金属基底冠边缘的适合性：2种制作方法比较.docVIP

金属基底冠边缘的适合性：2种制作方法比较 石旭旭1，常? 靓2，邹高峰3 1大庆油田总医院口腔科，黑龙江省大庆市? 163001；2佳木斯大学研究生学院口腔医学专业，黑龙江省佳木斯市? 154002；3秦皇岛市海港医院口腔科，河北省秦皇岛市? 066000 Marginal adaptation of metal crowns: comparison of two production methods Shi Xu-xu1, Chang Liang2, Zou Gao-feng3 1Department of Oral and Maxillofacial Surgery, Daqing Oilfield General Hospital, Daqing 163001, Heilongjiang Province, China; 2Department of Stomatology, Affiliated Stomatology Hospital of Jiamusi University, Jiamusi 154002, Heilongjiang Province, China; 3Department of Stomatology, Harbor Hospital of Qinhuangdao City, Qinhuangdao 066000, Hebei Province, China 摘要? 背景：目前，有关CAD/CAM系统与失蜡铸造法对边缘适合性影响的对比有较多研究，研究结果有着较大差异。目的：比较3 Shape CAD/CAM系统与失蜡铸造法制作钴铬金属烤瓷单冠基底冠冠边缘的适合性。方法：按标准预备1颗离体上颌第一前磨牙，用双色硅橡胶法制取50付超硬石膏模型，随机分为CAD/CAM组与铸造组，均以石膏模型为制作模型，CAD/CAM组采用光学扫描仪获取数字印模，计算机设计制作，数控铣床直接切削完成基底冠；铸造组采用传统失蜡铸造法制作金属基底冠。待基底冠完全就位后，用轻体型硅橡胶复制边缘间隙，再用咬合型硅橡胶进行包埋，用体视显微镜测量冠边缘间隙的厚度。结果与结论：CAD/CAM组垂直间隙为(34.67±7.48) μm，铸造组垂直间隙为(53.70±9.64) μm，两组比较差异有显著性意义(P 0.05)；CAD/CAM组水平间隙为(37.61±7.63) μm，铸造组水平间隙为(53.02±10.65) μm，两组比较差异有显著性意义(P 0.05)。表明3 Shape CAD/CAM系统制作的钴铬金属单冠基底冠边缘适合性在临床可接受范围内，均小于120 μm，且CAD/CAM系统制作的金属基底冠边缘适合性明显优于铸造法制作的基底冠。 中国组织工程研究杂志出版内容重点：生物材料；骨生物材料; 口腔生物材料; 纳米材料; 缓释材料; 材料相容性；组织工程 全文链接： 关键词?：?生物材料；?口腔生物材料；?CAD/CAM；?适合性；?金属基底冠；?铸造法； ?? Abstract： BACKGROUND:?At present, the confrontation of CAD/CAM systems and the lost wax casting method for marginal adaptation has been widely concerned, but the results are controversial.OBJECTIVE: To compare the marginal adaptation of single cobalt-chromium PFM crowns produced by 3 Shape CAD/CAM systems and the lost wax casting method.METHODS: A maxillary first premolar was prepared according to the standards. 50 resin-generation models were created by bi-color silicone rubber method and randomly divided into two groups: CAD/CAM group (A1-A25) and cast group (B1-B25). All the models were cast in plaster. In CAD/CAM group, the digital impressions were obtained by optical scanning, then designed through compute