OPTIMAL PRESSABLE CERAMIC 금관의 변연형태에 따른 변연적합도와 파절강도에 관한 연구

Marginal Fidelity and Fracture Strength of OPTIMAL PRESSABLE CERAMIC Crown according to Margin Types

Optimal Pressable Ceramic is one of the all-ceramic restorations with a shaded translucent pressed core and layering porcelains. The purpose of this study was to evaluate the marginal fidelity according to margin types and measurement sites, and to evaluate fracture strength according to margin types. Twenty seven OPC crowns made according to 3 types of cervical finishing lines were used in this study. Marginal gaps were measured before and after cementation. A Steromicroscope(SZ-ST(R), Olympus, Japan) was used to measure the space between the margin of OPC crown and the finishing line of metal model. Marginal gaps were measured at the labial, mesial, lingual and distal site, which were demonstrated in advance. Fracture strength testing was carried out using an Instron(Model M100EC, Mecmesin, England) at a cross head speed of 5 mm/min. All crowns were loaded until catastrophic failures occurred. The result were as follow: 1. In comparison according to variable margin before cementation, the marginal gap were increased in chamfer margin($47.50{\pm}18.39{\mu}m$), $120^{\circ}$shoulder margin ($55.21{\pm}14.4{\mu}m$) and $90^{\circ}$shoulder margin($71.18{\pm}13.30{\mu}m$) in ascending order, and there were significant differences between chamfer margin and $90^{\circ}$shoulder margin, $120^{\circ}$shoulder margin and between $120^{\circ}$shoulder margin and $90^{\circ}$shoulder margin respectively(p<0.05). 2. In comparison according to variable margin after cementation, the gap discrepancies were increased in chamfer margin($60.78{\pm}30.37{\mu}m$), $120^{\circ}$shoulder margin($66.67{\pm}11.18{\mu}m$) and $90^{\circ}$shoulder margin($85.78{\pm}17.23{\mu}m$) in ascending order, but there was significant difference only between chamfer margin and $90^{\circ}$shoulder margin(p<0.05). 3. Labio-lingual points showed a better marginal fidelity than that of proximal point(p<0.05). 4. Chamfer margin($48.76{\pm}8.45kgf$) showed higher fracture strength than $120^{\circ}$ shoulder margin($40.57{\pm}7.90kgf$) and $90^{\circ}$ shoulder margin(32.7.90kgf) (p<0.05), but there was significant difference only between chamfer margin and $90^{\circ}$ shoulder margin(p<0.05).