期刊导航

论文摘要

不同粘接剂对冠修复体循环加载后边缘微渗漏的影响

Influence of various luting agents and cyclic loading on microleakage of cast crowns

作者:郭玲,张晶婷,陈晨峰,朱智敏

Author:GUO Ling1, ZHANG Jing-ting2, CHEN Chen-feng3, ZHU Zhi-min3.

收稿日期:          年卷(期)页码:2010,37(6):651-655

期刊名称:国际口腔医学杂志

Journal Name:International Journal of Stomatology

关键字:微渗漏, 循环加载实验, 温度循环实验,

Key words:microleakage, cyclic loading test, thermal cycle test,

基金项目:

中文摘要

目的通过对4 种粘接材料粘接后的全冠修复体进行循环加载和温度循环实验,模拟口腔环境对材料 粘接效果的影响,测试其冠边缘微渗漏的程度,评价循环加载和温度循环后不同粘接材料对全冠边缘微渗漏的 影响。方法选取20 颗正畸拔除的新鲜前磨牙,随机分成4 组,使用平行研磨仪进行标准烤瓷冠牙体预备,制 作金属底层冠,分别用4 种粘接系统粘接全冠。所有样本经过30 万次循环加载,5 000 次5 ℃和55 ℃的温度循 环实验。染色后体视显微镜下观察金属冠边缘微渗漏的情况,记录观测结果。结果对实验结果进行多个独立 样本比较的统计分析,循环加载、温度循环实验后4 组样本各组间比较显示,复合树脂粘接剂组的微渗漏小于 其他各组,而其他各组间比较差异无统计学意义。结论各组粘接系统的粘接界面均可见微渗漏。循环加载和 温度循环后,聚羧酸锌黏固剂、玻璃离子黏固剂、磷酸锌黏固剂粘接的全冠微渗漏程度较高,复合树脂粘接剂 的微渗漏程度最低。这就提示,模拟全冠在临床使用一段时间后,复合树脂粘接剂受口腔环境因素的影响最小, 冠边缘微渗漏程度最小。

英文摘要

Objective The purpose of this in vitro study was to research the influence of cyclic loading and luting agents on microleakage of cast crowns and to determine the ability of four luting agents to resist microleakage. Methods 20 recently extracted premolars were divided equally into four groups of four luting agents. All teeth were prepared with the preparation criteria. After full cast crowns were fabricated, they were cemented. Specimens of the four group were subjected to 300 000 cyclic loadings in a chewing simulator and 5 000 thermal cycles(5 °C and 55 °C). Subsequently, all specimens were placed in a dyeing solution and then vertically cut in mesiodistal direction. The objects were evaluated for microleakage using a microscope camera. Finally, the level of microleakage of each group was scored and analyzed. Results This study found that after cyclic loading and thermal cycles, there are significant differences between four groups, and resin cement has the lowest level of microleakage. Cyclic loadings and thermal cycles increased significantly microleakage of crowns with four different luting agents. Conclusion After cyclic loadings and thermal cycles, cast crowns cemented with resin cement have demonstrated the best performance to resisit microleakage, which implies that for metal crown and metal inlay, resin cement should have priority to be chosen by dental practitioners.

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