修复设计和材料是否会间接影响修复的边缘和内部差距,界面体积和疲劳行为?
Gabriel Kalil Rocha Pereira1, Rafaela Oliveira Pilecco2, Lucas Saldanha da Rosa1
1Department of Restorative Dentistry, Faculty of Dentistry, Universidade Federal de Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
European journal of dentistry
|March 12, 2025
概括
树脂复合材料 (RC) CAD-CAM冠状表现出比脱酸盐 (LD) 冠状更好的耐疲劳性,尽管这两种材料都有临床上可接受的边际差距. 恢复设计没有影响疲劳行为.
科学领域:
- 牙科材料科学 牙科材料科学
- 生物材料工程 生物材料工程
- 恢复性牙科 恢复性牙科
背景情况:
- 计算机辅助设计-计算机辅助制造 (CAD-CAM) 恢复提供精确的制造.
- 二氧化 (LD) 和树脂复合材料 (RC) 是常见的CAD-CAM陶材料.
- 评估边缘/内部差距和疲劳性能对于临床寿命至关重要.
研究的目的:
- 为了比较CAD-CAM冠和内冠的边缘/内部差距和疲劳行为.
- 研究使用脱酸盐 (LD) 和树脂复合材料 (RC) 进行的修复.
- 评估材料和设计对修复性能的影响.
主要方法:
- 使用CAD-CAM技术制造LD和RC冠/内冠.
- 通过微观断层学评估边缘/内部差距和界面体积.
- 进行了循环疲劳测试,有限元素分析 (FEA) 和断层学.
主要成果:
- 树脂复合材料 (RC) 冠状表现出最小的边际差距;LD冠状具有最大的差距.
- 所有内部间隙都超过了计划的120微米,在不同的角度有所变化.
- RC恢复显示出优越的疲劳行为,能够承受比LD恢复更高的负载和周期.
结论:
- 与LD相比,RC冠和内冠的边际差距较小.
- 内部差距差异在临床上没有显著意义.
- CAD-CAM材料类型影响了疲劳行为,但恢复设计没有.
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