›› 2019, Vol. 10 ›› Issue (1): 33-36.

• 论著 • 上一篇    下一篇

水门汀层厚和涂布方式对氧化锆单冠与种植体基台粘固效果的影响

陈慧玲1,唐小山2,池君敏2,张以鸣2   

  1. 1. 南京博韵口腔医院
    2. 同济大学附属第十人民医院
  • 收稿日期:2018-12-25 修回日期:2019-03-04 出版日期:2019-03-25 发布日期:2019-04-02
  • 通讯作者: 张以鸣 E-mail:zym811113@hotmail.com
  • 基金资助:
    上海市浦江人才A类

The influence of resin-reinforced glass ionomer cement coating method on the effect of cementation between dental implant abutment and zirconium crown

  • Received:2018-12-25 Revised:2019-03-04 Online:2019-03-25 Published:2019-04-02

摘要: 目的 研究传统涂布方法和水门汀预压薄方法在不同的水门汀层厚的种植体支持的氧化锆单冠粘固修复时水门汀残留和粘接力的差别。方法 应用Sinora CEREC系统扫Ankylos标准B型6毫米种植体基台替代体,设计出水门汀层厚为50μm、80μm和110μm,厚度为1毫米的氧化锆单冠3D数字模型,通过Sinora CEREC系统的CAD/CAM输出数据,切割氧化锆瓷块,经烧结制作出氧化锆单冠。应用传统涂布方法和水门汀预压薄方法将不同水门汀层厚的氧化锆单冠用树脂加强型玻璃离子水门汀粘固在种植体基台替代体上。观察人工牙龈中水门汀的残留情况,并分别检测水门汀层厚为50μm、80μm和110μm氧化锆单冠的两种粘固方法的粘接力。结果 用水门汀预压薄方法粘固,水门汀层厚为50μm组的粘接力明显大于与水门汀层厚为80μm和110μm组,水门汀层厚为80μm和110μm组的粘接力无明显差异。用传统涂布方法粘固,水门汀层厚为110μm组的粘接力明显小于与水门汀层厚为80μm和50μm组,水门汀层厚为80μm和50μm组的粘接力无明显差异。三种水门汀层厚的氧化锆单冠用传统涂布方法粘固后种植体替代体周围和人工牙龈中溢出和残留的水门汀多于水门汀预压薄方法粘固。结论 树脂加强型玻璃离子水门汀预压薄方法粘固种植体支持的氧化锆单冠时水门汀层厚的设计以50~80μm较佳,而用传统涂布方法粘固时水门汀层厚的设计以80~110μm为好。

Abstract: Objective:To study the difference of cement residual and adhesion in the conventional coating method and extra-oral cementation method for single zirconia crown supported by dental implants with different thickness of cement. Methods: The Ankylos standard type B 6mm implant abutment analog was scanned by the Sinora CEREC system and the 3D digital model of zirconia single crown with the thickness of 50m, 80m and 110m of the cement layer and 1mm of the thickness was designed. The zirconia single crown was cut and sintered by CAD/CAM of Sinora CEREC system. The zirconia crowns with the different thickness of cement layer was cemented on the Ankylos standard type B 6mm implant abutment analogs by traditional coating method and extra-oral cementation method with the resin reinforced glass ionic cement. The residual of cement in the artificial gingiva was observed in each group, and the adhesion of two methods in each group was detected respectively. Results: There was significant difference in the adhesion between the group with the cement layer thickness of 50 m and the other groups. However, there was no significant difference in the adhesion between the group with the cement layer thickness of 80 m and 110 m. The adhesion of the cement layer thickness of 110 m group of adhesion is significantly less than the other groups by the conventional coating method. There is no significant difference in adhesion between the cement layer thickness of 80 m and 50 m groups. The residual cement around the implant and in the artificial gingiva of the three kinds of zirconia single crowns with three different cement thickness layers cemented by conventional coating method were more than that by the extra-oral cementation method. Conclusion: The zirconia single crown was cemented by extra-oral method with the resin reinforced glass ionic cement was better to be with 50~80 m cement thickness, while by conventional coating method was better to be with 80~110 m cement thickness .