In addition, no statistically significant differences were found among alloy types.

CONCLUSIONS

A 3-dimensional distortion was observed both in Pd-Cu and Ni-Cr frameworks during porcelain firing cycle. The distortion seen after porcelain application firing was significantly greater than that seen after metal-conditioning firing. This result can be attributed to these factors, contamination of porcelain to the inner surface of metal coping and reduction in resilience of metal.

摘要

问题陈述

烤瓷熔附金属修复体的初始贴合度在烤瓷烧结过程中会变差。

目的

本研究评估了不同烧结阶段的3单位烤瓷熔附金属支架的热循环变形情况。

材料与方法

设计一个主模型来代表替换下颌缺失磨牙的3单位固定局部义齿的2个基牙。采用标准技术制作10个铸件。一半的基底冠用镍铬合金铸造,另一半用钯铜合金铸造。通过内部贴合度变化、支架长度的水平线性测量以及每个固位体的垂直贴合度变化来测量支架变形。测量在(1)初始时、(2)除气烧结后以及(3)上釉烧结后进行。烧结周期之间的差异在3个维度上产生了固位体的变形值。采用重复测量方差分析对数据进行统计学分析。

结果

两个烧结阶段之间测得的差异范围为-47至81.7微米。对于两个合金组,固位体的垂直间隙均增大,这意味着在施加烤瓷后垂直贴合度变差。施加烤瓷烧结时记录的内部贴合度变化平均值在数值上高于金属预处理烧结时的值。此外,在合金类型之间未发现统计学上的显著差异。

结论

在烤瓷烧结周期中,钯铜和镍铬支架均观察到三维变形。施加烤瓷烧结后出现的变形明显大于金属预处理烧结后出现的变形。这一结果可归因于这些因素,即烤瓷对金属基底冠内表面的污染以及金属弹性的降低。

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