首页|聚醚醚酮、氧化锆及钴铬合金制作的套筒冠内冠耐磨损性及固位力比较

聚醚醚酮、氧化锆及钴铬合金制作的套筒冠内冠耐磨损性及固位力比较

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目的:比较使用聚醚醚酮(PEEK)、氧化锆及钴铬合金制作的套筒冠内冠的耐磨损性及固位力.方法:制作24 个圆锥状金属基牙代型,分别使用钴铬合金、氧化锆和PEEK制作其上内冠各9 个,使用钴铬合金制作外冠24 个,对所有外冠外及内冠内表面进行喷砂处理后待用.根据内冠制作材料的不同,将所有试件分为A、B、C三组,每组9 个内冠及8 个外冠.A组:内冠为钴铬合金材料;B组:内冠为氧化锆材料;C组:内冠为PEEK材料.每组随机选取一个内冠使用扫描电镜观察外表面,并称重其余所有内外冠.将内冠粘接于基牙代型上,对基牙金属代型和外冠进行包埋.在万能拉力试验机上模拟摘戴循环10 000 次,观察并记录未循环、循环1 000 次、循环5 000次与循环10 000 次时的固位力.去除包埋及粘接材料后再次进行称重,记录重量变化.电镜下观察内冠表面磨损情况.结果:3 组固位力差异有统计学意义(P<0.001),并随着摘戴次数的增加,A组固位力逐渐下降,B、C组先升高后降低;未循环时,A组固位力>B组>C组,循环10 000 次后,A组和C组固位力>B组.C组内冠相对质量损耗大于A、B组,外冠相对质量损耗小于A、B组(P<0.017).循环10 000 次后,A、B、C组表面粗糙度较实验前均有所增加,C组表面磨损更严重.结论:PEEK作为内冠材料可提供不低于钴铬合金和氧化锆内冠的固位力,耐磨损性能较钴铬合金和氧化锆内冠差,但对外冠的磨损较小.
Comparison of wear resistance and retention of inner crowns in telescopic crowns made of polyetheretherketone,zirconia,or cobalt-chromium alloy
Aim:To compare wear resistance and retention of inner crowns in telescopic crowns made of polyetherether-ketone(PEEK),zirconia,or cobalt-chromium alloy.Methods:A total of 24 conical metal-based dental prostheses were crea-ted,using cobalt-chromium alloy,zirconia,or PEEK to make 9 inner crowns each,and 24 outer crowns using cobalt-chromi-um alloy.After sandblasting the outer surfaces of all outer crowns and the inner surfaces of all inner crowns for further use.Based on the different materials of the inner crowns,all specimens were allocated into 3 groups:A,B,and C.Each group contained 9 inner crowns and 8 outer crowns.Group A:the inner crown was made of cobalt-chromium alloy.Group B:the in-ner crown was made of zirconia.Group C:the inner crown was made of PEEK.In each group,one inner crown was randomly selected for surface observation using the scanning electron microscope,and the remaining inner and outer crowns were weighed.The inner crowns were cemented to corresponding tooth models,and the metal tooth models and outer crowns were embedded.The retention was measured on a universal testing machine after simulating 10 000 insertion and removal cycles,and the results were recorded at 0,1 000,5 000,and 10 000 cycles.After removing the embedding and cementing materials,the crowns were reweighed,and weight changes were recorded.The surface wear of the inner crowns was observed under the scanning electron microscope.Results:The differences in retention among the 3 groups were significant(P<0.001).With increasing number of cycles,the retention in Group A gradually decreased,which first increased and then decreased in Groups B and C.Before cycling,the retention was highest in Group A,followed by Group B,and lowest in Group C.After 10 000 cycles,the retention in Group A and C was higher than that in Group B.The relative weight loss of the inner crowns in Group C was greater than those in Groups A and B,whereas the relative weight loss of the outer crowns in Group C was lower than those in Groups A and B(P<0.017).After10 000 cycles,the surface roughness of Groups A,B,and C in-creased,with Group C showing more severe surface roughness.Conclusion:PEEK as an inner crown material can provide retention comparable to that of cobalt-chromium alloy and zirconia.However,PEEK's wear resistance is inferior to those of cobalt-chromium alloy and zirconia,although it causes less wear to the outer crown.

telescopic crowninner crown materialpolyetheretherketoneretentionwear resistance

陈卓、韩琳、艾昕、邱晓霞

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郑州大学第一附属医院口腔医院(河南省口腔医院)修复科 郑州 450052

套筒冠 内冠材料 聚醚醚酮 固位力 耐磨损性

2024

郑州大学学报(医学版)
郑州大学

郑州大学学报(医学版)

CSTPCD北大核心
影响因子:1.246
ISSN:1671-6825
年,卷(期):2024.59(5)