上海口腔医学 ›› 2023, Vol. 32 ›› Issue (2): 154-157.doi: 10.19439/j.sjos.2023.02.008

• 论著 • 上一篇    下一篇

4种氧化锆类全瓷修复体光学性能评价

邹妍, 熊佩文, 朱洪水   

  1. 南昌大学附属口腔医院·江西省口腔生物医学重点实验室,江西 南昌 330006
  • 收稿日期:2022-02-18 修回日期:2022-05-22 出版日期:2023-04-25 发布日期:2023-06-13
  • 通讯作者: 朱洪水,E-mail:zhuhongshui@126.com
  • 作者简介:邹妍(1993-),女,硕士,住院医师,E-mail:1922988408@qq.com

Experimental study on the optical properties of different-translucency zirconia-ceramic restorations

ZOU Yan, XIONG Pei-wen, ZHU Hong-shui   

  1. Affiliated Stomatological Hospital of Nanchang University; Key Laboratory of Oral Biomedicine. Nanchang 330006, Jiangxi Province, China
  • Received:2022-02-18 Revised:2022-05-22 Online:2023-04-25 Published:2023-06-13

摘要: 目的: 使用2种不同透明性氧化锆及饰瓷材料制作4种氧化锆类全瓷修复体,比较其光学性能。采用透明性(TP)及色差值(△E)为评价指标,为临床修复偏灰色基牙提供参考。方法: 使用2种不同透明性A2色二氧化锆(贝特福美学全锆、Cercon 低透氧化锆)及配套体瓷粉,制作4组氧化锆类全瓷试件,包括高透明性二氧化锆烧结牙本质瓷(A组)、低透明性二氧化锆烧结牙本质瓷(B组)、高透明性二氧化锆烧结不透明瓷及牙本质瓷(C组)和低透明性二氧化锆烧结不透明瓷及牙本质瓷(D组)。试件尺寸为14 mm×14 mm×1.5 mm,每组6个,共24个。用 Shade Eye NCC 色度计测色仪,分别测量试件在黑白背景上的颜色参数(计算TP值)、钛合金和A3 色光固化复合树脂上的颜色参数(计算△E值)。采用SPSS 17.0 软件包进行统计学分析。结果: 4组试件的TP值不同,在2种背景下的△E值也不同,具有统计学差异(P<0.05),TP值由小到大依次为D组<C组<B组<A组,不透明瓷的使用明显降低透明性;△E值由小到大依次为D组<C组<B组<1.5<2<A组,A组的色差值不能被临床接受。结论: 低透明性二氧化锆烧结高透明性饰瓷的修复体透明性较高,且修复后的色差值不易被肉眼察觉,可用于偏灰色基牙的修复。

关键词: 二氧化锆, 全瓷, 透明性, 色差

Abstract: PURPOSE: The purpose of this in vitro study was to measure the color difference(△E) on titanium alloy background and translucency parameter(TP) of four kinds of zirconia-based all-ceramic specimens, providing a clinical reference for restoring grayish abutment. METHODS: Four groups with a total of 24 ceramic specimens were fabricated to a final specimen dimension of 14 mm×14 mm×1.5 mm, two kinds of zirconia with different translucency(Beitefu high-translucency, Cercon low-translucency)and their corresponding body porcelain at the shade of A2 were used as followed:high-translucency zirconia sintered dentine porcelain(Group A),low-translucency zirconia sintered dentine porcelain(Group B),high-translucency zirconia sintered opaque and dentine porcelain(Group C),low-translucency zirconia sintered opaque and dentine porcelain(Group D).The color parameters of the specimens under two backgrounds (titanium alloy and shade A3 light-activated resin-based composite) were measured by Shade Eye NCC colorimeter, then the △E value was determined by the relevant equations. The color parameters under black and white background were measured, and TP value was calculated. The experimental data were analyzed with SPSS 17.0 software package. RESULTS: There was significant difference of the TP value and the △E value among four groups specimens(P<0.05), the TP value was arranged as follows: group D<group C<group B<group A. The specimen used with opaque porcelain showed significantly reduced translucency. The △E value was arranged as follows :group D < group C < group B < 1.5 < 2 <group A, the △E value of group A cannot be accepted in clinic. CONCLUSIONS: The restoration of low-translucency zirconia sintered translucency veneering ceramic has better translucency, with value of △E<1.5 when used on the grayish abutment, which has a good aesthetic performance.

Key words: Zirconia, All-ceramic, Translucency parameter, Color difference

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