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Effect of margin design on fracture load of zirconia crowns

机译:边缘设计对氧化锆冠断裂载荷的影响

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摘要

Zirconia‐based restorations are showing an increase as the clinicians’ preferred choice at posterior sites because of the strength and esthetic properties of such restorations. However, all‐ceramic restorations fracture at higher rates than do metal‐based restorations. Margin design is one of several factors that can affect the fracture strength of all‐ceramic restorations. The aim of this study was to assess the effect of preparation and crown margin design on fracture resistance. Four groups of bilayer zirconia crowns (with 10 crowns in each group) were produced by hard‐ or soft‐machining technique, with the following four different margin designs: chamfer preparation (control); slice preparation; slice preparation with an additional cervical collar of 0.7 mm thickness; and reduced occlusal thickness (to 0.4 mm) on slice preparation with an additional cervical collar of 0.7 mm thickness. Additionally, 10 hard‐machined crowns with slice preparation were veneered and glazed with feldspathic porcelain. In total, 90 crowns were loaded centrally in the occlusal fossa until fracture. The load at fracture was higher than clinically relevant mastication loads for all preparation and margin designs. The crowns on a chamfer preparation fractured at higher loads compared with crowns on a slice preparation. An additional cervical collar increased load at fracture for hard‐machined crowns.
机译:由于氧化锆基修复体的强度和美学特性,其在后牙部位的临床应用逐渐成为临床医生的首选。但是,与金属基修复相比,全陶瓷修复的断裂速率更高。边缘设计是可能影响全瓷修复体断裂强度的几个因素之一。这项研究的目的是评估准备和冠缘设计对抗断裂性的影响。通过硬加工或软加工技术生产了四组双层氧化锆冠(每组十个冠),并具有以下四种不同的页边设计:倒角准备(对照);切片准备;切片准备,另加0.7毫米厚的颈托;并在切片准备时将牙合厚度减小到0.4毫米,并增加0.7毫米的颈托。另外,对10个经过切片加工的硬质冠冕进行贴面,并用长石瓷釉。总共90个牙冠被集中放置在咬合窝中央直到骨折。对于所有准备和边缘设计,骨折时的负荷均高于临床相关的咀嚼负荷。与切片制品上的冠状物相比,倒角制品上的冠状物在更高的载荷下断裂。额外的颈托增加了硬加工冠的骨折负荷。

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