dental veneer

  • 文章类型: Journal Article
    有大量关于牙科贴面的公开文献;然而,牙齿预备的效果,老化,单板类型,而树脂粘固剂的失效类型对牙科贴面的实验室与临床情况尚不清楚。本叙述性综述的目的是确定与实验室测试中牙科贴面失败相关的主要因素,并了解这些因素如何转化为临床成功/失败。文章由主要作者在2024年1月使用关键词“牙齿贴面”进行识别和筛选,\"并发症\",“生存率”,\"失败\",和“成功率”使用PubMed/Medline,Scopus,谷歌学者,科学直接。纳入标准包括1999年1月至2024年1月发表的关于牙齿准备主题的文章,树脂水泥和单板的老化过程,半透明,厚度,单板的制造技术;遮阳,树脂水泥的厚度。排除标准包括讨论边际和内部匹配的文章,显微硬度,水吸附,溶解度,可抛光性,咬合贴面,保留,表面处理,和穿。本综述的结果表明,牙科贴面通常具有很高的存活率(超过10年>90%)。保存的釉质层的数量在贴面的存活率和成功率中起着至关重要的作用,和最少/没有准备的玻璃陶瓷贴面显示出最高的存活率。骨折是与存活率降低相关的主要失败机制,然后是脱粘和颜色变化。在存在功能异常活动的情况下,骨折增加。牙髓并发症较少与贴面修复相关。上颌和下颌牙齿之间没有观察到差异。临床意义:通过在胶结后立即评估咬合和使用高强度贴面材料可以减少骨折,低模量树脂水泥,和薄层高度抛光的贴面。脱粘失败可以用最少/无准备减少,当牙本质暴露时,应考虑立即密封牙本质。还可以通过防止血液污染来减少脱粘,唾液,手机油,或含氟抛光膏;通过适当的表面处理(对玻璃陶瓷进行20s的氢氟酸蚀刻,然后用硅烷蚀刻60s);并通过对薄单板使用光固化聚合。可以使用具有UDMA基树脂的树脂水泥保持长期颜色稳定性,玻璃陶瓷材料,和薄单板的光固化聚合。
    There is a vast amount of published literature concerning dental veneers; however, the effects of tooth preparation, aging, veneer type, and resin cement type on the failure of dental veneers in laboratory versus clinical scenarios are not clear. The purpose of the present narrative review was to determine the principal factors associated with failures of dental veneers in laboratory tests and to understand how these factors translate into clinical successes/failures. Articles were identified and screened by the lead author in January 2024 using the keywords \'\'dental veneer\", \"complication\", \"survival rate\", \"failure\", and \"success rate\" using PubMed/Medline, Scopus, Google Scholar, and Science Direct. The inclusion criteria included articles published between January 1999 and January 2024 on the topics of preparation of a tooth, aging processes of the resin cement and veneer, translucency, thickness, fabrication technique of the veneer; shade, and thickness of the resin cement. The exclusion criteria included articles that discussed marginal and internal fit, microhardness, water sorption, solubility, polishability, occlusal veneers, retention, surface treatments, and wear. The results of the present review indicated that dental veneers generally have a high survival rate (>90% for more than 10 years). The amount of preserved enamel layer plays a paramount role in the survival and success rates of veneers, and glass-ceramic veneers with minimal/no preparation showed the highest survival rates. Fracture was the primary failure mechanism associated with decreased survival rate, followed by debonding and color change. Fractures increased in the presence of parafunctional activities. Fewer endodontic complications were associated with veneer restorations. No difference was observed between the maxillary and mandibular teeth. Clinical significance: Fractures can be reduced by evaluation of occlusion immediately after cementation and through the use of high-strength veneer materials, resin cements with low moduli, and thin layers of highly polished veneers. Debonding failures can be reduced with minimal/no preparation, and immediate dentin sealing should be considered when dentin is exposed. Debonding can also be reduced by preventing contamination from blood, saliva, handpiece oil, or fluoride-containing polishing paste; through proper surface treatment (20 s of hydrofluoric acid etching for glass ceramic followed by silane for 60 s); and through use of light-cured polymerization for thin veneers. Long-term color stability may be maintained using resin cements with UDMA-based resin, glass ceramic materials, and light-cure polymerization with thin veneers.
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  • 文章类型: Systematic Review
    目的:本研究的目的是回顾不同类型的部分覆盖修复体(PCR)树脂粘固剂的选择标准,并研究修复体或修复材料的类型是否影响所选树脂粘固剂的类型。
    方法:在PubMed中进行了电子搜索(1991-2023年),Medline,Scopus,和谷歌学术数据库通过相关关键字的组合。
    结果:共纳入68篇文章,以根据优势回顾选择标准,缺点,适应症,树脂水泥对不同类型PCRs的性能。
    结论:选择合适的骨水泥对PCRs的存活和成功有很大的影响。自固化和双固化树脂水泥已被推荐用于金属PCRs的胶结。PCR是由薄的,半透明,和低强度陶瓷可以通过光固化常规树脂水泥进行粘合。自蚀刻和自粘水泥,特别是双重固化类型,通常不用于层压贴面。
    The aim of this study was to review the selection criteria of resin cements for different types of partial coverage restorations (PCRs) and investigate if the type of restorations or restorative materials affect the type of selected resin cement.
    An electronic search (1991-2023) was performed in PubMed, Medline, Scopus, and Google Scholar databases by combinations of related keywords.
    A total of 68 articles were included to review the selection criteria based on the advantages, disadvantages, indications, and performance of resin cements for different types of PCRs.
    The survival and success of PCRs are largely affected by appropriate cement selection. Self-curing and dual-curing resin cements have been recommended for the cementation of metallic PCRs. The PCRs fabricated from thin, translucent, and low-strength ceramics could be adhesively bonded by light-cure conventional resin cements. Self-etching and self-adhesive cements, especially dual-cure types, are not generally indicated for laminate veneers.
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  • 文章类型: Journal Article
    CAD/CAM混合材料已越来越多地用于修复性牙科。然而,它们的低拉伸粘结强度(TBS)可能导致微创修复体的脱离。当准备好了,实验性的釉质基生物聚合物假体提供了蜂窝状界面层,其粘合剂导致TBS比Ni-Cr-Be基合金高,二硅酸锂基陶瓷,和固化树脂复合材料。这项研究旨在比较由实验生物聚合物和商业混合材料制成的牙科贴面的TBS,这些材料使用两种不同的粘合剂粘合到牙釉质上。
    由商业CAD/CAM块制备1毫米厚的层压单板(4×4毫米):VITAENAMIC,SHOFU块HC,KATANAAVENCIA,和一种实验性生物聚合物。单板的平坦粘合表面被研磨成600粒,然后进行50μm氧化铝空气研磨以进行标准化。使用Super-BondC&B或RelyX™U200树脂(n=10)将每个单板固定在平底牛牙釉质上。表面处理和粘合程序按照制造商的建议进行处理。在用万能试验机以1.0mm/min的十字头速度进行拉伸测试之前,将所有粘合的样品在37°C的水中储存24小时。用立体显微镜和扫描电子显微镜检查断裂表面。TBS数据采用双因素方差分析和Tukey的HSD检验(α=0.05)进行统计学分析。
    实验性生物聚合物单板显示出最高的平均TBS,在粘合剂中具有内聚破坏。在其他组中发现了单板侧界面处的粘合失效。两种试剂之间没有显着差异。
    结果表明,与搪瓷结合的实验生物聚合物贴面提供了最佳的保留。对于所有商业CAD/CAM混合材料,釉质-树脂界面处的TBS高于单板-树脂界面处的TBS。
    一种实验性的基于牙釉质的生物聚合物贴面在临床治疗中可以提供比CAD/CAM混合材料更好的保留力。
    UNASSIGNED: CAD/CAM hybrid materials have become increasingly utilized in restorative dentistry. However, their low tensile bond strength (TBS) may lead to the detachment of minimally invasive restorations. When prepared, an experimental enamel-based biopolymer prosthesis provided a honeycomb-like interfacial layer with luting adhesives leading to a higher TBS than Ni-Cr-Be based alloy, lithium disilicate-based ceramic, and cured-resin-composite. This study aimed to compare TBSs of dental veneers fabricated from experimental biopolymer and commercial hybrid materials bonded to enamel using two different luting adhesives.
    UNASSIGNED: Laminate veneers (4 × 4 mm) 1 mm thick were prepared from commercial CAD/CAM blocks: VITA ENAMIC, SHOFU Block HC, KATANA AVENCIA, and an experimental biopolymer. The flat bonding surface of the veneers was ground to 600-grit, followed by 50-μm alumina air-abrading for standardization. Each veneer was fixed on flat ground bovine enamel using either Super-Bond C&B or RelyX™ U200 resin (n = 10). The surface treatment and bonding procedures were treated as recommended by the manufacturers. All bonded specimens were stored in water at 37 °C for 24 h before tensile testing with a universal testing machine at a cross-headed speed of 1.0 mm/min. The fractured surface was examined with a stereomicroscope and scanning electron microscope. TBS data were statistically analyzed using two-way ANOVA and Tukey\'s HSD test (α = 0.05).
    UNASSIGNED: Experimental biopolymer veneers demonstrated the highest mean TBS with cohesive failure in the luting agents. Adhesive failure at the veneer side interface was found in other groups. There was no significant difference between the two luting agents.
    UNASSIGNED: The results indicate that the experimental biopolymer veneer bonded to enamel provided the best retention. The TBS at the enamel-resin interface is higher than at the veneer-resin interface for all commercial CAD/CAM hybrid materials.
    UNASSIGNED: An experimental enamel-based biopolymer veneer can provide better retention than CAD/CAM hybrid materials in clinical treatment.
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  • 文章类型: Journal Article
    This study investigated the influence of roughening procedures and application of primers on shear bond strengths of CAD/CAM composite resin material or ceramic material to zirconia frameworks. A CAD/CAM composite resin block (Katana Avencia Block; AVE) and lithium disilicate glass-ceramic block (IPS e.max CAD; IEC) were used as veneer materials. The veneers were divided into three surface treatment groups; HF, hydrofluoric acid etching; AB, airborne-particle abrasion; and CON, no surface treatment. Each veneer was primed with four agents: Clearfil Porcelain Bond Activator (ACT), Clearfil Photo Bond (CPB), Clearfil Photo Bond with Porcelain Bond Activator (CPB+ACT), and no priming (UP). The zirconia frameworks and AVE or IEC veneers were resin-bonded. In the AVE specimen, AB treatment showed significantly higher shear bond strength than the other treatments at 0 and 20,000 thermocycles, except for UP and CPB+ACT groups at 20,000 thermocycles. Airborne-particle abrasion is necessary for resin bonding to Avencia blocks.
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  • 文章类型: Journal Article
    OBJECTIVE: The purpose of this study was to compare the translucency and color changes of ceramic laminate veneers of different composition following glazing process.
    METHODS: 10 mm × 10 mm square specimens of 0.6 mm and 1.0 mm thicknesses were fabricated with IPS e.max Press (EM) and IPS e.max ZirPress (ZP) (n=10 per group). The color coordinates (CIE L* a* b*) of the specimens were recorded with a colorimeter before and after glazing. The color changes and translucency parameter (TP) were calculated. For the comparisons with the composition and thicknesses between the \'not glazed\' and \'glazed\' groups, statistical analyses were done through paired T-test, independent two-sample T-test, and multiple regression analysis using SPSS 18.0 (P<.05).
    RESULTS: The TP of 0.6 mm EM was higher than that of 0.6 mm ZP. Total color difference (ΔE*) between bare and glazed specimens of 1.0 mm EM was greater than that of 1.0 mm ZP with statistical significance. Following glazing, specimens from all groups showed statistically significant amount of decrease in L* and a*, and statistically significant increase in b*. The result of multiple regression analysis of EM and ZP showed that ΔL* improved ΔE*.
    CONCLUSIONS: Within the limitations of present study, we conclude that translucency and color of ceramic laminate veneers change significantly after glazing process, and the nature and amount of changes vary with different compositions.
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  • 文章类型: Journal Article
    UNASSIGNED: To analyze the influence of thickness and incisal extension of indirect veneers on the stress and strain generated in maxillary canine teeth.
    UNASSIGNED: A 3-dimensional maxillary canine model was validated with an in vitro strain gauge and exported to computer-assisted engineering software. Materials were considered homogeneous, isotropic, and elastic. Each canine tooth was then subjected to a 0.3 and 0.8 mm reduction on the facial surface, in preparations with and without incisal covering, and restored with a lithium disilicate veneer. A 50 N load was applied at 45° to the long axis of the tooth, on the incisal third of the palatal surface of the crown.
    UNASSIGNED: The results showed a mean of 218.16 µstrain of stress in the in vitro experiment, and 210.63 µstrain in finite element analysis (FEA). The stress concentration on prepared teeth was higher at the palatal root surface, with a mean value of 11.02 MPa and varying less than 3% between the preparation designs. The veneers concentrated higher stresses at the incisal third of the facial surface, with a mean of 3.88 MPa and a 40% increase in less-thick veneers. The incisal cover generated a new stress concentration area, with values over 48.18 MPa.
    UNASSIGNED: The mathematical model for a maxillary canine tooth was validated using FEA. The thickness (0.3 or 0.8 mm) and the incisal covering showed no difference for the tooth structure. However, the incisal covering was harmful for the veneer, of which the greatest thickness was beneficial.
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  • 文章类型: Journal Article
    Background: the aim of the study was to describe the step-by-step of clinical cases using prefabricated composite resin veneers (PCRVs), manufactured with the composite Brilliant New Generation (Coltene, Altstätten, Switzerland). Direct composite veneers presented some drawback as the difficult of execution and color instability of the composite over the time. The simplified application of the PCRVs presented as an interesting alternative in cases of smile asymmetry, large deficient restorations and discolored tooth. In the present investigation, the complete description of the PCRVs technique can help the dentist during the planning and execution of treatments with the Componeer system. Conclusion: the treatment with Componeer Brilliant NG showed excellent aesthetic results. PCRVs technique is simpler than direct composite veneers. The specific characteristics of the system can promote results with greater aesthetic longevity. It is important to highlight that this procedure does not replace the already established veneer technique with dental ceramics. Clinical implication: PCRVs presented an excellent surface gloss. Their dimensions based on the golden ratio facilitate the technique and turns as an excellent alternative in the aesthetic restorative treatment in the anterior region.
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    文章类型: Case Reports
    背景:本文介绍了一个为期6个月的病例报告,并对新的自蚀刻玻璃陶瓷单体蚀刻和底漆(MEP)应用于焦硅酸锂(LD)时的性能进行了体外评估。MEP包含在同一个瓶子里,以及酸性调节剂和硅烷。这不仅通过减少步骤的数量来简化键合程序,还有工作时间。一名42岁的女性患者寻求美容治疗,主要主诉是上外侧切牙的外观变暗。美容治疗包括牙齿漂白和牙龈切除术,全瓷氧化锆冠,和全陶瓷冠和层压贴面LD。经过6个月的美容治疗,边缘染色,间隙,或在边缘没有观察到锋利的资源管理器后,芯片破裂破坏边缘。此外,与传统的氢氟酸(HF)调节相比,MEP的蚀刻模式较差。当将HF与MEP进行比较时,LD的凹版表面的微剪切粘结强度在统计学上相似。在本病例报告中,这种新型的自蚀刻玻璃陶瓷在体外和6个月的临床效果良好。未来需要进行更多临床病例的长期临床研究,以确认使用这种新型调理剂的性能。
    结论:使用一种新型的自蚀刻玻璃陶瓷在体外和6个月的临床效果良好。这个新产品可以是一个简单的,简单,和美学结合程序的替代方法。
    BACKGROUND: This article presents a 6-month case report and an in vitro evaluation of the performance of the new self-etching glass-ceramic monobond etch and prime (MEP) when applied in a lithium disilicate (LD). The MEP contains in the same bottle, along with acid conditioner and silanes. This simplifies the bonding procedures by reducing not only the number of steps, but also the working time. A 42-year-old female patient sought for esthetic treatment, and the main complaint was the darkened appearance of the upper lateral incisor. The esthetic treatment includes dental bleaching and gingivectomy, all-ceramic zirco-nia crowns, and all-ceramic crown and laminate veneer LD. After 6 months of esthetic treatment, marginal staining, gap, or chip fracturing damaging margins after sharp explorer in the margins was not observed. Furthermore, the inferior etching pattern of MEP was compared with traditional hydrofluoric acid (HF) conditioning. The microshear bond strength to the intaglio surface of LD was statistically similar when HF was compared with MEP. This new self-etching glass-ceramic showed good in vitro and 6 months clinical results in this case report. Future long-term clinical studies with more clinical case need to be done to confirm the performance of the use of this new conditioner.
    CONCLUSIONS: The use of a new self-etching glass-ceramic showed a good in vitro and 6 months clinical results. This new product can be an easy, simple, and alternative approach for esthetics bonding procedure.
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  • 文章类型: Journal Article
    BACKGROUND: This in vitro study investigated the marginal fit of two porcelain laminate veneers to help the selection of more accurate veneers in discolored teeth.
    METHODS: Thirty impressions of metal master die created from the prepared labial surface of an acrylic maxillary central incisor were made and poured with Type IV stone. The dies were distributed into test groups (n = 15) for the construction of DuCeram and InCeram laminate veneers. An image-analysis program was used to measure the gap between the veneers and the master die at the labial, lingual, and proximal margins. Statistical analysis was performed with repeated measures ANOVA. Independent t-test was used to compare the mean values between the two groups. Values of P < 0.05 were judged to be significant.
    RESULTS: Differences between marginal fit of two groups were significant (P < 0.001). The overall mean marginal gap values (μm) for InCeram and DuCeram were, respectively, 114.4 ± 40.81 and 282.3 ± 82.82. Independent t-test revealed significant differences between the marginal gaps of two materials at different predetermined points.
    CONCLUSIONS: Within the limitations of this study, the marginal gap in InCeram laminate veneer was within the clinically acceptable standard set at 120 μm.
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