首页> 美国卫生研究院文献>Acta Biomaterialia Odontologica Scandinavica >Marginal gap and fracture resistance of CAD/CAM ceramill COMP and cerasmart endocrowns for restoring endodontically treated molars bonded with two adhesive protocols: an in vitro study
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Marginal gap and fracture resistance of CAD/CAM ceramill COMP and cerasmart endocrowns for restoring endodontically treated molars bonded with two adhesive protocols: an in vitro study

机译:CAD / CAM ceramill COMP和cerasmart牙冠的边缘间隙和抗断裂性用于修复通过两种粘合方案粘合的经牙髓治疗的臼齿:一项体外研究

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摘要

Endocrowns represent a conservative and esthetic restorative alternative to full coverage crowns. They can be constructed using various CAD/CAM materials that can provide a modulus of elasticity similar to that of teeth. The ability to use of such materials in composite blocks that can be easily repaired is also an advantage, provided appropriate bonding performance is ensured. This study, therefore, evaluated the marginal gap and fracture resistance of two CAD/CAM endocrown materials using two bonding protocols. Thirty-two mandibular molars were evaluated in two groups based on the material type: a Cerasmart group (GC America Inc; = 16) acting as the control and a Ceramill COMP group (Amann Girrbach, Germany; = 16). These groups were then classified according to the bonding protocol used: a total-etch bonding protocol ( = 8) and a self-etch bonding protocol ( = 8) implemented using RelyX ultimate adhesive resin cement (3M ESPE). The samples were then subjected to aging by simulating a 1-year thermo-mechanical process. The marginal gap results were statistically insignificant across the material and bonding protocol groups before thermo-mechanical aging. Thermo-mechanical aging significantly reduced the marginal gap distance for Ceramill COMP endocrowns cemented using the total-etch protocol ( = 0.002). No statistically significant difference was recorded for the fracture resistance in either the material or bonding protocol groups ( ≥ 0.05). Both materials and bonding protocols can, therefore, be used in the posterior region providing conservative treatment, adequate marginal gap and fracture resistance.
机译:内向颅骨代表了覆盖全冠的保守和美观的替代选择。可以使用各种CAD / CAM材料构造它们,这些材料可以提供类似于牙齿的弹性模量。如果能够确保适当的粘结性能,则能够在易于修复的复合块中使用此类材料的能力也是一个优势。因此,本研究使用两种粘接方案评估了两种CAD / CAM内冠材料的边缘间隙和抗断裂性。根据材料类型,在两组中评估了32个下颌磨牙:作为对照的Cerasmart组(GC America Inc; = 16)和Ceramill COMP组(Amann Girrbach,Germany; = 16)。然后根据使用的粘合协议对这些组进行分类:使用RelyX极限粘合树脂胶粘剂(3M ESPE)实施的全蚀刻粘合协议(= 8)和自蚀刻粘合协议(= 8)。然后通过模拟1年的热机械过程对样品进行老化。在热机械老化之前,材料和粘结方案组之间的边际间隙结果在统计学上不显着。热机械老化显着减少了使用全蚀刻方案胶合的Ceramill COMP内胎的边际间隙距离(= 0.002)。在材料或粘接方案组中,抗断裂强度均未见统计学上的显着差异(≥0.05)。因此,材料和粘接方案均可用于后方区域,以提供保守治疗,足够的边缘间隙和抗断裂性。

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