cocr基基基牙的制造方法和使用对种植体修复体垂直和水平边缘配合和扭矩损失的影响。

IF 2.6 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Journal of Applied Oral Science Pub Date : 2025-05-30 eCollection Date: 2025-01-01 DOI:10.1590/1678-7757-2024-0589
João Pedro Justino DE Oliveira Limirio, Jéssica Marcela de Luna Gomes, Joel Ferreira Santiago-Junior, Cleidiel Aparecido Araújo Lemos, Maria Cristina Rosifini Alves Rezende, Eduardo Piza Pellizzer
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引用次数: 0

摘要

目的:本体外研究评估了采用不同技术(铸造和CAD/CAM)和材料(金属陶瓷和半透明氧化锆)制造的外连接种植体支持的单冠在机械循环前后的垂直和水平边缘配合和扭矩损失。方法:采用铸造(脱蜡)和CAD/CAM制备了50个样品,分为五组:mc(金属陶瓷冠)、ZrB (Co-Cr基,顶部在氧化锆和长石陶瓷贴面中铣削)、Zr(顶部在氧化锆和长石陶瓷贴面中铣削)、MZrB (Co-Cr基和整体半透明氧化锆冠)和MZr(整体半透明氧化锆冠),并在37°C下以30°角进行5×10 26次机械循环,外加150N、2Hz的载荷。所有牙冠均以30Ncm扭矩旋紧。在机械循环前后评估垂直和水平边缘不匹配(使用3D光学显微镜测量)和扭矩损失。统计学分析采用显著性值0.05。结果:骑车前MC(93.93±22.84µm)、MZrB(66.12±11.87µm) (p0.05);结论:CAD/CAM制造使机械循环前后的整体半透明氧化锆冠(MZr)的垂直和水平边缘失配值较低。各组在机械循环前后均出现转矩损失。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Influence of manufacturing methods and use of CoCr-based abutments on vertical and horizontal marginal fit and torque loss in implant-supported prostheses.

Objectives: This in vitro study evaluated implant-supported single crowns with external connections fabricated using different techniques (cast and CAD/CAM) and materials (metal-ceramic and translucent zirconia) regarding vertical and horizontal marginal fit and torque loss before and after mechanical cycling.

Methodology: A total of 50 specimens prepared using cast (lost wax) and CAD/CAM were divided into five groups-MC (metal-ceramic crowns), ZrB (Co-Cr base, coping milled in zirconia and feldspathic ceramic veneering), Zr (coping milled in zirconia and feldspathic ceramic veneering), MZrB (Co-Cr base and monolithic translucent zirconia crown), and MZr (monolithic translucent zirconia crown)-and subjected to 5×10⁶ mechanical cycles at a 30° angle at 37°C, and an applied load of 150N at 2Hz. All crowns were screwed with a 30Ncm torque. Vertical and horizontal marginal misfit (measured using a 3D optical microscope) and torque loss were assessed before and after mechanical cycling. Statistical analyses used a significance value of 0.05.

Results: Before cycling, MC (93.93±22.84µm) and MZrB (66.12±11.87µm) (p<0.05) crowns showed significantly higher vertical marginal misfit values than Zr (49.92±3µm) and MZr (49.76±3,9µm). ZrB (59.96±4.66µm) crowns exhibited no statistically significant difference when compared with the other groups. MC crowns presented the highest horizontal marginal misfit values before and after cycling in group comparisons (p<0.05). MZrB had the highest torque loss (10N), with a statically significant difference when compared with MZr and Zr (p<0.05). Comparison between all groups showed no significant difference regarding the effect of mechanical cycling (p>0.05).

Conclusion: CAD/CAM manufacturing resulted in lower vertical and horizontal marginal misfit values, especially for monolithic translucent zirconia crowns (MZr) before and after mechanical cycling. All groups presented torque loss before and after mechanical cycling.

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来源期刊
Journal of Applied Oral Science
Journal of Applied Oral Science 医学-牙科与口腔外科
CiteScore
4.80
自引率
3.70%
发文量
46
审稿时长
4-8 weeks
期刊介绍: The Journal of Applied Oral Science is committed in publishing the scientific and technologic advances achieved by the dental community, according to the quality indicators and peer reviewed material, with the objective of assuring its acceptability at the local, regional, national and international levels. The primary goal of The Journal of Applied Oral Science is to publish the outcomes of original investigations as well as invited case reports and invited reviews in the field of Dentistry and related areas.
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