华西口腔医学杂志

• 临床研究 • 上一篇    下一篇

3种不同金属烤瓷冠适合性的对照研究

裴延平1 陈吉华2 常青2 林松杉1 章禾1   

  1. 海军总医院口腔科;第四军医大学口腔医院修复科;
  • 收稿日期:2009-04-25 修回日期:2009-04-25 出版日期:2009-04-20 发布日期:2009-04-20
  • 通讯作者: 陈吉华,Tel:029-83376129
  • 作者简介:裴延平(1975-),女,山西人,主治医师,硕士

An experimental study on the adaptation of three kinds of porcelain fused-to-metal restorations

PEI Yanping1, CHEN Ji-hua2, CHANG Qing2, LIN Song-shan1, ZHANG He1   

  1. 1.海军总医院口腔科, 北京100037; 2.第四军医大学口腔医院修复科, 陕西西安710032
  • Received:2009-04-25 Revised:2009-04-25 Online:2009-04-20 Published:2009-04-20
  • Contact: CHEN Ji-hua,Tel:029-83376129

摘要:

目的对镍铬合金烤瓷冠、贵金属合金烤瓷冠和金沉积烤瓷冠的边缘适合性进行研究,为临床应用提供一定的理论依据和指导。方法分别制作镍铬合金烤瓷冠、贵金属合金烤瓷冠和金沉积烤瓷冠各8个,将3种烤瓷冠在无水酒精中超声清洁5 min,用聚羧酸锌黏固剂按编号将全冠黏固于各自的塑料代型上,指压就位维持10 min。将黏有冠的塑料代型用自凝塑料包埋制成小方块,用金刚砂片切机沿代型底座唇舌向直径纵剖,抛光后备测。在扫描电镜下,放大120~200倍观察冠组织面与代型粘接面间的黏固剂厚度。结果金沉积烤瓷冠与贵金属合金烤瓷冠的整体黏固剂厚度无统计学差异(P>0.05),但二者均与镍铬合金烤瓷冠的整体黏固剂厚度有统计学差异(P<0.05)。结论金沉积烤瓷冠与贵金属合金烤瓷冠的边缘适合性优于镍铬合金烤瓷冠。

关键词: 适合性, 金瓷修复体, 黏固剂厚度

Abstract:

Objective To compare the adaptation of porcelain fused-to-metal(PFM) restorations made from Ni-Cr alloy, precious alloy and galvanized forming copings after cementation and to provide a theory guidance for their application. Methods Three kinds of crowns (Ni-Cr alloy, precious alloy and galvanized forming) were manufactured and cleaned by ultrasonic vibrate with alcoholic solution for 5 minutes, and cemented on their dies as their order. All the crowns were cemented by polycarboxylate zinc-cement and maintained 10 minutes. After coated in the center of methyl acrylic resins, all the samples were cut vertically along buccolingual direction. The cement thickness of PFM was measured by scanning electron microscope and the data were analyzed by multivariate ANOVA. Results No significant difference was found between the cement thickness of precious alloy crown and galvanized forming crown(P> 0.05), while both of these two kinds of crown had significant differences in cement thickness with Ni-Cr crown(P< 0.05). Conclusion The adaptation of precious alloy crown and galvanized forming crown are superior to Ni-Cr crown.

Key words: adaptation, porcelain fused-to-metal restoration, cement thickness