Effect of powder air polishing and ultrasonic scaling on the marginal and internal interface (tooth-veneer) of ceramic veneers: an in vitro study.

IF 3.1 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Florian Fuchs, Laura Antonia Mayer, Lena Unterschütz, Dirk Ziebolz, Nadia Oberueck, Ellen Schulz-Kornas, Sebastian Hahnel, Andreas Koenig
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Abstract

Objectives: This study investigated the influence of prophylactic treatments and thermocycling on the marginal and internal veneering interface (tooth-veneer) as well as on the surface texture of ceramic veneers.

Materials and methods: A total of 32 extracted human premolars were restored with veneers made of lithium disilicate (LDS) or zirconia-reinforced lithium silicate (ZLS). An artificial aging of the specimens was conducted via five cycles of both thermocycling (5/55°C) and prophylactic treatment (powder air polishing or ultrasonic scaling). Changes in the marginal interface and in the surface texture were examined using confocal laser scanning microscopy. The internal interface and the microstructure were investigated using micro X-ray computed tomography.

Results: Artificial aging resulted in a deepening of the marginal interface across all groups (mean height: 4.51-15.74 μm, maximum height: 10.42-22.71 μm, cross-section: 256.68-1525.84 μm², regardless of the veneer material or prophylaxis method. No change in surface texture was observed. The internal interface exhibited defects for all groups after artificial aging. ZLS showed cracks in five out of eight veneers after exposure to ultrasonic scaling and thermocycling.

Conclusion: Ceramic veneers exhibited a high resistance to prophylactic measures in terms of surface durability, but a deepening of the marginal interface should be taken into account. With regard to the formation of cracks within the material, the use of ultrasonic scaling is not recommended for ZLS veneers.

Clinical relevance: The influence of artificial aging, including prophylactic treatments, plays a critical role in assessing longevity for veneers in defect-oriented and esthetic dentistry.

粉末空气抛光和超声波洁牙对陶瓷贴面边缘和内部界面(牙-龈)的影响:体外研究。
研究目的:本研究调查了预防性治疗和热循环对边缘和内部贴面界面(牙齿-贴面)以及陶瓷贴面表面质地的影响:用二硅酸锂(LDS)或氧化锆强化硅酸锂(ZLS)制成的贴面修复了 32 颗拔出的人类前臼齿。通过五次热循环(5/55°C)和预防性处理(粉末空气抛光或超声波洁牙)对试样进行人工老化。使用共焦激光扫描显微镜检查了边缘界面和表面纹理的变化。使用微型 X 射线计算机断层扫描对内部界面和微观结构进行了研究:结果:人工老化导致所有组的边缘界面加深(平均高度:4.51-15.74 μm,最大高度:10.42-22.71 μm,横截面:256.68-1525.84 μm²,与贴面材料或预防方法无关)。表面纹理没有变化。人工老化后,所有组的内部界面都出现了缺陷。在暴露于超声波洁治和热循环后,8 个贴面中有 5 个出现了 ZLS 裂纹:结论:就表面耐久性而言,陶瓷贴面对预防措施有很高的耐受性,但应考虑到边缘界面的加深。关于材料内部裂纹的形成,不建议对 ZLS 贴面使用超声波洁治:临床意义:人工老化(包括预防性治疗)对评估牙贴面在缺损导向和美学牙科中的寿命起着至关重要的作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Clinical Oral Investigations
Clinical Oral Investigations 医学-牙科与口腔外科
CiteScore
6.30
自引率
5.90%
发文量
484
审稿时长
3 months
期刊介绍: The journal Clinical Oral Investigations is a multidisciplinary, international forum for publication of research from all fields of oral medicine. The journal publishes original scientific articles and invited reviews which provide up-to-date results of basic and clinical studies in oral and maxillofacial science and medicine. The aim is to clarify the relevance of new results to modern practice, for an international readership. Coverage includes maxillofacial and oral surgery, prosthetics and restorative dentistry, operative dentistry, endodontics, periodontology, orthodontics, dental materials science, clinical trials, epidemiology, pedodontics, oral implant, preventive dentistiry, oral pathology, oral basic sciences and more.
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