国际口腔医学杂志 ›› 2018, Vol. 45 ›› Issue (1): 9-13.doi: 10.7518/gjkq.2018.01.002

• 专家问与答 • 上一篇    下一篇

关于全锆冠的几个问题

万乾炳   

  1. 口腔疾病研究国家重点实验室 国家口腔疾病临床医学研究中心 四川大学华西口腔医院修复1科 成都 610041
  • 收稿日期:2017-03-27 修回日期:2017-10-11 出版日期:2018-01-01 发布日期:2018-01-01
  • 通讯作者: 万乾炳,教授,博士,Email:champion@scu.edu.cn
  • 作者简介:万乾炳,教授,博士生导师,国际牙医师学院(中国区)院士。现任四川大学华西口腔医院固定修复科主任,中华口腔医学会口腔修复学专业委员会常务委员,四川省医学会口腔修复学专业委员会副主任委员,四川省学术技术带头人后备人选,《国际口腔医学杂志》常务编委,《华西口腔医学杂志》、NANO等杂志审稿专家。主要从事口腔固定修复、全瓷修复材料和技术、种植固定修复与技术等的研究,承担国家级、省部级等各类课题10余项;在国内外学术期刊发表相关论文100余篇,其中被SCI数据库收录的论文30余篇;主编《全瓷修复技术》,参编《中华口腔科学》《口腔修复学》等10余部著作;获国家级教学成果二等奖1项,四川省科技进步三等奖1项。 万乾炳,教授,博士,Email:champion@scu.edu.cn
  • 基金资助:
    四川省科技计划项目(2015SZ0078)

Several problems on monolithic zirconia crowns

Wan Qianbing   

  1. State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Prosthodontics 1, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2017-03-27 Revised:2017-10-11 Online:2018-01-01 Published:2018-01-01
  • Supported by:
    This study was supported by Science &Technology Program of Sichuan Province (2015SZ0078).

摘要: 氧化锆修复材料具有良好的生物相容性和力学性能,近年来逐渐得到了口腔临床医生的青睐。迅速发展的计算机辅助设计和计算机辅助制造(CAD/CAM)技术可以精确设计并制作出全解剖式的氧化锆全冠,不仅有效避免了饰面瓷崩瓷的问题,提高了其抗折性能,而且减少了牙体预备量,在修复后牙非美观区、甚至前牙美观区的牙体缺损中都有较大的应用前景。但是,目前全锆冠的实际应用远期效果仍需大量的实验数据及临床研究来支持。本文结合国内外最新文献,就全锆冠的力学性能、磨耗行为、表面粗糙度、低温老化现象、美观问题及短期临床报告等问题进行综述,以供参考。

关键词: 全解剖式氧化锆全冠, 计算机辅助设计和计算机辅助制造, 固定修复

Abstract: Zirconia restorations have been rapidly used in dentistry for the past few years, owing to their biocompatibility and advantageous mechanical properties. The improvement of computer aided design and computer aided manufacturing (CAD/CAM) technology has enabled the rapid, accurate fabrication of monolithic zirconia crowns. These crowns eliminate the need of the veneering ceramic layer, have superior fracture strength and significantly reduces the occlusal space requirements. It seems reasonable that monolithic zirconia crowns have the potential to be a dominant restorative choice in the posterior tooth region where esthetic concerns are less acute in the future. However, scientific evidence is required to support the application of monolithic zirconia crowns for clinical use. This article reviewed the research progress on mechanical properties, wear behaviors, surface roughness, low temperature degradation, esthetic aspects and short-term clinical researches of monolithic zirconia crowns.

Key words: full-contour monolithic zirconia crown, computer aided design and computer aided manufacturing, fixed prosthesis

中图分类号: 

  • R783.4
[1]Raigrodski AJ, Hillstead MB, Meng GK, et al. Sur-vival and complications of zirconia-based fixed den-tal prostheses: a systematic review[J]. J Prosthet Dent, 2012, 107(3):170-177.
[2]Manicone PF, Rossi Iommetti P, Raffaelli L. An overview of zirconia ceramics: basic properties and clinical applications[J]. J Dent, 2007, 35(11):819- 826.
[3]Beuer F, Stimmelmayr M, Gueth JF, et al. In vitro performance of full-contour zirconia single crowns [J]. Dent Mater, 2012, 28(4):449-456.
[4]Sun T, Zhou S, Lai R, et al. Load-bearing capacity and the recommended thickness of dental monolithic zirconia single crowns[J]. J Mech Behav Biomed Mater, 2014, 35:93-101.
[5]Lan TH, Liu PH, Chou MM, et al. Fracture resis-tance of monolithic zirconia crowns with different occlusal thicknesses in implant prostheses[J]. J Pros-thet Dent, 2016, 115(1):76-83.
[6]de Kok P, Kleverlaan CJ, de Jager N, et al. Mechanical performance of implant-supported posterior crowns [J]. J Prosthet Dent, 2015, 114(1):59-66.
[7]Seghi RR, Rosenstiel SF, Bauer P. Abrasion of human enamel by different dental ceramics in vitro [J]. J Dent Res, 1991, 70(3):221-225.
[8]Sripetchdanond J, Leevailoj C. Wear of human ena-mel opposing monolithic zirconia, glass ceramic, and composite resin: an in vitro study[J]. J Prosthet Dent, 2014, 112(5):1141-1150.
[9]Kim MJ, Oh SH, Kim JH, et al. Wear evaluation of the human enamel opposing different Y-TZP dental ceramics and other porcelains[J]. J Dent, 2012, 40 (11):979-988.
[10]Janyavula S, Lawson N, Lawson N, et al. The wear of polished and glazed zirconia against enamel[J]. J Prosthet Dent, 2013, 109(1):22-29.
[11]Amer R, Kürklü D, Kateeb E, et al. Three-body wear potential of dental yttrium-stabilized zirconia ceramic after grinding, polishing, and glazing treatments[J]. J Prosthet Dent, 2014, 112(5):1151-1155.
[12]Alghazzawi TF, Lemons J, Liu PR, et al. Influence of low-temperature environmental exposure on the mechanical properties and structural stability of dental zirconia[J]. J Prosthodont, 2012, 21(5):363- 369.
[13]Nakamura K, Harada A, Kanno T, et al. The influence of low-temperature degradation and cyclic loading on the fracture resistance of monolithic zirconia mo-lar crowns[J]. J Mech Behav Biomed Mater, 2015, 47:49-56.
[14]Harianawala HH, Kheur MG, Apte SK, et al. Com-parative analysis of transmittance for different types of commercially available zirconia and lithium disi-licate materials[J]. J Adv Prosthodont, 2014, 6(6): 456-461.
[15]Ilie N, Stawarczyk B. Quantification of the amount of blue light passing through monolithic zirconia with respect to thickness and polymerization condi-tions[J]. J Prosthet Dent, 2015, 113(2):114-121.
[16]Malkondu O, Tinastepe N, Kazazoglu E. Influence of type of cement on the color and translucency of monolithic zirconia[J]. J Prosthet Dent, 2016, 116 (6):902-908.
[17]Kim HK, Kim SH, Lee JB, et al. Effect of polishing and glazing on the color and spectral distribution of monolithic zirconia[J]. J Adv Prosthodont, 2013, 5 (3):296-304.
[18]Mundhe K, Jain V, Pruthi G, et al. Clinical study to evaluate the wear of natural enamel antagonist to zirconia and metal ceramic crowns[J]. J Prosthet Dent, 2015, 114(3):358-363.
[19]Sulaiman TA, Abdulmajeed AA, Donovan TE, et al. Fracture rate of monolithic zirconia restorations up to 5 years: a dental laboratory survey[J]. J Prosthet Dent, 2016, 116(3):436-439.
[20]Batson ER, Cooper LF, Duqum I, et al. Clinical out-comes of three different crown systems with CAD/CAM technology[J]. J Prosthet Dent, 2014, 112(4): 770-777.
[21]Cheng CW, Chien CH, Chen CJ, et al. Complete-mouth implant rehabilitation with modified mono-lithic zirconia implant-supported fixed dental pros-theses and an immediate-loading protocol: a clinical report[J]. J Prosthet Dent, 2013, 109(6):347-352.
[22]Altarawneh S, Limmer B, Reside GJ, et al. Dual jaw treatment of edentulism using implant-supported monolithic zirconia fixed prostheses[J]. J Esthet Restor Dent, 2015, 27(2):63-70.
[23]Rojas-Vizcaya F. Full zirconia fixed detachable im-plant-retained restorations manufactured from mono-lithic zirconia: clinical report after two years in ser-vice[J]. J Prosthodont, 2011, 20(7):570-576.
[24]Sadid-Zadeh R, Liu PR, Aponte-Wesson R, et al. Maxillary cement retained implant supported mono-lithic zirconia prosthesis in a full mouth rehabilita-tion: a clinical report[J]. J Adv Prosthodont, 2013, 5 (2):209-217.
[25]Limmer B, Sanders AE, Reside G, et al. Complica-tions and patient-centered outcomes with an implant-supported monolithic zirconia fixed dental pros-thesis: 1 year results[J]. J Prosthodont, 2014, 23(4): 267-275.
[26]Moscovitch M. Consecutive case series of monolithic and minimally veneered zirconia restorations on teeth and implants: up to 68 months[J]. Int J Perio-dontics Restorative Dent, 2015, 35(3):315-323.
[27]Thalji GN, Cooper LF. Implant-supported fixed dental rehabilitation with monolithic zirconia: a clinical case report[J]. J Esthet Restor Dent, 2014, 26(2):88-96.
[28]Mehra M, Vahidi F. Complete mouth implant reha-bilitation with a zirconia ceramic system: a clinical report[J]. J Prosthet Dent, 2014, 112(1):1-4.
[29]Abdulmajeed AA, Lim KG, Närhi TO, et al. Com-plete-arch implant-supported monolithic zirconia fixed dental prostheses: a systematic review[J]. J Prosthet Dent, 2016, 115(6):672-677.
[30]Yoon HI, Han JS. Prosthetic rehabilitation with an implant-supported fixed prosthesis using computer-aided design and computer-aided manufacturing dental technology for a patient with a mandibulec-tomy: a clinical report[J]. J Prosthet Dent, 2016, 115 (2):133-136.
[31]Venezia P, Torsello F, Cavalcanti R, et al. Retrospec-tive analysis of 26 complete-arch implant-supported monolithic zirconia prostheses with feldspathic por-celain veneering limited to the facial surface[J]. J Prosthet Dent, 2015, 114(4):506-512.
[32]Brandt J, Lauer HC, Peter T, et al. Digital process for an implant-supported fixed dental prosthesis: A clinical report[J]. J Prosthet Dent, 2015, 114(4):469- 473.
[1] 雒琪玥,柳叶语,罗依麟,满毅. 以正中关系为中心、面部美学及修复为导向的数字化无牙颌种植修复1例[J]. 国际口腔医学杂志, 2022, 49(4): 426-431.
[2] 杨光美,王剑. 全锆冠机械性能的研究现状及与临床应用的关系[J]. 国际口腔医学杂志, 2022, 49(1): 79-84.
[3] 付栩楠,谢志刚. 种植固定修复中基台机械并发症的研究进展[J]. 国际口腔医学杂志, 2019, 46(5): 571-577.
[4] 詹聃婷, 张帆, 郑立舸. 虚拟颌架的应用及研究进展[J]. 国际口腔医学杂志, 2018, 45(2): 228-232.
[5] 李学盛, 李鸿波. 固定修复体适合性评价方法的研究进展[J]. 国际口腔医学杂志, 2017, 44(6): 726-730.
[6] 李燕玲, 王劲茗. 计算机辅助设计与制作钛支架在无牙颌患者种植固定修复中的应用现状[J]. 国际口腔医学杂志, 2017, 44(3): 344-349.
[7] 刘洋, 赵翰驰. 前牙重度磨损伴关节弹响患者的咬合重建[J]. 国际口腔医学杂志, 2017, 44(1): 11-18.
[8] 陈春秀 文学锦. 计算机辅助设计和计算机辅助制造二氧化锆全瓷修复体的护理配合[J]. 国际口腔医学杂志, 2014, 41(2): 140-142.
[9] 喻娜 马超逸 岳莉 于海洋. 不同种类的固定修复体市场需求分析[J]. 国际口腔医学杂志, 2012, 39(4): 453-455.
[10] 万乾炳. 数码全瓷修复技术的现状及展望[J]. 国际口腔医学杂志, 2011, 38(5): 497-501.
[11] 史琦综述王燕一审校. 口腔内金属对头颅磁共振成像的影响和减少伪影方法的研究进展[J]. 国际口腔医学杂志, 2010, 37(6): 711-713.
[12] 桂和明,黄达鸿,陈健钊,. 263例患者固定修复后基牙情况5年临床观察[J]. 国际口腔医学杂志, 2006, 33(06): 482-484.
[13] 李俊 程祥荣 黄翠. 牙齿牙合向牵引——保留牙根的新方法[J]. 国际口腔医学杂志, 2004, 31(02): 163-164.
[14] 冯云枝. 固定修复对活髓牙牙髓健康的影响[J]. 国际口腔医学杂志, 2002, 29(06): -.
[15] 罗云,巢永烈. 固定修复中瓷材料颜色的研究[J]. 国际口腔医学杂志, 2001, 28(03): -.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] 张新春. 桩冠修复与无髓牙的保护[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 王昆润. 长期单侧鼻呼吸对头颅发育有不利影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[3] 彭国光. 颈淋巴清扫术中颈交感神经干的解剖变异[J]. 国际口腔医学杂志, 1999, 26(05): .
[4] 杨凯. 淋巴化疗的药物运载系统及其应用现状[J]. 国际口腔医学杂志, 1999, 26(05): .
[5] 康非吾. 种植义齿下部结构生物力学研究进展[J]. 国际口腔医学杂志, 1999, 26(05): .
[6] 柴枫. 可摘局部义齿用Co-Cr合金的激光焊接[J]. 国际口腔医学杂志, 1999, 26(04): .
[7] 孟姝,吴亚菲,杨禾. 伴放线放线杆菌产生的细胞致死膨胀毒素及其与牙周病的关系[J]. 国际口腔医学杂志, 2005, 32(06): 458 -460 .
[8] 费晓露,丁一,徐屹. 牙周可疑致病菌对口腔黏膜上皮的粘附和侵入[J]. 国际口腔医学杂志, 2005, 32(06): 452 -454 .
[9] 赵兴福,黄晓晶. 变形链球菌蛋白组学研究进展[J]. 国际口腔医学杂志, 2008, 35(S1): .
[10] 庞莉苹,姚江武. 抛光和上釉对陶瓷表面粗糙度、挠曲强度及磨损性能的影响[J]. 国际口腔医学杂志, 2008, 35(S1): .