Étude des matériaux de reconstruction prothétique odontologique en salive artificielle

Abstract : In dentistry, the loss of natural elements is made up for by the use of reconstruction biomaterials of metal or ceramic origin. The use of the latter is now fastly developing and tends to supersede metal, to have only "all ceramic" elements. All these materials will remain in the mouth of the patients for a long time, which creates optimal conditions for the appearance of corrosion phenomena. Saliva is indeed an effective electrolyte. The variations in pH, temperature and polymetalism increase the speed of corrosion and the release of the component elements. The present study concerns five alloys usually used in prosthetic dentistry: one noble, one high noble, three basic alloys and several ceramics of infrastructure to replace alloys: zirconia, alumina and lithium disilicate. All the samples undergo a salivary attack in statics, and a combination of salivary action and wear in dynamics thanks to a unique machine, simulating as exactly as possible the buccal conditions. The analysis of the samples in the S.E.M., as well as the spectrometry results, suggest that the Co-Cr alloy and titanium present an excellent behaviour. Ceramics also show remarkable properties on the biological plan, in spite of certain people's clinical experience. However, an important wear of the opposing natural teeth does not give them a perfect biocompatibility
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Maxime Helfer. Étude des matériaux de reconstruction prothétique odontologique en salive artificielle. Médecine humaine et pathologie. Université de Lorraine, 2012. Français. ⟨NNT : 2012LORR0296⟩. ⟨tel-01749870⟩

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