华西口腔医学杂志

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Cerec2型机摄像头的口外控制装置对CAD/CAM全瓷底层冠适合性的影响

陈 悦,黎 红,赵云凤,梁 星   

  1. 口腔生物医学工程教育部重点实验室,四川大学,四川 成都610041
  • 收稿日期:2005-06-25 修回日期:2005-06-25 出版日期:2005-06-20 发布日期:2005-06-20
  • 通讯作者: 陈 悦,Tel:028-85501450
  • 作者简介:陈 悦(1968-),女,山东人,讲师,博士
  • 基金资助:
    国家自然科学基金资助项目(39970799)

Effect of Camera Control Devices of Cerec 2 on the Fit of CAD/CAM All-ceramic Copyings of Posterior Tooth

CHEN Yue,LIHong,ZHAO Yun-feng,LIANGXing   

  1. Key.Laboratory ofOral Biomedical EngineeringMinistry ofEducation,Sichuan University,Chengdu610041,China
  • Received:2005-06-25 Revised:2005-06-25 Online:2005-06-20 Published:2005-06-20

摘要: 目的 了解Cerec 2型机摄像头的口外控制装置对CAD/CAM全瓷底层冠适合性的影响。方法 采用口外 控制装置的摄像头与未使用控制装置的摄像头对照,分别采集光学印模形成数字化模型,加工Vita MKⅡ及自行研 制的多孔氧化铝瓷,制作24个全瓷底层冠,经包埋、切开后,使用扫描电镜和计算机图像分析仪测量底层冠内部和 边缘间隙,比较其适合性差异。结果 使用控制装置组同未使用控制装置组相比:颊侧颈部间隙有明显差异 (P<0·05),轴壁间隙除舌侧外,在近中、远中、颊侧均有显著性差异(P<0·05),在远中顶壁、颊侧顶壁、舌侧顶壁均 有显著性差异(P<0·05);Vita MKⅡ底层冠与多孔氧化铝底层冠在边缘间隙及内部间隙均无显著性差异(P> 0·05)。结论 使用控制装置的Cerec 2型机有效地减小了人为操作造成底层冠内部间隙的误差,为底层冠的粘接 剂提供均匀的内部空间;自行研制的多孔氧化铝瓷经机加工后,其适合性与Vita MKⅡ相似,均达到了临床的要求。

关键词: 计算机辅助设计/计算机辅助制作, 全瓷底层冠, 适合性

Abstract:

Objective To investigate the effect of camera control devices of Cerec 2 on the fit of CAD/CAM all-ceramic copy- ings of posterior tooth.Methods 24 all-ceramic copyings were made by Cerec 2 with camera control devices and that without camera control devices. Copyings were embed and sectioned, then SEM and image analyzer was used to measure the space be- tween the copyings and dies atthe marginal opening, the axialwall, and the occlusal adaptation atthe measurement locations.Re- sults ①The marginal fit at buccal space of copyingswith camera control devices groupwas smallerthan thatwithout camera con- trol devices group(P<0·05).②The internal fit of of copyings had statistically significant difference at mesio-axial,disto-axial, bucco-axial,bucco-occlusal,linguo-occlusal and disto-occlusal space between camera control device group andwithout camera con- trol devices group(P<0·05).③There was no statistical difference on the marginal fit and internal fit of copyings between Vita MKⅡand porous alumina oxide(P<0·05).Conclusion The Cerec 2 with camera control devices reduced effectively the in- accuracy of inner space of copyings which contributed from the technical errors of the operator, and provided well-proportioned space for adhesive. Both the fit of copyings made of Vita MKⅡand porous alumina oxide satisfied the clinical demand.

Key words: computer aided design/computer aided manufacture, all-ceramic copying, fit