不同牙合面厚度对二硅酸锂玻璃陶瓷全冠抗压缩破坏力的 影响-口腔医学专业论文.docxVIP

万方数据 万方数据 目 录 中文摘要 ············································································· 1 英文摘要 ·············································································· 4 英文缩写 ·············································································· 8 研究论文 不同牙合面厚度对二硅酸锂玻璃陶瓷全冠抗压缩破坏力的影响 前言 ············································································· 9 材料与方法 ···································································· 9 结果 ·············································································12 附图 ·············································································14 附表 ·············································································18 讨论 ·············································································19 结论 ·············································································22 参考文献 ·······································································24 综述 玻璃陶瓷材料在临床应用中的现状 ···································· 26 致谢 ···················································································35 个人简历 ·············································································36 中 中 文 摘 要 PAGE 10万方数据 PAGE 10 万方数据 不同牙合面厚度对二硅酸锂玻璃陶瓷全冠抗压缩破坏力的影响 摘 要 目的：本实验主要研究不同牙合面厚度对无饰瓷二硅酸锂玻璃陶瓷全冠 抗压缩破坏力的影响，同时模拟口腔环境，进行冷热循环疲劳实验，比较 冷热循环前后硅酸锂玻璃陶瓷全冠抗压缩破坏力有无改变。为临床全冠修 复体牙合面牙体预备量提供理论依据和指导。 方法： 1 代型的制作 选取日进齿科左下第一磨牙的标准模型，用 CAD 系统 Abutment Designer 软件扫描模型。参照第六版《口腔修复学》中后牙全冠预备要求 及 Ips e.max CAD 预备要求进行牙体预备：牙合面磨出 1.5mm-2mm,颊舌侧、 近远中侧磨出 1.5mm,轴面聚合 2-5°,制备一个圆润的内缘凹形肩台，肩台 宽度为 1mm，线角圆钝，去除应力集中区。为了保证全冠牙合面厚度的一 致性同时更好的模拟临床，该实验把牙合面预备成了两个斜面。将设计好的 预备体 3D 模型数据传送给 CAM 切割机，以 1:1 的比例切割铸造专用蜡， 加工形成 36 个预备体蜡型，再用失蜡铸造法完成 36 个钴铬金属代型的制 备。 IPS e. max CAD/CAM 全冠的制作 实验分两部分：第一部分测试因全冠牙合面厚度变化引起的抗压缩破坏 力的变化，依据预实验力值制作 18 个全瓷冠分为 A、B、C 三组，每组六 个样本；第二部分依据第一部分所得力值取牙合面厚度 1.5mm 为标准，制 作 18 个全瓷冠，分为 D、E、F 组，每组六个样本，进行 1 万次、2 万次、 3 万次冷热循环。用 inEos Blue 扫描仪分别扫描 36 个金属预备体代型， 将数据传输到 CAM 系统的软件中，控制生成全冠的最小厚度，用虚拟雕 刻刀调整全冠牙合面的厚度，使其形成