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论文摘要

不同氧化锆底冠的边缘设计对其全冠抗疲劳性和抗折性的研究

Effect of different finish line designs on the fatigue and fracture resistance of zirconia crowns

作者:陈济芬 1 丁宏 2 杨重恒 3

Author:Chen Jifen 1,Ding Hong 2,Yang Zhongheng 3 .

收稿日期:2012-08-12          年卷(期)页码:2013,40(2):165-168

期刊名称:国际口腔医学杂志

Journal Name:International Journal of Stomatology

关键字:氧化锆,边缘,疲劳,抗折力,

Key words:zirconia,finish line,fatigue,fracture resistance,

基金项目:

中文摘要

目的研究不同氧化锆底冠的边缘设计对氧化锆修复体断裂类型、抗疲劳性和抗折性的影响。方法应用计算机辅助设计和计算机辅助制造(CAD/CAM)系统制作上颌中切牙氧化锆底冠, 并设计3种不同的边缘: 完全浅凹型基底、颊侧浅凹形带舌侧基底颈环和完全环形基底颈环。底冠经过压铸饰面瓷后通过树脂粘接剂粘接于相应的树脂模型上。修复体通过冷热循环和动态疲劳法至最终断裂。将所得数据进行单因素方差分析并通过体视显微镜观察其断裂类型。结果 3组修复体断裂类型和抗折力差异无统计学意义(P>0.05); 修复体断裂类型主要为饰面瓷的裂纹和断裂, 基底冠都保存完好。结论基于本研究的结果, 不同底冠边缘设计对加饰面瓷的氧化锆全冠抗疲劳性和抗折性无明显影响。选择何种边缘设计应根据临床牙体情况而定。

英文摘要

Objective The aim of this study was to evaluate the effect of different finish line designs on the fatigue, fracture resistance, and failure type of veneered zirconia restorations. Methods A computer aided design and computer aided manufacturing(CAD/CAM) system was used to prepare zirconia frameworks for a maxillary central incisor. Three finish line designs were evaluated: A complete narrowchamfer, a narrowchamfer with a lingual ledge, and a complete ledge. The prepared frameworks were veneered using a press-on ceramic and were cemented on the corresponding prepared teeth using a resin cement. The cemented specimens were thermocycled, subjected to dynamic fatigue, and finally loaded till fracture. One-way ANOVA was used to analyze the data and the fractured specimens were examined under a stereo microscope to assess fracture type. Results There was no significant difference among the fracture resistance of three kinds of finish line designs(P>0.05). The form of specimen failureis cracking and fracture of the veneer ceramic. Meanwhile, the framework remained entirely intact. Conclusion Within the limitations of this study, the finish line design did not influence the fatigue or the fracture resistance of veneered zirconia crowns. Selection any of the finish line designs should be based on the clinical condition of the restored tooth.

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