구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제36권2호
  • /
  • Pages.61-69
  • /
  • 2020
  • /
  • 2384-4353(pISSN)
  • /
  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
권호 표지
DOI QR코드

DOI QR Code

지르코니아 고정성 국소의치의 지대치간 거리에 따른 파절저항성에 관한 연구

Study of the fracture resistance of zirconia on posterior fixed partial dentures based on inter-abutment distance

  • 박기범 (단국대학교 보건복지대학원 구강보건학과) ;
  • 신수연 (단국대학교 치과대학 치과보철학교실)
  • Park, Gi-Beom (Department of Oral Health, Graduate School of Health & Welfare, Dankook University) ;
  • Shin, Soo-Yeon (Department of Prosthodontics, College of Dentistry, Dankook University)
  • 투고 : 2020.02.15
  • 심사 : 2020.05.11
  • 발행 : 2020.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

목적: 하악 제2소구치와 제2대구치를 지대치로 한 지르코니아 고정성 국소의치에서 지대치 간 거리가 파절저항성에 미치는 영향을 조사하였다. 연구 재료 및 방법: Cameleon S zirconia block과 Luxen S2 zirconia block으로 각 재료별 지대치 간 거리를 달리 하여 CS군과 S2군으로 나누어 표기하였으며, 소결된 지르코니아 고정성 국소의치를 임시접착시멘트를 이용하여 에폭시 레진 다이에 합착하였다. 이후, 가공치 교합면에 직경 6 mm 강철구를 위치시켜 로드셀 5.0 kN의 universal testing machine에서 크로스 헤드 속도 1.0 mm/min로 압력을 가하여 파절저항성을 측정하였다. 결과: 지르코니아 고정성 국소의치의 파절저항성은 지대치 간 거리에 큰 영향을 받지 않았다. CS군에서 지대치 간 거리가 15 mm인 경우가 13 mm와 17 mm인 경우보다 파절저항성이 유의하게 높았다(P < 0.05). S2군에서는 파절저항성이 세 군 간에 유의한 차이가 없었다(P > 0.05). 결론: 하악 제2소구치와 제2대구치를 지대치로 한 지르코니아 고정성 국소의치에서 지대치 간 거리는 지르코니아의 종류에 따라 파절저항성에 영향을 줄 수 있다.

Purpose: Zirconia fixed partial dentures with mandibular 2nd premolar and 2nd molar as abutments are fabricated and then the effects of inter-abutment distance on fracture resistance of zirconia fixed partial dentures is studied. Materials and Methods: The materials used in this study are Cameleon S zirconia block and S2 zirconia block, which are divided into CS Group and S2 Group applying different inter-abutment distance for each material, and the sintered zirconia fixed partial denture was luted to the epoxy resin die using a temporary luting cement, and then the fracture resistance was measured by placing a 6 mm diameter hardened steel ball on the occlusal surfaces of the pontics and applying pressure at a cross head speed of 1.0 mm/min on a universal testing machine with a load cell of 5.0 kN. Results: The fracture resistance of zirconia fixed partial dentures is not significantly affected by inter-abutment distance The fracture resistance of zirconia fixed partial dentures in CS Group was significantly higher in 15 mm of inter-abutment distance than in 13 mm and 17 mm of inter-abutment distance (P < 0.05). The fracture resistance of zirconia fixed partial dentures in S2 Group was not significantly different between the three groups (P > 0.05). Conclusion: The fracture resistance of zirconia fixed partial dentures with mandibular 2nd premolar and 2nd molar as abutments does not significantly affected by the inter-abutment distance.

키워드

참고문헌

  1. Lee HH. Recent Dental Ceramics: Processing and Strengthening. J Korean Res Soc Dent Mater 2000;27:1-11.
  2. Ardlin BI. Transformation-toughened zirconia for dental inlays, crowns and bridges: chemical stability and effect of low-temperature aging on flexural strength and surface structure. Dent Mater 2002;18:590-5. https://doi.org/10.1016/S0109-5641(01)00095-1
  3. Sobrinho LC, Cattell MJ, Glover RH, Knowles JC. Investigation of the dry and wet fatigue properties of three all-ceramic crown systems. Int J Prosthodont 1998;11:255-62.
  4. Campbell SD, Sozio RB. Evaluation of the fit and strength of an all-ceramic fixed partial denture. J Prosthet Dent 1988;59:301-6. https://doi.org/10.1016/0022-3913(88)90177-1
  5. Tinschert J, Natt G, Mautsch W, Augthun M, Spiekermann H. Fracture resistance of lithium disilicate-, alumina-, and zirconia-based three-unit fixed partial dentures: a laboratory study. Int J Prosthodont 2001;14:231-8.
  6. Kohorst P, Herzog TJ, Borchers L, Stiesch-Scholz M. Load-bearing capacity of all-ceramic posterior four-unit fixed partial dentures with different zirconia frameworks. Eur J Oral Sci 2007;115:161-6. https://doi.org/10.1111/j.1600-0722.2007.00429.x
  7. Meyenberg KH, Luthy H, Scharer P. Zirconia posts: a new all-ceramic concept for nonvital abutment teeth. J Esthet Dent 1995;7:73-80. https://doi.org/10.1111/j.1708-8240.1995.tb00565.x
  8. Wagner WC, Chu TM. Biaxial flexural strength and indentation fracture toughness of three new dental core ceramics. J Prosthet Dent 1996;76:140-4. https://doi.org/10.1016/S0022-3913(96)90297-8
  9. Keith O, Kusy RP, Whitley JQ. Zirconia brackets: an evaluation of morphology and coefficients of friction. Am J Orthod Dentofacial Orthop 1994;106:605-14. https://doi.org/10.1016/S0889-5406(94)70085-0
  10. Tinschert J, Natt G, Mautsch W, Spiekermann H, Anusavice KJ. Marginal fit of alumina- and zirconia-based fixed partial dentures produced by a CAD/CAM system. Oper Dent 2001;26:367-74.
  11. Oh W, Gotzen N, Anusavice KJ. Influence of connector design on fracture probability of ceramic fixed-partial dentures. J Dent Res 2002;81:623-7. https://doi.org/10.1177/154405910208100909
  12. El-Ebrashi MK, Craig RG, Peyton FA. Experimental stress analysis of dental restorations. VII. structural design and stress analysis of fixed partial dentures. J Prosthet Dent 1970;23:177-86. https://doi.org/10.1016/0022-3913(70)90295-7
  13. Fischer H, Weber M, Marx R. Lifetime prediction of all-ceramic bridges by computational methods. J Dent Res 2003;82:238-42. https://doi.org/10.1177/154405910308200317
  14. Mahmood DJ, Linderoth EH, Von Steyern PV, Wennerberg A. Fracture strength of all-ceramic (YTZP) three- and four-unit fixed dental prostheses with different connector design and production history. Swed Dent J 2013;37:179-87.
  15. Schmitter M, Mussotter K, Rammelsberg P, Gabbert O, Ohlmann B. Clinical performance of longspan zirconia frameworks for fixed dental prostheses: 5-year results. J Oral Rehabil 2012;39:552-7. https://doi.org/10.1111/j.1365-2842.2012.02311.x
  16. Sailer I, Feher A, Filser F, Luthy H, Gauckler LJ, Scharer P, Franz Hammerle CH. Prospective clinical study of zirconia posterior fixed partial dentures: 3-year follow-up. Quintessence Int 2006;37:685-93.
  17. Guazzato M, Albakry M, Ringer SP, Swain MV. Strength, fracture toughness and microstructure of a selection of all-ceramic materials. Part II. Zirconia-based dental ceramics. Dent Mater 2004;20:449-56. https://doi.org/10.1016/j.dental.2003.05.002
  18. Luthardt RG, Sandkuhl O, Herold V, Walter MH. Accuracy of mechanical digitizing with a CAD/CAM system for fixed restorations. Int J Prosthodont 2001;14:146-51.
  19. Dahlmo KI, Andersson M, Gellerstedt M, Karlsson S. On a new method to assess the accuracy of a CAD program. Int J Prosthodont 2001;14:276-83.
  20. Moldovan O, Luthardt RG, Corcodel N, Rudolph H. Three-dimensional fit of CAD/CAM-made zirconia copings. Dent Mater. 2011;27:1273-8 https://doi.org/10.1016/j.dental.2011.09.006
  21. Beuer F, Naumann M, Gernet W, Sorensen JA. Precision of fit: zirconia three-unit fixed dental prostheses. Clin Oral Investig 2009;13:343-9. https://doi.org/10.1007/s00784-008-0224-6
  22. Al-Amleh B, Lyons K, Swain M. Clinical trials in zirconia: a systematic review. J Oral Rehabil 2010;37:641-52. https://doi.org/10.1111/j.1365-2842.2010.02094.x
  23. Manicone PF, Iommetti PR, Raffaelli L. An overview of zirconia ceramics: basic properties and clinical applications. J Dent 2007;35:819-26. https://doi.org/10.1016/j.jdent.2007.07.008
  24. Tinschert J, Schulze KA, Natt G, Latzke P, Heussen N, Spiekermann H. Clinical behavior of zirconiabased fixed partial dentures made of DC-Zirkon: 3-year results. Int J Prosthodont 2008;21:217-22.
  25. Lohbauer U, Amberger G, Quinn GD, Scherrer SS. Fractographic analysis of a dental zirconia framework: a case study on design issues. J Mech Behav Biomed Mater 2010;3:623-9. https://doi.org/10.1016/j.jmbbm.2010.07.004
  26. Yusuke Takuma, Syuntaro Nomoto, Toru Sato, Naoki Sugihara. Effect of Framework Design on Fracture Resistance in Zirconia 4-unit All-ceramic Fixed Partial Dentures. Bull Tokyo Dent Coll 2013;54:149-56. https://doi.org/10.2209/tdcpublication.54.149
  27. Seo JY, Park IN, Lee KW. Fracture strength between different connector designs of zirconia core for posterior fixed partial dentures manufactured with CAD/CAM system. J Korean Acad Prosthodont 2006;44:29-39.
  28. Ogino Y, Nomoto S, Sato T. Effect of connector design on fracture resistance in zirconia-based fixed partial dentures for upper anterior region. Bull Tokyo Dent Coll 2016;57:65-74. https://doi.org/10.2209/tdcpublication.2015-0034
  29. Hamza TA, Attia MA, El-Hossary MM, Mosleh IE, Shokry TE, Wee AG. Flexural strength of small connector designs of zirconia-based partial fixed dental prostheses. J Prosthetic Dent 2016;115:224-9. https://doi.org/10.1016/j.prosdent.2015.06.022
  30. Bok SB. Study on the fracture resistance and reliability of zirconia posterior fixed partial denture. Ph. D. thesis, Dankook University. 2009.
  31. Seo HW. The effect of aging process on the flexural strength of airborne particle abraded zirconia ceramics. Master's thesis, Seoul Nat'l Univ. 2015.
  32. Jang KJ. Effect of infiltration with ferric oxide contaning glass on the color, microstructure and strength of zirconia. Master's thesis, Chonnam Nat'l Univ. 2015.
  33. Kim MC. Effects of zirconia sintering condition on flexural strength and grain size. Master's thesis, Korea Univ. 2014.
  34. Park JW. A Comparative Study on the fracture strength of the multi coloured monolithic zirconia restoration. Kyungpook Nat'l Univ. 2016.