选择性激光熔覆技术与失蜡铸造法制作的金属嵌体边缘微渗漏的对比研究.pdfVIP

70 中国美容医学2016年8月第25卷第8期 Chinese Journal of Aesthetic Medicine.Aug.2016.Vol.25.No.8 •齿科美容• •论著• 选择性激光熔覆技术与失蜡铸造法制作的金属嵌体边缘微渗漏的对比研究 叶荣荣，贾 爽 （上海市口腔病防治院修复科 上海 200001） [摘要]目的：对比研究选择性激光熔覆技术（selective laser melting, SLM）制作的钴铬合金、钛合金嵌体与失蜡铸造法 制作的钴铬合金、钛合金嵌体的边缘微渗漏情况。方法：40颗离体前磨牙制备长方形邻颌洞，随机分为四组，每组10颗。分 别用选择性激光熔覆技术制作钴铬合金、钛合金嵌体与失蜡铸造法制作钴铬合金、钛合金嵌体后，使用Single Bond2粘结。 试件经冷热循环品红染色后，金刚砂片平行于牙体长轴近远中方向纵向剖开试件2次，体式显微镜下观察记录染料渗入试件 牙轴壁、龈壁的深度。结果：四种嵌体的轴壁和龈壁均出现不同程度的微渗漏，经单因素方差分析有统计学意义（轴壁： F=38.33，龈壁：F=90.95，P ＜0.05)；SLM 钴铬合金、SLM钛合金嵌体微渗漏程度小于失蜡法铸造钴铬合金、钛合金嵌体， 差异有统计学意义（P ＜0.05），SLM 钴铬合金嵌体与SLM钛合金嵌体微渗漏差异无统计学意义（P ＞0.05）；同种材料龈壁 微渗漏明显高于轴壁，经配对t检验显示差异有统计学意义（P ＜0.01）。结论：选择性激光熔覆技术制作的金属嵌体抗边缘 微渗漏能力好于失蜡铸造法制作的金属嵌体。 [关键词]选择性激光熔覆技术；失蜡法；铸造；嵌体；微渗漏 [中图分类号]R783.1 [文献标志码]A [文章编号]1008-6455(2016)08-0070-03 Comparative research on border microleakage of metal inlay with selective laser cladding technology and lost wax casting process YE Rong-rong, JIA Shuang (Department of Prosthodontics,Shanghai Stomatological Hospital,Shanghai 200001,China) Abstract: Objective The objective was to evaluate the degree of dye penetration of cobalt-chromium and titanium alloy inlay with selective laser cladding technology and lost wax casting process. Methods Forty freshly extracted human premolar teeth were selected and randomly divided into four groups of 10 each. Respectively, the teeth were prepared for meiso- occlusal cavity of rectangle by cobalt-chromium alloy and titanium alloy inlay with selective laser cladding technology and lost wax casting process, then bonging with Single Bond2. After exposed to thermocycling and immersed in basic fuchsin dye solution, the specimens were then sectioned with mesio-distally direction into three halves in