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论文摘要

陶瓷材料对瓷贴面修复四环素牙光学性能的影响

Effect of ceramic materials on the optical properties of porcelain veneers for tetracycline-stained teeth

作者:陈瑾, 夏绮, 张玲玲, 钱慧芬, 李星星

Author:Chen Jin, Xia Qi, Zhang Lingling, Qian Huifen, Li Xingxing

收稿日期:2020-03-16          年卷(期)页码:2021,39(3):341-341-346

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:四环素牙,瓷贴面,玻璃陶瓷,长石质瓷,色差,

Key words:tetracycline-stained teeth,porcelain veneer,glass-ceramic,feldspathic ceramic,color difference,

基金项目:2017年国家级大学生创新训练项目(201710678011);云南省卫生和计划生育委员会医学后备人才基金资助项目(H-201638)

中文摘要

目的分析不同陶瓷材料瓷贴面在四环素牙背景下的色彩学性能和半透性。方法采用热压铸造和分层堆塑方法分别制作总厚度0.50 mm的A1、A3、B2、B4色玻璃陶瓷贴面和长石质瓷贴面试件各10片,利用分光光度计测量试件在模拟四环素牙背景及黑白背景上的L*、a*、b*值,计算试件在模拟四环素牙背景上与背景颜色的色差ΔE001、与试件在白背景上色差ΔE002及试件的TP值。结果IPS d.SIGN遮色长石质瓷试件的ΔE001显著大于IPS e.max Press LT玻璃陶瓷试件,B4色瓷试件的ΔE001显著大于其他色号(P<0.05)。遮色长石质瓷试件ΔE002均小于1.25,玻璃陶瓷试件ΔE002均大于2.23,但各颜色组间差异无统计学意义(P>0.05)。遮色长石质瓷试件TP值显著小于玻璃陶瓷(P<0.05),不同陶瓷颜色组间差异无统计学意义(P>0.05)。结论0.50 mm厚IPS d.SIGN遮色长石质瓷贴面美白改色四环素牙可获得理想的色彩学性能,但其半透性不理想,远差于IPS e.max Press LT玻璃陶瓷贴面。

英文摘要

ObjectiveTo analyze the chromatic properties and translucency of porcelain veneers made from different ceramic materials against the background of tetracycline-stained teeth.

MethodsPorcelain specimens (A1, A3, B2, B4) measuring 0.50 mm in thickness were prepared by heat-press casting and layering. The L*, a*, and b* values of the specimens against simulated tetracycline tooth and black-and-white backgrounds were measured by a spectrophotometer, and color differences ΔE001 between specimens on simulated tetracycline backgrounds and the backgrounds themselves and ΔE002 between specimens on simulated tetracycline backgrounds and the white background were calculated. The translucent parameter (TP) was also evaluated.

ResultsThe ΔE001 of feldspathic specimens (IPS d.SIGN) with the opaque layer was significantly greater than that of glass ceramic specimens (IPS e.max Press LT), and the ΔE001 of group B4 was consistently greater than those of the other color groups (P<0 .05). the δe002 values of all feldspathic specimens with the opaque layer were less than 1.25, and the ΔE002 values of the glass ceramic specimens were greater than 2.23. However, no significant difference was observed among the different color groups (P>0.05). The TP values of feldspathic specimens with the opaque layer were significantly lower than those of glass ceramic specimens(P<0 .05), but no significant difference was observed among different color groups (P>0.05).

ConclusionWhen changing the color of tetracycline-stained teeth, 0.50 mm-thick IPS d.SIGN feldspathic veneers with an opaque layer provide better chromatic properties than IPS e.max Press LT glass ceramic veneers. However, the translucency of feldspathic veneers is generally poorer than that of glass ceramic veneers.

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