The Journal of Korean Academy of Prosthodontics (대한치과보철학회지)

The Korean Academy of Prosthodonitics (대한치과보철학회)
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The effect of heat and press-on-metal technique on marginal fit of metal-ceramic crown

열가압성형도재의 사용이 금속도재관 치경부 변연적합도에 미치는 영향

  • Kim, Ji-Eun (Department of Prosthodontics, School of Dentistry, Kyungpook National University) ;
  • Kim, Se-Yeon (Department of Prosthodontics, College of Dentistry, Wonkwang University) ;
  • Lee, Cheong-Hee (Department of Prosthodontics, School of Dentistry, Kyungpook National University)
  • 김지은 (경북대학교 치의학전문대학원 치과보철학교실) ;
  • 김세연 (원광대학교 치과대학 치과보철학교실) ;
  • 이청희 (경북대학교 치의학전문대학원 치과보철학교실)
  • Received : 2014.03.17
  • Accepted : 2014.04.11
  • Published : 2014.04.30
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Abstract

Purpose: The purpose of this study is to see what impact the heat and press-on-metal technique has on the marginal fit of metal ceramic crown. Materials and methods: Prior to the experiment, 4 metal master models were prepared. Each model has margin of chamfer, margin of heavy chamfer, margin of shoulder with bevel and margin of shoulder (collarless). Additionally, 10 crowns were made for each margin, total of 40 crowns. Marginal discrepancy between the master model and crown was observed at ${\times}100$ microscopic magnification in two states; in coping state and upon completion of making metal ceramic crown. Data analysis was performed using paired t-test along with one-way ANOVA and Duncan multiple comparison test. Results: After analyzing mean and standard deviation of marginal discrepancy, it was confirmed that marginal discrepancies were within the clinical permitted range for all states; in coping state and upon completion of making metal ceramic crown. For the chamfer group, a significant increase in marginal discrepancy upon completion of making metal ceramic crown was observed compared to the heavy chamfer group. Also, a marginal discrepancy of porcelain margin in shoulder group was significantly less than the marginal discrepancy of metal margin in chamfer and shoulder group. Conclusion: From the test result, one can conclude that marginal fit of metal ceramic crown built with heat and press-on-metal technique is not significantly different from marginal fit of metal ceramic crown built with traditional technique. And along with efficiency of this system, heat and press-on-metal technique is considered in clinic.

연구 목적: 이 연구의 목적은 열가압성형기법이 금속도재관의 치경부 변연적합도에 미치는 영향을 확인하는 것이다. 연구 재료 및 방법: 실험에 앞서, 4개의 금속 주모형을 형성하였다. 각 모형은 각각chamfer, heavy chamfer, shoulder with bevel, shoulder (collarless)변연을 형성하였다. 각 변연당 10개씩의 금관을 제작하여, 총 40개를 제작하였다. Coping 단계에서, 그리고 금속도재관 완성 단계에서 주모형과 금관 사이의 변연간극은 100배율의 광학현미경 관찰을 통하여 측정되었다. Data분석은 paired t-test along with one-way ANOVA와 Duncan multiple comparison test를 이용하여 이루어졌다. 결과: 변연간극의 평균과 표준편차를 분석한 결과, 금속 코핑과 그 후 완성된 금속도재관, 모든 경우에서 변연부 간격은 임상적 허용범위 안에 있었다. Chamfer 변연 실험군의 경우 Heavy chamfer 변연 실험군에 비하여 금속도재관 완성 후 변연부 간격의 유의한 증가가 있었다. 그리고Shoulder 변연 실험군에서 도재로 처리된 변연이 Chamfer와 Shoulder변연 실험군의 금속변연에 비하여 변연부 간격이 유의하게 작게 나타났다. 결론: 열가압성형기법을 통하여 제작한 금속도재수복물의 변연적합도는 전통적인 방법으로 제작한 금속도재수복물의 변연적합도와 유의한 차이점이 없었다. 제작과정의 효율성으로, 열가압성형기법은 임상에서의 효과적인 사용법으로 고려될 수 있다.

Keywords

References

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